ALPHABET TREE LOWER BURRELL

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

The emergency contact form and fee agreement for Child #1 was last updated on 6/13/25, more than 6 months ago. The emergency contact form and fee agreement for Child #3 was updated on 1/15/26, more than 6 months from the previous review dated 6/12/25. The emergency contact form and fee agreement for Child #4 was updated on 1/14/26, more than 6 months from the previous review dated 6/13/25. 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: The emergency contact form and fee agreement for Child #1 was updated by the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

Observed stapler and pens stored on end of the diaper changing station accessible to children. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: The stapler and pens stored on the end of the diaper changing station were immediately picked up and placed in a locked cabinet out of reach of children. 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 #2 contained a current PA Child Abuse clearance dated 11/3/25 which was obtained more than 60 months from the previous PA Child Abuse clearance dated 10/28/20. The file for Staff #2 contained a current NSOR certificate dated 1/15/25 which was obtained more than 60 months from the previous NSOR certificate dated 1/14/20. (See LIS Code Sheet) The file for Staff #3 contained a current PA State Police clearance dated 7/29/25 which was obtained more than 60 months from the previous PA State Police clearance dated 7/5/20. (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. Correction: All clearances have been updated Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

The file for Staff #5 contained a current written evaluation dated 3/5/25 which was completed more than 12 months from the prior evaluation dated 1/30/24. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Staff #5 has a current evaluation on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3270.65)

There was an open outlet in the far room of the lower level next to the table lacking a receptacle cover accessible to children 5 years of age or younger. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: The outlet was immediately covered Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

Bleach and other cleaning products labeled "Keep out of reach of children" were stored in an unlocked closet in the children's restroom 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: Bleach and the other cleaning products were immediately picked up and placed in a locked room out of reach of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

There were several ceiling tiles in the lower level preschool rooms and in the stairwell with water stains on them. There was damage to a wall in the younger toddler room behind the book shelf. 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: ceiling tiles will be changed out this weekend with new ceiling tiles Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

There was peeling paint on the base boards and window frames/ledges in the older and younger toddler rooms. There was peeling paint next to the closet near the children's cubbies on the lower level. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The center will be completed painted the weekend of March 20-22, 2026 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #2 lacked the phone number of the child's physician or source of medical care. The emergency contact form for Child #4 lacked the name, address and telephone number of the child's physician 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: Physician's phone number for Child #2 has been added by the parent. Child #4 emergency contact was updated with the name, address and phone number of the child's physician. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

The far room of the lower level lacked a written copy of the Emergency Transportation Plan. 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: a written copy of the emergency transportation plan was immediately placed in the far room of the lower level.. 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 file for Staff #1contained a current health assessment dated 11/3/25 which was obtained more than 24 months from the previous health assessment dated 1/3/23. The file for Staff #3 contained a current health assessment dated 2/4/26 which was obtained more than 24 months from the previous health assessment dated 4/14/23. The file for Staff #4 contained a current health assessment dated 8/24/25 which was obtained after they started working in a child care position. 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: All health assessments for all staff have been updated and are current within the required 24 month time frame. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease (3270.151(c)(3))

The health assessment on file for Staff #3 contained a current health assessment dated 2/4/26 which lacked an examination for communicable diseases and the results of that examination. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. Correction: The staff person is scheduled to go back to med express to get the health assessment filled out in its entirety. She will assure that the communicable diseases box is checked by the doctor. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

The file for Staff person #2 lacked documentation for 9 of the 12 required annual training hours for the review window December 2024-December 2025. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: Staff are now up to date with all required hours of training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Child #4, enrolled more than 60 days, lacked a health report. There is a current immunization record on file dated 2/5/25. 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: The health report for child #4 will be obtained immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

The current information about the child's growth and development on file for Child #1 and #4 was completed more than 6 months from the previous update. The most recent growth and development update for Child #1 was dated 2/3/26 more than 6 months after the previous update dated 5/14/25. The most recent growth and development update for Child #4 was dated 1/22/26 more than 6 months after the previous update dated 6/13/25. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: The information for child #1 and 4 was updated. 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 for Child #5 lacked the parent's work address. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The emergency contact was given to the parent, and the parent added the missing work address. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form for Child #3 lacked the address for the child's physician. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: The emergency contact was given to the parent, and the parent wrote in the address and telephone number of the child's physician. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3270.123(b)/3270.182(8))

The files for Child #1, #2, #3, #4, and #6 contained the original agreement forms. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: all original agreement forms, and emergency contacts were copied, and originals were given to the parents and copies were placed in the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

In the outdoor play space, the plastic brown and red slide had a crack in the ladder making it unstable for children to safely step on it. The blue plastic teeter-totter also had a crack on the seat creating a pinching hazard. 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: Both the plastic brown and red slides were immediately removed from the playground and thrown away. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

The sink in the infant room next to the diaper changing station lacked a handwashing sign. 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 hand washing sign was immediately placed above the sink in the infant room Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

There was peeling paint in the 1-year old room next to the baseboard where the gate opens and closes. There was peeling paint next to the baseboards in the Preschool room under the windows. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: both the 1-year-old room and preschool room where the paint was peeling was patched and painted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3270.75(c))

The first aid kit in the 1-year old room lacked scissors and tape. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: scissors and tape were immediately placed int he first aid bag. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff Person #1 has completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility. Correction: The staff is scheduled to receive PQAS - certified by 3/1/2025 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Letter to parents (3270.27(e))

The parent letter lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Correction: Accommodations for infants, toddlers and children with disabilities, and children with chronic medical conditions was added to the required parent letter Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The facility's policy for Shaken Baby Syndrome/Abusive Head Trauma lacked prevention and identification of child maltreatment as per Announcement C-22-03. 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: Prevention and identification of child maltreatment as per announcement C-22-03 was added to the centers Shaken baby Syndrome/Abusive Head Trauma policy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).