LITTLE PEACHES CHILD DEVELOPMENT CENTER

2025

1. High risk11/25/2025

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

   Staff person #6 was observed to be caring for children unsupervised. Staff person #6 has not completed the following pre- service training required prior to caring for children unsupervised: 1 hour Health and Safety training Update 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. Until such time as the required pre- service trainings are completed, staff person #6 must be supervised, when interacting with children at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility. Correction: Staff member #6 completed the updated training. Documentation was emailed to inspector on December 3, 2025 for permission to work alone and it was granted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/3/2025
2. Medium risk11/25/2025

   General Health and Safety (3270.21)

   Observed in the preschool room scissors and an electrical cord stored in a bin accessible to children in care. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Scissors and phone charger were removed from the drawer. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/25/2025
3. High risk11/25/2025

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

   The file of staff #2 had PA State Police clearances more than 60 months apart due to the fact they were dated: 9-16-15 and 8-31-20. The file of staff #4 had PA State Police clearances more than 60 months apart due to the fact they were dated: 11-12-23 and 11-8-18. The file of staff #5 had an invalid FBI clearance due to the fact it was a PDE clearance rather than DHS. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #5 may not work in a child care position at the facility. Correction: Staff #2 was 2 weeks late reapplying for verification; it is in her file. Director will keep a spreadsheet of all staff verification dates and check it quarterly. Staff #s 2 and 4 were late reapplying for clearances; they are now in their files. Staff #5 has a correct FBI clearance in her file as of 12/10/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/10/2025
4. High risk11/25/2025

   Comply with CPSL (3270.32(a))

   Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 3-11-20 and 3-19-25. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. Correction: Current mandated reporter training is now in staff #1's file. Director will keep a spreadsheet of all staff verification dates and check it quarterly to make sure clearances are renewed every 60 months to the day, not just within the month. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/25/2025
5. Medium risk11/25/2025

   Staff evaluations (3270.34(a)(6))

   The files of staff #2 and #3 lacked annual staff evaluations. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Staff #s 2 and 3 have completed evaluations in their files as of 12/9/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/9/2025
6. Medium-Low risk11/25/2025

   Protective Outlet Covers 5 yrs. or less (3270.65)

   Observed 2 outlets lacking protective receptable covers located in the infant room on walls near rest equipment. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Missing outlet covers were placed during inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/25/2025
7. Medium risk11/25/2025

   Heat Source (3270.71)

   Observed in the toddler room on the right upon entry to facility, 2 separate holes in the mesh covering of the baseboard heat source allowing for direct contact by the toddlers in care. Requirement: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact. Correction: The screen over the wooden enclosure that encases the heating source will be replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/6/2026
8. Medium-High risk11/25/2025

   Clean and good repair (3270.102(a))

   Observed in the young toddler room located in the back of the building, a 3 by 3 shelving unit not anchored presenting a crush hazard. Observed in the older toddler/preschool room, a red plastic bin that was cracked. Observed in the outdoor play space2 trikes with broken seats and wheels, 2 Minnie Mouse riders cracked in the front, a large white rider truck cracked around front wheels, and a toy dump truck with a cracked bucket. Observed in the preschool room 3 magnet cubes cracked with missing magnetic parts. 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: Shelving was removed during the inspection. All other items mentioned were repaired or removed from the center. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/6/2026
9. Medium risk11/25/2025

   Small Toys and Objects (3270.103)

   Observed in the preschool room 4 foam blocks with bite marks. 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: Blocks with supposed bite marks were removed from children's access. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 11/25/2025
10. Medium risk11/25/2025

    Signed (3270.123(a))

    The file of child #3 lacked an agreement signed by the operator and the parent. Requirement: An agreement shall be signed by the operator and the parent. Correction: The subsidized child's agreement is signed and in childs file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/2/2025
11. Medium risk11/25/2025

    Admission date/Application, admission, withdrawal dates (3270.123(a)(6)/3270.182(2))

    The file of child #3 lacked an agreement with the date of the child's admission. Requirement: An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child. Correction: Child's date of admission was recorded and form was entered into child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/2/2025
12. High risk11/25/2025

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

    The file of child #3 lacked an emergency contact form with the written consent signed by a parent for 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: Guardian signed the forms in the correct spots and the form is in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/2/2025
13. Medium-High risk11/25/2025

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

    The file of child #1 lacked an emergency contact form with the address of the individual 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: Form was completed by parent and put in child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/2/2025
14. Medium-High risk11/25/2025

    Each child care space (3270.124(c))

    There were not copies of the emergency contact forms for children #1 and #2 who were observed in care. 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: Emergency contact forms were put in the appropriate room during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 11/25/2025
15. Medium risk11/25/2025

    Toddler/preschool: updated health report every 12 months (3270.131(b)(2))

    The files of children #4 and #5, both preschool aged children had health assessments more than 12 months apart due to the fact they were dated: child #4 9-29-25 and 6-7-24; child #5 12-14-23 and 2-18-25. 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. Correction: Dates will be monitored through Procare and reports will be reviewed monthly to make sure physicals are up to date. Childs files currently have up to date physicals. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 11/25/2025
16. Medium-High risk11/25/2025

    Medication log (3270.133(7))

    Observed a prescription medication for child #4 that lacked a medication log. Requirement: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: A Medication Log was signed and filled out by child #4's parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 11/26/2025
17. Medium-High riskStandard 1211/25/2025

    12 months prior to service and every 24 months thereafter (3270.151(a))

    The file of staff #4 had health assessments more than 24 months apart due to the fact they were dated: 11-14-22 and 11-15-24. The file of staff #6 lacked a health assessment on or prior to caring for children due to the fact the initial health assessment on file was dated 8-21-25 (see LIS code sheet). 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. Correction: Dates will be monitored through Procare and reports will be reviewed monthly to make sure physicals and clearances are up to date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 11/25/2025
18. Medium-Low risk11/25/2025

    Conducted by physician, PA or CRNP (3270.151(b))

    The file of staff #6 lacked a valid health assessment due to the fact the document on file was a printout of medical information from their MyChart efile rather an assessment completed and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. Requirement: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title. Correction: A new form will be signed and filled out by staff #6's physician. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/6/2026
19. Medium-Low risk11/25/2025

    Information re: medical problems (3270.151(c)(4))

    The files of staff #5 and #7 had health assessments that lacked the information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Requirement: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children. Correction: The correct form will be signed and filled out by the staffs' physicians and entered into their files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/6/2026
20. Medium-High risk11/25/2025

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

    The file of child #3 lacked an emergency contact form with the signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. 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: Parent signed in the correct areas and the form was entered into their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/2/2025
21. Medium risk11/25/2025

    Health information (3270.131(a))

    The files of children #1 and #2 lacked initial health assessments within 60 days on enrollment. 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. Correction: Director will make sure that parents send in an updated physical form within 60 days of enrollment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/17/2025
22. High risk7/22/2025

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

    Second citation, previously cited on 6-10-25. The file of staff #1 lacked out of state clearances. Additionally, staff #1 was observed working with children even though the provider was informed staff #1 could not work at the facility until clearances were obtained. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 at the facility. Correction: Staff #1 is no longer employed at Little Peaches. In the future, all new staff will obtain all needed PA and out-of-state clearances before their start date. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/19/2025
23. Medium-High risk7/22/2025

    Mixed Age Level (3270.52)

    Observed staff #1 in the outdoor play space with the following children: 1 younger toddlers, 3 older toddlers, and 3 pre-school aged children. Staff #2 was standing through the doorway leading from the outdoor play space to the infant room. Staff #2 was standing in the infant room to supervise staff #4 who could not be alone with children while staff #3 took a child to the restroom. Requirement: 1. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). 2. The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. 3. The legal entity will confirm continuing compliance by sending copies of the documentation to the Western Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Correction: 1.Ratios and children in mixed groups will be reviewed with all staff. Ratios are posted in the classrooms as reference. (7-22-25) 2. Supervising staff will make sure they are also supervising any new or provisory staff. This will be done using a new clipboard system with attendance tracking done each day by staff. This will be sent weekly to DHS on a day agreed upon with inspector. (10-31-25) Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/31/2025
24. Medium-High risk7/22/2025

    Supervised at all times (3270.113(a))

    Observed staff #1 in the outdoor play space with the following children: 1 younger toddlers, 3 older toddlers, and 3 pre-school aged children on their phone the entire time Cert Rep parked vehicle, got out of vehicle, walked across the parking lot, undid the lock on the gate, and stepped into the outdoor play space. Staff #2 was unable to properly supervise their group of children due to the fact they were standing through the doorway leading from the outdoor play space to the infant room. Staff #2 was standing in the infant room to supervise staff #4 who could not be alone with children while staff #3 took a child to the restroom. Requirement: 1. 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. 2. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. Correction: 1. Children will be supervised at all times. (7-22-25) 2. A 2-hour training course for all staff will be completed regarding supervision of children. (8-31-25) 3. In addition to the training and our "in/out" board in each room, we will be implementing a new method of attendance taking as described above. This will be done using a new clipboard system with attendance tracking done each day by staff. Staff will take these clipboards with them whenever they use the playground. These documents will be sent weekly to DHS on a day agreed upon with inspector. (11-24-25) Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 11/24/2025
25. Medium-High risk7/22/2025

    Staff assigned to specific children (3270.113(a)(1))

    Observed staff #1 in the outdoor play space with the following children: 1 younger toddlers, 3 older toddlers, and 3 pre-school aged children on their phone the entire time Cert Rep parked vehicle, got out of vehicle, walked across the parking lot, undid the lock on the gate, and stepped into the outdoor play space. Staff #2 was unable to properly supervise their group of children due to the fact they were standing through the doorway leading from the outdoor play space to the infant room. Staff #2 was standing in the infant room to supervise staff #4 who could not be alone with children while staff #3 took a child to the restroom. Requirement: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Correction: New staff will be trained better to learn all of the children in the center, not just the ones they are with that day. The above plan for ratio review and attendance tracking will be implemented to help prevent future instances of staff lacking appropriate supervision habits, as well as a two-hour training course for all staff regarding supervision. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/21/2025