MUNCHKIN MEADOW PRESCHOOL INC

Health information (3270.131(a))

The operator did not require the parent of child #3 (admission date see LIS code sheet) to provide an initial health report no later than 60 days following the first day of attendance at the facility. This is evidenced by the initial health report being dated 6/16/2025. 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: All health reports will be in file at child's start date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3270.182(3)/3270.182(5))

Child # 1's (admission date see LIS code sheet) record does not contain signed parental consent for emergency medical care for the child nor does it contain signed parental consent for administration of minor first-aid procedures by facility staff. Child # 2's (admission date see LIS code sheet) record does not contain signed parental consent for emergency medical care for the child nor does it contain signed parental consent for administration of minor first-aid procedures by facility staff. Requirement: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: All paperwork will be double checked to make sure nothing is missed. Written parental consent for emergency medical care and for administration of minor first aid procedures by facility staff has been obtained by the parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Physician/CRNP assessment (3270.151(c)(5))

The adult health assessment for staff person #2 (DOH see LIS code sheet) does not include the physician's or CRNP's assessment of the person's suitability to provide child care. Requirement: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: All boxes will be checked by leadership to make sure this doesn't happen again. Staff person took health assessment back to the doctor office and had doctor provide their assessment of the person's suitability to provide child care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Emergency contact information for child #3 does not include the address of the individual designated by the parent to whom the child may be released. Emergency contact information for child #4 does not include 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: All paperwork has been fixed and done correctly to include address of the individual designated by the parent to whom the child may be released. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

The operator was not in compliance with the CPSL. This is evidenced by staff person #1's first day caring for children (DOH see LIS code sheet) occurring prior to the results of all required clearances being on file. FBI clearance is dated 1/16/2026 and NSOR dated 1/7/2026. The operator was not in compliance with the CPSL. This is evidenced by staff person #2's first day caring for children (DOH see LIS code sheet) occurring prior to the results of all required clearances being on file. FBI clearance dated 1/7/2026, which is beyond the 45-day provisional hire period. The operator was not in compliance with the CPSL. This is evidenced by staff person #3's first day caring for children (DOH see LIS code sheet) occurring prior to the results of the Child Abuse clearance (dated 1/6/2026) being on file. The operator was not in compliance with the CPSL. This is evidenced by staff person #4's (DOH see LIS code sheet) PSP clearance being dated 1/27/2026, which is beyond the 45-day provisional hire period. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: All staff will have a complete file including all CPSL clearances prior to starting in a childcare position at the center. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

The adult health assessment for staff person #1 (DOH see LIS code sheet) does not include tuberculosis screening by the Mantoux method at initial employment. 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: All NEW staff will have a TB test before employment.Staff made appointment and will have a TB done 9/29/2025. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

It was observed on 9/15/2025 in the Lobster room plastic bags are accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE) It was observed on 9/15/2025 in the Sea horse room plastic bags are accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE) It was observed on 9/15/2025 on a shelf in the bathroom of the Dolphins room plastic bags are accessible to children who are still placing objects in their mouths. Requirement: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Correction: Plastic bags have been removed. Staff will place clothing that are soiled in bag on a high hook out of the reach of children. Diapers removed from plastic and placed in changing areas. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

It was observed on 9/15/2025 in the Jelly fish room there are multiple areas of peeled or damaged paint behind the teacher's desk. It was observed on 9/15/2025 in the hallway by the bathroom area in suite 40 there are several areas of peeled or damaged paint behind the chairs. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Poster hung to cover paint chips until its painted. Contact paper behind chairs and behind desk along with sticky back wallpaper. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

It was observed on 9/15/2025 in the Sharks room, a spray bottle containing disinfectant was on the teacher's desk, a container of disinfecting wipes and a container of Swiffer wet cloths and a bottle of dry erase board cleaner labeled "Keep of the Reach of Children" are all accessible to children. (CORRECTED ON SITE) It was observed on 9/15/2025 in the Lobsters room, a bottle of dry erase board cleaner labeled "Keep of the Reach of Children" and a bottle of hand sanitizer are accessible to children. (CORRECTED ON SITE) It was observed on 9/15/2025 in the Sea Horse room, a container of Swiffer wet cloths is accessible to children. (CORRECTED ON SITE) It was observed on the Dolphins room, multiple cleaning products are accessible to children on a shelf in the bathroom. Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: All cleaners & anything toxic will be kept out of reach of children. All cleaners and anything toxic were moved up out of reach and inaccessible to children or locked in a locked cabinet. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

It was observed on 9/15/2025 a protective receptacle cover was not placed in electrical outlets accessible to children 5 years of age or younger in the Sharks room, Whales room, and in the lobby area of suite 40. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: All outlets will have outlet covers. Protective receptacle covers were purchased and placed in receptacles in areas accessible to children 5 yrs and younger. 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))

The record for facility person #2 (DOH see LIS code sheet) does not include the results of the NSOR verification and therefore is not in compliance with the CPSL. 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 may not work in a child care position at the facility. Correction: All staff will have NSOR results before working in a classroom. Staff #2 will not be able to work in a classroom until verification is received and on file at the the facility. 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))

The clearances for Facility person #3 were not updated within 60 months, as per the CPSL. This is evidenced by the PSP clearances dated 1/30/2019 and 3/6/2024, Child Abuse clearances dated 2/6/20219 and 3/6/2024, DHS required FBI clearances dated 2/6/2019 and 4/25/2024 and NSOR certificates dated 1/9/2020 and 2/3/2025. 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. Correction: All staff will have clearances update before expire date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The health assessment for facility person # 5 (DOH see LIS code sheet) was not conducted within 12 months prior to providing initial service in a child care setting. This is evidenced by the health assessment dated 6/24/2024. 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: Staff person #5 has a valid health assessment on file. A facility person providing direct care who comes into contact with children or works in food preparation shall have health assessment conducted within 12 months prior to providing initial service in child care setting. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date (3270.123(a)(6))

The agreement for Child #1 does not specify the date of the child's admission. The agreement for Child #2 does not specify the date of the child's admission. The agreement for Child #3 does not specify the date of the child's admission. The agreement for Child #4 does not specify the date of the child's admission. Requirement: An agreement shall specify the date of the child's admission. Correction: Admission date has been added to all agreement forms. An agreement shall specify the date of the child's admission. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

It was observed on 2/19/2025 in the Octopus room a bottle of cleaning solution was accessible in a Swiffer mop. (CORRECTED ON SITE) Requirement: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Correction: During the inspection the bottle of cleaning solution was removed from the Swiffer mop and placed in a locked cabinet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Facility person #5 (DOH see LIS code sheet) has not completed the required one hour Pennsylvania Health and Safety update 2022 by December 30, 2022. 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: Staff #5 is no longer employed at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #4 (DOH see LIS code sheet) did not renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 1/10/2025. 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 will complete first aid and cpr on Sat 5/10. I will send cert to you Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written parental consent (3270.172(a))

It was observed on 2/19/2025 the emergency contact form for Child #6 (DOB see LIS code sheet) , which is kept in the facility's vehicle does not contain written parental consent for transportation provided by the facility. (CORRECTED ON SITE) Requirement: Transportation by the facility requires written parental consent, except for transportation of school-age children who are transported to or from a child care facility in vehicles owned or operated by the school district. Correction: During the inspection the operator found an updated emergency contact form for child # 6 in the office that contains written parental consent for transportation provided by the facility. An updated copy of the emergency contact form was placed in each facility vehicle. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Copy of initial and subsequent agreements. Parent receives original. (3270.182(8))

The record for Child # 5 does not contain a copy of the initial written agreement between the parent and the operator. Requirement: A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: An agreement has been filled out and placed in file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The record for facility person #1 (DOH see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person #2 (DOH see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. 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 members submitted two written references. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).