KIDS FIRST DAYCARE INC

Grain (3270.163(a)(4))

The lunch that was served during the inspection did not include a grain. Lunch consisted of bologna and cheese roll-up, peas, pineapples and milk. Requirement: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain. Correction: We have added saltine crackers to the menu for that day. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

Several ceiling surfaces were observed to be dirty or in poor repair throughout the facility as follows: * Older 1's: Stained and broken ceiling tiles and dust accumulation on the ceiling vent; 3 ceiling tiles need to be replaced (2 with cracked pieces coming out and 1 bulging) * Infant Rm: 1 stained and cracked ceiling tile and dust accumulation around the ceiling vent and tiles * 2's Rm: 1 stained ceiling tile * PreKdg Rm: a few bubbling ceiling tiles * Preschool Rm: 3 stained ceiling tiles 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: We will replace ceiling tiles that have bubbles or stains on them. We will dust the vents so there are no signs of dust or dirt. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable nursers or parents/Bottles labeled (3270.166(3)/3270.166(4))

Child #1 was using a center bottle that was not labeled with the child's name. The bottle stays at the center and is washed without the use of a dishwasher. 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. Disposable nursers and bottles shall be labeled with the child's name. Correction: Infant Room staff talked to the parent of Child #1 about providing cleaner, daily bottles that are labeled with the child's name. If any bottle is dropped off without the child's name, the staff will label it. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Mantoux TB (3270.151(a)/3270.151(c)(2))

The initial health assessment on file for Staff Person #5, did not include the date that the TB Test was given or read by the health care practitioner. 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. 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: Staff Person #5 no longer works at the facility. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times /Staff assigned to specific children (3270.113(a)/3270.113(a)(1))

During the inspection, the PreK class was observed transitioning in and out of the classroom to use the bathroom outside of the classroom. Staff Person #1 remained in the classroom with 11-15 preschool children, while Staff Person #2 was in the bathroom with a few of the children, sending them back to the classroom as they finished. Staff Person #1 and #2 were not physically present with the children in their group. In the School Age classroom, there were 13 total children (younger and older school age) with 2 staff. Staff Persons #3 and #4 were unable to identify their Primary Care Groups. 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. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children and primary care groups. The legal entity must receive DHS approval of the training content prior to scheduling the training. The Operator shall provide a date for when this training will be completed. Correction: Director spoke with Staff Persons #1 and #2 about maintaining ratio at all times, and keeping primary care groups when leaving the room to use the bathrooms. The staff members will be able to identify their primary care group (who they are and where they are) at all times. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Prohibit items in crib (3270.106(j))

Child #1 was observed sleeping in a crib with a pacifier strap attached to the pacifier. Child #2 was observed sleeping in a crib with a stuffy toy. Requirement: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Correction: The staff will ensure that nothing is in the crib with the infants including pacifier straps and stuffy toys. Only blankets will be permitted in the cribs with the babies. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

During the inspection, the PreK class was observed transitioning in and out of the classroom to use the bathroom outside of the classroom. Staff Person #1 remained in the classroom with 11-15 preschool children, while Staff Person #2 was in the bathroom with a few of the children, sending them back to the classroom as they finished. Staff Person #1 was out of ratio (1:10) in the classroom with up to 15 children, until Staff Person #2 returned to the classroom. 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. TIERED LIS: 1. The staff: child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of 2 hours of in-person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The Operator shall provide a date for when this training will be completed. Correction: We will have a trainer come in for a 2 hour training on Supervision for our entire staff. We will also make sure that each teacher is in ratio when they are split in groups. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #5 was observed to be caring for children unsupervised. Staff person #5 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/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 training has been completed, Staff person #5 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 #5, staff person #5 may not work in a child-care position at the facility. Correction: Staff Person #5 did not work alone, unsupervised with children and no longer works at the facility as of 7/25/25. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

There was no documentation of annual 12 hours of childcare training on file for Staff Person #1. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff person #1 printed out her transcripts which showed she was taking college ECE classes. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Medication log (3270.133(6)/3270.133(7))

There was no medication log for Child #1's inhaler that was filled out by the parent, giving permission and instructions on when to administer the inhaler. The one that was filled out by the staff when the inhaler was administered, was on a medication log for Child #1's other Epi-Pen medication at the facility. (corrected on-site) Requirement: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered. Correction: The parent filled out an updated medication log for the inhaler. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.133(1))

Medication (Epi-Pen) for Child #1 was not in the original prescription container. Requirement: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. Correction: Child #1's parent brought in an updated epi-pen in the original container. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Aides supervised all times (3270.36(b)(5)/3270.37(c))

Staff Person #3 was observed working alone, unsupervised with children. Staff Person #3 did not have documentation of 2 years (2,500 hours) of childcare experience to be qualified to work as an AGS. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. 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: We contacted Staff #3 reference for verbal confirmation for the dates of experience. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

There was no current FBI clearance that was completed through DHS for Staff Person #2. The current one on file was done through PDE, which is not acceptable for childcare positions. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 2 may not work in a childcare position at the facility until the DHS FBI clearance results are received. Correction: Staff Person #2 resubmitted the FBI Clearance through DHS and has already received it back. Staff Person #2 did not work in a childcare position at the facility until the FBI clearance results were received and on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).