THE TEETER-TOTTER

Health information/Initial and subsequent health reports (3270.131(a)/3270.182(1))

The file for Child #1, enrolled for more than 60 days, lacked an initial health assessment. 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. A child's record shall contain initial and subsequent health reports. Correction: A health report for Child #1 will be obtained and filed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The most recent NSOR clearances on file for Staff #1 and Staff #2 are dated 1/15/20 and 9/22/25, more than 60 months apart. The file for Staff #4 contained a child abuse clearance dated 10/7/25, after the start date in childcare. The file for Staff #4 contained an NSOR clearance dated 10/3/25, after the start date in childcare. (SEE LIS CODE SHEET) 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 #--- may not work in a child care position at the facility. Correction: All staff [1, 2, 4] files are complete, filed and in compliance with the CPSL. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Peeling paint was observed on the wall behind the cribs in the infant space and on the front wall near the easel. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: All peeling paint will be repaired. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The agreement form for Child #2 lacked the child's date of 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: The start date on agreement form for Child #2 will be added. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3270.123(b)/3270.182(8))

The agreement form on file for Child #1, Child #2, Child #3, Child #4, and Child #5 was the original document, not a copy. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: All agreement forms for Child numbers 1, 2, 3, 4 and 5 now contain a copy while the original copy is given to the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #2, Child #3, and Child #5 lacked the enrolling parent's work address and work phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The parent's work address and work phone number will be added to the emergency form for Children numbers 2, 3 and 5. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #4 lacked the child's insurance coverage 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: We will obtain health insurance coverage name and policy # on the emergency contact form for Child #4. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #2 and Child #5 lacked the release person's address. The emergency contact form for Child #3 lacked a complete address for the child's release persons. 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 release person's address for Child #2 and child #5 will be obtained and listed on the emergency contact forms. A complete address for the release person for Child #3 will be obtained and listed on the emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Initial and subsequent health reports (3270.131(b)(1)/3270.182(1))

The two most recent health assessments on file for Child #5, a young toddler at the time, are dated 6/10/24 and 9/9/25, more than 6 months apart. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports. Correction: An updated health report for child #5 is now complete and on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

The most recent emergency drill log on file at the facility is dated 9/25/24, more than 12 months prior to the date of inspection. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: A emergency drill will be completed in logged. 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))

The file for Staff #3 contained a first aid/CPR certificate dated 10/21/25, more than 90 days after the start date in childcare. (SEE LIS CODE SHEET) Requirement: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff #3 now contains a current first aid, CPR certificate. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written statement (3270.166(1))

The facility lacked written infant feeding schedules from the parent. Requirement: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Correction: We now have a written infant feeding schedule from the parent with each parent's signature. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff Person #1 and Staff Person #3 did not contain the Pa. Health and Safety Update 2022 which was required to be completed by 12/30/22, as per Announcement C-22-06. 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: Staff Person #1 and Staff Person #3 will complete PA Health & Safety Update training. Now and in the future, all staff will obtain PA Health & Safety Update training in the required amount of time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

The restroom lacked handwashing signs above the toilet and the changing table. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: Handwashing sign was placed on the wall above the changing table during our annual inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

In the infant area, rest equipment lacked a label with the name 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: Crib was labeled with the infant's name during annual inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

The file for Child #1 did not contain a child service report to document the child's growth and development. The file for Child #2 did not contain a child service report after 12/27/22 to document the child's growth and development. 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: The service reports for child #1 and child #2 will be completed and placed in the corresponding files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #1 and Child #4 lacked a work address and work phone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: A work address and a work phone number for Child #1 and Child #4 will be added to the emergency contact forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #3 lacked written parental consent 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: We will obtain a parental consent with a signature for emergency medical care for child #3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #1 and Child #4 lacked information regarding the child's special needs. 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: Information on the special needs Child #1 and Child #4 will be provided by the parents on the emergency contact forms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #2 and Child #3 contained an emergency contact form that was not updated within 6 months of the previous update. 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: Emergency contact forms for Child #2 and Child #3 will be updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The two most recent health report forms for Child #2 are dated 12/15/22 and 5/15/24, more than 12 months apart. (SEE LIS CODE SHEET) 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. A child's record shall contain initial and subsequent health reports. Correction: Child #2 now has a current health report. The next one will be obtained within the 12 month period of the last dated form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

The initial health assessment provided from Staff Person #1 was dated 6/10/22, more than 12 months prior to the date of hire. The initial health assessment for Staff Person #3 was dated 12/4/24, after the date of hire. (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. 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: We will obtain an up-to-date health assessment for staff person #1. We now have a current health assessment for staff person #3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The file for Child #2 and Child #3 contained a financial agreement form that was not updated within 6 months of the previous update. Requirement: 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: We now have an updated financial agreement form for child #2 and child #3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #3 lacked written parental consent for administration of minor first aid procedures. 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: We now have written parental consent on file for child #3 for administration of minor first aid procedures. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The file for Staff Person #2 lacked two written, nonfamily references. The file for Staff Person #3 lacked one written, nonfamily reference. 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: We will obtain 2 written nonfamily references and place on file for staff person #1, and we will obtain 1 nonfamily reference for Staff Person #3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).