RYANNS ROOM SOUTH LLC

Supervised at all times (3270.113(a))

When the CR entered the facility at 8:45 AM, supervision and ratio were assessed. The CR counted 10 children in the main classroom despite observing 11 children enter the building. The 11th child, a preschool child, was then observed sleeping alone on the other side of an L-shaped, solid, vinyl fence. The L-shaped, solid, vinyl fence was approximately 4 feet tall. The preschool child was sleeping between the two sides of the L-shaped, solid, vinyl fence. All three staff in their current locations could not see through the L-shaped, solid, vinyl fence in order to supervise the sleeping preschool child. No staff member was able to see, direct, or assess the sleeping preschool aged child. 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: Effective immediately, classroom layout and supervision practices have been adjusted to ensure all children remain within direct line of sight of staff at all times. The area that obstructed visibility has been rearranged/removed to eliminate blind spots. Staff have been instructed that children may not be placed in any area where they are not visible and directly supervised. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two facility persons present in facility (3270.54(a))

2nd CITATION: The CR arrived at the facility on 2.25.26 at 6:32 AM and observed Staff person #1 enter the building and turn on the lights at 6:55 AM. The 1st child was seen entering the facility at 7:45 AM, with the parent leaving at 7:48 AM. The 2nd child was taken into the facility at 7:49 AM and the parent left at 7:51. The 3rd child and the 4th child were taken into the facility at 7:55 AM with the parent of the 3rd child leaving at 7:58 AM and the parent of the 4th child leaving at 7:57 AM. The 2nd staff person entered the building at 7:58 AM, meaning that Staff person #1 was alone with more than 1 child from 7:51 AM until 7:58 AM. The CR observed 5 more children enter the facility between 8:03 AM-8:22 AM. At 8:35 AM Staff person #3 was seen exiting a vehicle that had been in the parking lot since 7:51 AM and entering the building with the 10th child. At 8:40 AM the 11th child entered the facility. The CR entered the facility at 8:45 AM and assessed supervision and ratio. PREVIOUSLY CITED ON 11.21.25 Requirement: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. TIER 1: If the staff-child ratio warrants only one staff person, the second person may be another facility person. TIER 2: The legal entity will submit to the Department a two-week schedule (Monday thru Friday) listing all children expected to be in attendance. The legal entity will survey parents for upcoming attendance times and dates to complete the schedule. This schedule will include the anticipated arrival and departure time of children. This schedule will be submitted on the Monday that is one full week before the schedule is effective. The legal entity will submit the two-week schedule for a period of 10 weeks. This portion of the plan will have a date that is 10 weeks after the submission of the first two-week schedule. TIER 3: The legal entity will submit to the Department a two-week schedule (Monday thru Friday) listing all staff expected to be working each day. This schedule will include the start and end time of each staff person's daily shift. This schedule will be submitted on the Monday that is one full week before the schedule is effective. The legal entity will submit the two-week schedule for a period of 10 weeks. This portion of the plan will have a date that is 10 weeks after the submission of the first two-week schedule. TIER 4: The legal entity will post the two-week schedule for both children and staff in an area where all staff can know which children are expected and when as well as when staff are expected to arrive each day of the week. This portion of the plan will have a date that is 10 weeks after the submission of the first two-week schedule. TIER 5: The legal entity will develop a staff and parent policy for ensuring parents do not leave the premises until the second facility person is on the clock at the facility. The policy will be submitted to the Department for review. The legal entity will have each current staff person sign an acknowledgement of receipt of the policy. The legal entity will have each parent of a currently enrolled child sign an acknowledgement of receipt of the policy. This policy will be added to the staff and parent handbook. The legal entity will submit all signed acknowledgments, the updated staff handbook and the updated parent handbook to the Department. This portion of the plan will have a date that is within 5 days of all staff and parents signing their acknowledgment of the new policy. Correction: Tier 1: Correction date 2.25.26 Effective immediately, a minimum of two staff are present in the facility at all times when two or more children are in care. Staff are not permitted to accept additional children unless a second staff person is present. IMPLEMENTED 6.22.26 Tier 2: Correction date 6.15.26 A weekly schedule (Monday--Friday) will be submitted including children's anticipated atte

Employed and present 30 hrs/wk (3270.34(c))

2ND CITATION: There was no director present at the facility on 2.25.26. The CR was previously told Staff person #4 and Staff person #5 would be sharing the 30 hours a week requirement. The CR was also previously made aware that Staff #5 was out of town for several weeks including 2.25.26. The CR was informed on this date that Staff #4 was scheduled to be on site but went to a different location to serve as the director this day. PREVIOUSLY CITED ON 11.21.25. Requirement: TIER 1: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week. This portion of the plan shall have an immediate correction date. TIER 2: The legal entity will submit to the Department a two-week schedule (Monday thru Friday) for the persons qualified and fulfilling the duties of the director. This schedule will be submitted on the Monday that is one full week before the schedule is effective. The legal entity will submit the two-week schedule for a period of 10 weeks. This portion of the plan will have a date that is 10 weeks after the submission of the first two-week schedule. TIER 3: The legal entity will post the two-week schedule in an area where all staff can know who is serving as director each day of the week. This portion of the plan will have a date that is 10 weeks after the submission of the first two-week schedule. Correction: Tier 1: Correction date 2.25.26 Effective immediately on 10/11/2025, a qualified director is assigned and present at the facility for a minimum of 30 hours per week in compliance with regulations. IMPLEMENTED 6.29.26 Tier 2: Correction date: 6.15.26 A two-week schedule for the director has been developed and will be submitted as required. While schedules may change based on operational needs, a qualified director will always be assigned and present to meet the required 30 hours per week. Documentation of director coverage will be maintained. IMPLEMENTED 6.29.26 Tier 3: Correction date 6.15.26 The staff schedule will be posted for staff visibility and updated as needed. Staff will be informed of any changes to ensure clarity regarding director coverage. Schedules are subject to changes IMPLEMENTED 6.22.26 Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Signed (3270.123(a))

The file for Child #1, #2, #3, and #4 did not have a signed agreement for this location; all 4 children had transferred from another location and only had agreements for that location in the file. Requirement: An agreement shall be signed by the operator and the parent. Correction: Signed agreements for this location were obtained and filed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two facility persons present in facility (3270.54(a))

According to staff statements, staff on multiple occasions have been in the facility with more than 1 child in care with no other staff person present in the facility. Requirement: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person. Correction: The facility maintains compliance with required staffing regulations and does not operate with only one staff member present when more than one child is in care. At no time are ratios or supervision requirements knowingly exceeded. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Employed and present 30 hrs/wk (3270.34(c))

According to staff interviews, there is not a director in the facility for a minimum of 30 hours/week. Requirement: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week. Correction: The facility is in compliance with the requirement that a Director be on site a minimum of 30 hours per week. A qualified Director is present on site for at least 30 hours weekly, and documentation of schedules and time records is available for verification. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

According to staff statements, staff members have been left out of ratio on multiple occasions, including 1 staff having 8 children, 4 of whom were young toddlers. Requirement: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). Correction: The facility maintains compliance with required staff-to-child ratios, including those specific to young toddlers, and does not allow staff to be left out of ratio. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The file for Staff person #2, #3 does not include 2 written non-family references attesting to the staff person's suitability to work in child care. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Staff person #2 is no longer employed. Staff member #3 has been removed from the schedule until all requested documentation, including reference letters, are received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Individual Records (3270.191)

There was no file on site at the time of the inspection for the Staff person #1. Requirement: An individual record is required for each facility person. Correction: A complete staff file was printed out to be kept on site. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked cabinet (3270.183(a))

The file cabinet where the child files are stored was not locked at the time of the inspection. Requirement: Child records are confidential and shall be stored in a locked cabinet. Correction: File cabinet was locked immediately as well as door going into the office. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Menus (3270.165)

There was no menu posted in a conspicuous location for parents and no verification available that the menu was provided to parents. Requirement: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family. Correction: A copy of the Monthly menu was posted on parent wall as well as in the kitchen/classrooms 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 file for staff person #3 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). The file for staff person #4 does not include documentation of a health assessment being completed within 12 months prior to date of hire (See LIS CODE SHEET). 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: Staff person #3 and #4 were removed from the schedule until their health assessments are submitted. As of 2/24/26 the health assessments have not been submitted, and the staff remain off the schedule. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each child care space (3270.124(c))

The Infant/Young Toddler room did not include any emergency contact forms for any of the children receiving care. Requirement: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Correction: Emergency contact forms were placed in the classroom inside of the Emergency Plan Binder 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 #3 and #4 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: Forms were updated with complete addresses for child #3 and #4. 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 #1 does not include the work address and 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: Emergency contact information was updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The agreement on file for Child #5 does not include the amount of the fee to be paid by the parent/guardian. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: The agreement was updated to include fee information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

The cribs in the Infant/Young Toddler room were not labeled with the names of the children assigned to the crib. Requirement: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child. Correction: All cribs in use were labeled with assigned child names. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

There was a crib in the Infant/Young Toddler room was that missing 2 wheels on one end, making the crib sit at an uneven angle. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: The crib was not in use at the time due to the missing wheel, however, all wheels were completely taken off. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

The preschool room contained 4 cracked Magna-tiles, a cracked bin containing puzzles, and a cracked plastic lid in the kitchen area. 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: All damaged items were removed and discarded. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

Peeling paint was observed in the Infant/Young Toddler room on the wall behind the rocking chair. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: the rocking chair was removed from up against the wall and the The affected area was repainted with child-safe paint. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arts and crafts non-toxic (3270.66(e))

There were cans of shaving cream, labeled "Keep out of the reach of children", used for arts and crafts projects, in the preschool classroom. Requirement: Arts and crafts materials shall be nontoxic. Correction: Shaving cream was removed and replaced with approved nontoxic materials. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

There was an unlatched cupboard in the preschool room 2 cans of shaving cream, multi-purpose spray adhesive, and contact lens cleaning solution, all labeled "Keep out of reach of children" making the toxics 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: Toxic materials were immediately secured in locked storage. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each staff person meets quals/Exp, educ., training prior to facility (3270.33(a)/3270.192(2)(ii))

The file for Staff person #2, who was observed working alone in the Infant/Young Toddler room and in the role of assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years' experience with children. The file for Staff person #3, #7, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years' experience with children. The file for Staff person #5 who was classified as a group supervisor, does not have verification of a Bachelor's degree in education or a related human services field; or a Bachelor's degree with 30 credits in education or a related human services field and 1 year of verified child care experience; or an Associate's degree in education or a related human services field and 2 years of verified child care experience; or an Associate's degree with 30 credits in education or a related human services field and 3 years of verified child care experience. The file for Staff person #6, who was observed working alone in the Preschool room and in the role of assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years' experience with children. Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Staff person #2 and #3 have been taken off the schedule until proper credentials are obtained. were placed in the file. Staff #5, #6, #7 will have qualifications on file. Inspection: Renewal. 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 #2 does not contain documentation of a complete NSOR clearance prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for staff person #5 did not contain documentation of a Sex Offender Registry search from California, where the staff person lived in the 5 years prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL. The file for Staff person #5 also includes an incomplete criminal history clearance that did not include a dissemination date, making it invalid and the FBI clearance on file was illegible and therefore invalid. The file for staff person #7 did not include a rap sheet with the FBI clearance, which indicated the person has a record (See IS CODE SHEET) 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 #2, #5, #7may not work in a child care position at the facility. Correction: Staff person #2, #5, and #7 was removed from childcare duties until NSOR came back. All required clearances were obtained and verified. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #3 has not completed mandated reporter training within the last 60 months; the previously documented mandated reporter training on file is dated 2.27.20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been 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 childcare position at the facility. Correction: Staff person #3 completed updated mandated reporter training. Until completion, the staff person was supervised by a qualified staff member. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).