THE GROWING PATCH EARLY LEARNING CENTER LLC

12 months prior to service and every 24 months thereafter (3270.151(a))

The inspector observed the file for staff #1and found that this staff did not have a health assessment conducted in the last 24 months as evidenced by the last health assessment to have been 1/22/24. 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: This was an oversight by the director and will be corrected as soon as an appointment can be made. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

The inspector observed a wooden play kitchen in the school age room that had screws protruding from the top accessible to children. 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 director was unaware that the play kitchen sustained any damage and covered the exposed screws immediately rendering them inaccessible to children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

The inspector observed chipped paint on the rear wall in the young toddler room and accessible to children. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The director immediately covered the small spots of chipped paint with tape to prevent accessibility issues until the area can be spot painted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The inspector observed soap to be missing from the first aid kit in the young toddler 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: The soap may have been used earlier on the playground and another not yet put in place. The director immediately placed a new soap in the young toddler's first aid kit. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #3 and found that it was missing the address of the individual designated by the parent to whom the child may be released. 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: Parent was contacted and file was rectified of missing information. All information for the emergency contact form and agreement will be obtained at the time of enrollment and carefully updated at review periods. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre- service training required prior to caring for children unsupervised: Pediatric First Aid and CPR. 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 #3 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 #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff #3 was immediately supervised by an AGS and will be supervised until the Pediatric First Aid and CPR training is completed and on file at the center. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when arises (3270.27(a)(3))

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the emergency plan and found that it was missing a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. Correction: An amendment for was added to the Emergency Plan for The Growing Patch Early Learning Center LLC adding a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. This item can be found attached to this document as well as within the center's Emergency Plan Binder. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when ended (3270.27(a)(4))

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the emergency plan and found that it was missing a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction: An amendment for was added to the Emergency Plan for The Growing Patch Early Learning Center LLC adding a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. This item can be found attached to this document as well as within the center's Emergency Plan Binder. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Plan reviewed/updated annually (3270.27(b))

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the emergency plan and found that it was missing annual review and update as is required. Requirement: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. Correction: An amendment was added to the Emergency Plan for The Growing Patch Early Learning Center LLC to include an annual review and date by which this occurred. This item can be found attached to this document as well as within the center's Emergency plan binder. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

During the unannounced renewal inspection on 10/2/25 the inspector reviewed staff files and found that staff #4 had a previously documented Pediatric First Aid/CPR training on file that expired on 2/11/25 and did not obtain a current Pediatric First Aid/CPR training until 8/4/25, Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (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. Correction: Staff #4 has current Pediatric First Aid and CPR on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the files for staff #2 and found that they last had fire safety on 7/15/24 and no annual fire safety training since, staff #7 had a previous fire safety dated 6/5/24 and did not update this until 9/1/25, staff #8 last had fire safety training on 7/4/24 and did not update this until 9/11/25, staff #9 last had fire safety on 12/23/23 and not again until 9/2/25. 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: Staff #2 will complete an updated fire safety by 12/01/25. Staff #7, #8, and #9 all have updated fire safety training on file. All staff files will be completed prior to current expiration. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the unannounced renewal inspection on 10/2/25 the inspector reviewed staff files and found staff #1 began working in direct care on 4/22/25 and did not obtain an FBI clearance until 7/2/25. Staff #2 began direct care with children on 6/9/25 and did not have an FBI clearance on file as of 10/2/25. Staff #5 began working in direct care on 7/7/25 and did not have an FBI clearance on file as of 10/2/25. Staff #5 was observed working alone in direct care on 10/2/25. Staff #6 did not update their clearances every 60 months as evidenced by a previous Pa State Police dated 6/19/20 and a current dated for 8/19/25, a previous Pa Child Abuse dated 6/26/20 and a current dated for 8/27/25, a previous FBI clearance dated 7/22/20 and a current dated for 8/27/25, and a previous NSOR dated 7/1/20 and a current dated for 8/21/25. Staff #7 had a previous FBI clearance dated 2/23/20 and a current dated for 2/27/25. Staff #8 had a previous dated Pa State Police dated 7/28/20 and a current dated for 8/3/25, a previous Pa Child Abuse dated 7/30/20 and a current dated for 8/11/25, a previous FBI dated 8/12/20 and a current dated for 9/24/25, and a previous NSOR dated 8/10/20 and a current dated for 8/12/25. 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. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #2 and #5 must be removed from a childcare position with direct contact and routine interaction with children until all missing clearances are completed and on file at the facility. This portion of the plan requires an immediate date of correction. 2. The facility director and any other persons involved in the hiring of staff must arrange for and attend an Existing Provider Orientation at a Regional Office. The provider must provide a correction date for when this portion of the plan will be completed. 3. In order to demonstrate compliance in this area, the director or legal entity representative will send completed staff files for all new hires for the next three months to the Northeast Regional Office for review. The staff files must include all clearance requests, completed clearances, (including out of state clearances and requests if necessary) signed and dated disclosure statement, health assessment and TB screening, two nonfamily references, proof of education and experience (officially translated if needed). The Northeast Regional Office will review the newly hired and completed staff files prior to hire within five business days of receipt and report back to the facility. The correction date for this portion of the plan must be three months from the acceptance of the plan by The Northeast Regional Office. Correction: 1. Facility person #2 was immediately suspended, although seasonal staff and currently no tat facility. Staff #2 obtained clearance 10/10/25 - unaccepted copy showing no charges from US Department of Justic

Aides supervised all times (3270.37(c))

During the unannounced renewal inspection on 10/2/25 the inspector observed staff #3 working alone with children in the young toddler room and staff #5 working alone with children in the older toddler room. Requirement: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor. Correction: Staff member #3 was immediately supervised by an AGS until PQAS approved Pediatric First Aid and CPR course requirement was met. Staff member #5 was immediately suspended and will obtain the PQAS approved Pediatric First Aid and CPR before being reinstated. Both attached. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

During the unannounced renewal inspection on 10/2/25 the inspector observed bleach solution and Great Value Disinfectant wipes next to Similac Infant Formula in the infant room. Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces. Correction: Cleaning products were moved at time of inspection under inspector's recommendation. Labeled cleaning containers will be kept on a different shelf away from formula cans. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

During the unannounced renewal inspection on 10/2/25 the inspector observed a hole in the wall behind the door in the school age room. 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: Cracked wall mount door handle stop removed & replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

During the unannounced renewal inspection on 10/2/25 the inspector observed chipped paint in the school age room, and hallway. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Chipped spot was painted over. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #1 and found that the initial child service report was dated 9/6/23 and the most current was dated 6/23/25. The child service report is required to be completed every 6 months. 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 child service report for child #1 is current. The center will now use a bi-annual system within center to maintain compliance with the child service report. The director has identified March & September for the child service reports to occur. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #3 and found that it was missing both the required parental work address and business telephone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Parent was contacted and file was rectified of missing information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #2 and found that the only child health assessment on file dated 3/17/25 (See LIS Code Sheet for Date of Admission). 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: Letters sent home to families who are in need of updated health information to be added to child's files in order for children to remain enrolled within the center. This included updated physicals and/or immunizations as applies. Child file #2 now has the up-to-date health assessment on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian (3270.131(e)(1))

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #2 and found that the health assessment did not show proof of ongoing vaccines in accordance with the schedule recommended by the ACIP. Requirement: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction: Letters sent home to families who are in need of updated health information to be added to child's files in order for children to remain enrolled within the center. This included updated physicals and/or immunizations as applies. Child file #2 now has the up-to-date vaccinations on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable nursers or parents (3270.166(3))

During the unannounced renewal inspection on 10/2/25 the inspector observed bottle washing materials in the infant room and asked if bottles were being hand washed and reused and staff confirmed this. Requirement: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility. Correction: The director reminded staff member of regulation 3270.166(3) which is why families are instructed to bring in multiple bottles for usage throughout the day. NO bottles will be washed and reused. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #2 and found that this child has been attending care over six months (See LIS Code Sheet for Date of Admission) and has not updated the emergency contact form and agreement form. The file for child #1 and #4 and found that neither updated their emergency contact forms and agreements at least every six months. Child #1 had a previously dated emergency contact form dated 7/29/24 and not again until 4/9/25 and an agreement form dated 9/3/24 and not again until 9/3/25. Child file #4 had a previously dated emergency contact form dated 10/8/24 and not again until 9/3/25 and an agreement form previously dated 10/8/24 and not again until 9/3/25. Requirement: 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: Child #1, #2, #3, & #4 - All children have current signatures on Emergency Form & Agreement. The next set of signatures will be signed next on bi-annual rotation in March 2026. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health information (3270.131(a))

During the unannounced renewal inspection on 10/2/25 the inspector reviewed the file for child #5 and found that the first health assessment on file was dated 9/17/25 which is over six months since enrollment (see LIS Code Sheet for Date of Admission). Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. Correction: This was an oversight. Child file #5 has an up-to-date health assessment on file. 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))

While at the facility unannounced on 3/18/25 the inspector observed the fire drill/detection log for the facility and observed that the facility manually tested the smoke detectors on 1/8/25 and then again on 2/23/25, which is 56 calendar days versus the required every 30 calendar days. 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: Smoke detector drills every 30 days opposed to 1x per month. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

While at the facility unannounced on 3/18/25 the inspector observed the file for staff #1 and did not find any proof of submission of FBI fingerprinting prior to employment on file. Staff #2 did not have a NSOR on file prior to employment and at present as is required. Staff #2 also had a volunteer PA Child Abuse on file and not an employment PA Child Abuse as is required. Requirement: TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL. Facility Person # 2 may not work in a childcare position at the facility. The correction date for this portion of the plan must be immediate. 2.The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The Legal Entity or Director must arrange for the Director of the facility to attend an Existing Provider Training held in the Northeast Regional Office of DHS, Scranton Office. To register for this required training, you must call the Northeast Regional Office at 1 800 222 2108. The correction date for this portion of the plan will be the date of attendance at the Existing Provider Orientation. Correction: The operator will comply with the CPSL. Staff member #2 terminated 3/19/25 following multiple no-call-no-shows and failure to turn in file items by deadlines. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).