ICARE YOUNIVERSITY

Health assessment, TB test (3270.192(3))

Documentation of a health assessment was not on file for staff member 2. Requirement: 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: There was a health assessment, its in her file but staff was terminated on 4/2/26. Staff Member 2 was notified of the requirement, and a health assessment has been requested. Documentation will be obtained and placed in the staff member's file upon receipt. Inspection: 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))

Documentation of the TB test on file for staff member 1, was completed more than 1 year prior to the employees first day caring for children. 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 Member 1 has been instructed to obtain an updated TB test that meets the required timeframe. The updated documentation will be placed in the staff member's file upon receipt. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Aides supervised all times (3270.37(c))

During the time of inspection, it was observed that staff member 2 was caring for three children and was not supervised from an assistant group supervisor. 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 2 was immediately brought into compliance by ensuring supervision was provided by a qualified Assistant Group Supervisor. Staff scheduling was adjusted to ensure that qualified supervisory staff are present at all times when required. Staff member no longer employed as of 4/2/26 Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Aide qualifications/8th grade & enrolled in training (3270.37(b)/3270.37(b)(2))

Documentation of education was not on file for staff member 2. Requirement: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3). An aide shall have a minimum of an 8th grade education and enrollment in a training curriculum described at §3270.31(c). The classroom training portion of the curriculum shall be completed. Documentation of completion of classroom training and continuing enrollment in the training curriculum shall be included in the staff person's file. Correction: Staff was terminated on April 2, 2026 Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

Documentation on file for staff member 1, did not include documentation of education and two years' experience working with children. Documentation of education was sent to certification representative on 4/7/26. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: A review of all staff files will be conducted to ensure that documentation of education and required experience is complete and properly maintained. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Director or designated staff person ensure compliance (3270.95(b))

Documentation of the alarm testing log on file showed that the alarm was tested on 11/12/25 and again on 12/23/25; which is 41 days. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs. Correction: Upon notification of the violation regarding failure to manually test fire detection devices every 30 days and/or maintain written documentation with the facility's fire drill logs, the Child Care Center immediately reviewed current fire safety procedures and documentation practices. All fire detection devices and systems were manually tested on 2/17/26 to verify operability. Documentation of the testing has been completed and placed with the facility's fire drill logs as required. The Director has reviewed regulatory requirements with administrative staff to ensure understanding that manual testing of fire detection devices must occur at least once every 30 days and that written records must be maintained with fire drill documentation. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

Documentation on file for staff member 1, included one written, nonfamily reference 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: Upon notification of the violation regarding incomplete personnel records, the Child Care Center immediately reviewed the staff file(s) and confirmed that two written, nonfamily references were not on file as required. The identified staff member(s) have been notified, and two written, nonfamily references attesting to their suitability to serve as a facility person have been requested. The required references will be obtained immediately and placed in the staff member's personnel file. The Director has conducted a review of all other personnel files to ensure that two written, nonfamily references are present for each facility person. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No portable space heaters (3270.92(a))

During the time of inspection, it was observed that there was a space heater operating in the hallway by the Director's office. Requirement: Portable space heaters are not permitted. Correction: Upon notification of the violation regarding the use of a portable space heater, the Child Care Center immediately removed the portable space heater from the classroom and from the facility premises. The heater will not be used at any time moving forward. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mixed Age Level (3270.52)

During the time of inspection, it was observed that staff member 1 was caring for 5 children alone; 1 infant and 4 preschool aged children. This was corrected during the inspection 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: Upon notification of the violation regarding mixed age grouping, the Child Care Center immediately reviewed classroom rosters, attendance records, and staff assignments to ensure compliance with staff-to-child ratios and maximum group size requirements. It was determined that when children of mixed age levels were grouped together, the staff-to-child ratio and maximum group size were not consistently based on the age of the youngest child in the group, as required. Effective immediately, the center has adjusted staffing assignments to ensure that when mixed age groups occur, the staff-to-child ratio and maximum group size are determined by the age of the youngest child present in the group. Classroom rosters have been updated, and additional staff have been reassigned as necessary to ensure compliance at all times. The Director has reviewed the requirements of § 3270.51 with all teaching staff to reinforce understanding of ratio and group size regulations for mixed age groupings. A written procedure has been implemented stating that any time children of different age groups are combined (including during opening, closing, or transitions), the ratio and group size will follow the youngest child present. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training/Health and Safety Training - Pediatric First Aid and CPR (3270.31(f)/3270.31(f)(10))

Documentation of the first aid/CPR certificate on file for staff member 1 was dated more than 90 days from the staff members hire date. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Upon notification of the violation, the Child Care Center conducted an immediate review of all staff personnel files to identify employees who had not completed required professional development within 90 days of hire. Proof of completion will be placed in the staff member's personnel file and maintained on-site for licensing review. The center will ensure that certified staff are present at all times as required until full compliance is achieved Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease/Physician/CRNP assessment (3270.151(c)(3)/3270.151(c)(5))

Documentation of the health assessment on file for staff member 2, did not include an exam of communicable diseases and did not assess the staff members suitability to provide child care. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: Upon identification of this issue, the facility immediately contacted the staff member and their physician to obtain the missing information needed to complete the physical form. The completed and signed physical document was received and filed in the staff members file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Director or designated staff person ensure compliance (3270.95(b))

Documentation of the fire alarm testing showed that the alarms were not being tested every 30 days. The alarm was tested on 4/1/25 and again on 5/7/25; which is 36 days. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs. Correction: Upon identification of the violation, the facility conducted an immediate test of the fire alarm system to ensure it was fully operational. The testing records have been updated to reflect this action. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Bottles labeled (3270.166(4))

During the time of inspection, it was observed that there were unlabeled bottles in the infant classroom. This was corrected during the inspection. Requirement: Disposable nursers and bottles shall be labeled with the child's name. Correction: The issue was corrected immediately on site by labeling all infant bottles with the child¿s full name and date. Staff were retrained on the importance of labeling all bottles before placing them in the designated storage or feeding areas. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3270.36(b)(5)/3270.192(2)(ii))

Documentation on file for staff member 1, staff member 2, staff member 3 and staff member 4, did not include verification of two years' experience working with children. This was corrected on 7/14/25. Requirement: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: Verification of two years' experience working with children for staff member 1, staff member 2, staff member 3 and staff member 4 was obtained and now on file. Inspection: Renewal. 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))

Documentation of the health assessment and TB test on file for member 4 were conducted more than one year of the staff members start date. The physical was completed on 3/31/24 and the TB test was read on 3/27/24. 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. 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: Upon notification, the facility immediately contacted the affected staff members to schedule updated health assessments and TB tests. All required assessments and tests were completed and documentation updated on site or within the timeframe allowed by DHS. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

During the time of inspection, it was observed that an emergency transportation plan was not posted in the infant and young toddler classrooms. This was corrected during the inspection. Requirement: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: This issue was corrected immediately on site by posting the current emergency plan in every classroom as required. Staff were also reminded of the importance of keeping emergency plans accessible and visible at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Documentation of the emergency contact information on file for child 1, did not include a complete enrolling parents home address. documentation of the emergency contact information on file for child 2 did not include enrolling parent's work phone number and the enrolling parents work address was missing for child 3. All of the emergency contact information was corrected during the inspection. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The issue was corrected immediately on site. The parent was contacted, and the missing or incorrect information was updated on the form to reflect accurate emergency contact details. The file was reviewed and brought into full compliance before the conclusion of the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Documentation of the emergency contact information on file for child 1 did not include the name of the physician/medical care provider. Documentation on file for child 3, did not include the address of the child's physician or source of medical care. Both emergency contact forms were corrected during the inspection. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The issue was corrected immediately on site. The parent was contacted, and the missing or incorrect information was updated on the form to reflect accurate emergency contact details. The file was reviewed and brought into full compliance before the conclusion of the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Prohibit items in crib (3270.106(j))

During the time of inspection, it was observed that a pacifier that was attached to a clip with beads was in a playpen with an infant. This was corrected during the inspection Requirement: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Correction: Upon identification of the issue, the situation was corrected immediately on site. The pacifier was removed, and the staff member involved was reminded of the safe sleep and supervision policies outlined in DHS regulations and the facilitys internal procedures. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3270.106(a))

During the time of inspection, it was observed that playpens were not labeled for individual use in the infant classroom. This was corrected during the inspection. 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: This issue was corrected immediately on site during the inspection. Staff promptly labeled all cribs with the infants full names using durable, legible labels in accordance with DHS standards. A full review of the infant room was conducted to confirm that all sleeping spaces were properly assigned and clearly marked. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

During the time of inspection, it was observed that paint was peeling by the TV in the infant classroom. This was corrected during the inspection. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The peeling paint in the infant classroom was covered during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

During the time of inspection, it was observed that wires from a swing and a tv were not secured to the wall causing a choking hazard in the infant classroom. The TV and the wires from the swing were removed during the inspection. 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: This was addressed immediately on site during the inspection. The wire for the swing and the TV was removed during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

During the time of inspection, it was observed that there was an unlabeled spray bottle located in the bathroom. This was corrected during the inspection. 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: The bottle was labeled during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

During the time of inspection, it was observed that there were outlet covers missing in a power strip in the infant classroom. This was corrected during the inspection. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: The power strip from the infant classroom was removed during the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Aides supervised all times (3270.37(c))

During the time of inspection, it was observed that staff member 1, staff member 3 and staff member 4 are qualified as aides and were observed working alone with children. This was corrected during the inspection. 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 members who are Assistant Group Supervisor qualified were moved to the classrooms to supervise the teachers that were aide qualified during the inspection. Verification of two years' experience was obtained for staff member 1, staff member 3 and staff member 4 and placed on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).