LOIS JOHNSON LEARNING & CHILD CARE CENTER

Restraints prohibited (3270.113(e))

Based on staff statements, it was reported that a practice was used during nap time in which staff placed their legs over Child #1's waist in a "bridge-like" position to prevent the child from getting up independently from the mat and attempting to access exits within the facility. Staff indicated they were directed to use this practice, which was implemented by multiple staff. 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. Correction: The facility acknowledges the cited non-compliance regarding an inappropriate practice used during nap time in which staff placed their legs over a child's waist in a "bridge-like" position to prevent the child from leaving the mat. This practice constitutes a form of physical restraint and is prohibited under Pennsylvania childcare regulations. The use of any physical restraint was immediately discontinued. Staff involved were informed that such practices are strictly prohibited and were directed to cease immediately. The child's supervision plan was revised to ensure safety through appropriate, non-restrictive methods. Facility leadership held an immediate staff meeting to review regulatory requirements, reinforce appropriate supervision practices, and clearly communicate expectations moving forward. A review of the incident determined that the root cause included a misunderstanding of appropriate strategies for managing elopement risk and insufficient procedural clarity regarding nap/rest supervision. In response, the facility has revised its behavior management and supervision policies to explicitly prohibit restraint and to provide clear, detailed guidance on acceptable strategies. Updated procedures emphasize active supervision, appropriate staff positioning, and environmental supports to promote safety. The facility has engaged the Pennsylvania Keystone STARS Rapid Response Team to support corrective actions. This includes reviewing current practices, providing guidance on appropriate supervision strategies, and assisting in the development of individualized supports for children with safety concerns. All recommendations will be implemented and monitored for effectiveness. An individualized supervision and safety plan has been developed for the child involved. This plan includes increased staff proximity during nap/rest time, environmental adjustments to reduce access to exits, and strategies to support regulation and rest. The plan does not include any form of physical restriction and aligns fully with regulatory requirements. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

The files for staff #2 and #5 contain first aid trainings that were renewed late. The training was due 12/4/25 and was obtained 12/17/25. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Correction: All staff will have CPR and pediatric first aid training prior to their expiration date of their most current certification. Staff will be removed from care on expiration date prior to renewal completion. Staff #2 and #5 completed training on 12/17/25 and returned to care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #1 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (pediatric first ai and cpr). The training was due 10/1/25 and was completed 10/13/25. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Correction: All new hires will complete the preservice trainings within 90 days of their start date. Staff person #1 completed the required pre-service training on 10/13/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #1 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The training was due 10/1/25 and was completed 11/25/2025. Staff #4 renewed the mandated reporter training late. It was due 8/2025 and renewed 11/2025. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Correction: All new hires will complete mandated reporter training within 90 days of hire. All staff will renew the mandated reporter training every 5 years before the expiration of the previous training. Staff #1 completed the mandated reporter training on 11/25/25 and Staff #4 renewed training on 11/20/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Observed diaper cream in a low plastic shelf in the PreK room labeled "keep out of reach of children" that was accessible to children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Diaper cream was removed from child access and put on shelf inaccessible to children. 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))

The file for staff #3 lacks a valid TB test. The TB test on file exceeds 12 months old. 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: Staff member had new physical completed 1/14/26. We will seek guidance with questions regarding returning employees. We will confirm actual start date if they left to go to another facility. 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 #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 10/23/25. 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 trainings are completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility. Correction: Staff members not renewing their CPR prior to the expiration date will be removed from care until certification can be renewed. [Staff #1 was removed from care until certification was renewed.] Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

The file for staff #1 lacks renewed PQAS pediatric first aid/cpr. The training was due 10/23/25. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Correction: Staff members not renewing their CPR prior to the expiration date will be removed from care until certification can be renewed. Classes are offered on a monthly basis, free of charge to the employee. [Staff #1 was removed from care until certification was renewed.] 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 file for staff #2 contains a criminal clearance that was updated late. It was due 10/17/24 and updated 10/25/24. 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. Correction: Employee was not permitted to work until clearances were received. Employee returned to work when clearances arrived. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Transcript, diploma and letters (3270.36(b)(5)/3270.192(2)(iv))

The file for staff #1 does not include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. The verification (diploma) presented in the file is written in a foreign language (not English). 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 acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity. Correction: High School transcripts and college transcripts from Peru have been sent to ECE for verification of diploma and college courses. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).