Lifesteps Armstrong PKC

Health information/Initial and subsequent health reports (3270.131(a)/3270.182(1))

Child #1's initial health assessment is dated 11/19/25 which is more than 60 days after enrollment(See LIS Code Sheet). Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports. Correction: The Health Assessment for child #1 was corrected at the time of the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The most recent 6-month review signature for the emergency contact form on file for Child #2 is dated 5/20/25 which is more than 6 months ago. 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: On 12/10/2025 the parent of child #2 reviewed and signed the Emergency Contact Form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Child #1's file did not contain the address of the child's physician or source of medical care. Child #3's file did not contain the building # and street name of the address of the child'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: On 12/10/2025 parents of child #1 and child #3 updated the physician's address on the Emergency Contact Forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

At approximately 930am Staff #1 took 1 child to the bathroom in the hall leaving Staff #2 with 12 preschool age children. At approximately 945am Staff #2 left the main room to go and rinse dishes in another room leaving Staff #1 with 13 preschool age children. 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. Correction: On 12/10/2025 program administrators determined the need to purchase a small refrigerator to utilize in the classroom licensed space. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care space. Requirement: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: The Emergency Transportation Plan that was in the Emergency binder was posted on the wall. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

The fire alarm testing log contained the following dates 3/14/24-4/29/24 and 10/11/24-11/18/24 which are more than 30 days apart. 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 Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: At the time of inspection the fire drill inspections were in compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Menus (3270.165)

A menu was not posted in the facility. Requirement: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family. Correction: At the time of inspection, the menu laying on a shelf was posted on the classroom wall. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Free from contagious/communicable disease (3270.131(d)(7))

Child #2 health assessment dated 12/3/24 did not contain a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Requirement: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction: On 12/05/2024 the Health Report of Child #2 was updated to include a statement that the child is able to participate in child care and appears to be free from communicable disease. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Exemption documentation from parent/guardian (3270.131(d)(5)/3270.131(e)(1))

The immunization record on file for Child #1, a preschool age child(See LIS Code Sheet), includes 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction: On 12/5/2024 the guardian of Child #1 submitted a medical exemption letter related to Hepatitis A. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

The financial agreement for child #3 was not signed by the operator. Requirement: An agreement shall be signed by the operator and the parent. Correction: At the time of inspection, Vice President, Early Education signed the agreement on file for child #3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic plants not permitted (3270.66(d))

On the shelf with fine motor toys was a philodendron plant which are toxic to children. Requirement: Toxic plants are not permitted in a child care space. Correction: At the time of inspection, the philodendron was removed from the classroom Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Letter to parents (3270.27(e))

The letter provided to the parent of each enrolled child explaining the emergency procedures did not contain the method to contact parents when an emergency arises, the method to inform parents an emergency has ended and instructions for how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: 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: On 12/23/2024 the Early Care and Educaction Emergency Preparedness Parent Letter was updated to include mehod by which parents will be contacted for emergency situation instructions and reunificaiton with children. Additionally, language related to accommodations of infants, toddler, children with disabilities and children with chronic medical conditions was added to the Emergency Preparedness Parent Letter. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).