TUNKHANNOCK CHILD DEVELOPMENT CENTER

Bottles labeled (3270.166(4))

A renewal inspection was conducted on 4/6/26. In the infant classroom refrigerator, Cert Rep observed 3 baby bottles that were not labeled with the children's names. Requirement: Disposable nursers and bottles shall be labeled with the child's name. Correction: The bottles observed to be unlabeled in the infant classroom refrigerator were labeled with the children's names immediately following the inspection to ensure compliance with DHS regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Adult Hygiene (3270.152)

A renewal inspection was conducted on 4/6/26. In the older infant classroom, cert rep observed a staff person changing an infant's diaper. The staff person did not wash their hands when finished. Requirement: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. Correction: The staff member was immediately reminded of the requirement to wash hands after each diapering procedure. Proper handwashing procedures were reviewed with the staff member to ensure compliance with DHS regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Review policies and procedures (3270.121(a))

A renewal inspection was conducted on 4/6/26. The parent handbook did not contain a general daily schedule or hours of operation. Requirement: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. Correction: The facility maintains an updated parent handbook that includes both the general daily schedule and hours of operation. At the time of the inspection, an outdated version of the handbook was inadvertently provided. The current handbook, which was updated and distributed to all centers in September 2025, includes this required information. The updated handbook is on file at the center and is provided to all families at enrollment. Staff have been instructed to ensure that only the most current version of the handbook is used and available for review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written plan/Written emergency plan posted (3270.111(a)/3270.124(e))

A renewal inspection was conducted on 4/6/26. Classroom #4 did not have a written plan of daily activities and routines or a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed in the classroom. Requirement: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. 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: Classroom #4 was being utilized as a gross motor space and was in the process of being transitioned into a classroom. At the time of inspection, the required postings were not yet in place. A written plan of daily activities and routines, including free play, as well as a written emergency plan identifying the means of transporting a child to emergency care and staffing provisions, has now been posted in the room to ensure compliance in the event the space is used for child care. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A renewal inspection was conducted on 4/6/26. Staff person #1 did not complete Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file dated 1/6/24 and the updated Pediatric first aid and CPR training is dated 2/4/26. 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 Person #1 has completed the required Pediatric First Aid and CPR certification on February 4, 2026. Although there was a lapse between the expiration of the previous certification dated January 6, 2024 and the renewal, the staff person now holds a current and valid certification. Documentation of the updated certification is maintained in the staff member's personnel file and is available for review. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Letter to parents (3270.27(e))

A renewal inspection was conducted on 4/6/26. The facility's communications letter to parents regarding the facilities emergency plan did not include the lock down procedures or the special 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: The parent emergency notification letter has been reviewed and updated to include a clear explanation of lockdown procedures, as well as accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. The revised letter explains how children will be safely secured during a lockdown and how individualized accommodations and medical needs will be addressed during emergency situations. The updated letter will be distributed to the parents or guardians of all enrolled children and will be provided to families at the time of enrollment moving forward. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

On 10/30/25, an unannounced inspection was conducted. Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire: PA Required Health and Safety for Centers-Group Child Care Part 1 AND PA Required Health and Safety for Centers-Group Child Care Part 2. (see LIS code sheet). 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 #2 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 #2, staff person #2 may not work in a child-care position at the facility. Correction: Staff person #2 has now completed both required trainings---PA Required Health and Safety for Centers--Group Child Care Part 1 and Part 2---on 11/11/2025, which brings them into full compliance with the preservice training requirement. Until those trainings were completed, staff person #2 was supervised at all times by an Assistant Group Supervisor (AGS) who had already completed all required preservice trainings and met all qualifications to provide unsupervised care. At no time was staff person #2 left alone with children. A copy of both training certificates has been placed in staff person #2's personnel file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No harsh language (3270.113(d))

On 10/30/25, an unannounced inspection was conducted. It was determined through staff interviews and staff person #1 admitting that on 10/27/25, they shouted and screamed in child #1's face. Requirement: A staff person may not use harsh, demeaning or abusive language in the presence of children. Tiered LIS: 1. A staff person may not use harsh, demeaning or abusive language in the presence of children. The date of correction for this portion of the plan must be immediate. 2. Staff #1 must complete a training related to managing difficult behaviors in the classroom. The Northeast Regional Office must approve the training selected. Once approved staff person #1 will complete the training and the training must be kept on file. The operator must provide a correction date for when this portion of the plan will be completed. Correction: 1. 10/27/25: Upon learning of the incident on 10/27/2025, Staff #1 was immediately suspended from all duties and removed from the classroom setting. In accordance with the Child Development Council of NEPA Employee Guideline Policy, "Staff who are reported for abuse and/or neglect will be immediately suspended while the charge is investigated." Staff #1 will not return to the facility until the formal determination is received and reviewed by administration. 10/27/25 All children involved were reassured, monitored, and no further concerns were reported. All staff were verbally reminded on 10/30/2025 of the agency's zero-tolerance expectations regarding appropriate communication, positive interactions, and the prohibition of harsh or demeaning language. 2. 11/18/25: Staff #1 will complete a DHS-approved training specific to managing difficult behaviors, de-escalation strategies, and maintaining positive child guidance practices. Training options will be submitted to the Northeast Regional Office for review and approval prior to enrollment. Once approval is received, Staff #1 will complete the training within 10 business days, and a certificate of completion will be placed in the staff file. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Measurement and use of indoor child care space/Designated on facility schedule (3270.61(h)(2)/3270.61(h)(2)(ii))

A renewal inspection was conducted on 4/9/25. Cert rep observed classroom 5 to be over capacity and this was not indicated on the facility's schedule of daily activities for a 30-minute special activity. Classroom 5 had 20 preschool children and the capacity of the classroom is 17 children. Requirement: The capacity established for indoor space may not be exceeded except when older toddler, preschool or school-age children are participating in a program activity. When the number of older toddler, preschool or school-age children participating in a program activity exceeds the capacity of the child care space each time period shall be designated on the facility's schedule of daily activities. Correction: To address the issue of classroom 5 being over capacity, the facility will ensure that the classroom will never exceed the appropriate amount of children at any time. Over the next month, we will work to switch the classrooms to the gross motor classroom, which has a higher capacity to meet the needs of the children. The facility will immediately revise its schedule of daily activities to accurately reflect any special activities. Staff will be trained to ensure compliance with capacity limits and to update the schedule promptly. Additionally, the facility will implement a monitoring system to regularly check classroom capacities and ensure adherence to regulations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

A renewal inspection was conducted on 4/9/25. The facility did not conduct an annual emergency drill. The last emergency drill on record is dated 5/12/22. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: The Center Director will conduct an emergency drill. The Center Director will maintain a log of all emergency drills conducted, including dates, times, and details of each drill. The new form supplied by DHS will be used for emergency drills instead of the shelter in place forms we had previously been using. The Center Director will ensure that the documentation is easily accessible and filed in a designated location for review. A schedule for future emergency drills will be established to ensure they are conducted annually without lapses. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Safe routes posted (3270.171(c))

A renewal inspection was conducted on 4/9/25. The facility did not have pick up and drop off procedures posted in a conspicuous location in the childcare facility. Requirement: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility. Correction: To address the issue of missing pick-up and drop-off procedures, the Center Director immediately posted written notifications of safe routes in a conspicuous location within the childcare facility. Staff will be trained to ensure that these procedures are clearly visible and accessible to all parents and guardians. Regular checks will be conducted to confirm that the notifications remain posted and up to date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3270.123(a)(5))

A renewal inspection was conducted on 4/9/25. Child(ren) #1-7's fee agreement did not contain a release person. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: To address the issue of incomplete and outdated fee agreements, the facility will immediately contact the parents of children #1-7 to update their fee agreements with the required release person information. Child #1-7's fee agreements will be updated to reflect current information. Staff will be trained to ensure that all fee agreements are reviewed and updated at least once every six months or as soon as there is a change in the information. Regular checks will be conducted to ensure compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Small Toys and Objects (3270.103)

A renewal inspection was conducted on 4/9/25. In classroom 6, cert rep observed plastic gloves on the changing table. The plastic gloves were accessible to children that are still putting 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: To address the issue of plastic gloves being accessible to children in classroom 6, the facility immediately removed the gloves from the changing table and stored them in a secure, inaccessible location. Staff will be trained on the importance of keeping small objects, plastic bags, and other potentially hazardous items out of reach of children who are still placing objects in their mouths. Regular checks will be conducted to ensure compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster/Outdoor equip.- protective surfacing (3270.77(a)/3270.102(c))

A renewal inspection was conducted on 4/9/25. In the outdoor playground, Cert rep observed an embedded, blue balance beam that had chipping paint and it did not have loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair. Correction: To address the issue of chipping paint on the blue balance beam and the lack of appropriate playground protective surface covering, the facility will remove the balance beam from the area to ensure compliance. Also, staff will be trained to regularly inspect outdoor equipment and surfaces to identify and report any damage or safety concerns. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

A renewal inspection was conducted on 4/9/25. In classroom 2, cert rep observed two large, ripped holes in the window screens. 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: To address the issue of ripped holes in the window screens in classroom 2, has repaired/replaced the damaged screens to ensure they are in good condition and free from visible hazards. Staff will be trained to regularly inspect all surfaces, including window screens, to identify and report any damage. The facility will implement a maintenance schedule to ensure that all areas are kept clean and in good repair. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible (3270.66(a))

A renewal inspection was conducted on 4/9/25. In the girl's bathroom A&D ointment, that is labeled keep out of reach of children, was observed to be 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: To address the issue of A&D ointment being accessible to children in the girl's bathroom, the facility immediately removed the ointment from the accessible area. These materials will be stored in a container that is inaccessible to children. Staff will be trained on the importance of keeping cleaning materials and other toxic substances out of reach of children and will conduct regular checks to ensure compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).