FOLLOW ME CHILD CARE CENTER

Locked or inaccessible (3270.66(a))

Observed toxic materials including Aussie curl detangler and spray on a low shelf which was accessible to preschoolers in the Koalas classroom *Corrected at the time of the inspection. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Toxic material material was immediately removed from the classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

Observed a spray bottle and a bottle containing lotion in the Koalas classroom which was not labeled with the specific content. *Corrected at the time of the inspection. Observed food items being stored next to cleaning products in the Dolphins classroom. Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. Correction: Both the spray bottle and the bottle of lotion were immediately removed from the Koalas classroom. The spray bottle was properly labeled and placed outside of the reach of children in a locked cabinet. The lotion was labeled "teacher use only" and placed outside of the reach of children in a locked cabinet. Food items and cleaning products were separated and are no longer being stored next to one another in the Dolphins classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

Observed the hands-free lidded trash can in the diapering area in the Pandas classroom did not close without assistance. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: Diaper trash can in the Pandas classroom bathroom was removed and replaced with a 'hands-free" covered can. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked (3270.133(4))

Observed an EpiPen in a "Go Bag" located in the Dolphins classroom which was hanging on a low hook and accessible to preschool age children. *Corrected at the time of the inspection. Requirement: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Correction: The EpiPen in the "Go Bag" was immediately placed outside of the reach children in the Dolphins classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space (3270.111(b))

A written plan of daily activities was not posted in the Jr. Surge Bible Study classroom. Requirement: The written plan of daily activities shall be posted in the group space. Correction: A written plan of daily activities was posted in the Jr. Surge's Bible Study classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

Observed rest equipment in the Polar Bears, Dolphins, Kangaroo (Foxes) and Pandas classrooms which did not have 2 feet of space on three sides while the equipment was in use. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: Rest equipment in the Polar Bears, Dolphins, Kangaroo (Foxes) and Pandas classrooms which did not have 2 feet of space on three sides while the equipment was in use will be placed at least 2 feet apart on three sides while the children are napping. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

Observed rest equipment in the Ducklings classroom which were not labeled for use by a specific child. *Corrected at the time of the inspection. Requirement: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Correction: Rest equipment in the Ducklings classroom were labeled properly for use by a specific child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

Observed a sensory table in the Koalas classroom which was missing a wheel causing the table to be unstable. *Corrected at the time of the inspection. Observed the grey upholstered chairs in the Frogs 1 classroom had tears at the top corners of the attached back cushions. Observed the grey upholstered chairs in the Frogs 2 classroom had tears at the top corners of the attached back cushions. The couch in the Frogs 2 classroom had a tear in the right side of the back cushion. The rocking chair in the Frogs 2 classroom had a tear on the side of the chair. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: Sensory table in the Koalas classroom which was missing a wheel causing the table to be unstable was repaired. The grey upholstered chairs in the Frogs 1 classroom had tears at the top corners of the attached back cushions. They have been repaired. The grey upholstered chairs in the Frogs 2 classroom had tears at the top corners of the attached back cushions. They have been repaired. The couch in the Frogs 2 classroom had a tear in the right side of the back cushion. It has been repaired. The rocking chair in the Frogs 2 classroom had a tear on the side of the chair. This chair has been removed and disposed of. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

Observed staff cubbies in the Bunnies (infants') classroom with plastic bags that were accessible to the mobile infants and young toddlers in care. *Corrected at the time of the inspection. Observed plastic bags on the floor next to the sink in the bathroom area of the Penguins (older toddler) classroom which were accessible to children while using the bathroom. *Corrected at the time of the inspection. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: Plastic bags in the Bunnies classroom and the Penguins classroom were placed out of reach of children at the time of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.82(g))

Observed a paper towel dispenser in the Boys bathroom which was loose. Observed rusting sink fixtures under the sink in the Girl's bathroom. Observed the sink and sink fixtures located in the Pandas classroom were rusted and flaking. Observed the bathroom used by children in the Pandas classroom was not clean and had urine at the base of the toilet. Observed the paper towel dispenser in the bathroom in the Pandas classroom was not secured to the wall. Requirement: Toilet areas and fixtures shall be cleaned daily and be in good repair. Correction: Paper towel dispenser in the Boys bathroom was tightened and reattached to the wall. Rusting sink fixtures under the sink in the Girl's bathroom were repaired and rehabbed. Sink fixtures the Pandas classroom bathroom were repaired and rehabbed. Paper towel dispenser in the Pandas bathroom was tightened and reattached to the wall. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Observed chipping paint on the chalkboard ledge and door frame of the closet in the Koalas classroom (preschool), at the closet door (with the mirror) in the Ducklings classroom (infants), at the closet door in the Penguins classroom (older toddlers), behind a bookshelf in the Raccoons classroom (older toddlers) on the window ledge in the Bunnies classroom (infants) at the closet door (with the mirror) in the Hedgehogs classroom (Preschool) and on the down spout on the side of the building which is in the toddler playground. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Chipped paint on the chalkboard ledge and door frame of the closet in the Koalas classroom (preschool) was sanded and repainted. Chipped paint at the closet door (with the mirror) in the Ducklings classroom (infants) was sanded and repainted. Chipped paint at the closet door in the Penguins classroom (older toddlers) and behind a bookshelf in the Raccoons classroom (older toddlers) was sanded and repainted. Chipped paint on the window ledge in the Bunnies classroom (infants) at the closet door was sanded and repainted. Chipped paint (near the mirror) in the Hedgehogs classroom (Preschool) and on the down spout on the side of the building which is in the toddler playground was sanded and repainted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Observed adult scissors and a utility knife on the teacher's desk in the Hedgehogs classroom which were accessible to preschool age children in care *Corrected at the time of the inspection. Observed a Cricut machine in the Polar Bears classroom which was accessible to preschool age children in care. Observed debris and food crumbs on the trash can next to the sink and step stool located in the Penguins classroom (older toddlers). *Corrected at the time of the inspection. Observed a light in the left closet located in the Frogs 1 classroom which was sitting on top of the metal ceiling tile grid with a loose ceiling tile resting on top of the light. Observed visible dirt and dust along the baseboard trim on the wall in the Frogs 1 classroom. Observed the baseboard strip on the wall by the sink in the Chinchilla's classroom was pulling away from the wall. 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: Adult scissors were immediately placed outside the reach of children in a locked drawer and the utility knife was removed from the Hedgehogs classroom. A Cricut machine was immediately removed from the Polar Bears classroom. Food and crumbs were immediately cleaned up from the sink area and the step stool in the Penguins classroom. Ceiling light was turned off and the ceiling tile was repaired. In addition, baseboards were dusted and cleaned in the Frogs 1 classroom. Baseboard strip was repaired in the Chinchillas classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inaccessible to children (3270.75(b))

Observed a first aid kit in the Bunnies classroom hanging on a low hook, which was accessible to children. *Corrected at the time of the inspection. Requirement: A first-aid kit must be inaccessible to children. Correction: The first aid kit that was accessible in a backpack on a low hook was immediately placed in a cabinet that was out of the children's reach. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic plants not permitted (3270.66(d))

Observed 2 toxic plants (Snake Plant and Arrowhead) on a shelf in the Dolphins classroom. Observed 2 toxic plants (Gollum Jade and Arrowhead) in the Kangaroos (Foxes) classroom. *Corrected at the time of the inspection. Requirement: Toxic plants are not permitted in a child care space. Correction: Toxic plants were immediately removed from the Dolphins and Kangaroos classrooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact information for child #1 and #2 did not include signed parental consent for swimming. Child #1 and #2 were observed in the pool at the time of the inspection. *Corrected at the time of the inspection. Requirement: A child's record shall contain signed parental consent for transportation, walking excursions, swimming and wading. Correction: Handwritten permission was given for child #1 and #2. In addition, when parents picked up, upon arrival of inspection day, the parents corrected the forms. Inspection: Swimming. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked (3270.133(4))

Observed prescription medications in the "go-bag" which were not locked or in an area that is out of reach of children. The "go-bags" were on the picnic tables under the pavilion in the pool area while the group was swimming. Requirement: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Correction: A lockable "go-bag" was ordered and received. It will be used on all field trips to lock medication. It will be kept out of reach of children. Inspection: Swimming. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

The pediatric first aid and CPR for staff person #1, #2, #3 was not renewed on or before the expiration of the previous certification. The current training on file was dated 04/13/2024 with the previous training dated 03/24/2022 with an expiration date of 03/2024. 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. Correction: Typically we do pediatric first aid twice a year to ensure everyone meets the DHS required standard. Follow Me had three teachers who were unable to attend the scheduled pediatric first aid class due to a family emergency. They made up the class within 30 days of the scheduled class. This was a violation already corrected at the time of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

An annual emergency drill was not conducted within 12 months of the previous drill. The most recent drill was documented on 11/2024 with the previous drill documented on 05/15/2023. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: An annual emergency drill was conducted once every 12 months The director misunderstood the regulation as once every calendar year instead of once every 12 months. Moving forward an annual drill will be conducted once every 12 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3270.124(c))

Observed emergency contact information was not present in the Bunnies classroom for child #1 while receiving care. *Corrected at the time of the inspection. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: A new child began the day of inspection. The emergency contact form was given by the mom in the morning and had not been copied and given to the classroom at the time of inspection. The emergency contact for was copied and given as soon as the error was realized. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

Observed staff person #4 was sitting at a table next to the door in the porcupine classroom while 4 younger school age children were playing on the opposite side of the classroom behind a shelf. Staff person #4 was unable to see, direct and assess the children from their position on the other side of the room. Observed staff person #5 was unable to see all of the children during naptime in the Dolphins classroom. Staff person #5 was sitting at a table in the middle of the room, due to placement of the cots behind/next to shelves, 2 napping preschool age children were unable to been seen from where staff person #5 was sitting. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Correction: Follow Me Christian will ensure that they are supervising children at all times by sight and sound at all times. This includes play time, naptime, outdoor time, and potty time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inaccessible to children (3270.75(b))

Observed the child safety latch on the cabinet containing the first aid kit in the Pandas classroom was broken and unable to be locked. The lower cabinet door was accessible to older toddlers and preschool age children in care. *Corrected at the time of the inspection. Requirement: A first-aid kit must be inaccessible to children. Correction: A latch was broken on a cabinet containing a first aid kit. The first aid kit was removed and placed in an alternate cabinet with a working lock that inaccessible to children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contaminated trash in closed plastic-lined receptacle (3270.67(d))

Observed the trash can in the Kangaroo classroom used for the disposal of used tissues did not have a lid. *Corrected at the time of the inspection. Requirement: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Correction: Trash can lid was placed back on trash can and will be kept on at all times when trash that has been contaminated by human secretions or excrement is placed in the trash can. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Observed the child safety latch on the cabinet containing cleaning products in the Pandas classroom was broken and unable to be locked. The lower cabinet door was accessible to older toddlers and preschool age children in care. *Corrected at the time of the inspection. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: On the date of inspection, the cleaning materials were moved to another cabinet with a working lock until the cabinet lock could be repaired. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level/Toddler and preschool children (3270.51/3270.55(a))

During naptime, observed 1 staff person caring for a group of 12 older toddlers. 11 older toddlers were resting quietly or sleeping on their cots and 1 older toddler was awake and sitting on the other side of the room sliding around on the floor. When a child is awake and no longer resting on their mat, naptime ratios no longer apply. Requirement: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The staff:child ratio while toddlers and preschoolers are napping is one staff person to 10 young toddlers, one staff person to 12 older toddlers, one staff person to 20 preschool children. Correction: Follow Me Christian will maintain maximum group ratios while children are both awake and napping. If a child is awake and no longer resting on their cot, the teacher will notify the director so that an additional staff person can join the classroom to maintain ratios. During the inspection visit, another staff person joined the classroom for the remainder of nap time so that ratios were compliant. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

Observed staff person #1 in the Panda classroom assisting a child in the bathroom. From their position in the bathroom, staff person #1 was able to supervise 3 children napping nearby but was unable to supervise the remaining 6 children napping in the classroom. 1 child was behind a shelf, and 5 children were on the other side of the room which were blocked from view by the wall in the center of the room. There were 4 older toddlers and 6 preschool age children with 1 staff person in the classroom during naptime. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Correction: Children on the facility premises shall be supervised by a staff person at all times. With this particular classroom, Follow Me Christian will put an extra person in the classroom over naptime so that blind spots will not be created especially if assisting a child in the bathroom. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).