CHILDRENS PLAYHOUSE NEWBOLD

2025

1. Medium-Low riskStandard 24/4/2025

   2 hour diaper check (3270.135(e))

   A staff person failed to change a child's soiled pull up when soiled causing the child to remain in a soiled pull up at least 2 hours until picked up by parent. Requirement: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled. Ensure that a child's diaper is checked at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. Ensure that staff persons change a child's diaper when the diaper is soiled. Notify staff of this requirement and submit written verification of the staff notification. Correction: The child was an older child in pull ups who only uses them at nap. We will ensure that it is checked after nap. We will ensure that a child's diaper is checked at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. We will ensure that staff persons change a child's diaper when the diaper is soiled. Staff will be notified of this requirement, and we will submit written verification of the staff notification. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 4/11/2025
2. High risk4/4/2025

   Supervised at all times (3270.113(a))

   On or about 3/13/25, a child sustained an injury (scratches on face) while in care at the facility and the staff person assigned responsibility for the child's care had no knowledge of how the child was injured. 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: Children must be supervised at all times by 4/4/25. The legal entity must arrange for all facility staff to receive a minimum of two hours of DHS approved training regarding supervision of children including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children by 5/4/25. Submit written verification of the completed training for all facility staff persons. Correction: We will ensure that children must be supervised at all times. Immediate action was taken to address the issue. We will arrange for all facility staff to receive a minimum of two hours of DHS approved training regarding supervision of children including the requirement that staff must be physically present and be able to see, hear and assess and direct the activity of the children by 5/4/25. We will submit written verification of the completed training for all facility staff persons. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/4/2025
3. Medium risk1/30/2025

   HS/GED + 2 yrs (3270.36(b)(5))

   One staff person's record did not contain written verification of education for their assistant group supervisor position. (2) Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. Obtain and submit written verification of education and experience for the identified staff person. Ensure that all staff records have written verification of education and experience for their positions. Correction: We will obtain and submit written verification of education and experience for the identified staff person. We will ensure that all staff records have written verification of education and experience for their positions. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/26/2025
4. Medium-High risk1/30/2025

   Emergency plan (3270.27(a)(2))

   The facility's emergency plan did not include provide for 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 evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §3270.94 (relating to fire drills). Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan. Correction: We will amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. We will submit a written copy of the amended emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/26/2025
5. Medium-High risk1/30/2025

   Emergency plan (3270.27(a)(1))

   The facility's emergency plan did not provide for shelter of children during an emergency including lock down procedures. Amend the facility emergency plan to include lock down procedures. Requirement: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Submit a written copy of the amended emergency plan. Correction: We will amend the facility emergency plan to include lock down procedures. We will submit a written copy of the amended emergency plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/26/2025
6. Medium-High risk1/30/2025

   Consent for administration of minor first-aid required prior to admission (3270.182(5))

   One child's record did not contain written verification of signed parental consent for administration of minor first-aid procedures by facility staff prior to admission 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. Obtain and submit written verification of signed parental consent for administration of minor first-aid procedures by facility staff prior to admission for the indicated child. Ensure that this information is in all children's records. Correction: We will obtain and submit written verification of signed parental consent for administration of minor first-aid procedures by facility staff prior to admission for the indicated child. We will ensure that this information is in all children's records. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/26/2025
7. Medium-High risk1/30/2025

   Name of medication (3270.133(7)(i))

   Albuterol medication was administered to a child on 11/18/24, 2/5/25, and 2/5/25 and the medication log did not include the name of the medication. The medication log listed the medication as "inhaler". (child #1) Requirement: A medication log shall include the name of the medication. Amend the medication log to include the name of the medication. Submit a copy of the revised medication log for verification of compliance. Amend the medication log to include the name of the medication. Submit a copy of the revised medication log for verification of compliance. Correction: We will amend the medication log to include the name of the medication. We will submit a copy of the revised medication log for verification of compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 2/26/2025
8. Medium-High risk1/30/2025

   Written instructions/Name on bottle (3270.133(2)/3270.133(3))

   A facility staff person administered albuterol to a child and the medication was not in its original container and was not labeled with the child's name (#1) Requirement: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable. 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. . Obtain the original labeled container for the child's medication and ensure that all medication is received in the original labeled container with the child's name before administering. Correction: We will obtain the original labeled container for the child's medication and ensure that all medication is received in the original labeled container with the child's name before administering. A photo of the originally labeled container will be submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/26/2025
9. Medium risk1/30/2025

   Toddler/preschool: updated health report every 12 months (3270.131(b)(2))

   One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#3) 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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age. Correction: We will obtain and submit a current up-to-date health report for the indicated child. We will ensure that an updated health report is obtained every 12 months for children older toddler to preschool age Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 3/26/2025
10. Medium risk1/30/2025

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

    One child's record did not contain a health report completed within the past 6 months as required for a child from infant to young toddler age. (#2) Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 6 months for children from infant to young age. Correction: We will obtain and submit a current up-to-date health report for the indicated child. We will ensure that an updated health report is obtained every 6 months for children from infant to young age. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/26/2025
11. Medium-High risk1/30/2025

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

    One child's emergency contact information did not include health insurance coverage and policy number information. (#1) 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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations. Correction: We will obtain and submit a written copy of the missing health insurance information for the identified child. We will ensure that all children's records contain emergency contact information as specified in these regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/26/2025
12. Medium-High risk1/30/2025

    Services proceeded (3270.123(a)(3))

    One child's records did not contain a child service report that had been completed within the past 6 months. (#4) 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). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation. Correction: A current up-to-date child service report will be completed ad submitted for the indicated child. We will ensure that child service reports are completed for all children as specified in this regulation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/26/2025
13. High risk1/30/2025

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

    One staff person were observed caring for a child and their record did not contain verification of completed required CCDBG training (1 hr. Pa Update) (#1). 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. Staff person cannot work unsupervised with children until the PA Update has been completed. Submit written verification of the required CCDBG training (PA Update) for the indicated staff persons. Correction: Staff persons will not care for children unsupervised until the required training and been completed and submitted. Staff persons will complete the required CCDBG training. A written copy of the completed PA Update training will be submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 3/26/2025
14. Medium-High risk1/13/2025

    General Health and Safety/Supervised at all times (3270.21/3270.113(a))

    On 12/30/24, a staff observed two children pick up a pill from the floor, placed it in their mouths and spit it out. Staff were unaware of where the pill came from. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. 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: Children must be supervised at all times by 1/13/25. The legal entity must revise policies and procedures regarding medication administration and storage to ensure the safety of children in care by 1/13/25. The legal entity must arrange for all staff person to receive a minimum of two hours of DHS approved training regarding supervision of children. The legal entity must submit written verification of the completed training, by 2/13/25. Correction: We have taken precautions to ensure that this does not happen again. Staff have been instructed to conduct a morning and afternoon scan and sweep of the classrooms for safety purposes. The medication policy will be updated to include proper medication administration and storage. We will arrange for all staff person to receive a minimum of two hours of DHS approved training regarding supervision of children. and submit written verification of the completed training, Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 1/13/2025
15. Medium-High riskStandard 651/13/2025

    65º F minimum/Building Surfaces (3270.70(a)/3270.76)

    The heater servicing one part of the building was in disrepair causing a classroom to lack heat. The temperature was below 65° F. Requirement: The indoor temperature shall be at least 65° F. 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. Repair or replace the heating unit and ensure that the indoor temperature is at least 65° F throughout the facility. Children cannot return to care in any part of the building where the temperature is not at least 65° F. Submit written verification of the completed repair. Correction: The heater will be serviced and repaired. Children have been moved to another part of the building with heat and will not return to their classroom until the repair is completed and the heat is at least 65° F. A copy of the service repair bill will be submitted. We will ensure that proper temperatures are maintained in the facility. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 2/13/2025