WEE KARE CHILD CENTER

Health and Safety Training (3270.31(f))

Staff person #2 lacked documentation of completing health and safety training within 90 days of hire (SEE LIS Code Sheet). The file of staff person #2 contained documentation of completing health and safety training on 2/27/25. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: Staff person completed health and safety training but it was not within the required 90 days of hire. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #3 lacked documentation of completing mandated reporter training every 60 months. Staff person #3 had documentation of completing mandated reporter training on 8/7/25 with previous training completed on 1/10/20 Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Mandated Reporter training will be completed at a minimum of every 60 months. Staff competed the training but 60 months has lapsed in time. Better organization with documentation of dates was made. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

On 9/25/25 Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 11/23/19. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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 person completed her Mandated Report training that same day and came into compliance immediately. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Given parents in writing (3270.121(b))

Certification Staff observed a transfer of care policy in the facility's parent handbook, but the facility was unable to provide signed documentation that the parents received and read the information. Requirement: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. Correction: A new Parent Handbook was created. An amendment policy was also created. Parents were issued a new handbook via, Lillio App and a hard copy was made accessible to them. Parents were asked to e-signature the acknowledge of the new Parent Handbook in the Lillio App. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Hypothetical locations (3270.94(a)(4))

The Director or designated staff person who is responsible for compliance with this chapter did not ensure the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills. The facility provided documentation that the hypothetical locations were the same on 7/22/25 and 8/15/25. Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Correction: The locations were exactly the same location because the fire alarm pull stations were pulled by two different children at two different times. The hypothetical locations were documented as the event's unfolded. Fire drills are conducted every 60 days. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written record (3270.94(a)(9))

The Director or designated staff person who is responsible for compliance with this chapter did not ensure a written record for the fire drill conducted on 6/18/25 indicated the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the number of children who participated in the fire drill. Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Correction: The fire drill drill log was not completed in it's entirely. There were a few lines left blank. All lines will be completed and recorded of future fire drills. Inspection: Unannounced Monitoring. 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))

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days or inspected by a fire safety professional annually. The facility provided documentation that the fire detection system was manually tested on 9/9/24, 10/8/24, 11/4/24, 12/30/24, 2/25/25, 4/22/25, 6/18/25, 7/23/25, and 8/15/25. The facility provided documentation the fire detection system was inspected on 3/18/24, but the documentation was not on the company's letterhead. The facility did not provide documentation the fire detection system was inspected by a fire safety professional in 2025. 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: Our contracted company Kidde, does not provide monthly inspections on working test systems. They only contact the company (Wee Kare) when there is a fault in the system. After several requests of the documentation requested, they are not able to meet OCDEL's need. This has been an ongoing issue for several years. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

Staff person #1 was observed to be out of and away from the child care space leaving staff persons #2 and #3 caring for 11 infants. 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. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Region Office on a weekly basis for a period of three months after DHS approves the documentation format. Correction: Staff person #1 was instructed to leave the telephone ring and do not leave the classroom to answer the phone due to leaving the classroom out of ratio. She was explained the importance of ratio's over answering phone calls. Required staff:child ratios will be maintained at all times. I will submit my child ratio spreadsheet approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. I will confirm continuing compliance by sending copies of the documentation to the Western Region Office on a weekly basis from October 24, 2025 through Friday January 23, 2026. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

Staff person #1 was observed to be out of and away from the child care space leaving infants #1, #2, #3 and #4 without supervision. 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. Correction: Staff person #1 was instructed to never leave the classroom out of ratio. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic plants not permitted (3270.66(d))

The facility was observed to have Wild Yellow Linaria Vulgaris (Butter & Eggs) which is toxic to children growing in the Little Play Yard. Requirement: Toxic plants are not permitted in a child care space. Correction: The plant Butter & Eggs were immediately cut and sprayed that same evening and removed from the play yard. . There will not be toxic plants accessible in child care play spaces. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

The facility was observed to have a toy lawn mower with the handle broken off in the little play yard. 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. Correction: The toy lawn mower was removed from the play yard and broken toys will not be in the play yard where children are playing. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Emergency info/agreement updated 6 mos (3270.131(b)(1)/3270.181(c))

The file for child #2, a young toddler was observed to lack updated health reports obtained at least every 6 months for an infant or young toddler. 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 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 did receive a Health Assessment for child #2, however it was received after the six month required time frame. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Emergency info/agreement updated 6 mos (3270.131(b)(2)/3270.181(c))

The file for child #1, a preschooler was observed to lack updated health reports obtained at least every 12 months as evidenced by the most recent health report in the file is dated 07/22/2024. 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 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: This particular child was released from the center. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Dismissal policy (3270.131(d)(5)/3270.131(e)(3))

The files for children #2 and #3 were observed to contain immunization records that failed to be in accordance with the recommendations of the ACIP. The files for children #2 and #3 were observed to lack a written exemption regarding immunizations. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Correction: A letter was received from the parent stating that her child is exempt from shots. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

During an interview, it was stated that children #1, #2 and #3 were observed playing with a toy box. Child #1 climbed into the toy box and children #2 and #3 overturned the toybox injuring and frightening child #1 who was inside. While staff were in the area, they did not intervene prior to the incident. 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. Correction: Staff were instructed to intervene to a group of children playing in or around the toy box prior to an accident happening. While I respectfully disagree with this citation, I do not believe the circumstances meet the level of severity applied. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

Observed a pack n play in the infant area which was not labeled for the use 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: The pack-n-play was immediately labeled with the child's name to identify which child it belonged to. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

Observed several of the pack n plays being used in the infant room did not have 2 feet of space on three sides. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: The pack-n-plays were pulled away immediately from the toys to maintain the two feet on the three sides distance. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Potentially hazardous food refrigerated (3270.161(d))

Observed in the infant room, a bottle for an infant which was not refrigerated and was left on a rocking chair. Requirement: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. Correction: The bottle was immediately removed from the chair and dumped in the sink. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Promote development (3270.111(c))

Staff #1 threw 3 toys at child #1 striking child #1 in the head with the hard plastic tiger, causing injury. Requirement: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Correction: Staff #1 was seen on video surveillance tossing several toys in the direction of a child's play station area. One toy struck the side of a child's head. Without hesitation, this was reported by the Owners/Directors to OCDEL and Childline immediately. The staff was removed from the classroom. Staff #1 was interviewed and removed from premises, parent was notified and proper authorities were notified. Staff # 1 was not permitted to continue her employment with Wee Kare Child Center, Inc or has she been allowed on the property. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

Staff #1 threw 3 toys at child #1 striking child #1 in the head with the hard plastic tiger, causing injury. Requirement: A facility person may not use any form of physical punishment, including spanking a child. Correction: Staff #1 was seen on video surveillance tossing several toys in the direction of a child's play station area. One toy struck the side of a child's head. Without hesitation, this was reported by the Owners/Directors to OCDEL and Childline immediately. The staff was removed from the classroom. Staff #1 was interviewed and removed from premises, parent was notified and proper authorities were notified. Staff # 1 was not permitted to continue her employment with Wee Kare Child Center, Inc or has she been allowed on the property. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file (3270.182(7))

Staff #1 did not complete an incident report regarding the injury to child #1 after being struck in the head with a hard plastic tiger toy. Requirement: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Correction: An incident report was completed on the child and provided to the parent, however, the information provided was not matching the video surveillance. Staff are required to complete an incident report on the day of an injury. Parents will be given a copy on the day of the incident , a second copy will remain at the facility in an accident file and the third will be kept in the child's file. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).