NURTURING ARMS DAYCARE

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

At the time of the inspection, staff person #5 did not update their PA State Police clearance, Child Abuse clearance, FBI clearance and NSOR certificate every 60 months, prior to the current clearance's expiration, as required. This is evidenced by the current clearance on file dated 8/5/25, 1/28/26, 1/27/26, and 8/8/25, respectively. The previous clearance dates were 4/21/20, 4/29/20, 4/24/20, and 5/4/20, respectively. Staff person #5 had routine interaction and direct contact with children. Staff person #8 did not update their NSOR certificate every 60 months, prior to the current certificate's expiration. This is evidenced by the current NSOR date of 1/26/26 and the previous clearance date of 2/25/20. Staff person #8 had routine interaction and direct contact with children. 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. The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. Correction: Staff person #5 and #8 are current with all clearances. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

At the time of the inspection, protective receptacle covers were missing from the older toddler and younger preschool rooms. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Receptacle covers were placed in outlets. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

At the time of the inspection, soap was missing from the first aid kit in the infant room. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: Soap was added to infant room first aid kit. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

At the time of the inspection, the white shelf in the younger preschool room and the black shelf in the school age room were wobbly, not secured to a surface and able to be tipped over posing a hazard to children. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: Shelves will be secured to a surface to prevent them from being tipped over. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months (3270.131(b)(1))

At the time of the inspection, the last documented health assessment on file for child #5 was conducted on 4/10/25, and not every 6 months as required. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Correction: An updated health assessment for child #5 will be obtained from the parent. 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))

At the time of the inspection, staff persons #2 and #13 did not update their health assessment every 24 months, as required. This is evidenced by the current health assessment date of 9/25/25 and 8/4/25, respectively. The previous health assessments were dated 8/18/23 and 6/19/23, respectively. 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 person #2 and #13 has a current health assessment in the file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Dairy (3270.163(a)(1))

At the time of the inspection, in the older toddler class with staff person #2, the children were not served a dairy product during lunch. Their lunch consisted of corn, penne pasta with marinara meat sauce and water to drink. Requirement: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product. Correction: A dairy product which includes milk to drink will be provided during lunch. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Evacuation routes posted (3270.94(a)(5))

At the time of the inspection, evacuation routes were missing from the school age room, located on the second-floor loft. Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure evacuation routes are posted in a conspicuous location on each floor of the facility. Correction: Evacuation routes added to the school age room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

At the time of the inspection on 2/25/26, the last documented manual monthly monitoring of the fire detection system was conducted on 1/9/26 and not every 30 days, as required. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: The alarms were tested during the renewal. The date of testing will be written on the bottom of the fire drill log. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pick-up and drop-off points (3270.171(a))

At the time of the inspection, the last documented date that the facility notified the local traffic safety authorities in writing regarding the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility was on 1/13/25 and not annually, as required. Requirement: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility. Correction: The letter was updated and sent to the local traffic authorities. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

At the time of the inspection, staff person #1 did not complete fire safety training annually as required. This is evidenced by the current fire safety training date of 2/1/26 and the previous fire safety training date of 1/24/25. 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: The fire safety training on file for staff person #10 is current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

At the time of the inspection on 2/12/25, the last documented testing of the fire detection system was conducted on 1/10/25 and not every 30 days as required. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: The plan of correction is to document the testing of fire detection system every 30 days. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible/Locked (3270.66(a)/3270.133(4))

At the time of the inspection, in the Preschool classroom, staff person #3's purse was accessible to children. Inside the purse was a bottle of Benadryl and a bottle lavender oil. In the preschool room, in a closet that was only partially closed off by a curtain, there were cans of paint 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. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children. Correction: The plan of correction is to have staff person #3 remove her purse and put it into her personal locked locker outside of the classroom. All toxic materials in the closet will be removed from the closet and taken out of the building. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exceeding Capacity (3270.61(h))

During the inspection, there were 4 mixed aged children in the infant room. The maximum capacity for this room is 3 children. Requirement: The capacity established for an indoor space may not be exceeded. Correction: The plan of correction is to remove the oldest child from the infant room to maintain the maximum capacity. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Safe routes posted/Pick-up and drop-off at specified areas (3270.171(c)/3270.171(d))

At the time of the inspection, written notification of safe routes were not posted in the facility. Requirement: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Children shall be picked up and discharged only at locations specified by the facility as safe locations. Correction: The plan of correction is to post written notification of safe pick up and drop off location Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written statement (3270.166(1))

At the time of the inspection, staff person #2 had acknowledged that written statements giving the formula and feeding schedule for an infant are not obtained from the parent. Requirement: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Correction: The plan of correction is to obtain and maintain a written statement giving the formula and feeding schedule for the infant from the parent. 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))

At the time of the inspection, staff person #8 did not have a health assessment conducted every 24 months, as required, on file. This is evidenced by the health assessment on file dated 11/3/22. 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: The plan of correction is to have staff person #8 suspended from work until their physical is completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

At the time of the inspection, the trash can used for diapering in the infant and toddler rooms contained used diapers and was not plastic-lined. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: the plan of correction is to put trash can liners in the trash cans in the infant and toddler rooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name on bottle/Original label (3270.133(3)/3270.133(5))

At the time of the inspection, the Flovent inhaler, which the operator stated was child #7's, was observed inside a plastic bag at the facility. It did not contain a label identifying the name of the child for whom the medication is intended. The medication itself also read to discard after 1/2024. Requirement: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: The plan of correction is to have the expired flovent inhaler discarded. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

At the time of the inspection, the fold down changing tables located in the infant and toddler rooms had a label reading "suitable for child up to 11kg or 12 months." Child #8, a three-year-old, was observed being changed on one of these tables in the toddler room. These changing tables are not appropriate for the children's age and size who were present in care in these spaces. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: The plan of correction is to have children over 12 months changed on a suitable changing table in the bathroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair/Surfaces cleaned (3270.102(a)/3270.135(b))

At the time of the inspection, the changing table pad in the middle-left room was torn, and the inside foam was exposed. This prevents the changing pad from being properly cleaned with a sanitizing solution. 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. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering. Correction: The plan of correction is to have the changing pad replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Running water - diapering (3270.82(j))

At the time of the inspection, the 5 gallon receptacles used for water for handwashing in the infant and toddler rooms were filled with water. This is evidence that they are not emptied daily. Requirement: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day. Correction: The plan for correction is to have the 5 gallon receptacles empied. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

At the time of the inspection, there was peeling paint behind the toilet in the preschool bathroom. There was peeling paint on the blue wall in the toddler room. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The plan of correction is to have the peeling paint in the preschool bathroom and the blue wall in the toddler classroom repainted Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

At the time of the inspection, in the toddler room, the heat vent cover was broken and exposed the metal guard edges, posing a hazard to children. In the school age room, a shelf was not secured to a surface and posed a tipping hazard. 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: The plan of correction is to replace the heat vent cover with new heat vent covers. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Heat Source (3270.71)

At the time of the inspection, the baseboard heaters in the middle right room, the Preschool bathroom and the toddler room exceeded 110° F and were accessible to children. The temperatures they measured were 282° F, 142° F and 145° F, respectively. Requirement: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact. Correction: The plan of correction is to have all heaters that are accessible to children covered for protection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).