PIPSQUEAKS CHILD CARE CENTER INC

Comply with CPSL (3270.32(a))

The file for Staff #1 contained 2 mandated reporter trainings that were more than 60 months apart. The file for Staff #3 contained an FBI clearance obtained thru the Department of Education and not the Department of Human Services and was lacking an NSOR certificate. The file for Staff #4 contained a state police clearance that contained the wrong birth year on it. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3may not work in a child care position at the facility. Correction: Staff #1 and #2 have an updated mandated reporter training. Staff #3 resigned effective February 12, 2026. Staff #4 has an updated State Police Clearance with the correct DOB (Corrected 2.18.26) Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #1 contained an emergency contact form that was lacking the phone number of the child's physician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Child #1, the emergency contact form has been updated with the child's physician's phone number. 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 contained agreement forms and emergency contact forms that were updated on 3.27.25 and then on 2.5.26 which is more than 6 months. 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 #2 agreement and emergency contact form is updated and will remain in compliance with the 6 month parent review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Completed or signed by physician, PA, or CRNP (3270.131(c))

The file for Child #2 contained a child health report that was lacking the physician's signature. Requirement: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Correction: Child #2 Health Report has been updated with the physicians signature. 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))

The file for Staff #2 contained 2 health assessments that were more than 24 months apart. 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 #2 is up to date on the Health Assessment. 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))

Staff person #3 has not completed pediatric first aid required pre-service training within 90 days of their date of hire (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 .Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #3 will have until 3.05.2026 to complete the required training. Until such time as the required training has been completed, staff person #3 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 available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility Correction: Staff person #3 has resigned as of February 12, 2026. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing. At the time, Staff Person #1 accepted items from a parent and walked across the play space to hand them to another staff at the door, leaving the children without proper supervision. When she turned back, the children were no longer in the play space and were located in a neighboring yard by a parent, with no staff present with the children. 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. Correction: Staff Child ratio will be maintained at all times. The facility has been using a document created by the Director. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing. At the time, Staff Person #1 accepted items from a parent and walked across the play space to hand them to another staff at the door, leaving the children without proper supervision. When she turned back, the children were no longer in the play space and were located in a neighboring yard by a parent, with no staff present with the children. 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. TIERED LIS: 1.Children must be supervised at all times. 2.The legal entity must work with the ELRC to develop and ensure all staff at the facility participate 2 hours in person training to include active supervision at all times while indoors and outdoors. The training will focus on maintaining continuous supervision, by requiring staff to position themselves without turning their backs from where the children are so that they can observe the entire child care space and play space where children are receiving care. Staff will be trained to not accept items from parents in the play space or at the fence line as this takes away from active supervision, instead parents will be required to take items to the front door of the facility and drop them off with a designated staff person. This training needs to take place within 60 days of acceptable plan of correction being received. This training may count towards the mandatory 12 training hours required by the Department. Copies of Certificates will be provided to Department Representative upon completion. 3.The Legal Entity will develop an environmental hazard reporting form for staff to immediately document safety concerns. The form will be completed after the children are transitioned back indoors and submitted the same day directly to the Director or in the designated file or box. The Director will then document the concern and make a plan to correct and then correct the hazard as soon as possible. This needs to be developed within 15 days of plan of correction. The hazard reporting form must be available to the Department Representative for review. 4. The Legal Entity must develop and implement a written Drop-Off Policy to ensure children remain under continuous supervision. A designated drop-off point will be located near the front door, where parents hand belongings to the assigned staff person. Parents may not hand items to staff supervising children in the outdoor play space, at the fence line, or while children are present in the active play area. One staff member must remain in the play space at all times, while another greets parents and receives belongings. Staff may not switch roles unless approved by the director or lead staff. All belongings must be received at the door and placed directly inside the building, as staff are prohibited from carrying items across the play space. This policy must be shared with all staff and parents, included in both the parent and employee handbooks, and made available to the Department Representative upon request. The policy must be developed, implemented, and distributed within 30 days. 5. The Director will do random supervision checks at least three times a week when the children are outside on the play space and throughout the building. These supervision checks will be done for all age groups and will be recorded on charts approved by the Department. These supervision checks will be done for a period of three months and will be sent to Department Representative upon request. Correction: 1 .8.18.25 We will maintain supervision at all times 2. 12.31.25 The Staff and Director will work with the ELRC to participate in a 2 hour training which will include active supervision at all times when in

Staff assigned to specific children (3270.113(a)(1))

On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing. At the time, Staff Person #1 accepted items from a parent and walked across the play space to hand them to another staff at the door, leaving the children without proper supervision. When she turned back, the children were no longer in the play space and were located in a neighboring yard by a parent, with no staff present with the children. Requirement: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. Correction: As the Director, I have spoke with each of the staff individually and as a group about their responsibility of children in their assigned group. The importance of this topic has been reiterated about the significance of knowing the children's name and whereabouts in their assigned groups. We also went over the reasons why we need to be physically present with children and their group on the facility premises and on facility excursions off the premises. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Unsafe Areas in Outdoor Space (3270.63)

On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing. At the time, Staff Person #1 accepted items from a parent and walked across the play space to hand them to another staff at the door, leaving the children without proper supervision. When she turned back, the children were no longer in the play space and were located in a neighboring yard, which had a 3 foot above ground swimming pool with a ladder attached making it accessible to the children. Requirement: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions. Correction: A new section of fencing has been installed and will keep children from exiting the play space. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

.On August 14, 2025, at approximately 9:45 a.m., two children, ages 1 year 10 months and 2 years 7 months, exited the outdoor play space through a broken and unsecured section of fencing. 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: A new section of fencing has been installed and is secure. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Plan reviewed/updated annually (3270.27(b))

There was no documentation in writing that the emergency plan had been reviewed within the last 12 months. 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 written emergency plan has been reviewed and updated. The emergency plan is kept on file at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

The file for Staff #3 is lacking the Health and Safety training. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: Staff person#3 has completed Part 1& 2 of the Health and safety training, she had completed the updated Health & Safety originally within her 90 days of hire. All new staff will complete Part 1&2 of the Health & Safety training within 90 days of hire. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The file for Staff #4 contained a State Police Clearance that was in the still pending status. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 may not work in a child care position at the facility. Correction: The State Police Clearance for Staff #4 has been obtained and printed out and placed in the staff persons file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space (3270.111(b))

The YT/OT room was lacking a posted daily schedule. Requirement: The written plan of daily activities shall be posted in the group space. Correction: The written plan of daily activities has been posted in YT/OT room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee (3270.123(a)(1))

The file for Child #3 contained an agreement form that was lacking the fee amount to be charged. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The agreement form for child#3 has been corrected with the fee amount to be charged. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

The files for Child #1, and 2, who were both enrolled for more than 6 months were lacking a child service report. 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 Child Care Service reports have been conducted and discussed with the parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3270.123(a)(4))

The file for Child #4 contained an agreement form that was lacking the child's arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: Child#4 agreement form has been updated and the arrival and departure times have been put in writting. 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 files for Child #2, 3 and 4 all contain emergency contact forms that are lacking signed 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: The emergency contact forms for child #2,3 and 4 all have a signed parental consent for emergency medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #4 contained an emergency contact form that was lacking the name and policy number of the child's medical insurance information. 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: The emergency contact form for child #4 now has the policy number for the medical insurance information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #3 contained an emergency contact form that was lacking the addresses of the persons to whom the child may be released. 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: Addresses for Child#3 persons to whom the child may be released to has been 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 file for Child #3, a preschool aged child, contained a child health report that was more than 12 months old. 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: An updated Health Report has been placed in Child#3 file. 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 files for Child #2, 3 and 4 all contained emergency contact forms that were lacking signed parental permission for the administration of minor first-aid procedures by facility staff. 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: The emergency contact form for child #2,3 and 4 have the appropriate signature for parental permission for the administration of minor first aid procedures by the facility staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

There was no documentation of an emergency drill being conducted in the last 12 months. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: The emergency drill has been conducted and documented. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

Staff #1 completed 10 hours PD and still needs to complete 2 hours. Staff #2 completed 2 hoursPD and still needs to complete 10 hours. Staff #3 completed 1 hour PD and still needs to complete 11 hours. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff #1,2 and 3 have all completed the required 12 hours of PD. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).