TWO HANDS ARE BETTER THAN ONE LEARNING

2025

1. Medium-High risk12/17/2025

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

   The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment lacked the Strategies for coping with a crying, fussing or distraught child. 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: I added the strategies for coping with a crying, fussing or distraught child to my shaken baby syndrome policy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/31/2025
2. Medium risk12/17/2025

   On file at facility (3270.18(a))

   The facility current liability of insurance is dated 10/2/25. The liability insurance was due on7/8/25. Requirement: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. Correction: The Liability of insurance is updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/17/2025
3. Medium-High risk12/17/2025

   Plan reviewed/updated annually (3270.27(b))

   The facility did not review the emergency plan at least annually. The last emergency plan review was dated 1/10/23. Requirement: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Correction: We reviewed our emergency plan on our last team meeting on 12/31/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/31/2025
4. Medium-High risk12/17/2025

   Training regarding plan (3270.27(c))

   The files for staff # 1,2,3,4,5,6,7 and 8 lacked emergency plan training. 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: Staffs 1,2,3,4,5,6,7 and 8 did the emergency plan training on 12/31/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/31/2025
5. Medium-High risk12/17/2025

   Fire safety - 1 yr. (3270.31(e)(4)(ii))

   The files for staff # 1,2,3,4,5, 6,7 and 8 lacked annual fire safety training conducted by a fire protection professional. Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Correction: Staff # 1,2,3,4,5, 6,7 and 8 obtained the fire safety training on 1/3/26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/3/2026
6. Medium-High risk12/17/2025

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

   The file for staff #2 lacked a current NSOR clearance. The previous NSOR clearance is dated 2/20/20. The file for staff#7 contained a current state police clearance dated 11/18/25 the was not renewed within 60 months of the prior state police clearance dated 2/2/20. A current Child abuse clearance dated 11/26/25 the was not renewed within 60 months of the prior state police clearance dated 3/17/20 and a current NSOR clearance dated 11/26/25 the was not renewed within 60 months of the prior state police clearance dated 1/30/20. 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 #2 may not work in a child care position at the facility. Correction: Staff # 2 was removed from childcare until the current NSOR was received. Staff # 2 still have not returned. Staff # 2 sent a current NSOR dated 11/26/25. Staff # 7 contained current clearances on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/17/2025
7. Medium risk12/17/2025

   Staff evaluations (3270.34(a)(6))

   The files for Staff # 2 and 7 and & lacked a written evaluation. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: The staff evaluations for staff # 2 and 7 were done on 12/31/26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 12/31/2025
8. Medium-High risk12/17/2025

   Building Surfaces (3270.76)

   There was a broken phone box under the computer table in the main room. The bathroom light in the toddler room is pulling of the ceiling. One of the doors in the upstairs bathroom is exposing splinters and the other door is cracked; the radiator box has sharp edges. There was a sharp metal edge on the bottom of the stairs on the upstairs entry. 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: Maintenance put a new box to replace the broken one under the computer desk. Maintenances took care of the toddler bathroom light. the upstairs bathroom doors were repaired. I will do monthly walk troughs to make sure there's no need for maintenance request to repair. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/2/2026
9. Medium risk12/17/2025

   No peeling paint or plaster (3270.77(a))

   There was damaged plaster along the sink wall in the main room bathroom. There was peeling paint on the upstairs kitchen wall . Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The paint was repair by maintenance in both rooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 1/2/2026
10. Medium risk12/17/2025

    Clean and good repair (3270.102(a))

    There was a cracked lid in the main room. There was a green cracked lid, a broken cubby hook creating a sharp edge, and a broken sleeping cot in the toddler room. There were 4 broken tricycles in the playground. 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: The tricycles were removed. The cracked lid, the cot was toast The cubby hook was tape, so it was not sharp. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/2/2026
11. Medium-Low risk12/17/2025

    High Chairs (3270.105)

    There was a yellow highchair with missing straps in the main room. Requirement: High chairs shall have a wide base and a T-shaped safety strap. Correction: We stored the highchair on the shed and order new straps. The chair is not use. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/18/2025
12. Medium-Low risk12/17/2025

    Clean, age appropriate (3270.106(a))

    The sleeping cots in the toddler room were not labeled for the use of a specific child and used only by the specified 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: We labeled the cots with permanent marker. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/18/2025
13. Medium-Low risk12/17/2025

    Signed (3270.123(a))

    The file for child #5 lacked an agreement form. Requirement: An agreement shall be signed by the operator and the parent. Correction: We completed an agreement form with the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/2/2026
14. Medium-High risk12/17/2025

    Services proceeded (3270.123(a)(3))

    The file for child # 1 lacked information to the family about the child's growth and development in the context of the services being provided. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: Child # 1 was withdrawn from the program. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/17/2025
15. Medium-High risk12/17/2025

    Each child emergency contact person (3270.124(a))

    The file for child #4 lacked the parent's name on the emergency contact form. Requirement: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. Correction: The parent's name was added to the emergency contact form Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/31/2025
16. Medium-High risk12/17/2025

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

    The file for child # 4 lacked the name, and telephone number of the child's physician or source of medical care on the emergency contact form. The file for child #5 lacked the name, and address of the child's physician or source of medical care on the emergency contact form. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Child #4 emergency contact form now contains name, and telephone number of the child's physician. Child # # 5 emergency contact form now contains the name, and address of the child's physician. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/31/2025
17. Medium-High risk12/17/2025

    Parent home/work address, phone (3270.124(b)(3))

    The file for child # 4 lacked the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form. The file for child # 5 lacked the work addresses and telephone numbers of the enrolling parent. on the emergency contact form. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Child #4 emergency contact form now contains the home and work addresses and telephone numbers of the enrolling parent. Child #5 emergency contact form now contains the work addresses and telephone numbers of the enrolling parent Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/31/2025
18. Medium-High risk12/17/2025

    Information re: special needs (3270.124(b)(5))

    The file for child # 4 lacked the information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation, on the Emergency contact form. Requirement: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation. Correction: Child #4 file now contains the child's special needs information on the emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/31/2025
19. Medium-High risk12/17/2025

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

    The files for children # 1,4 and 5 lacked the health insurance policy number on the emergency contact form. 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: Child # 1 was withdrawn from the program. Children 4 and 5 parents added the insurance policy number to the emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/31/2025
20. Medium-High risk12/17/2025

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

    The files for children # 2 and 3 lacked the address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child # 5 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. 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: The address and telephone number of the individual designated by the parent for children #2 and was added to the emergency contact form. The address of the individual designated by the parent to whom the child may be released on the emergency contact form was added for child #5 . Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/31/2025
21. Medium-High risk12/17/2025

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

    The files for children #1,2 and 3 emergency contact form and agreement form were not reviewed once in a 6-month period . 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: Child # 1 was withdrawn. children 2 and 3 were reviewed on 12/31/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/31/2025
22. Medium-High risk12/17/2025

    Toddler/preschool: updated health report every 12 months/Dismissal policy (3270.131(b)(2)/3270.131(e)(3))

    The file for child # 1 lacked an updated health report. The previous report was dated 5/28/24. The file for child #2 contained a current health report dated 9/3/25. The previous report was dated 8/13/24. 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. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).Child # 1 must be dismissed from care by close of business 12/17/25 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter. Correction: Child # 1 no longer attend. Child #2 contains a current health report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/17/2025
23. High risk12/17/2025

    Consent for emergency medical care required prior to admission (3270.182(3))

    The files for children # 4 and 5 lacked signed parental consent for emergency medical care for the child. Written consent is required prior to admission on the emergency contact form. Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: The parent for children #4 and 5 signed the parental consent for emergency medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/31/2025
24. Medium-High risk12/17/2025

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

    The file for child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission on the emergency contact form. 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: Child # 1 is no longer enrolled. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/17/2025
25. Medium-High risk12/17/2025

    Emergency plan (3270.27(a)(5))

    The facility emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Correction: The accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions were added to the emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 12/31/2025