INGOMAR UNITED METHODIST CHURCH CHILD DVPT CENTER

Protective Outlet Covers 5 yrs. or less (3270.65)

In Rm 220, an electrical outlet located on the wall to the right of the doorway was observed to lack one protective cover and was accessible to children 5 years of age or younger. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Got an outlet cover and put the cover on the exposed outlet. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Letter to parents (3270.27(e))

The letter to the parents explaining the emergency procedures does not address annual emergency drills, lockdown, 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: Director will change parent letter to add in information on emergency drills, lockdown drills, and accommodations for infants, toddles, children with disabilities and children with chronic medical conditions. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

In the CDC PS (Room 218) three pairs of adult scissors were observed inside a white caddy on a shelf approximately 4ft high and within reach of the preschool age children in care. In the Narthex room a pair of adult scissors was observed inside an unlocked drawer accessible to the older toddlers and preschool age children in care. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Scissors in both spaces were moved to a space where children cannot reach. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The staff file for Staff person #2 was observed to lack a valid State Police clearance on file as well as an out of state sex offender check from the state in which they resided in within the previous five years. The staff file for Staff person #3 was observed to contain a current DHS FBI clearance dated 5/8/25 and a current National Sex Offender Registry (NSOR) check dated 2/21/25 which were not on file prior to first day working with children (See IS CODE SHEET) as required under the Child Protective Service Law (CPSL). The staff file for Staff person #5 was observed to lack a valid State Police clearance on file. The staff file for Staff person #9 was observed to lack a DHS FBI clearance as well as a NSOR check. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #9 may not work in a childcare position at the facility. 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 #9 may not work in a childcare position at the facility. Correction: Staff Person #2 has obtained a valid State Police Clearances and Out of State Sex Offender Check for MD on day of inspection. Staff person #3 has the information and will be kept up to date going forward. Staff person#5 has a State Police Clearance on file. Staff person #9 was removed from the classroom and now has an up-to-date FBI and NSOR. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The staff file for Staff person #4 contained current mandated reporter training dated 3/25/25 which was not renewed within 60 months from the previously existing mandated reporter certificate dated 3/24/20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff Person #4 mandated reporter training was completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED, 15 credits + 1 yr/Exp, educ., training prior to facility (3270.36(b)(3)/3270.192(2)(ii))

The staff file for Staff person #1 and Staff person #5, who are functioning as an Assistant Group Supervisor, were observed to lack one year of experience working with children. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff will be moved to the status of "aide" until they are able to complete one year of working with training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

The staff file for Staff person #3, Staff person #6, Staff person #7, and Staff person #8, who are functioning as an Assistant Group Supervisor, were observed to lack two years of experience working with children. The staff file for Staff person #9, who is functioning as an Assistant Group Supervisor, was observed to lack proof of high school diploma and two years of experience working with children. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff persons #3,6,7,8,9 have all been moved to aide status until hours can be obtained. Staff person #9 has obtained a copy of their high school diploma. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

In the Fellowship room, one ceiling tile was observed to have water damage from previous work done on the HVAC system. 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: Ceiling tiles has been replaced by facility manager. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Mantoux TB (3270.151(a)/3270.151(c)(2))

The staff file for Staff person #5 contained a current health assessment dated 9/19/25 and a tuberculosis screening and results dated 9/21/25 which was not conducted prior to providing initial service in a childcare setting. 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: Staff Person #5 is current on information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

2nd CITATION: There was one ceiling tile in the girls bathroom located in the Fellowship Hall that was observed to not be kept clean as evidence by having water spots from a previous leak that has since been repaired. PREVIOUSLY CITED ON 11/7/24 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: Notified facility manager of ceiling tile that stills needs replaced. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

2nd CITATION: In Room 218 at approximately 1:25pm during naptime, three cots that were placed next to each other were observed to not have at least 2 feet of space on three sides of the cots while in use by preschool age children as evidence by there being less than a foot of space between the middle cot and the cots on either side as well as the cots being placed a foot or less from the wall or other furniture. PREVIOUSLY CITED ON 11/7/24. 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: Assistant director will make a cot layout map for each room to ensure there are 2ft of space on 3 sides of all cots when in use. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The staff file for Staff person #1 was observed to contain a current National Sex Offender Registry (NSOR) check dated 9/24/24 with an application dated 9/19/24 which was not applied for prior to first day working with children (See IS CODE SHEET) as required for provisional hiring under the Child Protective Service Law (CPSL.) Staff person #1 also contained a DHS FBI clearance dated 10/16/24 on file and lacked proof of receipt of having been fingerprinted for the DHS FBI clearance prior to first date working with children as required by the CPSL. The staff file for Staff person #3 lacked a PA State Police clearance as well as a DHS FBI clearance; The FBI clearance on file was from West Virginia which is not an acceptable clearance. Staff person #3's file also contained a current NSOR check dated 9/30/24 with an application dated 9/18/24 which was not applied for prior to first day working with children (See IS CODE SHEET) as required by the CPSL. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #3 may not work in a child care position at the facility 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. Staff Person #3 may not work in a child care position at the facility Correction: Staff Persons 1 and 3 have updated NSOR,FBI and State Police Clearences. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR, Health and Safety Training, and Mandated Reporter Training. 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 #3 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff member was removed from the room until trainings have been completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The staff file for Staff person #7 contained current staff evaluation dated 5/2024 which was not completed at least one every 12 months from the previous staff evaluation on file dated 3/16/23. 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 member 7 has evaluation in file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

The staff file for Staff person #4, Staff person #6, and Staff person #8, who are functioning as assistant group supervisors, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position. The staff file for Staff person #2 and Staff person #5, who are functioning as Assistant Group Supervisors, lacked two years' experience working with children. The staff file for Staff person #3, who is functioning as an Assistant Group supervisor lacked proof of education and two years' experience working with children Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff members 2, 4,6, and 8 have been placed as aide in the classrooms until degree forms come back or hours are completed. Staff member 3 and 5 provided their proof of education and/or childcare experience. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

In the Fellowship Hall, the following toxics labeled 'Keep Out of Reach of Children' were observed accessible to children in care: bottle of Purell hand sanitizer on the welcome desk, a container of Clorox wipes to the left of the coffee machine, another container of Clorox wipes, sanitizing bleach spray bottle to the right of the beverage bistro. In the Narthex Room, a Purell hand sanitizer, and two pink sanitizing spray bottles were observed accessible to children in care. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Church was notified of toxins being left out. Church staff put toxins away. Church staff hung sign to remind others to put the toxins away. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic plants not permitted (3270.66(d))

In Room 218 a snake plant, which is considered toxic to humans, was observed on a window seal. Requirement: Toxic plants are not permitted in a child care space. Correction: Snake plant removed from the classroom Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

There was one ceiling tile in the girls bathroom located in the Fellowship Hall, and two ceiling tiles in Room 220, that were observed to not be kept clean as evidence by having water spots from a previous leak that has since been repaired. 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: Facility manager checked for mold and painted spot on ceiling tiles that needed retouched. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

In Room 221 nine resting mats were observed to not be labeled for the use of a specific child. 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: Mats are labeled 1-9. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

In Room 219, an infant was observed to be asleep in a crib and there was not at least 2 feet of space on three sides of the crib while it was in use as evidence by a dress up cabinet and rocking chair were less than a foot away from the crib. 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: Staff member moved objects away from the crib so that it was 2 feet on 2 sides witht he wall. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At approximately 1:15pm, during naptime in Room 221, one staff and 7 toddlers were observed. During the onset of supervision/ratio check, Staff person #3 identified and named only 4 children thus leaving the other 3 children unaccounted for. When asked who was responsible for the 3 unnamed children Staff person #3 said Staff person #11, who was out of the room on their break, was responsible for those children. 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: Staff reviewed policy pertaining to ratios for nap time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

The child file for Child #7 was observed to contain a current financial agreement form that lacked the operators signature. Requirement: An agreement shall be signed by the operator and the parent. Correction: Director signed financial agreement and corrected the date Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

The child file for Child #2 and Child #6 was observed to contain a current Emergency Contact form that lacked the health insurance name and policy number. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Children 2 and 6 now have health insurance policies in their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The staff file for Staff person #1 contained a current health assessment dated 9/23/24 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #4 contained a current health assessment dated 9/2/24 which was not conducted prior to providing initial service in a childcare setting. 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: Staff has updated health assessments on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

The staff file for Staff person #1 and Staff person #3 lacked a tuberculin skin test and the results. Requirement: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: Staff members now have a corrected TB tests in their files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).