FREW MILL CAMPUS

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

The two most recent dates of the annual fire testing are 4/16/25 and 5/1/26 which are more than 12 months 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: The fire report was completed but it was late. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name on bottle (3270.133(3))

In room 133, the preschool room, there was Children's Zyrtec and Children's All Day Allergy that did not have the name of the child for whom the medication is intended on the label. Requirement: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Correction: On the day of the inspection, the teacher's assistant wrote the name of the child on their med box. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Amount of fee (3270.123(a)(1))

Child #1's financial agreement did not contain the amount of the fee to be charged per day or per week. Requirement: An agreement shall specify the amount of the fee to be charged per day or per week. Correction: On the day of the inspection, the Family Service Worker updated the fee agreement with the amount that is charged per week for this child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

In Room 133, the preschool room, behind the teacher's desk on a low open shelf were adult scissors accessible to children. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: At the time of the inspection, the teacher removed the scissors and locked them away in a cabinet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original container (3270.66(b))

In room 133 in the cabinet above the sink which stored food for the children was Rosemary Repel-Hair Spray and Tea Tree Oil both which are toxic and stored next to food. The disinfecting spray was on top of the cabinet above the sink that stored food not in a container to protect from leaks or spills. 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: This has since been corrected. Supervisor followed up immediately and ensured staff are placing cleaning spray bottles in their dated caddy. This will eliminate any leaking or spillage that could cause contamination. Hair Spray and tea tree oil were labeled "Staff use only" and removed immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Staff #1's file contained a signed and witnessed disclosure statement, but it was not dated. An updated disclosure statement has been signed, witnessed, and dated 3/27/25. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: This was corrected onsite and dated (per description above) and placed in file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic plants not permitted (3270.66(d))

A Jade plant which is toxic to children was observed on the counter by the sink in room 128. Requirement: Toxic plants are not permitted in a child care space. Correction: This was corrected during inspection and removed immediately. Supervisor has since emailed out the correspondence from OCDEL that links a list of toxic plants. Supervisor also requested that the Technology Department add a Plant Identification tool to all Classroom IPADS for correct identification. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Running water - diapering (3270.82(j))

In room 109 after changing the child's diaper the staff person had to open the door behind them to the bathroom to wash the child's hands. Requirement: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day. Correction: Ensuring all items to follow appropriate diapering procedure are prepped ahead of time. This would include that the bathroom door is opened and ready for the child to access to eliminate any contamination of touching the handle. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

In room 128 the top of the diaper table side was split causing a pinching hazard, and the bottom of the block shelf was splintered. Requirement: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs. Correction: This has since been corrected. Maintenance staff have fixed this crack and sealed it shut so that this no longer permits a safety concern. The block shelf was removed and a new one has been requested. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Posted in group space (3270.111(b))

The daily schedule was not posted in the gym. Requirement: The written plan of daily activities shall be posted in the group space. Correction: This was immediately corrected upon inspection. The current schedule of activities for the Gross Motor space is posted on the bulletin board in the Gross Motor Space. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toothbrush bristles up (3270.134(f))

In room 133 the toothbrushes were stored above the sink in the cabinet with caps on them. Requirement: Toothbrushes shall be stored with the bristles up and exposed to circulating air. Correction: This was corrected immediately during inspection and caps were removed. Health office was notified to ensure these are no longer provided. Staff were retrained and reminded to keep caps off of toothbrushes. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Disposable diapers (3270.135(a)(3))

In room 109 while the staff was diapering a child they used their hand to open the trash can while throw a diaper away. 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: This has since been retaught and retrained to staff. Staff are to follow our diapering policy which states they are to use the pedal on the garbage can to throw soiled items away (while gloved). All garbage cans in diapering areas are ensured to have a pedal so that there is no contamination of lid. The lid was also sanitized since this area of violation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Adult Hygiene (3270.152)

In room 109 a staff person changed a child's diaper opened the bathroom room door, washed the child's hands, did not wash the staff's hands, then picked up the child, and opened the gate to place the child on the floor in the room. Requirement: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. Correction: As stated in previous correction; during diapering the door should be open so that the sink is accessible to staff and child to wash hands after diapering. Adult should always wash hands after diapering and this has been retrained and retaught to staff - again referencing our current policy as well. Staff were reminded that contamination is very concerning and need to ensure they are following handwashing procedures and diapering procedures at all necessary times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months (3270.131(b)(2))

The two most recent health assessments for child #1, a preschool age child(See LIS Code Sheet), were dated 8/25/23 and 11/5/24 which are more than 12 months apart. The most recent health assessment for child #2, a preschool age child(See LIS Code Sheet), is dated 4/24/24 which is more than 12 months ago. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Correction: This policy has since been corrected. In the past a 30 day grace period was given per policy. After talking with the Health Coordinator and looking at regulations we have updated procedures to ensure families are aware that Health Assessments are to be completed within 1 year of the date on the current Health Assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

The emergency drill that was documented for 3/27/25 did not document all the names of the staff involved. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: This has been corrected for future emergency drills. Adult names will be included moving forward for all Emergency Drills conducted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).