TWINS HILL DAYCARE

2025

1. Medium-High risk9/3/2025

   Date fee to be paid/Services proceeded (3280.123(a)(2)/3280.123(a)(3))

   A renewal inspection was conducted on 9/3/2025. At that time, fee agreement for child #1 did not include services provided or the date on which the fee is to be paid. Requirement: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f). Correction: 09/03/25 The agreement specifies that the child's mother is paying every Monday of the current week. The agreement describes the services provided to the family and the child, including the form approved by the Department providing the family with information about the child's growth and development in the context of the services being provided. The facility has completed and updated the form and provided a copy to the family in accordance with updates on emergency contact information pursuant to code § 3280.124(f). Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/3/2025
2. Medium-High risk9/3/2025

   Participation (3280.94(a)(7))

   A renewal inspection was conducted 9/3/2025. At that time, the fire drill log used by the facility did not include the number of children in care or staff present during drill. Requirement: Facility persons and children in attendance participate in the fire drill. Correction: 09/04/25 The fire drill log used by the facility includes a space to document the number of children in care and the number of staff present at the location while the fire drill is being conducted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/4/2025
3. Medium-High risk9/3/2025

   Evacuation routes posted (3280.94(a)(5))

   A renewal inspection was conducted on 9/3/2025. At that time, evacuation routes were not posted on the main living area or second floors of the facility. Requirement: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Correction: 09/30/25 Evacuation Routes are posted now on the main living area and second floor of the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/17/2025
4. Medium-High risk9/3/2025

   Various activity times/Hypothetical locations (3280.94(a)(3)/3280.94(a)(4))

   A renewal inspection was conducted 9/3/2025. At that time, the fire drill log used by the facility did not include time of fire drill or hypothetical location of the fire during the drill. Requirement: Fire drills are conducted during various program activity times. The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Correction: 09/25/25 Fire drills are conducted during various program activities. The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Also, we are documenting and keeping on file the fire drill log, with the date, time, quantity of children in care and staff working now on the drill, as long with the result. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/25/2025
5. Medium-High risk9/3/2025

   Emergency plan (3280.26(a)(5))

   A renewal inspection was conducted on 9/3/2025 At that time, facility's emergency plan did not provide for accommodations for infants. Certification representative observed an infant in care during inspection. Additionally, parent letter explaining the facility's emergency plan did not include accommodations for infants, toddlers, or children with disabilities. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Correction: 09/05/25 The facility includes in the Emergency Plan folder and in the package for parents' information about accommodations for infants, toddlers, or children with disabilities in the event of an evacuation or emergency. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/5/2025
6. Medium risk9/3/2025

   Surfaces cleaned (3280.135(b))

   A renewal inspection was conducted on 9/3/2025. At that time, the changing pads had cloth coverings over them. Cloth coverings do not allow for the diaper changing surface to be cleaned after each use. Requirement: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering. Correction: 09/03/25 The changing pads of cloth coverings over them have been removed and has been cleaned after each use. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/3/2025
7. Medium-High risk9/3/2025

   Immunization record/Dismissal policy (3280.131(d)(5)/3280.131(e)(3))

   A renewal inspection was conducted on 9/3/2025. At that time, immunization record on file for child #1 did not reflect that child is immunized according to the recommendations of the ACIP. Child #1 had 2 of 3 doses each of Rotavirus and HIB vaccines. There was no exemption on file. Child #1 is an infant (see LIS code sheet for DOB). Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Correction: 10/03/25 The information about immunization cannot be provided because Child is no longer enrolled. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 10/3/2025
8. Medium-High risk9/3/2025

   Parent home/work address, phone/Name/address/phone release person (3280.124(b)(3)/3280.124(b)(7))

   A renewal inspection was conducted on 9/3/2025. At that time, the following information was missing from child #1's emergency contact form: father's work address and work telephone number, mother's work address, and release person's address. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 09/03/25 The facility has been updated the father's work address and work telephone number, mother's work address of the child #1's emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/3/2025
9. Medium-High risk9/3/2025

   Physician name, address, phone (3280.124(b)(2))

   A renewal inspection was conducted on 9/3/2025. At that time, the following information was missing from child #1's emergency contact form: full name and address of child's pediatrician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: 09/03/25 The full name and address of pediatrician information have been updated for child #1's emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/3/2025
10. Medium risk9/3/2025

    Designated release persons (3280.123(a)(5))

    A renewal inspection was conducted on 9/3/2025. At that time, fee agreement for child #1 did not include release person(s). Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: 09/03/25 The fee agreement for child #1 has been updated by the provider including the release person(s) designated by a parent to whom the child may be released. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 9/3/2025
11. Medium riskStandard 1109/3/2025

    110º F or less (3280.69(a))

    A renewal inspection was conducted on 9/3/2025. At that time, the temperature of the water in the bathroom sink used by children was taken and was 123° F. Requirement: Hot water temperature, in areas accessible to children, may not exceed 110° F. Correction: 10/03/25 The temperature of the water in the bathroom sink used by children is regulated and do not exceed the temperature of 110° F. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/3/2025
12. Medium-High risk9/3/2025

    Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

    A renewal inspection was conducted on 9/3/2025 At that time, staff/household members files were reviewed. Facility person #1 had PSP clearance dated 8/21/2025, child abuse clearance dated 9/2/2025, and NSOR clearance dated 8/26/2025 which were all obtained after facility person #1 had turned 18 years old. There is no DHS FBI clearance on file. Facility person #1 resided in the home full time until 8/22/2025. As of 8/22/2025, facility person #1 resides in the home part-time. 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. Facility Person #1 may not work in a child care position or be present at the facility while child care is occurring until all required clearances are on file. 1. 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. Facility Person #1 may not work in a child care position or be present at the facility while child care is occurring until all required clearances are on file. This portion of the plan shall have an immediate correction date. 2. Facility Person #1 will obtain all required clearances and they will be on file at the facility. may not work in a child care position or be present at the facility while child care is occurring until all required clearances are on file. This portion of the plan shall have a date in which the DHS FBI clearance will be on file at the facility. Correction: 1. 9/3/2025. The operator will comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record will 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. Facility Person #1 will not work in a child care position or be present at the facility while child care is occurring until all required clearances are on file. 2. 10/20/2025. Facility Person #1 will obtain all required clearances and they will be on file at the facility. may not work in a child care position or be present at the facility while child care is occurring until all required clearances are on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/17/2025
13. Medium-High risk9/3/2025

    Pertinent Laws & Regulations/General Health and Safety (3280.14/3280.20)

    A renewal inspection was conducted on 9/3/2025. At that time, the facility did not have a policy to address the following: recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; or the prevention and identification of child maltreatment. 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. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment. Correction: 09/05/25 Facilities have been updating the policies in our record and the employees record including the Policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy includes Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma of a child; · Strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/17/2025
14. Medium-High risk6/3/2025

    Pertinent Laws & Regulations/General Health and Safety (3280.14/3280.20)

    The facility's emergency plan did not address continuity of operations. 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. Continuity of operations planning includes, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster Correction: In our plan we have included a center near our location called Little Haven Childcare Center LLC. They provide the same services as our facility. We will address continuity of operations in our plan. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/11/2025
15. Medium-High risk6/3/2025

    FIRE DETECTION/Staff responsibility (3280.95(a)/3280.95(b))

    The smoke detectors in the facility were not interconnected. 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)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. A group child care home in a residence with 12 or fewer children in care must have an interconnected smoke detector system. 34 Pa. Code § 403.23(c)(1). Correction: The smoke and carbon monoxide alarm was ordered online through Amazon and we will receive the equipment on 6/10/25. We received the equipment and we set up all of them and place it on each floor as requested from the Department of Child Care. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/10/2025
16. Medium risk6/3/2025

    Two written references (3280.192(5))

    The files of Staff Person #1 and Staff Person #2 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Adjani Paulino is providing work experience in regard childcare and the responsibility as caregiver person. Letter are attached. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/5/2025
17. Medium risk6/3/2025

    Exp, educ., training prior to facility (3280.192(2)(ii))

    The files of Staff Person #1 and Staff Person #2 did not contain verification of past childcare experience. Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Yovianki Paulino is providing reference and recommendation letter from job, volunteer services in church and also particular person: Detail: Wilson School District/ St Margaret Roman Catholic Church letters are attached. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/8/2025
18. Medium-High riskStandard 126/3/2025

    12 months prior to service and every 24 months thereafter/Health assessment, TB test (3280.151(a)/3280.192(3))

    Staff Person #1 and Staff Person #2 did not have health assessments on file. 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: Adjani Paulino went to Tower Health Urgent Care on 6/4/25 to have done the health assessment form and they complete all information for her. Yovianki Paulino went to her Dr. Amanda Borden PAC at Family Medicine on 6/6/25 to have complete the health assessment form. She had physical done on 9/122/24 chest x-ray done on 9/13/24. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/6/2025
19. Medium risk6/3/2025

    Has all items (3280.75(c))

    The first-aid kit did not contain 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: We complete the emergency box in the first floor and also both of the emergency bags with soap is the antibacterial (advanced clean) Dial. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/11/2025
20. High risk6/3/2025

    Emergency Numbers Posted (3280.74)

    Emergency telephone numbers were not posted in the facility. Requirement: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. Correction: Yovianki P called the 211 information line to get those emergency telephone numbers, they email and text me the information along with address and also information was confirm by township place from Shillington. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 6/6/2025