EQUIPPED FUTURE LEADERS

2025

1. Medium risk5/16/2025

   Age and Training (3270.31(e))

   At the time of inspection facility persons 02 had 8hrs of 12 hrs, 03 had 09 hrs of 12 hrs and 04 had 11 of 12 hrs of annual professional development training on file. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff #2 completed 4 hours of training. Staff #3 completed 3 hours of training. Staff #4 completed 1 hours of training. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/16/2025
2. Medium risk5/16/2025

   Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file (3270.182(7))

   At the time of inspection child #5 incident report was found on the table but was never given to parent or filed in the child chart or the facility's incident file. Requirement: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Correction: Incident Report was sent home for a signature and placed in the child's chart. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/30/2025
3. Medium risk5/16/2025

   Director qualifications/Transcript, diploma and letters (3270.34(b)/3270.192(2)(iv))

   At the time of inspection facility person 01 had 21 of 30 required credits to qualify as a director and also did not have verified experience or degree on file. Requirement: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: Credits were on file but not counted. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/30/2025
4. Medium-High risk5/16/2025

   Fire safety - 1 yr. (3270.31(e)(4)(ii))

   At the time of inspection facility persons #03 and #04 did not have Fire Safety training on file. Requirement: Staff persons shall participate, at least annually, in firesafety 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. Correction: All facility staff persons took an updated fire safety class on 5/15/2025 Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/26/2025
5. Medium-High risk5/16/2025

   Age and Training/Health and Safety Training - Pediatric First Aid and CPR (3270.31(e)(4)(i)/3270.31(f)(10))

   At the time of inspection facility person 02 had expired CPR training on file. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff Person was scheduled for an updated CPR class and missed that appointment. Staff Person 02 was suspended from working until CPR training is rescheduled and completed. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/26/2025
6. Medium-High risk5/16/2025

   Plan reviewed/updated annually (3270.27(b))

   At the time of inspection, the facility did not have an emergency plan that was reviewed or updated annually on cite. Requirement: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Correction: Emergency plan has been put on the parent board so that is easier spotted and in plain site. Two additional copies have been place in the facility one in the Director's draw and the other at the Administrator's desk. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 4/14/2025
7. Medium-High risk5/16/2025

   Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

   At the time of inspection facility did not have written policy to address the following: 1.Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma. 2. Strategies for coping with a crying, fussing, or distraught child. 3. The prevention and identification of child maltreatment Also, their emergency plan addresses continuity of operations and specifies the role of all facility persons including volunteers. Facility did not have an emergency plan that addressed continuity of operations. Facility person 02 did not have emergency plan training on file Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Printed out shaken baby syndrome Brochure from the health department website. Copied information from the pamphlet and added it to letter head to formulate a policy. Printed out the policy and added both to the pamphlet and policy documentation to all the classrooms boards and parent board. Emergency Plan has been put on the parent board so that it is easily spotted and in plain sight. Accompanied is information of what is expected with continued continuity of care if an emergency has taken place. Emergency evacuation plan was completed over by staff person #2 and place in the state file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/16/2025
8. Medium-High risk3/12/2025

   Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

   At the time of inspection facility did not have written policy to address the following: 1.Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma. 2. Strategies for coping with a crying, fussing, or distraught child. 3. The prevention and identification of child maltreatment Also, their emergency plan addresses continuity of operations and specifies the role of all facility persons including volunteers. Facility did not have an emergency plan that addressed continuity of operations. Facility person 02 did not have emergency plan training on file. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Printed out shaken baby syndrome Brochure from the health department website. Copied information from the pamphlet and added it to letter head to formulate a policy. Printed out the policy and added both to the pamphlet and policy documentation to all the classrooms boards and parent board. Emergency Plan has been put on the parent board so that it is easily spotted and in plain sight. Accompanied is information of what is expected with continued continuity of care if an emergency has taken place. Emergency evacuation plan was completed over by staff person #2 and place in the state file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/16/2025
9. Medium risk3/12/2025

   Staff evaluations (3270.34(a)(6))

   At the time of inspection facility persons 02, 03 and 04 did not have their annual staff evaluation on file. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Updated staff evaluation for #02, #03, and 04. Place in staff's chart Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/16/2025
10. Medium-High risk3/12/2025

    Emergency plan/Letter to parents (3270.27(a)/3270.27(e))

    At the time of inspection facility had an incomplete emergency plan on file. Requirement: The facility shall have an emergency plan. The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Correction: Sent an updated letter home to the parents with the updated emergency procedures, once signed place a copy in the family's folder. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025
11. Medium-High risk3/12/2025

    Plan reviewed/updated annually (3270.27(b))

    At the time of inspection, the facility did not have an emergency plan that was reviewed or updated annually on cite. Requirement: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Not corrected
12. Medium-High risk3/12/2025

    Age and Training/Health and Safety Training - Pediatric First Aid and CPR (3270.31(e)(4)(i)/3270.31(f)(10))

    At the time of inspection facility person 02 had expired CPR training on file. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Not corrected
13. Medium-High risk3/12/2025

    Fire safety - 1 yr. (3270.31(e)(4)(ii))

    At the time of inspection facility persons 03 and 05 did not have Fire Safety training on file. Requirement: Staff persons shall participate, at least annually, in firesafety 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. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Not corrected
14. Medium risk3/12/2025

    Director qualifications/Transcript, diploma and letters (3270.34(b)/3270.192(2)(iv))

    At the time of inspection facility person 01 had 21 of 30 required credits to qualify as a director and also did not have verified experience on file. Requirement: A director shall have attained one of the following qualification levels specified at §3270.34(b)(1) - (4). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: Disputed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025
15. Medium risk3/12/2025

    Handwashing signs (3270.82(h))

    At the time of inspection facility did not have correct handwashing signed posted. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: Disputed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025
16. Medium-High risk3/12/2025

    Emergency info/agreement updated 6 mos (3270.181(c))

    At the time of inspection children 01, 02, 03, 04, and 05 did not have their emergency contact form and financial agreement form signed every 6 months. Requirement: 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: Dispute Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025
17. Medium risk3/12/2025

    Application, admission, withdrawal dates (3270.182(2))

    At the time of inspection children 01, 02, 03, 04, and 05 did not have their application and admission dates in their files. Requirement: A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: Dispute Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025
18. Medium risk3/12/2025

    Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file (3270.182(7))

    At the time of inspection child #5 file did not contain a copy of an incident report for an injury that occurred at the facility, nor did the parent receive a copy of the incident report. Requirement: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Not corrected
19. Medium-High risk3/12/2025

    Every 60 days (3270.94(a)(1))

    At the time of inspection facility's fire drill was not conducted every 60 days but started at 10/2024 -2/2025 Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Correction: Dispute Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025
20. Medium-High risk3/12/2025

    Remove all persons in one trip/Exit building (3270.94(a)(6)/3270.94(a)(8))

    At the time of inspection annual emergency drills were not conducted and documented. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation plans provide for the removal of all persons from the facility in a single trip. The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that facility persons and children exit the building, weather permitting. Correction: Dispute Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025
21. Medium-Low risk3/12/2025

    Devices must be compliant (3270.95(a))

    At the time of inspection there was no proof of purchase for the interconnected fire system or attestation form on file. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Not corrected
22. Medium-High risk3/12/2025

    Emergency plan (3270.27(f))

    At the time of inspection facility did not have proof of emergency plan and subsequent plan updates sent to the local municipality and county EM on file. Requirement: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Correction: Mailed out an additional copy to the local municipality and Philadelphia emergency management agency Completed a state emergency plan delivery form placed it in the state chart that is designated for the inspector. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025
23. Medium risk3/12/2025

    Age and Training (3270.31(e))

    At the time of inspection facility persons 02 had 8hrs of 12 hrs, 03 had 09 hrs of 12 hrs and 04 had 11 of 12 hrs of annual professional development training on file. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff #2 completed 4 hours of training. Staff #3 completed 3 hours of training. Staff #4 completed 1 hours of training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025
24. Medium-Low risk3/12/2025

    Pick-up and drop-off points (3270.171(a))

    At the time of inspection there was no proof that the annual written notification to local traffic safety authorities of safe routes on file. Requirement: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Correction: Corrected info on a different volitation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 5/16/2025