Citation
Sep 25, 2026
Inspection
Emergency preparedness
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
The facility's newly revised emergency plan lacked documentation of a Continuity of Operations policy which would include procedures on backing up or retrieving health and other key records/files and also lacked policies regarding volunteer emergency preparedness training.
Center’s plan of correction (accepted, Oct 7, 2026): “The Continuity of Operations policy was updated in the emergency plan to include procedures on backing up or retrieving health and other key records/files and volunteer emergency training”
Inspection status on COMPASS: Needs Verification
Citation
Sep 25, 2026
Inspection
Emergency preparedness
Letter to parents 55 Pa. Code §3270.27(e)
The facility's newly revised emergency plan parent letter lacked an explanation of the emergency procedures for accommodations for infants, toddlers, children with disabilities and chronic medical conditions.
Center’s plan of correction (accepted, Oct 7, 2026): “The emergency plan parent letter was updated to include accommodations for infants, toddlers, children with disabilities, and chronic medical conditions.”
Inspection status on COMPASS: Needs Verification
Follow-up
Sep 25, 2026
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.102(a)
2nd CITATION: In the downstairs classroom there was a storage bin that was cracked and magnatiles that were not in good repair. PREVIOUSLY CITED ON 8/19/26.
Center’s plan of correction (accepted, Oct 7, 2026): “: The storage bin was fixed and the broken magnatiles were thrown away.”
Inspection status on COMPASS: Needs Verification
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Sep 25, 2026
Inspection
Building & playground safety
Small Toys and Objects 55 Pa. Code §3270.103
2nd CITATION: Empty plastic bags, small screws, and nuts were observed in the downstairs unlocked drawer of the changing table. PREVIOUSLY CITED ON 8/19/26.
Center’s plan of correction (accepted, Oct 7, 2026): “The plastic bags, small screws, and nuts were taken out of the changing table.”
Inspection status on COMPASS: Needs Verification
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Sep 25, 2026
Inspection
Building & playground safety
Devices must be compliant/Director or designated staff person ensure compliance 55 Pa. Code §3270.95(a)/3270.95(b)
The 30-Day fire detection log on file indicated testing dates of 8/10/26 and 9/10/26, which are more than 30 days apart.
Center’s plan of correction (accepted, Oct 7, 2026): “The fire detection was tested on 10/5/26 to insure its working properly.”
Inspection status on COMPASS: Needs Verification
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The file for Staff #9 contained an FBI Clearance and National Sex Offender (NSOR) Certificate at the time of inspection, it was observed that the file lacked an FBI Clearance and National Sex Offender Certificate dated prior to the date that Staff #9 began working with children.
Center’s plan of correction (implemented, Sep 2, 2026): “All staff members will have the FBI clearance and NSOR finished and given to the operator before working with children.”
Inspection status on COMPASS: Non Compliant – Finalized
Included in ratio/annual training 55 Pa. Code §3270.115(a)(8)
According to staff statements, the facility has been using a slip slide during water days that holds water at the bottom. Staff #1, #2, #3, #4, #5, #6, #7, and #8 do not have water safety instruction training in their files.
Center’s plan of correction (implemented, Sep 28, 2026): “No slip and slides will be used. Nothing that will hold water will be used on water days.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 19, 2026
Inspection
Building & playground safety
General Health and Safety 55 Pa. Code §3270.21
In the Downstairs Bathroom a Scotch tape packaging dispenser with a sharp metal edge was observed on the bathroom vanity. In the Downstairs Classroom in the top left unlocked drawer in the teacher desk were three pair of teacher scissors and a screwdriver in the unlocked middle drawer. These items were accessible to the children care and posed a cutting hazard.
Center’s plan of correction (implemented, Sep 28, 2026): “The scotch tape was taken out of the bathroom vanity and placed in a room away from children. The scissors and screwdriver were taken out of the reach of children and put up.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 19, 2026
Inspection
Building & playground safety
Original container 55 Pa. Code §3270.66(b)
Located in the Guided Learning Area/Art Space was a cleaning material that was not in a container that specifies the content. Staff identified the bottle as a cleaning material.
Center’s plan of correction (implemented, Sep 2, 2026): “The spray bottle was labeled with disinfected sticker was placed out of reach of children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 19, 2026
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.102(a)
In the Outdoor Play Space, there was a yellow and orange child sized picnic table that was cracked along the top corner and the right-side bench posing a pinching hazard to the children in care. In the Downstairs Classroom there was a clear plastic storage container that held craft materials that was cracked and created a cutting hazard for the children in care.
Center’s plan of correction (not implemented, Sep 28, 2026): “The picnic table was taped to cover the crack and the bench was fixed to not pinch. The plastic container was thrown away.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 19, 2026
Inspection
Building & playground safety
Small Toys and Objects 55 Pa. Code §3270.103
Empty plastic bags, small screws, and nuts were observed in the Downstairs unlocked bathroom vanity and changing table. Empty plastic bags, small goggly eyes, diamond painting-colored chips, beads, and rubber pencil grips measuring less than 1 inch were observed in the Downstairs Classroom. These items were accessible to children who are still placing objects in their mouths.
Center’s plan of correction (not implemented, Sep 28, 2026): “The screws, plastic bags, and nuts were removed from the vanity. Small items were removed from the preschool area.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 19, 2026
Inspection
Health & medication
Original label 55 Pa. Code §3270.133(5)
Child #1 had expired Benedryl Cream and Child #2 had expired baby Orajel at the facility.
Center’s plan of correction (implemented, Sep 2, 2026): “The expired medication was gotten rid of.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 19, 2026
Inspection
Health & medication
Disposable diapers 55 Pa. Code §3270.135(a)(3)
The diaper genies located in the downstairs restroom, upstairs restroom, and infant classroom were observed to have a plastic guard that did not open with the foot pedal, resulting in the cans no longer beings hands-free.
Center’s plan of correction (implemented, Sep 28, 2026): “The diaper Genies had the plastic guard taken out of them to be hands free.”
Inspection status on COMPASS: Non Compliant – Finalized
Prohibit items in crib 55 Pa. Code §3270.106(j)
At approximately 945am in the art room it was observed that an infant was asleep in a pack and play with a pink stuffed toy.
Center’s plan of correction (implemented, Aug 19, 2026): “The pink stuffed toy was removed from the pack and play.”
Citation
Jul 14, 2026
Inspection
Building & playground safety
Inaccessible to children 55 Pa. Code §3270.75(b)
A pink book bag which contained a first aid kit was in the hallway on the floor that led to the exit that the children use to access the outside play space making the first aid kit accessible to the children.
Center’s plan of correction (implemented, Aug 19, 2026): “We placed the to go bag with first aid kit inside on the shelf inaccessible to children.”
Citation
Jul 14, 2026
Inspection
Building & playground safety
Small Toys and Objects 55 Pa. Code §3270.103
In the art room where children were receiving care that were still placing objects in their mouths, it was observed that foam paint sponges and pipe cleaners were in drawers.
Center’s plan of correction (implemented, Aug 19, 2026): “The pipe cleaners and paint sponges were moved out of the reach of the children.”
Citation
Jul 14, 2026
Inspection
Health & medication
2 feet apart 55 Pa. Code §3270.106(f)
At approximately 945am it was observed in the art room that a pack and play was in use and did not have 2ft of space on at least 3 sides: one side was against the wall, another side was against a cabinet, and the third side was not 2 feet away from the crescent shaped table.
Center’s plan of correction (implemented, Aug 19, 2026): “The pack and plays were moved to the proper spacing.”
Comply with CPSL 55 Pa. Code §3270.32(a)
The signed disclosure statement for Staff Person #2 is dated 12/29/25 which is after their date of hire (see LIS code sheet).
Center’s plan of correction (implemented, Jun 29, 2026): “We will make disclosures statements are signed at hiring.”
Inspection status on COMPASS: Needs Verification
Follow-up
Jun 11, 2026
Inspection
Child protection
Fraud or deceit in obtaining or attempting to obtain a certificate of compliance 55 Pa. Code §20.71(a)(7)
Continued Non-Compliance: On 10/17/25 an unannounced monitoring was conducted at the facility. Based on staff statements and documentation, Staff # 4, created a fraudulent Health Assessment dated 10/3/25 for Staff #3's Staff File. Staff #4 submitted the fraudulent Health Assessment via Email to Certification on 10/3/25. The Health Assessment was a correction to a violation received on 8/1/25. On 10/14/25, Armstrong Primary Care Center, confirmed that the Health Assessment dated 10/3/25 was not valid. The CRNP did complete a Health Assessment form for Staff #3 on 10/2/25. On the form the CRNP indicated that the physical was conducted on 11/13/24 and the form signed 10/2/25. The valid Heath Assessment dated 10/2/25 was submitted to the child care on 10/6/25. The facility's acceptable plan of correction indicated that only original health assessments will be accepted from staff (no photocopies). The Director and staff member will initial and date the form and the form will be filed in the staff member's file and that they will continue to follow this plan of having a Director and staff initialing and dating the original health assessment instead of doing it for just four months. On…
Center’s plan of correction (accepted, Jun 29, 2026): “Tier 1: 6/11/26 -We will make sure that an original copy of the staff health assessment is in the file of the staff members: dated and signed by the director. Tier 2: 10/26/26: For the next 4 months we will have the original copy of the staff health assessment dated and signed by the director.”
Inspection status on COMPASS: Needs Verification
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Jun 11, 2026
Inspection
Health & medication
12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)
The photocopied health assessment on file for Staff Person #1 was lacking a name of who the health assessment was for making it invalid.
Center’s plan of correction (implemented, Aug 19, 2026): “We will make sure the doctor's office has the name on the staff health assessment.”
Inspection status on COMPASS: Needs Verification
Citation
Jun 11, 2026
Inspection
Records & paperwork
Health assessment, TB test/Health assessment, TB test 55 Pa. Code §3270.192(3)/3270.192(3)
The file for Staff Person #1 contained a tuberculosis screening dated 6/8/26, which is after Staff #2's date of hire (SEE IS CODE SHEET).
Center’s plan of correction (implemented, Jun 29, 2026): “We will make sure that the tb test is done before working with children,”
Inspection status on COMPASS: Needs Verification
Citation
Jun 11, 2026
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
One of the references for Staff Person #1 was lacking information attesting to the person's suitability to serve as a facility person working in childcare.
Center’s plan of correction (implemented, Aug 19, 2026): “Staff #1 has a new reference letter stating that she works well with children.”
Inspection status on COMPASS: Needs Verification
Citation
May 8, 2026
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.102(a)
The playhouse located in the back corner of the outdoor play space had a crack on the roof, making a pinch point with sharp edges.
Center’s plan of correction (implemented, Jun 11, 2026): “The playhouse has been glued and taped where it was cracked on the roof.”
Citation
May 8, 2026
Inspection
Records & paperwork
Post the inspection summary 55 Pa. Code §3270.25(b)
It was observed that the facility did not have a copy of the most recent inspection summary posted in a conspicuous location used by parents.
Center’s plan of correction (implemented, Jun 11, 2026): “This inspection summery was printed and put in a conspicuous location for the parents to see.”
Aides supervised all times 55 Pa. Code §3270.37(c)
On 4/1/26 at approximately 10:30am, Staff person #13, an aide, was observed caring for children unsupervised.
Center’s plan of correction (implemented, May 8, 2026): “A qualified staff person was placed with staff person #13 to not have her unsupervised.”
Mixed Age Level 55 Pa. Code §3270.52
On 4/1/26, at approximately 10:30am, Staff person #1 was observed to leave the lower level child care space and escort a preschool age child to the restroom, leaving Staff person #13 out of ratio with 10 children (9 Preschool age children and 1 Older Toddler).
Center’s plan of correction (implemented, May 8, 2026): “Children went with Staff #1 to go to the bathroom so proper ratio was met.”
Citation
Apr 1, 2026
Inspection
Health & medication
Clean, age appropriate 55 Pa. Code §3270.106(a)
Unlabeled blankets and pillows for naptime were randomly piled together rather than being utilized by a specific child.
Center’s plan of correction (implemented, May 8, 2026): “Pillowcases were ordered so that each child has their own pillowcase to keep their blankets.”
Citation
Apr 1, 2026
Inspection
Records & paperwork
Each child care space 55 Pa. Code §3270.124(c)
The emergency contact information was not present in the infant room for Child #1 being cared for in that space. The emergency contact information was not present in the lower level child care room for Child #2 being cared for in that space.
Center’s plan of correction (implemented, May 8, 2026): “Emergency contact information for the whole daycare attendance will be placed in each room of the center as well as the to-go bags.”
Citation
Mar 13, 2026
Inspection
Building & playground safety
Protective Outlet Covers 5 yrs. or less 55 Pa. Code §3270.65
There was an uncovered outlet in the downstairs restroom near the sink accessible to children ages 5 and under.
Center’s plan of correction (implemented, Apr 1, 2026): “Outlet covers were placed on the electrical outlets in the bathroom.”
Citation
Mar 13, 2026
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
There was Degree antiperspirant and a soap container labeled "Keep out of reach of children" in an unlocked drawer/cabinet under the sink in the downstairs restroom accessible to children.
Center’s plan of correction (implemented, Apr 1, 2026): “The Degree antiperspirant was removed and cabinet locks put on the bathroom cabinet where the soap is kept.”
Follow-up
Mar 13, 2026
Inspection
Building & playground safety
110º F or less 55 Pa. Code §3270.69(b)
3RD CITATION: The water temperature at the sink in the infant room was 118°F. The water temperature in the upstairs restroom was 117°F. The water temperature in the downstairs restroom was 116°F. PREVIOUSLY CITED ON 1/21/26 and 2/10/26.
Center’s plan of correction (implemented, Apr 1, 2026): “The hot water was turned down as low as we could (3/13) and a water log (3/19) made to check the water temperatures daily. A specialist was called to check the regulator on the water heater. (3/20)”
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Mar 13, 2026
Inspection
Building & playground safety
Handwashing signs 55 Pa. Code §3270.82(h)
2ND CITATION: The diaper changing stations in the lower level restroom lacked handwashing sign.
Center’s plan of correction (implemented, Apr 1, 2026): “A diaper changing sign was placed above the changing table.”
Citation
Mar 13, 2026
Inspection
Emergency preparedness
Every 60 days 55 Pa. Code §3270.94(a)(1)
Documentation of the fire drill log showed more than 60 days between fire drills (7/30/25 and 2/2/26).
Center’s plan of correction (implemented, Apr 1, 2026): “The fire log was filled in with the proper date of the March 2026 fire drill (3/10).”
Follow-up
Feb 10, 2026
Inspection
Building & playground safety
110º F or less 55 Pa. Code §3270.69(b)
2nd CITATION: The water temperature at the sink in the infant room was 118°F. PREVIOUSLY CITED ON 1/21/26.
Center’s plan of correction (not implemented, Mar 13, 2026): “Lower the water temperature more so the water is cooler then 110 degrees.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Feb 10, 2026
Inspection
Building & playground safety
Handwashing signs 55 Pa. Code §3270.82(h)
The diaper changing stations and toilet training seats in the main level restroom and the lower level restroom lacked handwashing signs.
Center’s plan of correction (not implemented, Mar 13, 2026): “Handwashing signs have been placed in front of each toilet, training chair and diapering areas.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Feb 10, 2026
Inspection
Health & medication
Locked 55 Pa. Code §3270.133(4)
There was a bottle of children's Motrin in a child's lunchbox sitting on a table in the main room accessible to children.
Center’s plan of correction (implemented, Feb 18, 2026): “The Motrin was placed in the medicine box, and locked.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Feb 10, 2026
Inspection
Food & feeding
Potentially hazardous food refrigerated 55 Pa. Code §3270.161(d)
There were several lunchboxes on the table in the main room containing food items that needed to be refrigerated, including a cheese stick, cubes of meat and cheese, and cucumbers.
Center’s plan of correction (implemented, Feb 18, 2026): “The lunch boxes were placed in the refrigerator.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Feb 10, 2026
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
The file for Staff # 13 lacked one written nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Mar 13, 2026): “A second reference letter was placed in the Staff #13 file.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The file for Staff #9 contained a PA Child Abuse clearance dated 12/29/25 which was obtained after they started working in a child care position (See LIS Code Sheet). The file for Staff #10 lacked a DHS FBI clearance and an NSOR certificate.
Center’s plan of correction (implemented, Feb 10, 2026): “Staff #9 has a completed file now. Staff #10 has been removed from the facility until I get her NSOR. I now have her FBI clearance/(1/30/26)”
Inspection status on COMPASS: Non Compliant – Finalized
Follow-up
Jan 21, 2026
Inspection
Supervision
Aides supervised all times 55 Pa. Code §3270.37(c)
2nd CITATION: On 1/21/26 at approximately 10am, Staff #9, an aide, was caring for 5 preschool children unsupervised in the lower level child care space. PREVIOUSLY CITED ON 10/17/25.
Center’s plan of correction (implemented, Feb 10, 2026): “Staff #9 had a staff member with her downstairs at approximately 10:10 on 1/21/26 so she was supervised with the children.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Jan 21, 2026
Inspection
Staff ratios
Mixed Age Level 55 Pa. Code §3270.52
2nd CITATION: On 1/21/26, at approximately 10:05am, in the main room, Staff #8 was supervising 6 Older Toddlers and 1Younger Toddler. No other staff were present in the main room. PREVIOUSLY CITED ON 10/17/25.
Center’s plan of correction (implemented, Feb 10, 2026): “Staff #8 gave 2 toddlers to staff #1 so ratio would be maintained at approximately 10:10 am on 1/21/26”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Jan 21, 2026
Inspection
Building & playground safety
Protective Outlet Covers 5 yrs. or less 55 Pa. Code §3270.65
There were 6 outlets in the lower level that lacked protective receptacle covers which were accessible to children 5 years of age or younger.
Center’s plan of correction (implemented, Feb 10, 2026): “Outlet covers were placed in the 6 outlets.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jan 21, 2026
Inspection
Building & playground safety
110º F or less 55 Pa. Code §3270.69(b)
In the bathroom off the main room, and in the bathroom on the lower level, the hot water was 115° F.
Center’s plan of correction (not implemented, Feb 10, 2026): “The hot water temperature was decreased to ensure it did not exceed 110 degrees.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jan 21, 2026
Inspection
Building & playground safety
65º F minimum 55 Pa. Code §3270.70(a)
The temperature in the lower level child care space was 64°F.
Center’s plan of correction (implemented, Feb 10, 2026): “The heat vents were open fully and the window blinds closed to keep as much heat in the lower level. Room temperature readers were placed in the room for the staff to monitor temperature.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jan 21, 2026
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
In the lower level child care space, there was a gap between the register and the wall creating a sharp edge.
Center’s plan of correction (implemented, Feb 10, 2026): “The gap in the register was screwed into the wall and tape was added to cover the sharp edged”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jan 21, 2026
Inspection
Building & playground safety
No portable space heaters 55 Pa. Code §3270.92(a)
A portable space heater was observed in the lower level child care space. Staff reported that space heaters have been used while children were in care in the lower level child care space as well as in the infant room.
Center’s plan of correction (implemented, Feb 10, 2026): “The portable space heaters were removed on 1/21/26 from the infant room and lower level child care spaces.”
Inspection status on COMPASS: Non Compliant – Finalized
Follow-up
Jan 21, 2026
Inspection
Health & medication
12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)
3rd CITATION: On 1/21/26, the file for Staff #9 lacked a health assessment. The file for Staff #10 lacked a health assessment with TB screening results. PREVIOUSLY CITED ON 8/1/25 & 10/17/25.
Center’s plan of correction (implemented, Feb 10, 2026): “Staff #9 turned in a health assessment (1/30/26) Staff #10 is in the process of going for her tb/health assessment and is not in the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Jan 21, 2026
Inspection
Building & playground safety
Devices must be compliant/Director or designated staff person ensure compliance 55 Pa. Code §3270.95(a)/3270.95(b)
The most recent fire alarm test was documented on 12/31/25 which was conducted more than 30 days from the previous fire alarm test dated 11/24/25.
Center’s plan of correction (implemented, Feb 10, 2026): “The fire alarm was tested by Staff 1 and Staff 8”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jan 21, 2026
Inspection
Emergency preparedness
Director or designated staff person responsibility/Every 60 days 55 Pa. Code §3270.94(a)/3270.94(a)(1)
The most recent documentation on file for conducting a fire drill was dated 7/30/25 which is more than 60 days ago.
Center’s plan of correction (implemented, Feb 10, 2026): “A fire drill was performed and documented and a date set for the next fire drill before 60 days.”
Inspection status on COMPASS: Non Compliant – Finalized
Aides supervised all times 55 Pa. Code §3270.37(c)
From approximately 1:00-1:30pm Staff # 4, an aide, was observed caring for 5 children unsupervised in the lower level child care space.
Center’s plan of correction (not implemented, Jan 21, 2026): “Plan of correction: Staff #4 is not an aid, but an Assistant Group Supervisor. She has well over 2400 hours of childcare experience and this is why she was alone with the children. She has the document of documented hours on her staff file.”
Inspection status on COMPASS: Non Compliant – Finalized
Mixed Age Level 55 Pa. Code §3270.52
On 10/17/25, at approximately 12:50pm in the Infant Room, one adult, Individual #2, and 6 napping children, 2 Infants, 1 Young Toddler and 3 Older Toddlers, were observed. No other staff were present in the Infant Room. The 6 children were not assigned to a specific Staff person for supervision. On 10/17/25, from approximately 12:50-1:00pm, Child #1 was asleep in a port-a-crib in the Main Child Care Room. No staff was present in the Main Child Care Room. No staff identified Child #1 as part of their supervision group.
Center’s plan of correction (not implemented, Jan 21, 2026): “More staff have been hired and we are careful to maintain ratio at all times. We also made cards of each child to hand out to staff members so that they are aware of which children are in their direct care at all times. Listed in these cards are ratios so everyone is aware of them.”
Inspection status on COMPASS: Non Compliant – Finalized
Supervised at all times 55 Pa. Code §3270.113(a)
On 10/17/25, at approximately 12:50pm in the Infant Room, one adult, Individual #2, and 6 napping children, 2 Infants, 1 Young Toddler and 3 Older Toddlers, were observed. No other staff were present in the Infant Room. The 6 children were not assigned to a specific Staff person for supervision. On 10/17/25, from approximately 12:50-1:00pm, Child #1 was asleep in a port-a-crib in the Main Child Care Room. No staff was present in the Main Child Care Room. No staff identified Child #1 as part of their supervision group.
Center’s plan of correction (implemented, Jan 21, 2026): “Our immediate response to having non compliance in ratio at nap time was to send in another staff person. We then reviewed the regulation of staff to child ratio during naps (3270.55). Child #1 woke during the inspection and was then with a staff member. Moving forward we implemented using cards…”
Inspection status on COMPASS: Non Compliant – Finalized
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
On 10/17/25, at approximately 12:50pm in the Infant Room, one adult, Individual #2, and 6 napping children, 2 Infants, 1 Young Toddler and 3 Older Toddlers, were observed. No other staff were present in the Infant Room. The 6 children were not assigned to a specific Staff person for supervision. On 10/17/25, from approximately 12:50-1:00pm, Child #1 was asleep in a port-a-crib in the Main Child Care Room. No staff was present in the Main Child Care Room. No staff identified Child #1 as part of their supervision group.
Center’s plan of correction (implemented, Jan 21, 2026): “On the day of inspection we corrected the violation immediately by assigning each child to a staff member. Moving forward we implemented using cards with each child's picture and birthday on them, along with a card that shows ratio. Each staff member is expected to have these cards on them and know…”
Inspection status on COMPASS: Non Compliant – Finalized
Fraud or deceit in obtaining or attempting to obtain a certificate of compliance 55 Pa. Code §20.71(a)(7)
Based on staff statements and documentation, Staff # 1, created a fraudulent Health Assessment dated 10/3/25 for Staff #3's Staff File. Staff #1 submitted the fraudulent Health Assessment via Email to Certification on 10/3/25. The Health Assessment was a correction to a violation received on 8/1/25. On 10/14/25, Armstrong Primary Care Center, confirmed that the Health Assessment dated 10/3/25 was not valid. The CRNP did complete a Health Assessment form for Staff #3 on 10/2/25. On the form the CRNP indicated that the physical was conducted on 11/13/24 and the form signed 10/2/25. The valid Heath Assessment dated 10/2/25 was submitted to the child care on 10/6/25.
Center’s plan of correction (not implemented, Jun 11, 2026): “Tier 1: The correct form had already been placed in the file on the date of inspection, 10-17-2025. Tier 2: Only original health assessments will be accepted from staff (no photocopies). The Director and staff member will initial and date the form and the form will be filed in the staff member's…”
Inspection status on COMPASS: Non Compliant – Finalized
Follow-up
Oct 17, 2025
Inspection
Health & medication
12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)
Continued Non-Compliance: On 8/1/25 a Renewal Inspection was conducted at the facility. The files for Staff #3, #5, and #6 lacked health assessments. The facility's acceptable plan of correction indicated the correction would be implemented by 9/5/25. On 10/17/25 an Unannounced Inspection was conducted. The Health Assessment, dated 10/3/25, submitted to Certification on 10/3/25 for Staff #3 is invalid. The file for Staff #3 contains a valid Heath Assessment dated 10/2/25.
Center’s plan of correction (not implemented, Jan 21, 2026): “This error had been corrected already at the time of inspection. This was an unfortunate mix up and was corrected immediately. An email was sent by Staff 1 to [the Department] explaining the situation.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Oct 17, 2025
Inspection
Records & paperwork
Confidential; stored in locked cabinet 55 Pa. Code §3270.193(a)
The staff files were located in an unlocked filing cabinet in an unlocked office space accessible to anyone at the facility.
Center’s plan of correction (implemented, Feb 10, 2026): “We now lock the filing cabinet that contains staff and child files. It will be locked at all times with only the owner and director aware of where the key is.”
Inspection status on COMPASS: Non Compliant – Finalized
Show 46 older citations
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The file for Staff #3 lacked an FBI clearance and an NSOR certificate. The file for Staff #4 lacks a PA Child Abuse clearance and an NSOR certificate. The file for Staff #5 lacks a PA Child Abuse clearance and an NSOR certificate. The file for Staff #6 lacked a PA State Criminal clearance, a PA Child Abuse clearance, and an NSOR certificate.
Center’s plan of correction (implemented, Sep 8, 2025): “Staff Person #3 will obtain an FBI clearance and NSOR certificate before returning to a child care position. Staff #3 was removed effective 8/1/25. Staff Person #4 obtained NSOR dated 8/27/25. Staff #4 cannot return to a child care position until a current PA Child Abuse clearance is obtained.…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
The files for Staff #3, #4, #5, and #6 (See LIS Code Sheet) lacked emergency plan training at the time of initial hire.
Center’s plan of correction (implemented, Sep 15, 2025): “Staff 3,4, and 5, have been trained on the Emergency Plan and signed documentation in each file. Staff 6 is no longer working or volunteering at Kandyland Kids”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Emergency preparedness
Letter to parents 55 Pa. Code §3270.27(e)
The parent letter lacked information explaining the emergency procedures for shelter in place and lockdown situations, a method to contact parents when an emergency arises and provide instructions on how to safely reunite with their child(ren), as well as accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Center’s plan of correction (implemented, Oct 3, 2025): “Kandyland parent letter will add information about shelter in place, lockdown, and way to contact parents to reunite them with their children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Building & playground safety
Protective Outlet Covers 5 yrs. or less 55 Pa. Code §3270.65
There were open outlets accessible to children ages 5 and younger in the infant room, in the main room by the sink, and in the lower level room next to the desk, and in the lower level restroom.
Center’s plan of correction (implemented, Aug 25, 2025): “Kandyland will keep outlets covered with the proper outlet covers throughout all the center.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
A spray bottle marked "disinfectant" was sitting on a low shelf next to the sink in the bathroom and was accessible to children. There was a spray bottle labeled with a "Mr. Yuck" sticker in the main room on the counter next to the sink that was accessible to children.
Center’s plan of correction (implemented, Oct 1, 2025): “Spray bottles will be placed out of reach of children for safety.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Building & playground safety
Toxic use- no contamination 55 Pa. Code §3270.66(c)
There was a bottle of bleach on top of the refrigerator in the kitchen next to a can of cooking spray, bags of marshmallows, and cutlery.
Center’s plan of correction (implemented, Oct 1, 2025): “The bleach has been removed from on top of the refrigerator and is stored in a locked closet.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Building & playground safety
Inaccessible to children 55 Pa. Code §3270.75(b)
In the lower level child care room, the first aid kit was in an unlocked desk drawer; in the main child care room, the first aid kit was on the counter next to the sink; in the infant room, the first aid kit was on the lower shelf under the diaper changer; all were accessible to children.
Center’s plan of correction (implemented, Aug 25, 2025): “The first aid kits are placed out of reach of the children in all 4 locations.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
The first aid kit in the lower level child care space lacked tweezers and scissors; the first aid kit in the main room lacked tweezers.
Center’s plan of correction (implemented, Oct 1, 2025): “The first-aid kits will be fully stocked with all the items listed above.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
The floor in the lower level restroom had a small puddle of water where the hose from the dehumidifier had leaked creating a slippery surface; the long hose hooked to the dehumidifier in the lower level restroom was curled on the floor creating a tripping hazard; there were 9 holes in the wall in the lower level restroom across from the stalls and a small screw protruding from the same area.
Center’s plan of correction (implemented, Oct 1, 2025): “The hose has been properly secured to not be a tripping hazard and the 9 holes are patched up.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.102(a)
The water play table in the outdoor play space had sharp pieces of plastic poking out where it was damaged.
Center’s plan of correction (implemented, Oct 2, 2025): “The broken water table has been thrown away due to being broken.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Building & playground safety
Small Toys and Objects 55 Pa. Code §3270.103
In the infant room, there was a crumpled up empty plastic bag next to the sink and a container with empty plastic bags hanging on the doorknob and accessible to children still placing objects in their mouths.
Center’s plan of correction (implemented, Oct 1, 2025): “Plastic bags will be kept out of reach of children to keep them safe.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Health & medication
Name on bottle/Locked 55 Pa. Code §3270.133(3)/3270.133(4)
An unlabeled bottle of Infant's Mylicon Gas Relief was sitting on top of the microwave in the main child care space and was accessible to children.
Center’s plan of correction (implemented, Oct 2, 2025): “The Mylicon Gas relief has been labled and locked in the medical box.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Health & medication
Disposable diapers 55 Pa. Code §3270.135(a)(3)
A soiled diaper was left on top of the diaper genie in the main restroom and was not immediately discarded by being placed into a plastic lined, hands-free covered can.
Center’s plan of correction (implemented, Aug 25, 2025): “The soiled diaper has been placed in a garbage bag and removed from the center.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Health & medication
12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)
The files for Staff #3, #5, and #6 lacked health assessments.
Center’s plan of correction (not implemented, Oct 10, 2025): “Staff 3 is getting her health assessment. Staff 5 has her health assessment. Staff 6 no longer works at the center as of 8/1/25”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Health & medication
Mantoux TB 55 Pa. Code §3270.151(c)(2)
The files for Staff #4 lacked documentation of TB screening results.
Center’s plan of correction (implemented, Oct 1, 2025): “Staff 4 for is getting her TB test and getting it read.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Food & feeding
Bottles labeled 55 Pa. Code §3270.166(4)
There was an unlabeled bottle in the refrigerator containing formula/breast milk. There were also empty unlabeled bottles on the counter.
Center’s plan of correction (implemented, Oct 1, 2025): “Unmarked Bottles must be numbers”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Building & playground safety
Devices must be compliant/Director or designated staff person ensure compliance 55 Pa. Code §3270.95(a)/3270.95(b)
Documentation of the fire alarm system test shows more than 30 days between testing. (6/13/25 and 7/17/25)
Center’s plan of correction (implemented, Aug 25, 2025): “Kandyland will make sure alarms are tested less than 30 days apart.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(f)
The facility lacked documentation that the emergency plan and subsequent plan updates were sent to the local municipality and the county emergency management agency.
Center’s plan of correction (implemented, Oct 1, 2025): “The local traffic authorities have been informed of the location and that Kandyland is still in use.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Health & medication
Health information/ACIP recommended immunization record 55 Pa. Code §3270.131(a)/3270.131(e)
The files for Child #3 and #5 lacked a health report. The first day of attendance at the facility was 60 days or greater for Child #3 and #5.
Center’s plan of correction (implemented, Oct 2, 2025): “Child 3 has given me the health report the week of our inspection. Child number 5 is no longer at the center.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Transportation
Pick-up and drop-off points 55 Pa. Code §3270.171(a)
The operator lacked documentation of the notification to local traffic authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the facility.
Center’s plan of correction (implemented, Oct 3, 2025): “The local traffic authorities have been enformed of the location and that Kandyland is still in use.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
On file at facility 55 Pa. Code §3270.18(a)
The operator lacked a current copy of the insurance policy on file at the facility.
Center’s plan of correction (implemented, Sep 15, 2025): “We have printed out a copy of the certificate of liability insurance and have posted it and put it in our yearly files.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Training & qualifications
Each staff person meets quals/Exp, educ., training prior to facility 55 Pa. Code §3270.33(a)/3270.192(2)(ii)
The files for Staff #3, #4, and #5 lacked documentation of staff qualifications for the position in which they are performing.
Center’s plan of correction (implemented, Sep 8, 2025): “Staff persons #3 has 3117 hours documented in the file and documentation of college courses. Staff #5 has the HS diploma and is working on documenting enough hours to be alone with the children. Staff #4 is still working on obtaining a copy of the HS and the 2,500 hours of experience. Staff #4 and…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Training & qualifications
No more than 50% aides 55 Pa. Code §3270.33(b)
The facility has one director, one assistant group supervisor and three aides.
Center’s plan of correction (implemented, Sep 8, 2025): “Staff #3 has documentation of education and hours of experience on file to qualify as an AGS. Staff #4 and #5 will be supervised by at least an AGS or higher while working in a child care position as they currently qualify as aides. Currently Kandyland Kids has 3 staff qualifying as AGS or higher…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Signed 55 Pa. Code §3270.123(a)
The file for Child #5 lacked an agreement form signed by the operator and the parent.
Center’s plan of correction (implemented, Aug 25, 2025): “Child #5 is no longer enrolled at Kandyland.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Services proceeded 55 Pa. Code §3270.123(a)(3)
The agreement forms for Child #1 and Child #3 lacked the services to be provided to the family and child.
Center’s plan of correction (implemented, Oct 3, 2025): “Child 1 and Child 3 will be given the proper agreement forms to be in accordance to the state.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Designated release persons 55 Pa. Code §3270.123(a)(5)
The agreement forms for Child #1, #3, and #4 lacked designated people whom the child may be released to.
Center’s plan of correction (implemented, Oct 3, 2025): “Correction: Child 1, 3, and 4¿s parents have signed who the child can be released too.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Admission date/Application, admission, withdrawal dates 55 Pa. Code §3270.123(a)(6)/3270.182(2)
The agreement forms for Child #2 and #3 lacked dates of admission.
Center’s plan of correction (implemented, Oct 1, 2025): “Child 2 and Child 3 have added their admission date to their enrollment paper work”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Parent receives original/Copy of initial and subsequent agreements. Parent receives original. 55 Pa. Code §3270.123(b)/3270.182(8)
The files for Child #2 and #4 contained the original agreement forms.
Center’s plan of correction (implemented, Aug 25, 2025): “Kandyland has copied the original agreement and will keep the copy in the file. Parents will have the original.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
The emergency contact form for Child #2 lacked the parent's work phone number.
Center’s plan of correction (implemented, Oct 1, 2025): “Child 2's parent will give their work phone number to the center.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Written consent/Consent for emergency medical care required prior to admission 55 Pa. Code §3270.124(b)(4)/3270.182(3)
The emergency contact forms for Child #2 and #5 lacked written consent by a parent for emergency medical care.
Center’s plan of correction (implemented, Oct 1, 2025): “Child 5 is no longer at the center since 8/15/25. Child 2 has given emergency consent for emergency medical care.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Consent for administration of minor first-aid required prior to admission 55 Pa. Code §3270.182(5)
The emergency contact form for Child #2 lacked signed parental consent for administration of minor first aid by the facility staff.
Center’s plan of correction (implemented, Oct 1, 2025): “Child 2 will have parent constant for staff to give minor 1st aid.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
The files for Staff #3,#5, and #6 lacked two written nonfamily references attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Oct 1, 2025): “Staff 3 and 5 have nonfamily reference letters added to their files. Staff 6 no longer is at the center.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 1, 2025
Inspection
Records & paperwork
Availability of certificate of compliance and applicable regulations 55 Pa. Code §3270.25(a)
Parents of each enrolled child were not given information on how to access the regulations in this chapter electronically. Parents of each enrolled child were not given instructions for contacting the appropriate regional child care office.
Center’s plan of correction (implemented, Sep 15, 2025): “Kandyland will send out a news letter with the QR code link for parents about the required chapters.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The file for Staff Person #1 (See LIS Code Sheet) lacked a PA Child Abuse Clearance, a PA State Police Clearance, and Out of State Clearances including; State Sex Offender Registry, State Criminal clearance and State Child Abuse clearance, for the state they resided in within the past 5 years.
Center’s plan of correction (implemented, May 8, 2025): “PA CHILD ABUSE, PA CRIMINAL, AND OUT OF STATE CLEARANCES HAVE BEEN OBTAINED FOR STAFF PERSON #1”
Citation
Apr 8, 2025
Inspection
Emergency preparedness
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
The facility's emergency plan lacked continuity of operations information as required by Announcement C-22-04 which states to maintain full compliance with 45 CFR § 98.41(a)(1)(vii), child care facilities must have requirements for continuity of operations.
Center’s plan of correction (implemented, Apr 28, 2025): “We have added the continuity of operations to the emergency plan stating that we will keep the parents/guardians informed when an emergecny occurs. We will keep them updated in a group text/email that the center sends out. They will be informed throughout the process and be given the location of…”
Citation
Apr 8, 2025
Inspection
Emergency preparedness
Contact when arises/Contact when ended 55 Pa. Code §3270.27(a)(3)/3270.27(a)(4)
The facility's emergency plan did not provide a method for contacting parents when an emergency situation arises or informing parents that the emergency has ended and how they can safely reunite with their child(ren).
Center’s plan of correction (implemented, Apr 28, 2025): “A plan to contact the parents/guardians through a group text message has been established. We will have updates throughout the emergency so that parents are kept up to date on the safety.”
Citation
Apr 8, 2025
Inspection
Emergency preparedness
Letter to parents 55 Pa. Code §3270.27(e)
The parent letter lacked information explaining the emergency procedures for evacuation to an alternate location, shelter in place and lockdown information, method to contact parents when an emergency arises and inform parents how to safely reunite with their children, as well as information on accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Center’s plan of correction (implemented, Apr 28, 2025): “The parent letter has been revised to state each emergency procedure for the evacuation, the shelter in place, ways of contacting and how to accommodate children. The letter is posted in each classroom.”
Citation
Apr 8, 2025
Inspection
Building & playground safety
Protective Outlet Covers 5 yrs. or less 55 Pa. Code §3270.65
The electrical receptacles throughout the child care spaces in the facility lacked protective outlet covers.
Center’s plan of correction (implemented, Apr 21, 2025): “Provider has placed protective outlet covers on all electrical receptacles.”
Citation
Apr 8, 2025
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
In the lower level restroom, there were drain covers extending out of the floor about 4-inches and water connections protruding from the wall next to the bathroom stalls and hand dryer accessible to children.
Center’s plan of correction (implemented, Apr 21, 2025): “Provider has placed a secure raised plywood structure over the four inch floor drains. They also put a wood covering over the water wall connectors. The hand dryer has a sign placed on it "Adult Use Only"”
Citation
Apr 8, 2025
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
In the lower level classroom, peeling paint was observed on the 4 window ledges.
Center’s plan of correction (implemented, Apr 21, 2025): “The provider has painted the peeling paint on the four window ledges.”
Citation
Apr 8, 2025
Inspection
Health & medication
Name on bottle 55 Pa. Code §3270.133(3)
The first-aid kits in the infant room, active learning space, lower level classroom, and guided learning area contained unlabeled antibiotic ointment and aspirin.
Center’s plan of correction (implemented, Apr 24, 2025): “The provider has taken all the medication out of the first aid kits.”
Citation
Apr 8, 2025
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(5)
The facility's emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Center’s plan of correction (implemented, Apr 28, 2025): “We have added to the emergency plan how we will accommodate the infants, toddlers, children with disablities and children chronic medical conditions.”
Citation
Apr 8, 2025
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(1)
The facility's emergency plan lacked accommodations for shelter in place at the facility.
Center’s plan of correction (implemented, Apr 28, 2025): “The emergency plan has lock-down as well as in shelter in place in the emergency plan so that staff can safely take the children to the best place possible for their protection.”
Citation
Apr 8, 2025
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(f)
The facility lacked documentation that the emergency plan was submitted to the local and county EMA.
Center’s plan of correction (implemented, May 9, 2025): “The updated Emergency plan will be given to the local and county EMA as soon as the correction has been approved.”
Citation
Apr 8, 2025
Inspection
Records & paperwork
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
The facility's Shaken Baby and Abusive Head Trauma Policy lacked recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma as well as strategies for coping with a crying, fussing, or distraught child as required by Announcement C-22-03.
Center’s plan of correction (implemented, Apr 25, 2025): “The Shaken Baby and Abusive Head will have the signs and symptoms as well as the strategies and coping methods in the emergency plan.”
Citation
Apr 8, 2025
Inspection
Training & qualifications
Each staff person meets quals/Exp, educ., training at facility 55 Pa. Code §3270.33(a)/3270.192(2)(iii)
The file for Staff Person #1, identified as a group supervisor, lacked documentation of their education qualifications.
Center’s plan of correction (implemented, Apr 21, 2025): “Staff Person #1 has gotten his documentation of his eduaction qualifications and has given them to the inspector.”
“Core safety” marks citations about supervision and staff ratios, discipline and caregiver conduct, background checks, child protection and safe sleep, the topics our score weights most. Pennsylvania’s records don’t grade violations by severity. “Follow-up” marks a violation re-cited at a follow-up visit, counted once. How scores work.