CORNERSTONE CHILD CARE

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: Child files will be stored in a locked filing cabinet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training/Exp, educ., training at facility (3270.31(e)/3270.192(2)(iii))

The file for Staff person #4, includes verification of 11 of the required 12 hours of annual training between 3.2024-3.2025 Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff person #4 will complete an additional hour of training. All staff will have a minimum of 12 hours of annual training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent (3270.133(6))

There was Motrin labeled for use by a specific child in the Toddler room that does not include written parental permission to administer. Requirement: A parent shall provide written consent for administration of medication or a special diet. Correction: We will obtain written parental permission to administer medication for the Motrin in the Toddler room. Every child that has a medication will be accompanied by a medication log, Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

2 feet apart (3270.106(f))

During nap the CR observed 3 cots in the Preschool Room and 5 cots in the Toddler room that did not have 2 feet on 3 sides while children were using the cots. Requirement: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Correction: During nap time the cots will be 2 feet on 3 sides while the children are using them. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

There was a wall-cling smaller than 1 inch on the infant room accessible to children who are still placing items in their mouths that was coming off the wall and was potentially able to be pulled off by a child. There were 2 sensory bottles in the Toddler Room containing items smaller than an inch inside with an unsecured lid, making the items accessible to children who are still placing items 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: The wall cling was removed during the inspection. There will be no loose wall clings in the classroom. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.102(a))

There were foam blocks in the Toddler room that had teeth marks in them. 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 blocks were thrown away. There will be no toys with bite marks in the classrooms. 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, 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 #3, 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. 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: We have obtained verification of childcare experience for Staff person #2 and #3. All staff will have the proper education requirements for their title along with the 2500 documented hours of experience of working with children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/Exp, educ., training at facility (3270.32(a)/3270.192(2)(iii))

Staff person #2 did not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet); the training was competed on 1.13.26. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff person #2 completed the required training. Staff will complete mandated reporter training within 90 days of hire. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

The two most recent fire safety trainings on file for Staff person #1 are dated 11.19.24 and 12.2.25, more than 12 months apart. Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff person #1 has current fire safety training. Each staff will take their fire safety training on time each year. 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 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: All completed address forms will have complete addresses. 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 initial health assessment on file for Child #1, with an enrollment date of 5.1.24, is dated 10.24.24, more than 60 days after enrollment. 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 #1 has a current health assessment on file. All children will have a current health assessment on file within 60 days of enrollment. 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 3.22.24-4.22.24 and 11.8.24-12.11.24, 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: Director and assistant director will complete fire alarm tests every 30 days or less. 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 were dated 3.3.22 and 4.29.24, 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: Staff person #2 has a current health assessment on file. In order to keep their job all staff will have to have their physicals completed on time. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

A diaper change was observed in the Wobbler classroom and the staff person was observed placing the soiled diaper on the changing table after removing it from the child, rather than immediately disposing of the diaper into a plastic-lined hands-free can. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: Proper diaper changing procedures will be hung up at the diaper changing area and followed by all staff. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent (3270.133(6))

There was Ibuprofen and Tylenol in the Infant classroom which did not have written parental permission to administer. Requirement: A parent shall provide written consent for administration of medication or a special diet. Correction: The parent will be asked to give written permission to administer medication. All medication will have written permission papers signed by the parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Exemption documentation from parent/guardian (3270.131(d)(5)/3270.131(e)(1))

The immunization record on file for Child #2, who is 4 years old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age. Requirement: Child #2 must be dismissed from care by close of business on 2.13.25, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: Parents for Child #2 will be asked to submit updated immunization record or exemption, if applicable. All immunization records will be reviewed by the assistant director and director within 6o days of enrollment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

Yarn pompoms less than 1 inch size were observed in the Wobbler classroom, where children are placing things in their mouths. Staff reported the pompoms are used by the children for arts and craft projects. 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: Pom poms were removed from the room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

The baseboard in the gym, in the far left corner, had pulled away from the wall, exposing broken cement and cinder block pieces. 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: Staff will do daily checks of the gym to look for safety hazzards. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Heat Source (3270.71)

The radiator by the bathroom in the preschool classroom, which is accessible to children, measured 117 degrees Fahrenheit to the touch. Requirement: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact. Correction: Radiator will be turned down and checked daily. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr./Exp, educ., training at facility (3270.31(e)(4)(ii)/3270.192(2)(iii))

The two most recent fire safety trainings on file for Staff person #1 are dated 7.15.23 and 1.3.25, more than 12 months apart. The two most recent fire safety trainings on file for Staff person #2 are dated 8.23.23 and 9.21.24, more than 12 months apart. Requirement: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: Staff person #1 and #2 have current fire safety training on file. Each staff will take their fire safety training on time each year. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).