THE LEONARD AND MADLYN ABRAMSON EARLY CHILDHOOD CO

Emergency plan (3270.27(a)(5))

At the time of inspection, the facility's emergency plan did not include 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 director will edit the facility's emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The update to the emergency plan will be documented in writing and dated. The director will train all facility persons on the updated portion of emergency plan related to the accommodations for infant, toddlers, children with disabilities and children with chronic medical conditions. 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))

At the time of inspection, the file for recently hired staff member #1 did not include an initial health assessment with TB. The files for recently hired staff member #2 and staff member #4 contained initial TB results dated more than 12 months prior to the staffers' dates 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. 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 #1 must submitted an initial health assessment with TB results, as soon as possible. Staff member #2 and staff member #4 must submit updated TB results not dated more than 12 months prior to their hire dates. The director will ensure staff member #1 immediately submits an initial health assessment with TB results in compliance with the regulations. The director will ensure staff members #2 and #4 submit updated TB results in compliance with regulations. All health assessments for staff members will be maintained on file at the facility in each individual's record. 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))

At the time of inspection, the file for child #1's contained an emergency contact form last signed by the child's parent on 1/22/25. The file for child #2 contained an emergency contact form last signed by the child's parent on 6/9/25. 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: The director will contact the parents of the child #1 and child #2 to have the parents review and/or update their child's emergency contact information. The children's parents will sign and date the forms to reflect they've reviewed or updated the form, at least once in a 6-month period. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

: At the time of inspection, the emergency contact form for child #1 was missing the address and phone number of the release person. 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 director will contact the parent of child #1 to obtain the missing release persons information on the emergency contact form. The parent will provide the address and phone number of the individual designated on the form as a release person. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for administration of minor first-aid required prior to admission (3270.124(b)(4)/3270.182(5))

At the time of inspection, the emergency contact form for child #1 did not contain signed parental consent for emergency medical care and consent for administration of minor first-aid procedures by facility person. The parent's initials were on both lines for consent instead of their signatures. 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: The director will contact the children's parent to obtain signatures on the emergency contact form for emergency medical and minor first-aid procedures. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of inspection, the file for staff member #3 contained an FBI clearance dated 12/18/20 which is no longer valid under the CPSL if older than the 60 months from the date of request. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care 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 #--- may not work in a child care position at the facility. Correction: Staff member #3 will not work in a child position at the facility, until a valid FBI clearance is submitted. Staff member #3 provided a receipt reflecting FBI fingerprinting was scheduled on 1/30/2026. The director and staff member #3 will ensure a valid FBI clearance dated less than 60 months is on file at the facility prior to the individual returning to a child care position at the facility. The updated FBI clearance for staff member #3 will be maintained in the individual's facility file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Plan reviewed/updated annually (3270.27(b))

At the time of inspection, the facility did not document in writing the annual review and/or update of the facility's emergency plan. 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: The director will document in writing the date of the annual review or update to the facility's emergency plan. The date of the annual review or update will be noted on the cover page of the emergency plan or inside of the emergency plan to reflect compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

Staff member #1 fell asleep while supervising children during nap time. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Correction: All staff members must be awake when responsible for supervision children. Staff member #1 was reprimanded and was not allowed to work alone while supervising children. After the investigation, staff member #1 was fired for sleeping while supervising kids. Also, the facility directorship changed, and an additional staff member was hired to replace staff member #1. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No insects or rodents (3270.67(c))

During the investigation, the director indicated evidence of mice have been observed in the building. Requirement: Evidence of infestation of insects or rodents in the facility is not permitted. Correction: The director showed evidence of the build receiving monthly treatment from a professional extermination service. The extermination service will not be conducted in the child care facility when children are not present. The facility's maintenance person(s) will address possible access points which allow the rodents to enter the facility in effort to eliminate access in the child care space Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

During the investigation, the director admitted that the 3-year-old preschool class was out of ratio due to a staff member being 15 minutes late arriving to work in the morning. 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. The required staff:child ratios must be maintained at all times. Correction: The required staff: child ratios will be maintained at all times. Staff members in the preschool room will ensure a 1 to 10 ratio. Staff member in the preschool room will immediately notify the office when their class is out of ratio to ensure staff overage is provided to ensure staff: child ratios are maintained. Inspection: Complaints- Legal Location. 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))

At the time of inspection, the file for staff member #3 and staff member #4 did not include initial health assessments with TB results which should have been received prior to 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. 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: The director will provide the staff members listed with a Child Care Staff Health Assessment form. The staff members will immediately request to have a medical professional complete the form reflecting a physical exam with TB result dated within the last 12 months. The director will review initial health assessments for new employees to ensure the health exam were conducted within 12 months prior to providing initial service in a child care setting. The director will review all current facility persons' files to ensure current health assessments are on file at the facility. The operator and director will ensure all staff have initial and subsequent health assessments in compliance with regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of inspection, staff member #1 who's facility file did not contain verification of completion of the Pediatric first aid & CPR training by a PQAS instructor was observed working unsupervised with children during soccer lessons provided by a third-party organization. Staff member #1 was not supervised by another qualified staff member who was at least an Assistant Group Supervisor and who has completed all pre-service trainings required. 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: The director will ensure that staff member #1 is supervised by a qualified staff member until all the required preservice trainings which includes the Pediatric first aid & CPR by a PQAS trainer has been completed. Staff member #1 must completed the Pediatric first aid f& CPR training by a PQAS trainer, within 90 days of hire. The director will schedule the PQAS Pediatric first aid training for the staffer, as soon as possible. Verification of the completion of the training will be submitted to the staff member's facility file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The staff data sheets submitted by the facility, reflected that the FBI clearance for staff member #6 and staff member #7 were invalid because they were dated more than 60 months from the date they were completed. Also, the staff data sheet reflected that staff member #8 did not have verification of completion of the Mandated Reporter training, required by CPSL to be completed within 90 days of hire. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care 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 #--- may not work in a child care position at the facility. Correction: Staff members #6 and #7 will not work in a child care position until their completed FBI clearances have been submitted and reviewed for compliance. The director will ensure the staff members identified aren't working with children until their completed FBI clearance has been received and maintained in their staff file. Staff member #8 must completed the Mandated Reporter training, immediately. The director will ensure that staff member #8 is supervised by another qualified staff member, at least an Assistant Group Supervisor with all the pre-service trainings completed. The director will remind all facility persons with direct care and routine interaction with kids that clearances must be kept update can't be expired or they will be removed from caring for children at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of inspection, the file for staff member #1, hired more than 45 days; did not include the out of state clearances from Ohio. The Ohio State Police, the Ohio Child Abuse and Ohio Sex Offender Registry clearances were not in staff member #1's file. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care 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 #--- may not work in a child care position at the facility. Correction: As soon as possible, staff member #1 will provide the completed Ohio State Police clearance, the completed Ohio Child Abuse clearance and Ohio Sex Offender Registry. The director will ensure staff member #1's file will contain the completed Ohio clearances and Pennsylvania clearances that are needed to be in compliance with CPSL. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

At the time of inspection, the files for staff member #4 and staff member #5 did not include the annual staff 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 director will complete annual staff evaluation for staff members, as soon as possible. The director will review the evaluations with the staff members and obtain their signatures. The annual staff member evaluation will be maintained in each staff members' facility file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Associate's, 30 + 3 yrs/Exp, educ., training prior to facility (3270.35(b)(4)/3270.192(2)(ii))

At the time of inspection, the file for staff member #3 did not include verification of education or experience to qualify for a position as a group supervisor or any staff member position. Requirement: A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of 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: Staff member #3 will be required to immediately submit verification of education (AA or BS degree) and experience, if necessary; to qualify for the position of Group Supervisor. The director will review all staff files to ensure current staff have the required verification of qualifications regulated for their positions. 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))

At the time of inspection, the file for staff member #2 did not contain any verification of education or experience to qualify as a staff member. 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 director will require staff member #2 to immediately submit verification of a high school diploma or GED with 2 years of verified experience working with children to qualify for the position of assistant group supervisor. The director will provide the staff member with the verification of experience form to have it completed by an employer to verify the 2 years of experience working with children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original label (3270.133(5))

At the time of inspection, an expired Epi-pen was observed for a child who has an allergy. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: The child's parents will be contacted by the director to obtain an unexpired Epi Pen for the child. The director will establish a medication log for the child's updated Epi-pen and have the child's parent sign authorization for administration of the Epi-pen medication. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Medication log (3270.133(7))

At the time of inspection, several nonprescription medications without medication logs and/ or names to identify whom they belong to were observed on a shelve in Waddler classroom. Requirement: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: The nonprescription medication without the name of the child to whom it belongs, will be removed from the classroom and discarded. Medication identifying the name of the child will be returned to the child's parent. If necessary, a medication log will be established with the parent's signature to authorize administration of the medication by a staff member. A medication log will be established and maintained for prescription or nonprescription medication in order to be administered to a child. 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 staff data sheet submitted indicated that staff member #8, staff member #9 and staff member #10, hired more than 90 days; did not have valid Pediatric first aid & CPR training certificates from a PQAS instructor. Requirement: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: The director will ensure that staff members identified are scheduled and complete the Pediatric first aid & CPR training conducted by a PQAS instructor, as soon as possible. The staff members will submit their new certificate of completion for the Pediatric first aid & CPR training conducted by a PQAS instructor. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).