EACH ONE TEACH ONE LEARNING CENTER

Locked or inaccessible (3270.66(a))

There were air freshener and hand sanitizer label " Keep out of reach of children " accessible to children in the entry way. There was a bag of Garden soil label " Keep out of reach of children " accessible to children in the playgrond. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: The air freshener and hand sanitizer were removed from the entry way during inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Above ground window opening restricted to 6" (3270.72(d))

There were two windows with inactivated stoppers allowing the windows to opened more than 6" in the preschool 1 and on the stairway on the second floor. Requirement: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches. Correction: The two windows with inactivated window stoppers in Preschool 1 and on the second-floor stairway were immediately addressed. Window stoppers were reactivated and adjusted. Both areas were checked to confirm the windows are now properly secured and inaccessible beyond the allowed opening. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first aid kit in the middle room was missing bandages. 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: Bandages were added to the first aid kit in the middle room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

There was an exposed screw accessible to children in the OT room. There was a removed ceiling tile in the Toddler room bathroom exposing peeling paint and a hole on the ceiling. There was a ceiling tile pulling of the frame exposing wires in the preschool 1 room. There was a damaged wooden fence with a split and cracked section on the bottom partially separated from the rest of the fence exposing the underneath of the wood and splinters. 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 peeling paint on the blue wall near the garbage can in the OT 3 room bathroom has been covered with tape until it can be repaired The screw in the OT room was screwed in. The ceiling tile in the toddler bathroom has been replaced. The ceiling tile has been adjusted in the preschool 1 room. The damaged wooden fence has been scheduled for repair. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

There was peeling paint on the blue wall by the garbage can in the OT 3 room bathroom. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The peeling paint on the blue wall near the garbage can in the OT 3 room bathroom was covered with tape until it can be repaired. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

There was a cracked white basket in the SA room. There were foam blocks with teeth marks in the middle room. There was a broken bike in the playground . 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 white cracked basket in the SA room and the foam blocks with teeth marks were removed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

There were 5 cots with less than at least 2 feet of space required on three sides of a bed, cot, in the preschool room. There were 3 cots with less than at least 2 feet of space required on three sides of a bed, cot, in the Toddler 3 room. There were 2 cots with less than at least 2 feet of space required on three sides of a bed, cot, in the YT room. 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 cots in the Preschool room, Toddler 3 room, and YT room were immediately rearranged to ensure that at least two (2) feet of space is provided on three sides of each cot while in use. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written plan (3270.111(a))

The YT room was missing a daily schedule. Requirement: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. Correction: A written daily schedule was immediately printed and posted in the YT room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

On 1/22/26 at approximately 10:30 am, observed staff #3 in the toddler room bathroom with 6 older toddlers. The open bathroom has one toilet, one sink and a changing table. The changing table is located along the wall by the door. Staff #3 was changing a toddler's diaper at the changing table. The staff was facing the wall with their back to the rest of the room. The staff was unable to supervise the other 5 toddlers crawling around on the bathroom floor. One toddler was playing under the sink pulling on the pipes and hoses. Staff # 3 was unable to see, hear, direct and assess the activities of the 5 toddlers on the bathroom floor. 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 #3 was immediately counseled regarding active supervision requirements during bathroom and diapering routines. Effective immediately, staff will not take groups of children into the bathroom if adequate supervision cannot be maintained. Staffing arrangements will be adjusted so that one staff member supervises the group while another staff member completes diapering, or children will remain in the classroom under supervision until they can be safely rotated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

The files for children #1,2,3,4,5, and 6 lacked the operator's signature on the agreement form. Requirement: An agreement shall be signed by the operator and the parent. Correction: Operator's signatures have been added to the agreement forms for children #1,2,3,4,5 & 6. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for child #4 lacked the fee amount on the agreement form. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The agreement form for child #4 was reviewed and updated to include the required fee amount charged or per week. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

The files for children # 3 and 5 lacked an updated child service report. Child # 3 last child service report was dated 8/1/24. Child #5 last child service report was dated 9/15/24. 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 provider will ensure that all child service reports are completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3270.123(a)(5))

The file for child #1 lacked the persons designated by a parent to whom the child may be released on the agreement form. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: The agreement form for child #1 was reviewed and updated to include the persons designated by the parent to whom the child may be released. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services considered extra (3270.123(a)(7))

The files for children # 1,2,3,4,5 and 6 lacked the services which are to be considered as extra on the agreement form. Requirement: An agreement shall specify the services which are to be considered as extra. Correction: The agreement forms for children #1, #2, #3, #4, #5, and #6 were reviewed and updated to include any services that are considered extra. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for child #3 lacked the name, address and telephone number of the child's physician or source of medical care on the emergency contact form. The file for child #4 lacked the name and telephone number of the child's physician or source of medical care on the emergency contact form. The file for child # 6 lacked the address of the child's physician or source of medical care on the emergency contact form. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The emergency contact forms for children #3, #4, and #6 were reviewed and updated to include all required information, including the name, address, and telephone number of each child's physician or source of medical care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3270.124(b)(3))

The file for children #3 and 6 lacked the telephone numbers of the enrolling parent on the emergency contact form. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The emergency contact forms for children #3 and #6 were reviewed and updated to include the home and work telephone numbers of the enrolling parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent (3270.124(b)(4))

The files for children # 2 and 4 lacked written consent signed by a parent for emergency medical care for the emergency contact form. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. Correction: The emergency contact forms for children #2 and #4 were reviewed and updated to include written consent signed by a parent 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 # 3 lacked the health insurance coverage and policy number on the emergency contact form. The file for child #4 lacked policy number on the emergency contact form. 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 forms for children #3 and #4 were reviewed and updated to include all required health insurance information, including the coverage and policy number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The files for children # 3 and 4 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The file for child # 6 lacked he name, address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. 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: The emergency contact forms for children #3, #4, and #6 were reviewed and updated to include the required information for individuals designated by the parent for child release. This includes the name, address, and telephone number as required. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months (3270.124(f))

The file for child #3 contained an emergency contact form that was not reviewed within 6 months of the prior reviewed dated 6/9/25. 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. Correction: The emergency contact form for child #3 was immediately reviewed and updated with the parent to ensure all information is current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Dismissal policy (3270.131(b)(2)/3270.131(e)(3))

The file for child #3 a preschooler lacked and updated health report. The previous health report was dated 12/19/24. The file for child # 4 a preschooler contained a current health report dated 11/13/25 that was obtained after 12 months from the previous health report dated 9/16/24. 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. 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). Child #3 must be dismissed from care by close of business 1/22/26 and may only return to care when the immunization record is provided or when a parent provides a written, signed and dated exemption letter. Correction: Child #3 was dismissed from care by close of business on 1/22/26 as required. The parent was notified that the child may only return to care upon providing a current health report, including an up-to-date immunization record, or a written, signed, and dated exemption letter. The health report for child #4 was reviewed, and the parent was reminded of the requirement to provide updated health reports at least every 12 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3270.134(a))

Children in the preschool 1 room did not wash their hands before eating lunch. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: Staff in the Preschool 1 room immediately ensured that all children washed their hands before eating lunch. Staff were reminded of the requirement to wash before meals, after toileting, and after diapering. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

The files for staffs #1 and 2 lacked TB test date. Requirement: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: The files for staff #1 and staff #2 were immediately reviewed. Staff were to obtain updated documentation of a current tuberculosis (TB) test performed by the Mantoux method with a date and signature. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #1 has completed the health and safety course titled Get Started with Center-based Care: Building Blocks for Quality but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. Requirement: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility. Correction: Staff will complete 6hr Health and Safety Training before working with children. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff person #1 includes an incomplete criminal history clearance that did not include a dissemination date, (See LIS Code Sheet), making it invalid. The file for staff person #2 did not include a rap sheet with the FBI clearance, dated 1.12.24 which indicated the person has a record (See IS CODE SHEET), and which is required for CPSL compliance. 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. Facility Person #1, #2 may not work in a child care position at the facility. Correction: Staff #1 has completed the criminal history clearance. Staff and #2 has included a rap sheet with the FBI clearance. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).