Sunshine & Rainbows Day Care Center

Restraints prohibited (3270.113(e))

Individual interviews conducted on 4/1/26 through 5/11/26 corroborated allegations that child #1 & child #2 have been placed in highchairs for a period of time due to displaying disruptive behaviors such as running around during activities. Peers were also able to articulate that child #1 & child #2 were put in highchairs when they were misbehaving. Requirement: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. This portion shall have an immediate correction date. 2. The legal entity and all staff must participate an in-person training pertaining to Developmentally Appropriate Practices. This training must be completed outside of daycare hours. The trainer does not have to be PQAS approved. The training must be approved by OCDEL. The legal entity must also participate in ELRC's quality coach program regarding developmentally appropriate practices. The operator shall provide a date for when these training will be completed. 3. The Department will make no less than two unannounced visits over the next three months to ensure compliance with 3270.113(e). The correction date for this portion of the plan shall be a minimum of 3 months from the date the regional office accepts the plan of correction. Correction: 1. Provider will not use table high hi-chairs or any restrictive devices that are not developmentally appropriate on any child while in care, for meals times or any other reason (4/1/2026). Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Promote development (3270.111(c))

Individual interviews conducted on 4/1/26 through 5/11/26 corroborated allegations that child #1 & child #2 weren't able to partake in appropriate daily activities that were conducive to development of skills, social competence and self-esteem. This is due to the fact that child #1 & child #2 were made to sit in highchairs due to their behavior. Peers were also able to articulate that child #1 & child #2 were put in highchairs when they were misbehaving. Requirement: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Correction: Provider will not use table high hi-chairs or any restrictive devices that are not developmentally appropriate on any child while in care, for meals times or any other reason. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection, staff files were reviewed. Staff #1's previous NSOR is date for 7/23/2000, update was not obtained until 8/21/25. Staff #1's previous child abuse clearance is dated for 7/7/2020 and an update was not obtained until 11/13/25. Staff #1 was unable to obtain the appropriate clearances within the 60-month requirement. Staff #2's child abuse clearance is dated for 10/7/25. Staff #2 did not obtain the clearance prior to working with children. (See code sheet for date of hire). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). This portion shall have an immediate correction date. 2. The legal entity must attend existing provider orientation at any regional office location. The operator shall provide a date for when this training will be completed. 3. The legal entity must send in new staff files to the DHS northeast regional office for review. The correction date for this portion of the plan shall be a minimum of 3 months from the date the regional office approves. Correction: Provider will implement an Excel spreadsheet listing all employees and all required forms for employment. Employee will be notified 2 months in advance of forms due. It shall be the responsibility of the employee to obtain the completed forms and return them to the director. The director will then verify the dates and the completion of the form. Failure of the employee to do so will result in separation from employment until said forms are presented. For any new employees incomplete forms or missing forms will delay the start of employment until all forms are presented. Provider will comply with required review as soon as a class becomes available. Provider will comply with the CPSL. The correction date for this will be 12/19/25. Provider will contact the DHS office to attend existing provider orientation. This will be completed on 3/4/26. Provider will submit new staff files to DHS for review prior to hire. This correction date will be at a minimum until 4/6/26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training - Pediatric First Aid and CPR (3270.31(f)(10))

During renewal inspection, staff files were reviewed. Staff #3 did not have Pediatric CPR training on file. Staff #4 did not complete an approved Pediatric CPR training. (See code sheets for dates of hire). Requirement: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. TIERED LIS: 1. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. 2. The legal entity must create a written policy regarding how the facility will keep track and obtain all necessary documentation including Pediatric CPR certificates. The legal entity will need sign, date, and have this policy readily assessable for requested access. This policy must be approved by DHS before implementation. The operator shall provide a date for when this policy will be completed and reviewed by all staff. Correction: The staff person did complete Pediatric CPR and First Aid but the card issuing agency issued a Heartsaver card in error. The error was not found by the director when the forms was provided. The issuing agency has been contacted and the process for issuing a correct card is being completed. The provider will review each individual card for accuracy before placing in each employees file. Staff will complete pediatric first aid CPR within 90 days of hire. Correction date 12/19/25. Director will create a written policy and send to DHS for approval. This policy will be completed on 1/6/2026. 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))

Continued Non-Compliance: On 5/12/25 a renewal inspection was conducted at the facility. Staff #1 had a previous health assessment dated for 1/12/23 on file from working at a previous facility. Staff #1 did not obtain an updated health assessment prior to working at the current facility. (See code sheet for date of hire). The facility's acceptable plan of correction indicated the correction would be implemented by (6/13/25). On 7/17/25 an unannounced inspection was conducted. Staff #1 had not obtained an updated health assessment and was seen working with children. 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 person was relieved of her duties until the physical could be obtained. The provider will individually check staff required paperwork instead of taking the staffs word that the forms are complete and up to date. Provider will do staff checks every 6 months to ensure compliance. Any staff not in compliance will be removed from the facility. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Promote development/Restraints prohibited (3270.111(c)/3270.113(e))

On 6/16/25 interviews with staff and children were conducted concerning allegations that staff #1 forced child #1 onto their cot at nap time. These interviews corroborated allegations that staff #1 had pulled child #1 by the arm to put him on his cot. It was also confirmed that staff #1 told Child #1 that she would not let go of their arm unless they stayed on their cot. This was cited for on SIN-00268089. Requirement: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding behavior management. If the training cannot be done in-person, it must at least be done with a live presenter to allow the staff to ask questions and interact. The legal entity must receive approval of training content from the Department prior to scheduling the training. The operator shall provide a date for when this training will be completed. Correction: See SIN-00268089 for provider's correction. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level/Mixed Age Level (3270.51/3270.52)

Based on interviews conducted as well as a review of the child sign in sheets, it was verified on 6/13/25 that staff #3 was in the infant room with 7 infants. This was cited for on SIN-00268089. Requirement: There were no infants in our program at the time of this inspection. the classroom held 2 young toddlers and 3 older toddlers the other 2 children on the attendance sheet were actually 3 yrs old and had begun the transition process to the preschool classroom and were not present in the classroom that day. The classroom was in compliance until the sixth child arrived and a staff person was late to work. The provider will continue to hire additional staff to ensure adequate staffing at all times. Should additional staff be unavailable or too costly provider will limit the number of children in the classroom to prevent this from occurring again. A meeting date of 8/8/2025 has been set to meet with our STARS manager to provide required continuing education to all staff. This training will be completed no later than 11/10/2025. I will form a policy addressing staff lateness and call offs and send to DHS for approval. Correction: See SIN-00268089 for provider's correction. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No ridicule or threaten harm/No harsh language (3270.113(c)/3270.113(d))

Individually Interviews conducted on 6/16/25 corroborated allegations that staff #1 & #2 have ridiculed children (embarrassing children for having accidents) and utilized harsh language (yelling at children). This was cited for on SIN-00268089. 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. A facility person may not use harsh, demeaning or abusive language in the presence of children. Correction: See SIN-00268089 for provider's correction. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No ridicule or threaten harm/No harsh language (3270.113(c)/3270.113(d))

Individually Interviews conducted on 6/16/25 corroborated allegations that staff #1 & #2 have ridiculed children (embarrassing children for having accidents) and utilized harsh language (yelling at children). This was cited for on SIN-00268089. 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. A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive the two-hour training titled: Developmentally Appropriate Practices (DAP). The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed. Correction: See SIN-00268089 for provider's correction. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No ridicule or threaten harm/No harsh language (3270.113(c)/3270.113(d))

Individually Interviews conducted on 6/16/25 corroborated allegations that staff #1 & #2 have ridiculed children (embarrassing children for having accidents) and utilized harsh language (yelling at children). 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. A facility person may not use harsh, demeaning or abusive language in the presence of children. TIERED LIS: 1. 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. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive the two-hour training titled: Developmentally Appropriate Practices (DAP). The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed. Correction: No harmful, derogatory language will be used by any staff, including the directors, towards the children. Children will not be singled out, ridiculed or harmed by any staff, including the directors. Provider will provide DHS approved training in Developmentally Appropriate Practices for a minimum of 2 hrs. for All staff. WE are currently scheduled to meet with our STARS manager to schedule required training. Meeting is set for 8/8/2025. This training will be completed no later than 10/1/2025. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Promote development/Restraints prohibited (3270.111(c)/3270.113(e))

On 6/16/25 interviews with staff and children were conducted concerning allegations that staff #1 forced child #1 onto their cot at nap time. These interviews corroborated allegations that staff #1 had pulled child #1 by the arm to put him on his cot. It was also confirmed that staff #1 told Child #1 that she would not let go of their arm unless they stayed on their cot. Requirement: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding behavior management. If the training cannot be done in-person, it must at least be done with a live presenter to allow the staff to ask questions and interact. The legal entity must receive approval of training content from the Department prior to scheduling the training. The operator shall provide a date for when this training will be completed. Correction: No force or retrains will be utilized to force a child onto their mat or in general. Provider and all staff will complete a 2 hr., continuing education DHS approved on working with children with special needs. We will seek training in person if possible and are working with our stars manager to schedule such training. This training will be completed no later than 10/1/2025. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level/Mixed Age Level (3270.51/3270.52)

Based on interviews conducted as well as a review of the child sign in sheets, it was verified on 6/13/25 that staff #3 was in the infant room with 7 infants. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision & ratio. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed. 3. The legal entity must create a ratio policy that includes how ratios will be maintained at all times including when staff call off or do not show up for work. This policy must be approved by the Department before implementation. Once approved the legal entity will discuss the policy with all staff and have each staff person sign off on the policy acknowledging that they understand their responsibilities. The Department will make no less than two unannounced visits over the next three months to ensure ratios are being maintained. The correction date for this portion of the plan shall be at minimum three months from the date the Regional Office approves the policy. Correction: There were no infants in our program at the time of this inspection. the classroom held 2 young toddlers and 3 older toddlers the other 2 children on the attendance sheet were actually 3 yrs old and had begun the transition process to the preschool classroom and were not present in the classroom that day. The classroom was in compliance until the sixth child arrived and a staff person was late to work. The provider will continue to hire additional staff to ensure adequate staffing at all times. Should additional staff be unavailable or too costly provider will limit the number of children in the classroom to prevent this from occurring again. A meeting date of 8/8/2025 has been set to meet with our STARS manager to provide required continuing education to all staff. This training will be completed no later than 11/10/2025. I will form a policy addressing staff lateness and call offs and send to DHS for approval. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Promote development/Restraints prohibited (3270.111(c)/3270.113(e))

On 6/16/25 interviews with staff and children were conducted concerning allegations that staff #1 forced child #1 onto their cot at nap time. These interviews corroborated allegations that staff #1 had pulled child #1 by the arm to put him on his cot. It was also confirmed that staff #1 told Child #1 that she would not let go of their arm unless they stayed on their cot. This was cited for on SIN-00268089. Requirement: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. TIERED LIS: 1. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. This portion of the plan shall have an immediate correction date 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding behavior management. If the training cannot be done in-person, it must at least be done with a live presenter to allow the staff to ask questions and interact. The legal entity must receive approval of training content from the Department prior to scheduling the training. The operator shall provide a date for when this training will be completed. Correction: See SIN-00268089 for provider's correction. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level/Mixed Age Level (3270.51/3270.52)

Based on interviews conducted as well as a review of the child sign in sheets, it was verified on 6/13/25 that staff #3 was in the infant room with 7 infants. This was cited for on SIN-00268089. 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. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision & ratio. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when this training will be completed. 3. The legal entity must create a ratio policy that includes how ratios will be maintained at all times including when staff call off or do not show up for work. This policy must be approved by the Department before implementation. Once approved the legal entity will discuss the policy with all staff and have each staff person sign off on the policy acknowledging that they understand their responsibilities. The Department will make no less than two unannounced visits over the next three months to ensure ratios are being maintained. The correction date for this portion of the plan shall be at minimum three months from the date the Regional Office approves the policy. Correction: See SIN-00268089 for provider's correction. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

During renewal inspection, it was observed in the preschool room's first aid kit that tweezers were missing. 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: Provider replaced the tweezers from the first aid kit immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training - Pediatric First Aid and CPR (3270.31(f)(10))

During renewal inspection, it was observed that staff #1 did not complete pediatric CPR training within 90 days of hire. (See code sheet for date of hire). Requirement: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. 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 #1 must be supervised, when interacting with children at a minimum by, an (AGS or primary 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 #1, staff person #1 may not work in a child-care position at the facility. Correction: Provider completed CPR and First Aide training with any staff that did not hold a current valid card `the evening of the 6/12/2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

During renewal inspection, it was observed that the facility did not have any documentation of completing an annual emergency drill. Last documented drill that was found was on 6/2/23. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Emergency drill was conducted the following day and paperwork documenting drill was completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

During renewal inspection, it was observed that Staff #2 did not have a second written reference on file. 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: The provider required the employee to provide the second letter of reference. Upon receipt the letter was placed in employees file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB/Health assessment, TB test (3270.151(c)(2)/3270.192(3))

During renewal inspection, it was observed that staff #1 did not have TB test results on file prior to working with children. 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. 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: Provider requested a copy of employees current physical with TB testing completed. Physical and testing was then placed in employees 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))

During renewal inspection it was observed that Staff #3 had a previous health assessment dated for 1/12/23 on file from working at a previous facility. Staff #3 did not obtain an updated health assessment prior to working at the current facility. See code sheet for date of hire. 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: Employee #3 was required to provide provider with a updated/current health physical with TB test before returning to employment Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During renewal inspection, it was observed that Staff #1 did not have mandated reporter training on file. Also, during file reviews, it was observed that staff #3 did not have any updated clearances on file. The state police, child abuse, FBI and NSOR were expired. State police clearance was dated for 7/23/19, child abuse 7/30/19, FBI 1/14/20 and NSOR 1/27/20. 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 #3 may not work in a child care position at the facility. Correction: Employee #1 provided a copy of her completed mandated reporter and it was placed in her file. Employee #3 completed new clearances- NSOR, FBI Fingerprinting and State Police and Child Abuse clearances. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic use- no contamination (3270.66(c))

During an unannounced investigation, a picture was discussed with the operator that showed a bottle of carpet cleaner in the outdoor play space. Operator said she didn't know it was out there but removed it once it was brought to her attention. Requirement: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children. Correction: This item has been removed from the playspace and has been disposed of, All play equipment will be included in the daily playground inspection before children enter the playspace. Any items or materials that are damaged or in poor repair will be disposed of immediately. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During unannounced visit, it was observed that the facilities BEO posting was outdated and displayed incorrect information. 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. Correction: Director removed the expired BEO notice and replaced all items on the posting board with updated posting from DHS. Other DHS postings placed incorrectly in the classroom were removed Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

During unannounced visit, it was observed that Staff #2 did not complete mandated reporter training within 90-days of hire. See code sheet for date of hire. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Director attempted to locate employee mandated reporter training record but it was misplaced. Employee provided a second copy of the mandated reporter certificate and this was placed in the employees file, Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training - Pediatric First Aid and CPR (3270.31(f)(10))

During unannounced visit, it was observed that Staff #1 and #2 had not completed pediatric CPR within 90-days of hire. Staff #3 did not have a pediatric CPR certificate on file. See code sheet for dates of hire. Requirement: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Until such time as the required training has been completed, staff person #1,2 & 3 must be supervised, when interacting with children, by a facility person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, 2, 3, staff person #1, 2, & 3 may not work in a child-care position at the facility Correction: Director will ensure all staff have the required training with in 90 days of hire. Should staff fail to complete required trainings they will be unable to work in the center unless supervised by a facility staff person who holds current training until the required trainings are complete. Director completed pediatric CPR training with all the staff on 3/11/25. Director is PQAS approved. Staff are currently awaiting to receive the completed certificates from the American Heart Association. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).