U-GRO LEARNING CENTRES

Building Surfaces (3270.76)

On 6/22/26 documentation of cleaning checklist required per tiered LIS Sin-00286295 was not submitted timely. Requirement: 1.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. This portion of the plan shall have an immediate correction date. 2. The legal entity must submit documentation in a format approved by DHS provide that the facility procedure for cleaning and assessing hazards is followed at all times for all facility spaces. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. The correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the tracking format. Correction: Provider will ensure that the documentation of the cleaning checklist that is required per tiered LIS Sin-00286295 is turned in and submitted timely. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Outdoor equip.- protective surfacing (3270.102(c))

It was observed that the mulch on the outdoor play space was less than nine inches and was compacted. Requirement: 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: Provider put in a work order to have mulch filled in all over the playground but especially around the fall zone areas. Just received approval, awaiting delivery of Mulch. Children will not be allowed to play on equipment with fall zones until mulch is delivered and measures at least nine inches deep. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

The following areas were observed in the Caterpillars' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, windows and windowsills, corners of the classroom, baseboards, inside and outside of the trash cans, tops and sides of cabinets, children's chairs, carpet, toy baskets, fans, vents, doors, door handles and light switches. The metal blinds on the back of the outside door had an excessive buildup of dirt and had sharp edges. There was chipping paint on the walls and chipping plaster around the windows. The baseboard behind the play kitchen was missing. There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. The following areas were observed in the Bears' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, tops and sides of cabinets, windows and windowsills, corners of the classroom, children's chairs, play mats, baseboards, insides and outsides of trash cans, carpets, toy baskets, fans, vents, doors, door handles and light switches. There was chipping paint on the walls. The refrigerator had an excessive build-up of dirt on both the inside and outside and had opened milk on the door which had spilled. On the doors of the changing table there were two holes which cause a risk for fingers to get suck. There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. The following areas were observed in the Ducks' classroom: excessive build-up of dirt on the: shelves, walls, cubbies, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, fans, vents, doors, door handles and light switches There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. The following areas were observed in the Turtles' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, fans, dish drainer, vents, doors, door handles and light switches. There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. There was a ceiling tile with a water stain on it. The inside of the refrigerator had an excessive build-up of dirt and there was a carton of milk on the inside without a lid. The following areas were observed in the Jaguars' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, ceiling alcoves, children's chairs, carpet, pillows, toy baskets, play kitchen, fans, dish drying mat, vents, doors, door handles and light switches There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls and on the door to the outside. The following areas were observed in the Zebras' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, toys, fans, vents, doors, door handles and light switches There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. The following areas were observed in the Ladybugs' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, insides and outsides of trash cans, windows and windowsills, corners of the classroom, baseboards, tops and sides of cabinets, children's chairs, carpet, toy baskets, toys, fans, vents, doors, door handles and light switches. There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. There was chipping paint on the walls. Th

General Health and Safety (3270.21)

It was observed that the stove burners were on with two pots of boiling water and were left unattended for an extended period of time. Several staff reported that children have been sent to the kitchen on multiple occasions to be supervised by the facility cook to maintain ratio in the classrooms. The kitchen has multiple hazards in reach of the children, including hot surfaces, sharp kitchen utensils, and toxic cleaning supplies. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: When the stove burners are on, they will not be left unattended. Children will not be in the kitchen. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Similar Age Level (3270.51)

It was observed in the Monkeys' preschool classroom that there were 11 children with one staff person. It was observed in the Butterflies' preschool classroom that there were 11 children with one staff person. It was observed in the Turles' older toddler classroom that there were 13 children with two teachers. It was observed in the Caterpillars' preschool classroom that there were 22 children with two teachers. Requirement: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. 1.The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding ratio and supervision of children and at one session of TA in each classroom. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when this training will be completed. 3. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format. the correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the tracking format. Correction: 1. The required staff: child ratios will be maintained at all times. (4/2/26) 2.The legal entity has arranged for all facility staff to receive a minimum of two hours of training regarding ratio and supervision of children and at one session of TA in each classroom. The legal entity will receive DHS approval of the training content prior to scheduling the training. The operator has scheduled the 2-hour training it will be held on Thursday May 21, 2026. This part of the violation will have a completion date of 6/5/26. 3. Starting on May 11, 2026, the legal entity will submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will implement in the mornings, at drop off, signs that allow the parents to know when a classroom is full. Communication will be sent out to the parents informing them of this policy and the importance of waiting to drop off their children into the classroom until another teacher comes in or the teacher is able to see if there is another classroom for the child to be dropped off in. This will help the legal entity maintain ratio at all times. (NOT IMPLEMENTED 6/17/2026) Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No insects or rodents (3270.67(c))

In the Monkeys' classroom it was observed that there was an infestation of ants in packages of food in the closet and also on the sink counter. Requirement: Evidence of infestation of insects or rodents in the facility is not permitted. Correction: Staff are no longer allowed to keep any food in the classrooms/cabinets/closets. Any food brought into the classrooms is to be provided by the facilities cook in the proper containers. Food is to be discarded of in the proper way including sweeping the floors immediately after mealtimes/cleaning all dishes that the food come in and are properly returned to the facilities kitchen. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contaminated trash in closed plastic-lined receptacle (3270.67(d))

It was observed that in the caterpillars', zebras', turtles' bathrooms, there was trash in trash can without a liner. Requirement: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles. Correction: Staff will be trained that once and old plastic liner is removed from a trash receptacle, a new [plastic liner is required to be placed immediately into the trash receptacle. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3270.82(g))

The following areas were observed in the Caterpillars' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk and there was a dirty bucket with a toilet brush in it sitting on the floor. The following areas were observed in the Ducks' area where handwashing occurs: excessive buildup of dirt on the baseboards, the step stools, mirror, and the sink handles. In addition, the shelf had items haphazardly placed causing a fall risk. There were boxes, highchairs, and other items stored in the room causing a risk of injury to children. The following areas were observed in the Turtles' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk and there was a dirty bucket with a toilet brush and a plunger in it sitting on the floor. There was chipping paint on the walls. The following areas were observed in the Jaguars' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk. There was chipping paint on the walls. The following areas were observed in the Zebras' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk. There was chipping paint on the walls. The following areas were observed in the Monkeys' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk. There was chipping paint on the walls. Requirement: Toilet areas and fixtures shall be cleaned daily and be in good repair. -Verification visit was conducted on 5/18/26. Continued areas of non-compliance were observed and cited on SIN-00288867. Correction: The following areas that were observed in the Caterpillars' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles will be detailed cleaned and will have a correction date of 5/15/26. In addition, the shelf above the toilets that had items haphazardly placed causing a fall risk will be deep cleaned and reorganized with a correction date of 5/15/26. The dirty bucket with a toilet brush in it sitting on the floor was cleaned and had a correction date of 4/3/26. The following areas that were observed in the Ducks' area where handwashing occurs: excessive buildup of dirt on the baseboards, the step stools, mirror, and the sink handles will be detailed cleaned and will have a correction date of 5/29/26. In addition, the shelf that had items haphazardly placed causing a fall risk will be deep cleaned and reorganized with a correction date of 5/15/26. The boxes, highchairs, and other items stored in the room causing a risk of injury to children will be removed or organized in a manner that does not pose a risk of injury to the children and will have a correction date of 5/15/26. The following areas that were observed in the Turtles' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles will be detailed cleaned and will have a correction date of 5/15/26. In addition, the shelf above the toilets that had items haphazardly placed causing a fall risk will be deep cleaned and reorganized with a correction date of 5/15/26. The dirty

Small Toys and Objects (3270.103)

In the handwashing room between the Bears' and Ducks' classrooms was a plastic bag with dirty clothes in it in reach of the children. There were plastic bags in the Turtles' bathroom in reach of children. 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: In the handwashing room between the Bears' and Ducks' classrooms the plastic bag with dirty clothes in it in reach of the children was removed. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times /Staff assigned to specific children (3270.113(a)/3270.113(a)(1))

It was observed that when the Turtles' class left the indoor play space that 4 children ran down the hall and around the corner and were not able to be seen staff person #1 who was back with two other children from the classroom. Requirement: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding ratio and supervision of children and at one session of TA in each classroom. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when this training will be completed. 3. The legal entity must submit documentation in a format approved by DHS proving that children are supervised at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format. the correction date for this portion of the plan shall be at minimum 3 months from the date the Regional Office approves the tracking format. Correction: 1.When a staff person is alone with children and they need to transition their children from the classroom to the play space or from the play space to the classroom, they will be required to use a walking rope with the children in order to maintain vision of the children in their care. They can also call a member of management to stand in the hallway to help assist with the transition so that no children will be left unsupervised at any time. (4/2/26) 2. The legal entity will arrange for all facility staff to receive a minimum of two hours of training regarding ratio and supervision of children and at one session of TA in each classroom. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date of when this training will be completed. (5/21/26) 3. Documentation will be submitted in a format approved by DHS proving that children are supervised at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Central Region Office on a weekly basis for a period of three months after DHS approves the documentation format. (NOT IMPLEMENTED 6/17/2026) Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fresh fruit/vegetables refrigerated (3270.161(e))

It was observed that there was a box of oranges on the counter and a bowl of oranges on the corner wire shelf that were not delivered that day. Requirement: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated. Correction: All fresh fruits and vegetables that are ordered for snacks and lunch menu will be placed in a refrigerator on the day of delivery. It will be observed by a member of management that this is being followed through with. Staff that handle the deliveries and/or handle the food will be trained to use the fruit that day or make sure it is refrigerated. Inspection: Unannounced Monitoring. 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))

Documentation showed that the fire detection system was not tested at least every 30 days. 12/10/25-1/10/26 (31 days) 1/10/26- present (51 days) 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: Fire detection devices or systems will 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 will ensure the requirements under subsection (a) are met Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file (3270.182(7))

On 1/12/2026 child #1 (DOB see LIS code sheet) was playing in a sensory bin, put a glass bead in their mouth and swallowed it. Child #1 reported to staff person #1 they bit the glass bead. Staff person #1 checked child #1's mouth and did not see an injury. Staff person #1 never informed management staff or the child's parent of the incident. Requirement: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. Correction: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file. An incident report was written up and given to the parent. A copy was placed in the child's file. A copy was place in an accident file. Inspection: Incident Investigation. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No physical punishment (3270.113(b))

Upon video footage review it was observed on 1/21/2026 around 8:03am staff person #1 (DOH see LIS code sheet) was sitting in a chair at a table and picked up child #1 (DOB see LIS code sheet) who was laying on the floor near the staff person, by the calf area of their leg, swung the child over the staff person's lap and abruptly placed child #1 on the floor on the other side of the chair. Later that day between the time frame of 11:20 - 11:27am staff person #1 picked up child #1 by the wrists and sat the child in a chair to do an art project, then proceeded to pick child #1 up three more times to move child #1 to a different area of the classroom. At approximately 11:27 child #1 was removed from the classroom and joined another classroom. Requirement: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding ways to deal with challenging behaviors and appropriate interactions with children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Correction: Staff person #1 was released from the company and is no longer working there effective 2/10/2026. All remaining staff are scheduled to receive a 2-hour training in person regarding ways to deal with challenging behaviors and appropriate interactions with children. DHS did approve this training that the staff will be receiving. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

The record for staff person #2 (DOH see LIS code sheet) does not include the results of the PSP or DHS FBI clearance and the Child Abuse clearance. A NSOR certificate dated 9/22/2025 is the only clearance included in the staff person's record. 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. Staff person #2 may not work in a child care position with direct contact or routine interaction with children until the results of all clearances have been obtained and are on file at the facility. Correction: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 may not work in a child care position with direct contact or routine interaction with children until the results of all clearances have been obtained and are on file at the facility. Staff person #2 no longer works at this facility. We were not able to obtain the results of the PSP clearance, DHS, FBI clearance and Child Abuse clearances from Staff person #2. 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 10/29/2025 in the Preschool 1 classroom protective receptacle covers were not placed in two (2) electrical outlets accessible to children 5 years of age or younger. It was observed on 10/29/2025 in the Pre-K 2 classroom protective receptacle covers were not placed in three (3) electrical outlets accessible to children 5 years of age or younger. (ALL CORRECTED ON SITE) Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: During the inspection, outlet covers were placed in all electrical outlets accessible to children 5 years of age or younger. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

It was observed on 10/29/2025 in the Twos 2 classroom there is a hole in the bathroom door. It was observed on 10/29/2025 in the Preschool 2 classroom the ends of an area rug are curled up, posing a tripping hazard. It was observed on 10/29/2025 in the Pre-K 1 classroom a portion of the carpet is frayed and curling up, posing a tripping hazard. It was also observed a portion of the bulletin board frame is sticking out from the wall with nails exposed and accessible to children. It was observed on 10/29/2025 in the Pre-K 2 classroom a metal cover is protruding from the wall, making sharp corners accessible to children. (ALL CORRECTED ON SITE) 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: During the inspection duct tape was placed over the hole in the bathroom door in the Twos 2 classroom, the area rug in the Preschool 2 classroom was removed, the frayed carpet in the Pre-K 1 classroom was trimmed and covered with duct tape and the nails were removed from the bulletin board frame and the piece was taped to the wall to hold it in place. In the Pre-K2 classroom the metal piece protruding from the wall was taped down with duct tape and a table was placed in front of it to make it inaccessible to children. A work order was immediately submitted to make repairs in all the necessary classrooms. Inspection: Allocated Unannounced Monitoring. 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 record for staff person #2 (DOH see LIS code sheet) does not include an initial health assessment, including the results of tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. The record for staff person #3 (DOH see LIS code sheet) does not include an initial health assessment. 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 did not obtain a health assessment with results from a TB test and turned it into the office. Staff person #2 is no longer employed at this facility. An initial health assessment is now in the file for Staff person #3. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exp, educ., training prior to facility (3270.192(2)(ii))

The record for staff person #2 (DOH see LIS code sheet) does not include verification of child care experience and education prior to service at the facility. Requirement: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. This will be followed through with asking for this before the staff member comes in for their first day. Staff person #2 did not provide record of verification of child care experience, education and training prior to service. Staff person #2 no longer works at this facility. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Two written references (3270.192(5))

The record for staff person #2 (DOH see LIS code sheet) only contains one (1) written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person, not two as required. The record for staff person #3 (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 staff person #4 (DOH see LIS code sheet) only contains one (1) written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person, not two as required. 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: 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. . A written reference was not obtained for staff person #2. Staff person #2 no longer works at this facility. Staff #4 provided a written reference, Staff #3 provided two written references and placed in their files at the facility. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff person #1 (DOH see LIS code sheet) did not complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Requirement: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Correction: Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 no longer works at this facility. Inspection: Allocated Unannounced Monitoring. 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 Director or designated staff person who is responsible for compliance with this chapter did not ensure the requirements under section 1016(c) of the act (62 P.S. § 1016(c)) are met. This is evidenced by the last manual testing of the fire detection system being conducted on 9/10/2025, which exceeds the every 30-day requirement. 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: Fire detection devices or systems shall 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 will ensure the requirements under subsection (a) are met. The fire detection system was manually tested on 11/5/25. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Promote development (3270.111(c))

On 6/5/2025 facility staff self-reported that Child #1 was climbing on a shelf, the shelf fell over, and the child fell on top of the shelf. The fall resulted in a head injury. The child's parent was notified by telephone then arrived at the child care facility within 10 minutes and transported the child the ER. While at the ER the child was evaluated by medical professionals and received 4 stitches on their forehead. A certification representative conducted an on-site incident review on 6/9/2025. It was observed that multiple children were running around the classroom, climbing on furniture, and not engaged in daily activities that promote the development of skills, social competence and self-esteem. Requirement: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding classroom management skills. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a date for when the training will be completed. Correction: Daily activities will promote the development of skills, social competence and self-esteem. Daily experiences will recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity has arranged for all facility staff to receive a minimum of two hours of training regarding classroom management skills. The legal entity has received DHS approval of the training content that will be provided to the staff prior to scheduling the training. The operator will provide a date of when the training will be completed. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, good repair, proper size (3270.104(a))

On 6/5/2025 facility staff self-reported that Child #1 was climbing on a shelf, the shelf fell over, and the child fell on top of the shelf. The fall resulted in a head injury. The child's parent was notified by telephone then arrived at the child care facility within 10 minutes and transported the child the ER. While at the ER the child was evaluated by medical professionals and received 4 stitches on their forehead. A certification representative conducted an on-site incident review on 6/9/2025. At that time it was observed the shelf the child was reported to have been climbing on was pushed against the wall and was unstable when touched and swayed. Staff person #3 described it as being "wobbly." Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: Furniture will be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.Wobbly shelf was removed from classroom. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3270.113(a))

On 6/5/2025 facility staff self-reported that Child #1 was climbing on a shelf, the shelf fell over, and the child fell on top of the shelf. The fall resulted in a head injury. The child's parent was notified by telephone then arrived at the child care facility within 10 minutes and transported the child the ER. While at the ER the child was evaluated by medical professionals and received 4 stitches on their forehead. A certification representative conducted an on-site incident review on 6/9/2025. Staff person #1 and staff person #2 were the staff in the classroom when the incident occurred. Staff person #2 stated that they attempted to redirect child #1 from climbing on the shelf but child #1 did not listen. Requirement: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Correction: Children on the facility premises and on facility excursions off the premises will be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children will be supervised at all times. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).