MULTICULTURAL COMMUNITY RESOURCE CENTER

2025

1. Medium risk10/1/2025

   General Health and Safety (3270.21)

   In the Pre-K Counts Room there were 2 pairs of adult scissors on the teacher's desk accessible to children. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Adult scissors were removed and placed in the teachers closet Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/3/2025
2. Medium-High risk10/1/2025

   Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

   Staff #2's two most recent fire safety trainings are dated 3/5/2024 and 4/16/2025 which are more than 12 months apart. Staff #3's two most recent fires safety trainings are dated 3/5/24 and 4/21/25 which are more than 12 months apart. Staff #4's fire safety training is dated 9/22/2025 which was more than 12 months after Staff #4's date of hire(See LIS Code Sheet). Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff #2 and staff #3 took fire safety training on 4?16/205 and 4/21/2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/17/2025
3. Medium-High risk10/1/2025

   Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

   Staff #1's file did not contain an NSOR certificate. Staff #2's two most recent NSOR certificates are dated 7/9/2020 and 7/15/2025 which are more than 60 months apart. Staff #3's two most recent dates clearance on each clearance are: State Police 11/6/19 &1/3/2025, Child Abuse Clearances 11/6/19 & 1/3/2025, DHS FBI Clearance 11/21/19 & 1/21/2025, and NSOR Certificate 7/9/2020 & 7/15/2025, all are more than 60 months apart. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility. Correction: Staff #1 did not work until NSOR was received on 10/3/2025, Staff #2 acquired NSOR 7/15/2025 Staff #3 acquired NSOR 7/15/2025, State Police 1/3/2025, Child abuse 1/3/2025 and FBE on 1/21/2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/17/2025
4. Medium risk10/1/2025

   HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

   Staff #5's file did not contain documentation of evaluated proof of education of the person's foreign diploma. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff #5's foreign diploma was submitted for evaluation by our Executive Director Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/7/2025
5. Medium-High risk10/1/2025

   Has all items (3270.75(c))

   The first aid kit in the Pre-K Counts room was missing scissors and soap. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Scissors and soap were placed in the kit Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/17/2025
6. Medium-High risk10/1/2025

   Building Surfaces (3270.76)

   In the large outside play space there was a hole in the wire fence along the bottom on the entrance side. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: Maintenace repaired the whole in the fence Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/10/2025
7. Medium risk10/1/2025

   Clean and good repair (3270.102(a))

   In the preschool room there were cracked magna tiles not in good repair. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: The broken magna tiles were thrown in the trash Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/17/2025
8. Medium-Low risk10/1/2025

   Amount of fee (3270.123(a)(1))

   Child #1's financial agreement did not contain the amount of the fee to be charged per day or per week. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: A new fee agreement with the charged amount was created for child #1. Parents reviewed, signed and received the original fee agreement Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/17/2025
9. Medium risk10/1/2025

   Designated release persons (3270.123(a)(5))

   Child #1, 2, and 4's financial agreements did not contain the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Child's #1, #2 and #4's fee agreements were reviewed by the parents and designated persons that the child may be released to. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/17/2025
10. Medium-High risk10/1/2025

    Physician name, address, phone (3270.124(b)(2))

    Child #2's file did not contain the phone number of the child's physician or source of medical care. Child #3 and 5's files did not contain the address of the children's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Child #2, #3 and #5 emergency contact information now includes the name, address and telephone number of the child's physician or source of medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
11. Medium-High risk10/1/2025

    Parent home/work address, phone (3270.124(b)(3))

    Child #1, 2, 3, 4, and 5's files did not contain the enrolling parents work address and work phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Child #1, 2, 3, 4 and 5 emergency contact information now includes the work addresses and telephone numbers of the enrolling parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
12. High risk10/1/2025

    Written consent/Consent for emergency medical care required prior to admission (3270.124(b)(4)/3270.182(3))

    The files for child #3 and 4 do not include written parental permission for the facility to obtain emergency medical care. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: Child #4 now includes written parental permission to obtain emergency medical care. Child #3 s no longer enrolled. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
13. Medium-High risk10/1/2025

    Information re: special needs (3270.124(b)(5))

    Child #2 and 3's files did not contain information on the child's special needs. Requirement: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Correction: Child's #2 emergency contact form now include information on the child's special needs Child # 3 is no longer in enrolled in the program Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
14. Medium-High risk10/1/2025

    Insurance coverage information (3270.124(b)(6))

    Child #2 and 3's files did not contain the children's health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Child #2 emergency forma now contain the children health coverage and policy number. Child #3 is no longer in enrolled in the program. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
15. Medium-High risk10/1/2025

    Name/address/phone release person (3270.124(b)(7))

    Child #2's file did not contain 3 addresses of individuals designated by the parent to whom the child may be released. Child #3's file did not contain 1 address of an individual designated by the parent to whom the child may be released. Child #4's file did not contain 2 addresses of individuals designated by the parent to whom the child may be released. Requirement: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Child #2 and 4 emergency contact forms now contain the name, address and telephone number of the individuals designated by the parent to whom the child may be released. Child #3 is no longer enrolled in the program. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
16. Medium-High risk10/1/2025

    Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

    The 2 most recent 6-month review signatures for the emergency contact form on file for Child #1 are dated 1/27/24 and 4/17/25 which is more than 6 months apart. Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: Update was completed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
17. Medium-High risk10/1/2025

    Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos (3270.131(b)(2)/3270.181(c))

    The two most recent health assessments on file for Child #1, who is a preschool age child(See LIS Code Sheet), are dated 2/1/24 and 8/22/25, more than 12 months apart. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: Health form for child one was received 8/22/2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
18. Medium-High riskStandard 1210/1/2025

    12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

    Staff #3's two most recent health assessments are dated 12/8/22 and 4/22/25 which are more than 24 months apart. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff #3 health assessment was turned in on 4/22/2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
19. Medium-High risk10/1/2025

    Consent for administration of medications or special dietary needs (3270.182(4))

    The files for child #2 and 3 did not include written parental permission for administration of medication or special dietary needs. Requirement: A child's record shall contain signed parental consent for administration of medications or special dietary needs. Correction: Child #2 emergency form contain parental consent for administration of medications or special dietary needs. Child #3 is no longer enrolled in the program Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
20. Medium-High risk10/1/2025

    Consent for administration of minor first-aid required prior to admission (3270.182(5))

    The files for Child #3 and 4 do not include written parental permission for the facility to administer minor first aid procedures. Requirement: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Child #4 emergency contact form now contains signed parental consent for administration of minor first-aid procedures by facility staff. Child #3 is no longer enrolled in program. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
21. Medium-High risk10/1/2025

    Signed parental consent for transportation, walking excursions, swimming and wading (3270.182(6))

    The files for child #3 and 4 do not include written parental permission for transportation. Requirement: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading. Correction: Child #4's file now includes written parental consent for transportation, walking excursions, swimming and wading. Child #3 is no longer enrolled in program. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
22. Medium-High risk10/1/2025

    Emergency plan (3270.27(a)(6))

    The most current emergency drill on file was dated 6/12/24 which was more than 12 months ago. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Emergency drill was conducted on 10/13/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
23. Medium-High risk7/23/2025

    Contact when arises (3270.27(a)(3))

    The facility's emergency plan did not contain a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. Correction: Emergency Plan will be reviewed by Executive Director, [Staff person #4]. Executive director will edit the plan to contain a method for the facility persons to contact parents as soon as reasonably possible when an emergency situation arises. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/30/2025
24. Medium-High risk7/23/2025

    Contact when ended (3270.27(a)(4))

    The facility's emergency plan did not include a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction: Emergency Plan will be reviewed by Executive Director, [Staff person #4]. Executive director will edit the plan to contain a method for the facility persons to inform the parents that the emergency has ended and to provide instruction as how parents can safely be reunited with their children Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/30/2025
25. Medium-High risk7/23/2025

    Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

    Staff #3's two most recent Child Abuse Clearances are dated 6/29/20 and 7/1/25 which are more than 60 months apart. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Correction: Staff #3 child Abuse Clearance was completed on 7/1/25. Clearance was requested as soon as soon as it was noticed that it was expiring. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/30/2025