CREATING LANDSCAPES EARLY LEARNING CENTERS INC

Health information/Initial and subsequent health reports (3270.131(a)/3270.182(1))

The file for Child #4, with an enrollment date of 8.27.25, which is more than 60 days ago, does not include an initial health report. 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. A child's record shall contain initial and subsequent health reports. Correction: Child #4 is scheduled for physical on Friday April 10th at 3. The child is on the "wait list" in case an opening before the 10th becomes available. The parent will send us a clear picture of the completed child health form as soon as the doctor signs it and we will send it to our DHS Representative as soon as we receive it. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3270.123(a)(4))

The agreement on file for Child #3 does not include the child's arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: Arrival and Departure times have been added to the agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form on file for Child #4 does not include the address for the child's pediatrician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: Name, address, and phone number of child's source of pediatric care are now listed. Child sees whichever physician best suits the reason for their visit to the Medical Center. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form on file for Child #2 and #4 does not include the work address and/or telephone number for the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Home addresses and telephone numbers are now correct and complete on both children - #2 and #4. There are no business addresses or business phones for either family. Child # 4 changed address when they moved and the change was accidentally listed on "business" line of form. That has been fixed and clarified on the emergency form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form on file for Child #2, #3, #4, and #5 does not include a complete address for all listed release persons. 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 addresses for all listed release persons are now completed/added for child #2, #3, #4, and #5. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3270.124(f)/3270.181(c))

The file for Child #1, #2, #3, #4, #5, who were all enrolled 8.27.25, more than 6 months ago, does not include a 6-month parental review signature for the emergency contact form and agreement. 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: This was an oversight on our part. We have no excuses to offer but an apology AND a lesson learned. Tackling our error right away, we set up a "6 month review & signing party" at pick up - on the very next day after we realized our error. Thank you to our DHS Rep who told us of our error and suggested the thought of catching families at sign in/out. It worked! Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian/Dismissal policy (3270.131(e)(1)/3270.131(e)(3))

The immunization record on file for Child #3, who is 4 years old, included 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age. Requirement: Child #1 must be dismissed from care by close of business 3.23.26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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. 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). Correction: Child #3 received the missing vaccine on 3/31/26. Vaccine report is attached. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

The 2 most recent health assessments on file for Staff person #2 are dated 7.20.23 and 8.28.25, more than 24 months apart. 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: The health assessments are current. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3270.94(a)(1))

The fire drill log on file included fire drills conducted 1.9.25-3.14.25 and 3.15.25-5.16.25, more than 60 days apart. Requirement: The Director or designated staff person who is responsible for compliance with this chapter ensure fire drills are conducted at least once every 60 days. Correction: The administrator has marked our office calendar with all the weeks a fire drill is due. 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))

The fire alarm 30-day test log includes test dates 3.12.25-4.14.25, more than 30 days apart. 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: The director will make sure to test the fire alarm once or twice a month to make sure it is working correctly. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space (3270.111(b))

There was no written daily activity schedule in the Yellow room.. Requirement: The written plan of daily activities shall be posted in the group space. Correction: Daily activity schedule has been posted in yellow room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

There were 2 Magna Tiles in the Green Room and 4 Magna Tiles in the Little Green Room that had cracked and broken edges with missing pieces of plastic on the edges. 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 broken magna tiles have been discarded. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

There was a sink in the bathroom that did not have a handwashing sign posted. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: A sign is hung over the second sink. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic plants not permitted (3270.66(d))

The Certification Representative observed a Jade plant and a Shamrock (Oxalis) pant in the Green room. Both plants are considered to be (mildly) toxic and were accessible to children. Requirement: Toxic plants are not permitted in a child care space. Correction: Both the Jade plant and the Shamrock have been removed from the classroom and are in the office where children do not enter. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

There were two closets in the gross motor room that contained cleaning products and arts and crafts paint and products labeled "Keep out of reach f children" that were not locked, making the toxic items accessible to children. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: Child protection door knob covers have been placed on all four doors in the space we use for gross motor. These will prevent children from opening these doors. These covers plus staff supervision will prevent children from entering into these closets and adjoining rooms. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

There was an outlet in the Yellow classroom near the refrigerator that was missing an outlet cover and was accessible to children. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: The outlet is covered. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan/Exp, educ., training at facility (3270.27(c)/3270.192(2)(iii))

The file for Staff person #1 does not include verification of emergency plan training completed within 90 days of hire (See LIS Code Sheet); the training was completed on 8.25.25.. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: The training is now complete. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The Shaken Baby Policy submitted by the facility does not include language regarding the prevention and identification of child maltreatment. 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. Correction: We reviewed and updated the policy to include language regarding the prevention and identification of child maltreatment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The signed disclosure statement on file for Staff person #1 is not dated, making it invalid (See LIS Code Sheet). 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 may not work in a child care position at the facility. Correction: Our new Administrator was not aware that the document had an updated version but has now learned from our DHS representative where to find the correct disclosure document. As soon as our administrator was made aware of the mistake, a new disclosure statement was signed by the staff whose file was out of compliance. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

According to witness and staff statements, on 9.2.25 at approximately 11:50 AM, Child #1 exited the main classroom and then exited the building through the emergency exit. The emergency exit led directly to the fire escape landing and stairs. The fire escape landing was one story above the ground on the side of the building. When Child #1 exited the building, the emergency door closed and locked behind Child #1, leaving the child alone on the fire escape with no staff person present with the child, to see, hear, direct, and assess the child. When child #1 left the main classroom, he/she was being supervised by Staff #1. Staff #1 was supervising a group of 14 preschool aged children at the time child #1 left the main classroom. Staff #2 was not present with the children in his/her supervisory group in the main classroom at this time because he/she went downstairs to obtain the soup for lunch. Child #1 was unsupervised by any staff person for approximate 5 minutes. 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. Correction: Staff has been reminded that our administrator (who is in the office all day) or our Director (who goes between classroom and office all day) will gladly help with necessary errands. All staff needs to do is tap on our window and we'll run out to see what is needed. Both staff in the office are qualified to enter the classroom. Arrangements have been made with our kitchen crew that they will bring food up; call office if they need help; and carry dishes back down for washing. They have done everything involving lunch every day since the incident. In regard to the specifics of ratio in general, we all met in the office after school on the day of the incident. Talking through the event, all were shocked to realize that we had broken rule of ratio. We reviewed the rule and are very mindful. That 4th day of school taught us. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

According to witness and staff statements, on 9.2.25 at approximately 11:50 AM, Child #1 exited the main classroom and then exited the building through the emergency exit. The emergency exit led directly to the fire escape landing and stairs. The fire escape landing was one story above the ground on the side of the building. When Child #1 exited the building, the emergency door closed and locked behind Child #1, leaving the child alone on the fire escape with no staff person present with the child, to see, hear, direct, and assess the child. When child #1 left the main classroom, he/she was being supervised by Staff #1. Staff #1 was supervising a group of 14 preschool aged children at the time child #1 left the main classroom. Staff #2 was not present with the children in his/her supervisory group in the main classroom at this time because he/she went downstairs to obtain the soup for lunch. Child #1 was unsupervised by any staff person for approximate 5 minutes. 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: 1) Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. This portion of the plan shall have an immediate correction date. 2) Each staff member will complete DHS approved training on the topic of Supervision. Documentation of the completed training will be submitted to the certification representative within 1 week of completion of the training. This portion of the plan will have date within one week of the completion of the approved training. 3) The provider will develop a policy regarding staff placement so that all parts of the classroom can be monitored at all times. This policy will be distributed to all staff. All current staff will sign a declaration that they have received the policy. This policy will also be posted in all classrooms. This portion of the plan will have a correction date within two weeks of the approval of this plan. 4) The provider will post "Stop and Count" signs at every exit and entrance to all childcare spaces, the building, and the indoor and outdoor play spaces. The operator shall provide a date for when this will be implemented. 5) The director will conduct random supervision and ratio checks in all classrooms a minimum of 3 times each week for a minimum of 3 months. The checks will include the name of the classroom, the time and date the check was performed, the staff present and the number of children present by age. The legal entity will record the results on a DHS approved form and will submit the forms to the certification representative biweekly. This portion of the plan will have a correction date 3 months after the approval of the supervision monitoring form. 6) The facility will conduct monthly staff meetings for a period of 4 months from the approval of the plan of correction, reviewing supervision requirements and the tiered requirements set in this inspection summary. This portion of the plan will have date within one week of the completion of the fourth staff meeting. Correction: 1. 10/21/25-Children on the facility premises will be supervised by a staff person at all times. ACCEPTED 11.3.25/IMPLEMENTED 3.10.26 2. 11/14/25-All staff will complete trainings on supervision. The trainings will be scheduled upon approval by the Regional Office. ACCEPTED 11.3.25/IMPLEMENTED 11.3.25 3.11/14/25-The provider will develop a policy regarding staff placement so that all parts of the classroom will be monitored at all times. A draft of the policy written on 10/25/25 is attached. Once approved, all current staff will sign a declaration, and the policy will be posted in all classrooms. ACCEPTED 11.3.25/IMPLEMENTED 11.14.25 4. 10/28/25-10/28/25-Because our space is shared with the church and other entites we cannot hang signs ar

Staff assigned to specific children (3270.113(a)(1))

According to witness and staff statements, on 9.2.25 at approximately 11:50 AM, Child #1 exited the main classroom and then exited the building through the emergency exit. The emergency exit led directly to the fire escape landing and stairs. The fire escape landing was one story above the ground on the side of the building. When Child #1 exited the building, the emergency door closed and locked behind Child #1, leaving the child alone on the fire escape with no staff person present with the child, to see, hear, direct, and assess the child. When child #1 left the main classroom, he/she was being supervised by Staff #1. Staff #1 was supervising a group of 14 preschool aged children at the time child #1 left the main classroom. Staff #2 was not present with the children in his/her supervisory group in the main classroom at this time because he/she went downstairs to obtain the soup for lunch. Child #1 was unsupervised by any staff person for approximate 5 minutes. Requirement: 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) Each staff person shall be assigned the responsibility for supervision of specific children, know the name and whereabouts of children in their assigned group and be physically present with the children in their group. This portion of the plan shall have an immediate correction date. 2) The provider will develop a policy for how and when children will be assigned to specific staff person each day. This policy will be distributed to all staff. All current staff will sign a declaration that they have received the policy. This portion of the plan will have a correction date within one week of the approval of the POC. 3) The provider will utilize supervision cards, with each staff person having cards for the children assigned to them. The operator shall provide a date for when this will be implemented. Correction: 1. 9/3/25-Each staff will be assigned the responsibility for supervision of specific children; know the name and whereabouts of each child in their assigned group and will be physically present with the children in their group. ACCEPTED 11.3.25/IMPLEMENTED 3.10.26 2. 11/14/25-The provider will develop a policy regarding how and when children will be assigned to specific staff person each day. A draft of the policy written 10/27/25 is attached. Once approved, all current staff will sign a declaration. ACCEPTED 11.3.25/IMPLEMENTED 11.14.25 3> 9/3/25-The provider utilizes supervision cards. Each staff person has a ring of cards for the children assigned to them-those cards are changed as needed throughout the day-during breaks; child switching groups etc. ACCEPTED 11.3.25/IMPLEMENTED 3.10.26 Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

On 9/2/25 Child #1 was alone and unsupervised on the fire escape for approximately 5 minutes. The second story fire escape is narrow and very steep and unmanageable for a young child. At the bottom of the fire escape there was no barrier to keep Child #1 from having direct access to the main street with vehicular traffic that was 20 feet away. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Our gate leading to the hallway which leads to the fire escape door has been replaced with a significantly taller gate (was 30" tall, now 51" tall). The gate opening latch is well out of reach of children. We have installed an alarm on the fire escape door. It sounds when the door handle is even lightly pressed. The sound heard throughout the classrooms. This lets staff know the second the door opens. We have tested it and adjusted the volume so staff can hear it well even with a classroom full of kids. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

During a complaint investigation, the CR observed the following hazards accessible to children under the fire escape steps: a wood pallet with splintered beams on the ground; sharp edges from 2 metal cylinder laying on the ground.. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: We were not aware of the items that were underneath the stairs. We contacted the church secretary and found that the above mentioned materials were left there by the contractor who is doing some remodeling for the church. We and the secretary contacted the church board and shared copy of the violation with them. They agreed to remove the items. ELC staff and church members worked together to remove items. (Attachments for violation #1 include a photo of the hazard and a photo of the area after the materials were removed). Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff person #2, #3 includes verification of First Aid/CPR training dated 3.19.25, after the expiration date of the previous training, 1.31.25. 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: To keep our staff training chart (which includes Ped CPR & First Aid) updated and accurate, we have made a plan for both the Administrator and the Lead teacher to work together once a month while reviewing staff files, updating chart template accordingly; and posting where it's readily available for staff. This plan will provide a means to cross check one another while doing such an important task that needs to be done timely and with accuracy. Lead teacher and administrator will inform staff of upcoming training requirements. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).