TYNEE TOTS

2025

1. Medium-High risk8/25/2025

   Consent for administration of minor first-aid required prior to admission (3280.182(5))

   In review of children files, child 3 file failed to have signed parental consent for administration of minor first-aid procedures. Requirement: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Child 3 files will be updated to include parent's signed consent for administration of minor first-aid procedures. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
2. Medium risk8/25/2025

   Infant: updated health report every 6 months/Initial and subsequent health assessments (3280.131(b)(1)/3280.182(1))

   In review of children's file, child 1, a young toddler, file failed to have an updated health report. Health report contained in child's 1 file was last completed on 04/05/24. 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 child's record must contain initial and subsequent health reports. Correction: An updated heath assessment will be provided by parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
3. Medium-High risk8/25/2025

   Updated every 6 months/Emergency info/agreement updated 6 mos (3280.124(f)/3280.181(c))

   In review of children's files, child 1 emergency contact and fee agreement failed to be updated within a 6-month period. Child 2 emergency contact failed to be updated within a 6-month period. 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: Emergency contact form and fee agreement will be updated with parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
4. High risk8/25/2025

   Written consent/Consent for emergency medical care required prior to admission (3280.124(b)(4)/3280.182(3))

   In review of children files, child 3 emergency contact and file failed to have 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 must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: Child 3 emergency contact and file will be updated to include parent's signed consent for emergency medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
5. High risk8/25/2025

   Age and training (3280.31(e)(4)(i))

   Staff person 1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 08/18/23. Documentation of updated Pediatric first aid and CPR training is not on file. Requirement: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children at a minimum by, a primary staff person, 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: Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children at a minimum by, a primary staff person, 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. Staff person 1 is scheduled to receive pediatric first-aid/CPR on 08/26/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
6. Medium risk8/25/2025

   Age and training/Exp, educ., training at facility (3280.31(e)/3280.192(2)(iii))

   In review of staff files, staff person 1 failed to have completed 12 hours of annual professional development training. Staff person 1 file only contained 5 hours of annual training. Requirement: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff persons 1 will complete remaining annual training hours. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
7. High risk8/25/2025

   Pertinent Laws & Regulations/General Health and Safety (3280.14/3280.20)

   Staff person 1 was observed to be caring for children unsupervised. Staff person 1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first- aid/CPR training expiration date of 08/18/25. 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. Until such time as the required pre- service trainings are completed, staff person 1 must be supervised, when interacting with children at a minimum by, a primary staff person, 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: Until such time as the required pre- service trainings are completed, staff person 1 must be supervised, when interacting with children at a minimum by, a primary staff person, 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. Staff person 1 is scheduled to receive pediatric first-aid/CPR on 08/26/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 9/15/2025
8. Medium-High risk4/15/2025

   FIRE DETECTION/Staff responsibility (3280.95(a)/3280.95(b))

   During allocated unannounced inspection on Tuesday, 04/15/25, fire safety documents reviewed, facility failed to have tested their smoke detection system once every 30 days and document testing or have verification the smoke detection system was inspected by a fire safety professional. 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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Correction: Smoke detector was tested at inspection on Tuesday, 04/15/25 and recorded on fire drill log. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 4/15/2025
9. Medium-High risk4/15/2025

   Every 60 days (3280.94(a)(1))

   During allocated unannounced inspection on Tuesday, 04/15/25, facility failed to have conducted a fire drill at least once every 60 days. The last documented fire drill was conducted on 08/29/24. Requirement: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Correction: A fire drill will be conducted with staff and children. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 5/15/2025
10. Medium-High risk4/15/2025

    Counted for capacity /Measurement and use of indoor child care space (3280.53(b)/3280.61(h))

    During an allocated unannounced inspection on Tuesday, 04/15/25, cert rep observed facility over their measured capacity of 9. At the time of the inspection cert rep observed 16 children receiving care, 7 of the children in care was related children. Requirement: The related or foster children of an operator and the children or foster children of a staff person shall be counted in the capacity for the space. The capacity established for an indoor space may not be exceeded. Correction: Related children will be counted in the facility's capacity and the facility will not exceed the measured capacity. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 4/17/2025