CREATIVE BEGINNINGS

Health and Safety Training/Professional development certificate (3270.31(f)/3270.31(g))

On the day observing the files Staff#3 hire as a Provisional did not have the Health and Safety within 45-days. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date professional development was completed. Documentation shall be retained in the facility persons file in an electronic system as designated by the Department. Documentation of the completion of the professional development under § 3270.31(f) taken from September 30, 2016 forward satisfies this requirement. Correction: The Provider will be in compliance with 3270.31(f) at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On the day observing the files. Staff#1 did not have a current NSOR in the file. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #03 may not work in a childcare 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 #03 may not work in a child care position at the facility. Correction: The facility will be in compliance with the 3270.32(a)/.192(4) at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

On the day of visit Staff#2 did not have the current annual childcare training in the files. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: The Provider will be in compliance with 3270.31(e) at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file (3270.182(7))

During unannounced visit 06/26/2025, file of child #1 did not contain an incident report from Incident 06/04/2025 where child was treated at facility for wrist being red; incident reports on file for child #1 from 01/06/25 and 01/16/25 did not contain parent's signature. Requirement: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Correction: Incident report for child #1 was completed on July 2 with parent signature and original was given to the parent after making copies for child file and binder designated for all incident reports filed by individual classrooms. Incident reports on file for child #1 from 01/06/25 and 01/16/25 were signed by parent and were copied/filed accordingly. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

Staff person #1 was observed, on at least two occasions, by co workers chewing children's food and then placing the chewed food in the child's mouth to eat. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: The involved staff person was separated from the organization 05/29/2025. Additionally regulations and policies related to health and safety, including food related safety, will be reviewed with all staff at a mandatory staff meeting 06/13/2025. Staff will acknowledge their understanding of the regulations and policies by signing off at the completion of the training. Staff will be specifically instructed not to eat the children's food or give the children food that could be considered unsanitary. Finally, staff will be reminded to escalate any concerns they have regarding the behavior of other staff members to management and to report to ChildLine when necessary. Inspection: Self-Reported Non Compliance. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No ridicule or threaten harm (3270.113(c))

Staff person #1 threw away child's broken shoe while on a excursion from the facility which led to child having to walk back to facility with only one shoe on. Requirement: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. Correction: The involved staff person was separated from the organization 05/29/2025. Additionally, regulations and policies related to singling out children for ridicule and degradation will be reviewed with all staff at a mandatory staff meeting on 6/13/2025. Staff will acknowledge their understanding of the regulations and the policies by signing off at the completion of training. Staff will be specifically instructed that any ridicule, degradation, or other inappropriate treatment of the children will not be tolerated. Finally, staff will be reminded to escalate any concerns they have regarding the behavior of other staff members to management, and to report to ChildLine when necessary. Inspection: Self-Reported Non Compliance. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

On the day of visit observed the files for staff#1, Staff#2, which did not have the current emergency plan training in the files. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: The Provider will be in compliance with 3270.27(c) at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

On the day observing the files staff#5 did not complete the Current Health and Safety training and place it in the file. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: The Provider will be in compliance with 3270.31(f) at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On the day observing the files Staff#4 and Staff#6 did not have the initial NSOR in the files 45 days after being hired. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) LACKING REQUIRED HIRING DOCUMENTS: Staff Person #4 and Staff#6 may not work in a childcare 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. Staff Person #4 and Staff#6 may not work in a childcare position at the facility. Correction: The Provider will be in compliance with 3270.32(a)/.192(4) at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

On the day of visit observed the files Staff#4, Staff#5 and Staff#8 did not have the current Mandated Reporter training in the file. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: The Provider will be in compliance with 3270.32(a) at all times. 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))

On the day of observing the files for Staff#1, Staff#2, Staff#3, and Staff#4 did not have proof of education in the files. 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: The Provider will be in compliance with 3270.36(b)(5)/.192(2)(ii) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).