Show 152 older citations
Citation
Jun 6, 2025
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
During the time of the unannounced monitoring, it was observed that paint was peeling on the mint color wall in the preschool classroom. This was corrected during the inspection.
Center’s plan of correction (implemented, Jun 18, 2025): “This was corrected during the inspection. Director places a work order to get the classroom wall with peeling paint repainted”
Citation
Jun 6, 2025
Inspection
Health & medication
Locked 55 Pa. Code §3270.133(4)
During the time of an unannounced monitoring visit, it was observed that medication for child 1 in the preschool classroom was observed within reach of children. This was corrected during the inspection.
Center’s plan of correction (implemented, Jun 18, 2025): “Medication was stored in the lock cabinet by facility staff during the inspection.”
Citation
Jun 6, 2025
Inspection
Health & medication
Child's hands washed 55 Pa. Code §3270.134(a)
During an unannounced monitoring visit, it was observed that children's hands were not washed after a diaper change in the infant classroom.
Center’s plan of correction (implemented, Jun 18, 2025): “Director ensured that all the Infant staff read the handwashing guide. Infant staff signed the handwashing guide and the document was kept in their file”
Citation
Mar 10, 2025
Complaint investigation
Health & medication
Inpatient hospitalization or ER treatment of child 55 Pa. Code §3270.20(a)(1)
Child 1 obtained medical care at the emergency room and it was not reported to the regional office within 24 hours.
Center’s plan of correction (implemented, Apr 30, 2025): “Director reported incident to Risk. Director will ensure to follow up with family and ask what medical facility the child is taken to. Any emergency room visits will be reported to regional office within 24 hours.”
Citation
Mar 10, 2025
Complaint investigation
Health & medication
Contact parent/keep record 55 Pa. Code §3270.132(a)
Child 1 suffered a medical emergency, and the childcare center called the director instead of calling 911.
Center’s plan of correction (implemented, May 19, 2025): “All facility staff members will complete the Better Kid Care training "911: Responding to Medical Emergencies"”
Citation
Jan 1, 2025
Inspection
Emergency preparedness
Plan reviewed/updated annually 55 Pa. Code §3270.27(b)
Documentation of reviewing the emergency evacuation plan annually was not on file. This was corrected during the inspection.
Center’s plan of correction (implemented, Feb 6, 2025): “Director reviewed and updated the emergency plan. The plan was documented in writing date of review and placed on file in the facility”
Citation
Jan 1, 2025
Inspection
Building & playground safety
65º F minimum 55 Pa. Code §3270.70(a)
During the time of inspection, it was observed that the school age classroom was 63 degrees Fahrenheit. This was corrected during the inspection.
Center’s plan of correction (implemented, Feb 6, 2025): “Director corrected the temperature on site by adjusting the thermostat. Director contacted maintenance to set up a code for the thermostat so employees do not get to adjust it without permission from management.”
Citation
Jan 1, 2025
Inspection
Building & playground safety
Glass 55 Pa. Code §3270.81
During the time of inspection, it was observed that there wasn't a visual strip or other visual identification on the glass in the 2 year old classroom. This was corrected during the inspection.
Center’s plan of correction (implemented, Feb 6, 2025): “The lead teacher in the 2year old classroom corrected this on site. She printed out theme related double sided pictures to place on the glass portion of the door.”
Citation
Jan 1, 2025
Inspection
Health & medication
Adult Hygiene 55 Pa. Code §3270.152
During the time of inspection, it was observed that the staff members in the pre-school classroom did not wash their hands prior to serving lunch.
Center’s plan of correction (implemented, Feb 21, 2025): “Director spoke to staff individually and reminded them of our proper handwashing and food handling methods.”
Citation
Jan 1, 2025
Inspection
Food & feeding
Bottles labeled 55 Pa. Code §3270.166(4)
During the time of inspection, it was observed that a bottle and two sippy cups were not labeled in the kitchen refrigerator, and a sippy cup wasn't labeled in the pre-school classroom. This was corrected during the inspection.
Center’s plan of correction (implemented, Feb 6, 2025): “Our Kitchen cook labeled the bottles and Director followed up with a Fridge inspection to ensure all bottles were labeled.”
Citation
Jan 1, 2025
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(6)
Documentation of an annual emergency drill was not on file.
Center’s plan of correction (implemented, Feb 6, 2025): “An intruder drill was conducted on the 14th of January 2025 by Director and Assistant Director. The completed form was sent to state rep”
Citation
Jan 1, 2025
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
Documentation of a yearly evaluation was not on file for staff member 1, staff member 2, staff member 3, staff member 4, and staff member 5.
Center’s plan of correction (implemented, Feb 6, 2025): “Director conducted yearly evaluations for staff persons 1, 2, 3, 4 and 5 from January 15-17th. Director also shared evaluation report with staff persons.”
Citation
Jan 1, 2025
Inspection
Records & paperwork
Posted in group space 55 Pa. Code §3270.111(b)
During the time of inspection, it was observed that a written plan of daily activities was not posted in the school age classroom. This was corrected during the inspection.
Center’s plan of correction (implemented, Feb 6, 2025): “A written daily activities schedule was sent by the school age teacher and it was placed on the family communication board.”
Citation
Jan 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)
Documentation of the original agreement was on file for child 1.
Center’s plan of correction (implemented, Feb 21, 2025): “Director made a copy of the parent agreement and placed in child's file. The original agreement was given to the parent at pick up.”
Citation
Jan 1, 2025
Inspection
Records & paperwork
Updated every 6 months/Emergency info/agreement updated 6 mos 55 Pa. Code §3270.124(f)/3270.181(c)
Documentation of the emergency contact information on file for child 2, child 3, child 4 and child 5 was not updated within the last 6 months of the previous review date. Documentation of the financial agreement on file for child 1, child 2, child 3, child 4, child 6 and child 7 was not updated within the last 6 months of the previous review date.
Center’s plan of correction (implemented, Feb 6, 2025): “Director sent emergency forms and financial agreement forms to child 2, 3, 4 & 5'S parents to be updated and signed. All forms were updated and signed by January 17th, 2025”
Citation
Jan 1, 2025
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
Documentation on file for staff member 6, did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Feb 21, 2025): “Director requested a second reference letter from staff member number 6. Staff member number 6 turned in requested letter by the 17th of January”
Citation
Apr 2, 2024
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
During an unannounced monitoring visit, it was observed that a child in the pre k classroom was playing with hand lotion that states "keep out of reach of children" on the label. The hand lotion was put out of reach of children during the inspection.
Center’s plan of correction (implemented, Apr 2, 2024): “The lotion was put out of reach of children during the inspection.”
Citation
Apr 2, 2024
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
Documentation on file for staff member 1 only had one, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Apr 2, 2024): “A nonfamily reference attesting to the person's suitability to serve as a facility person for staff member 1 was obtained and is now on file.”
Citation
Mar 25, 2024
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
During the time of inspection, it was observed that the cleaning solution in a swiffer wet jet was accessible to children in the Pre School and Pre K bathrooms. The cleaning solutions in both swiffer wet jets were removed and placed out of the reach of children in the Pre School and Pre K bathrooms during the inspection.
Center’s plan of correction (implemented, Apr 12, 2024): “The cleaning solution in the swiffer wet jet in the Pre School and Pre K bathroom were removed and placed out of reach of children during the inspection.”
Citation
Mar 25, 2024
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.82(g)
During the time of inspection, it was observed that the left bathroom in the school age classroom had a toilet that was out of order. Director notified facilities immediately and they came to fix the toilet the same day after certification representative concluded the inspection.
Center’s plan of correction (implemented, Apr 12, 2024): “Maintenance came to the facility after the certification representative left and fixed the toilet in the school age classroom.”
Citation
Mar 25, 2024
Inspection
Building & playground safety
Handwashing signs 55 Pa. Code §3270.82(h)
During the time of inspection, it was observed that hand washing signs were not present in the school age bathrooms and the pre k counts bathrooms by the sinks. Hand washing signs were placed in the pre k counts bathrooms and the school age bathrooms during the inspection.
Center’s plan of correction (implemented, Apr 12, 2024): “Hand washing signs were placed by the sinks in the pre k counts bathroom and the school age bathroom during the inspection.”
Citation
Mar 25, 2024
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.102(a)
During the time of inspection, it was observed that a climbing cushion was ripped in the infant classroom and a couch was ripped in the young toddler classroom. The cushion was taped in the infant classroom and the couch was taped in the young toddler classroom during the inspection.
Center’s plan of correction (implemented, Apr 12, 2024): “The cushion in the infant classroom was taped and the couch was taped in the young toddler classroom during the inspection.”
Citation
Mar 25, 2024
Inspection
Health & medication
Clean, age appropriate 55 Pa. Code §3270.106(a)
During the time of inspection, it was observed that a numbered cot list was not posted in the pre k counts classroom. A numbered cot list was posted during the inspection.
Center’s plan of correction (implemented, Apr 12, 2024): “A numbered cot list was posted during the inspection.”
Citation
Mar 25, 2024
Inspection
Building & playground safety
Director or designated staff person ensure compliance 55 Pa. Code §3270.95(b)
Documentation of the fire detection system testing on file showed that the system was not tested every 30 days. The alarm was tested on 1/29/24 and again on 2/29/24, which is 31 days.
Center’s plan of correction (implemented, Apr 12, 2024): “Director will test and document the fire detection system every 30 days.”
Citation
Mar 25, 2024
Inspection
Health & medication
Health information/Initial and subsequent health reports 55 Pa. Code §3270.131(a)/3270.182(1)
Documentation of the health assessment on file for child 2 included a health assessment that was obtained 132 days after the child's start first day of attendance.
Center’s plan of correction (implemented, Apr 12, 2024): “The health assessment for child 2 is on file.”
Citation
Mar 25, 2024
Inspection
Records & paperwork
Physician name, address, phone 55 Pa. Code §3270.124(b)(2)
Documentation of the emergency contact form on file for child 1 did not include the telephone number of the child's physician or source of medical care. The telephone number of the child's physician or source of medical care was added to the emergency contact form for child 1 during the inspection.
Center’s plan of correction (implemented, Apr 12, 2024): “The telephone number of the child's physician or source of medical care was added to the emergency contact form for child 1 during the inspection.”
Follow-up
Mar 14, 2024
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
As previously cited on 11/16/23, the preschool classroom was missing tape, soap, band aids and tweezers. The first aid kit contained band aids and tweezers but the soap and tape were not in the first aid kit.
Center’s plan of correction (implemented, Apr 2, 2024): “The missing items were replaced.”
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Mar 14, 2024
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
As previously cited on 11/16/23, baseboards in the pre k counts, preschool classroom and discovery preschool classrooms weren't attached to the wall.
Center’s plan of correction (implemented, Apr 2, 2024): “Director placed an order with outside vendor. Vendors came to the center on 3/24/24 and fixed all the baseboards in the classrooms.”
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Mar 14, 2024
Inspection
Building & playground safety
Lidded waste receptacles 55 Pa. Code §3270.82(i)
As previously cited on 11/16/23, trashcans were not lidded in the pre school bathroom 1.
Center’s plan of correction (implemented, Apr 2, 2024): “The broken trash cans were thrown away and replaced with new lidded trash cans.”
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Mar 14, 2024
Inspection
Health & medication
Clean, age appropriate 55 Pa. Code §3270.106(a)
As previously cited on 11/16/23, the rest equipment in the discovery preschool classroom was not labeled for individual use of a specific child and used only by the specified child.
Center’s plan of correction (implemented, Apr 2, 2024): “During nap time that day, the teachers made a cot list and hung it by the sleeping area.”
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Mar 14, 2024
Inspection
Health & medication
Child's hands washed/Adult Hygiene 55 Pa. Code §3270.134(a)/3270.152
As previously cited on 11/16/23, staff members weren't washing their hands or the children's hands after diaper changes in the infant classroom.
Center’s plan of correction (implemented, Apr 2, 2024): “Director reviewed the hand washing procedures with staff to include washing staff members hands and child's hands after diapering. Diaper changes were observed through out the week to ensure staff were following procedures.”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
Documentation of the disclosure statement on file for staff member 6 and staff member 9 is the front page of the disclosure statement and is missing the back page which contains the employee and witness signature.
Center’s plan of correction (implemented, Mar 14, 2024): “Director printed out a disclosure statement that included the back page and had staff member 6 and staff member 9 sign the disclosure statement. The director signed as the witness and both forms were placed in the staff files. Director will attend existing provider orientation on January 25, 2024.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
During the time of inspection, it was observed that there was a surface cleaner packet on the floor that stated to keep out of reach of children on the floor in the young toddler classroom. A spray bottle used for cleaning the changing pad in the infant room was located next to the changing pad within reach of children. The cleaning spray was in a swiffer wet jet within reach of children in the Pre K Counts classroom. The cleaning spray was removed during the inspection.
Center’s plan of correction (implemented, Mar 14, 2024): “Director went to all classrooms to ensure that all cleaning materials and cleaning packets were not within reach of children and that all cleaning supplies were locked away in the cabinet and out of reach of children. The spray bottle used for cleaning was put out of reach of children and the…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Original container 55 Pa. Code §3270.66(b)
During the time of inspection, it was observed that there was an unlabeled spray bottle located in the young toddler bathroom.
Center’s plan of correction (implemented, Mar 14, 2024): “The unlabeled bottle was disposed of. The director gave the teachers a new labeled bottle. Assistant director and director went to all classrooms to make sure there were no unlabeled bottles in the cabinets.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Emergency Numbers Posted 55 Pa. Code §3270.74
During the time of inspection, it was observed that the telephone numbers of the hospital, police department, fire department, ambulance and poison control center was not posted in the Pre K, Pre School and Discovery Pre School classrooms. The telephone numbers were posted during the inspection in the Pre K, Pre School and Discovery Pre School classrooms.
Center’s plan of correction (implemented, Mar 14, 2024): “Emergency phone numbers were posted during the inspection.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Inaccessible to children 55 Pa. Code §3270.75(b)
During the time of inspection, it was observed that the first aid kit was on a shelf within reach of children in the Pre K classroom.
Center’s plan of correction (implemented, Mar 14, 2024): “The teachers hung the bookbag with the first aid kit on the door hook away from the children's reach once brought to her attention by the director.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
During the time of inspection, it was observed that the first aid kit in the young toddler classroom was missing soap and gloves. The preschool classroom was missing tape, soap, band aids and tweezers.
Center’s plan of correction (not implemented, Mar 14, 2024): “All missing items were added to the first aid kits in the young toddler and preschool classrooms.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
During the time of inspection, it was observed that the windowsill in the infant classroom was dirty. The sink at the changing station closest to the window in the infant room was dirty. The baseboard by the window in the infant classroom was coming off of the wall. The floors in the infant classroom, young toddler classroom and the discovery preschool classrooms were dirty with piles of dirt located in the corners of the classrooms. Baseboards in the pre k counts, preschool classroom and discovery preschool classrooms weren't attached to the wall. The metal strip at the bottom of the door that leads outside in the discovery preschool classroom was bent upwards with sharp edges.
Center’s plan of correction (not implemented, Mar 14, 2024): “Director submitted an emergency work order for the baseboard trim on all classrooms and the metal strip at the bottom of the door in the discovery preschool classroom. The windowsill and sink in the infant classroom was cleaned. The floors were cleaned in the infant classroom, young toddler…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Glass 55 Pa. Code §3270.81
During the time of inspection, it was observed that a visual strip was not present on the glass in the infant classroom, preschool classroom and the discovery preschool classrooms.
Center’s plan of correction (implemented, Mar 14, 2024): “Visual strips were placed on the glass in the infant classroom, preschool classroom and the discovery preschool classrooms.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.82(g)
During the time of inspection, it was observed that the bathrooms located in the young toddler classroom and pre k counts classroom were dirty including visible dirt rings inside the toilets.
Center’s plan of correction (implemented, Mar 14, 2024): “Bathrooms in the young toddler and pre k counts classrooms were cleaned. The pre k counts teacher cleaned her toilet and noted the ring stain was permanent and had been there for a while.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Lidded waste receptacles 55 Pa. Code §3270.82(i)
During the time of inspection, it was observed that trashcans were not lidded in the pre k counts and pre school bathrooms.
Center’s plan of correction (not implemented, Mar 14, 2024): “The lids were placed on back on the trashcans in the pre k counts and pre school bathrooms.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.102(a)
During the time of inspection, it was observed that the gate going into the young toddler bathroom was broke. The changing pad in the young toddler classroom was ripped. The changing table in the young toddler classroom had dirt and crumbs on it. The shelves with toys on them in the young toddler classroom were dirty. The toys used by the children in the young toddler classroom were dirty. A sensory seat in the young toddler classroom was ripped and removed during the inspection. The storage shed door on the SACC/preschool playground with outdoor play equipment was broken. The shed on the older toddler playground was broken. The playhouse that the older toddler children use was broken. A climbing cushion had rips on it in the young toddler classroom and was removed during the inspection.
Center’s plan of correction (implemented, Mar 14, 2024): “The gate in the young toddler bathroom was throw away. A new changing pad was ordered. The changing table in the young toddler classroom was cleaned. The shelves and toys in the young toddler classroom were cleaned. The sensory seat was thrown away during the inspection. A work order was placed for…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Soiled- clean, rinse, sanitize 55 Pa. Code §3270.102(b)
During the time of inspection, it was observed that the toys that children had placed in their mounts were not cleaned with soap and water, rinsed and sanitized before being used by a child in the infant and young toddler classrooms.
Center’s plan of correction (implemented, Mar 14, 2024): “The toys in the infant room and young toddler classroom were immediately placed in their dirty toy bin and taken to the kitchen to be washed and disinfected.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Infant/toddler - no material less than 1 inch 55 Pa. Code §3270.102(e)
During the time of inspection, it was observed that there was a screw located in the sandbox used by the young toddler classroom. The screw was removed during the inspection.
Center’s plan of correction (implemented, Mar 14, 2024): “The screw was removed during the inspection. The director spoke to the teachers informing them that even if the sandbox was not in use, there should not be any hazardous items on the playground where infant and toddlers receive care.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Health & medication
Clean, age appropriate 55 Pa. Code §3270.106(a)
During the time of inspection, it was observed that the rest equipment in the pre k classroom and discovery preschool were not labeled for individual use of a specific child and used only by the specified child.
Center’s plan of correction (not implemented, Mar 14, 2024): “Rest equipment was labeled for individual use in the pre k classroom and discovery pre school.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Health & medication
Immunization record/Dismissal policy 55 Pa. Code §3270.131(d)(5)/3270.131(e)(3)
Documentation of the influenza vaccine was not on file for child 3, child 4, child 7 and child 11.
Center’s plan of correction (implemented, Mar 14, 2024): “Child 11 no longer attends. Documentation of the influenza vaccine was obtained and file for child 3, child 4 and child 7.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Health & medication
ACIP recommended immunization record 55 Pa. Code §3270.131(e)
Child 2 did not have documentation of immunization records on file.
Center’s plan of correction (implemented, Mar 14, 2024): “Immunization record was obtained and on file for child 2.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Health & medication
Written instructions/Name on bottle 55 Pa. Code §3270.133(2)/3270.133(3)
Medication at the facility for child 10 did not include the child's name or written instructions from the individual who prescribed the medication.
Center’s plan of correction (implemented, Mar 14, 2024): “The prescription label for the medication for child 10 was obtained and put with the medication.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Health & medication
Child's hands washed 55 Pa. Code §3270.134(a)
During the time of inspection, it was observed that staff members weren't washing the children's hands after diaper changes in the infant and young toddler classrooms.
Center’s plan of correction (implemented, Mar 14, 2024): “Director spoke with staff and reviewed the proper hand washing techniques which includes the child washing their hands before meals and snacks, after toileting and after diaper changes.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Health & medication
Surfaces cleaned 55 Pa. Code §3270.135(b)
During the time of inspection, it was observed that the changing pad in the young toddler classroom was not being cleaned or wiped down with a sanitizing solution after each use.
Center’s plan of correction (implemented, Mar 14, 2024): “Director reviewed diapering procedures with staff members which includes wiping the surface with a sanitizing solution or by changing a pad or other surface covering.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
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)
Documentation of the health assessment on file for staff member 5 and staff member 6 were both completed after their first day working with children.
Center’s plan of correction (implemented, Mar 14, 2024): “Health assessments are on file for staff member 5 and staff member 6. Director will make sure the child care health assessment is completed prior to the first day working with children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Health & medication
Adult Hygiene 55 Pa. Code §3270.152
During the time of inspection, it was observed that teachers in the young toddler classroom were not washing their hands after diaper changes.
Center’s plan of correction (implemented, Mar 14, 2024): “Director reviewed hand washing procedures with all staff members which include washing hands before meals and snacks, and after toileting and after diapering a child.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Food & feeding
Bottles labeled 55 Pa. Code §3270.166(4)
During the time of inspection, it was observed that not all of the bottles in the infant classroom were labeled with the child's name.
Center’s plan of correction (implemented, Mar 14, 2024): “Bottles in the infant room were labeled. We discussed methods to take to make sure this does not happen again. Director also sent a message to the families reminding them to label the bottles before they bring them in.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Building & playground safety
Director or designated staff person ensure compliance 55 Pa. Code §3270.95(b)
During the time of inspection, it was observed that the Director had recorded fire alarm tests every 30 days but Director stated that the fire alarm system had never been tested until the day of the inspection.
Center’s plan of correction (implemented, Mar 14, 2024): “The director tested the fire alarm during the inspection to ensure it was working properly.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)(4)(i)
Documentation of pediatric first aid/CPR on file for staff member 2 was renewed by the National CPR foundation which is not an approved curriculum.
Center’s plan of correction (not implemented, Mar 14, 2024): “Staff 2 completed an approved first aid/CPR on November 20, 2023 and the certificate is on file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
Staff member 1 and staff member 10 have not completed the following pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff member had documentation of a sign in paper for first aid/CPR but not an actual certificate and staff member 2 was certified for first aid/CPR through Lifeline Training Resources, which is not an approved curriculum.
Center’s plan of correction (not implemented, Mar 14, 2024): “Staff member 1 and staff member 10 completed first aid/CPR on November 20, 2023 from an approved curriculum and the certificates are on file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Training & qualifications
HS/GED + 2 yrs/Exp, educ., training prior to facility 55 Pa. Code §3270.36(b)(5)/3270.192(2)(ii)
Documentation of two years' experience working with children was not on file for staff member 3, staff member 5, staff member 7, staff member 8, and staff member 11.
Center’s plan of correction (implemented, Mar 14, 2024): “Director reached out to staff member 3, staff member 5, staff member 7, staff member 8, and staff member 11 requesting reference letters that verified their two years experience working with children. Verification of experience hours will be placed in each staff file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Other standards
Promote development/Infant/Toddler Stimulation 55 Pa. Code §3270.111(c)/3270.112
During the time of inspection, the certification representative heard staff members in the pre k classroom say things to the children like "yo, sit down", "nope, don't want to hear it" and "I'm very angry with all of you" during nap time. Certification representative heard teachers in the young toddler classroom say things to the children like "you're fine, go" "I'm not playing" and "do you want to get in trouble" during nap time. Certification representative witnessed children in the young toddler classroom crying and staff weren't talking to them to determine what they needed at that time.
Center’s plan of correction (implemented, Mar 14, 2024): “All facility staff will receive training around positive guidance techniques and developmentally appropriate practices and expectations.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Services proceeded 55 Pa. Code §3270.123(a)(3)
Documentation of the agreements on file for child 1 and child 2 did not include the services to be provided to the family.
Center’s plan of correction (implemented, Mar 14, 2024): “Services to be provided were added to the agreements for child 1 and child 2.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Arrival/departure times 55 Pa. Code §3270.123(a)(4)
Documentation of the agreement on file for child 7 did not include child's arrival and departure times.
Center’s plan of correction (implemented, Mar 14, 2024): “The director added the child's arrival and departure time on the enrollment agreement.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Parent receives original/Copy of initial and subsequent agreements. Parent receives original. 55 Pa. Code §3270.123(b)/3270.182(8)
Documentation of the agreement on file for child 1 and child 2 were the original agreements.
Center’s plan of correction (implemented, Mar 14, 2024): “The director will make copies of the agreement on file for child 1 and child 2 and ensure the parents receive the original agreement.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Physician name, address, phone 55 Pa. Code §3270.124(b)(2)
Documentation of the emergency contact on file for child 1 did not include the name, address and telephone number of the child's physician or source of medical care.
Center’s plan of correction (implemented, Mar 14, 2024): “The name, address and telephone number of the child's physician or source of medical care were added to the emergency contact form for child 1.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
Documentation of the emergency contact information on file for child 5 did not include the work address of the enrolling parent. Documentation of the emergency contact information on file for child 9 did not include the home address of the enrolling parent.
Center’s plan of correction (implemented, Mar 14, 2024): “The work address of the enrolling parent was added to the contact information on file for child 5. The home address of the enrolling parent was added to the emergency contact form for child 9.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
Documentation of the emergency contact information on file for child 1 and child 4 did not include the health insurance coverage and policy number.
Center’s plan of correction (implemented, Mar 14, 2024): “Health insurance coverage and policy number were added to the emergency contact form for child 1 and child 4.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
Documentation of the emergency contact information on file for child 2, child 5 and child 9 did not include the release persons address. Documentation of the emergency contact information on file for child 6 did not include the release person's name, address and phone number.
Center’s plan of correction (implemented, Mar 14, 2024): “The release persons address were added to the emergency contact form for child 2, child 5 and child 9. The release person's name, address and phone number were added to the emergency contact form for child 6.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Each child care space 55 Pa. Code §3270.124(c)
During the time of inspection, it was observed that emergency contact forms weren't present in the infant classroom. There were 18 children present in the young toddler classroom and 16 emergency contact forms and missing emergency contact forms in the pre k classroom.
Center’s plan of correction (implemented, Mar 14, 2024): “The missing emergency contact forms were added to the infant classroom. The missing emergency contact forms for the children in the young toddler classroom and pre k classroom were also added to the emergency binder in each classroom.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Excursions 55 Pa. Code §3270.124(d)
During the time of inspection, it was observed that the green bus did not have current emergency contact forms.
Center’s plan of correction (implemented, Mar 14, 2024): “Director added emergency contact forms to the green bus.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Updated every 6 months/Emergency info/agreement updated 6 mos 55 Pa. Code §3270.124(f)/3270.181(c)
Documentation of the emergency contact information and financial agreement on file for child 3 and child 8 was not updated in a 6 month period.
Center’s plan of correction (implemented, Mar 14, 2024): “The emergency contact information and financial agreement were signed and updated for child 3 and child 8.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 1, 2023
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
Documentation of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person was not on file for staff member 4, staff member 7, staff member 8, staff member 9 and staff member 10.
Center’s plan of correction (implemented, Mar 14, 2024): “Documentation of two written, nonfamily references attesting to the person's suitability to serve as a facility person were obtained and filed for staff member 4, staff member 8, staff member 9 and staff member 10. Staff member 7 no longer works at the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
Clearances were not on file for staff member 1. Child abuse clearance, state police clearance and proof of submission of FBI and NSOR were printed and placed in staff member 1's file before the certification representative left the facility.
Center’s plan of correction (implemented, Feb 6, 2024): “Director went online and printed out staff 1 clearances which included child abuse, state police clearance and proof of submission of FBI and NSOR”
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
Staff member 2 was not able to name the children that she was responsible for knowing the names and whereabouts of the children in the assigned group.
Center’s plan of correction (implemented, Nov 17, 2023): “Staff were re-trained on the use of the primary care cards and how to ensure all children are supervised when a staff member leaves the room for a break.”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
During an unannounced monitoring visit, staff member 1 was observed in ratio, caring for children without having out of state clearances on file and the staff member was employed more than 45 days.
Center’s plan of correction (implemented, Nov 6, 2023): “Throughout the probationary period, Director sent the paperwork to get the out of state clearances but didn't receive it. Staff member 1 was asked to leave immediately.”
Citation
Aug 7, 2023
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
During an unannounced monitoring visit, it was observed that there was peeling paint on the door that leads outside in the Pre K classroom.
Center’s plan of correction (implemented, Sep 13, 2023): “I put in an immediate emergency work order for the door to be painted. In the emergency work order I also noted that I received a citation from state, so that they could send a maintenance worker ASAP. Maintenance painted the door to correct the peeling paint.”
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
Staff member 1 was observed to be caring for children unsupervised. Staff member 1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Basics training and Pediatric First Aid/CPR.
Center’s plan of correction (implemented, Jun 28, 2023): “We will ensure that staff member 1 has all of their trainings before going into the classroom or being around children by herself”
Citation
Feb 17, 2023
Inspection
Health & medication
2 feet apart 55 Pa. Code §3270.106(f)
During the unannounced monitoring, it was observed that the cots were not placed 2 feet apart on three sides in the toddler room and the preschool room during naptime.
Center’s plan of correction (implemented, Apr 12, 2023): “Due to this issue, all teachers were retrained on cot placement during naptime. It was re-explained that all cots must be in a area that is able to be seen, and all cots must be 2 feet apart on at least three sides.”
Citation
Feb 17, 2023
Inspection
Building & playground safety
Director or designated staff person ensure compliance 55 Pa. Code §3270.95(b)
During the time of the unnannounced montioring, it was observed that the fire detection system was not being tested every thirty days. The testing dates were 12/16/22, 1/16/23 and a test hadn't been completed in February of 2023.
Center’s plan of correction (implemented, Apr 12, 2023): “To correct this issue, we conducted our February drill and testing of the system on February 27th, 2023.”
Citation
Feb 17, 2023
Inspection
Records & paperwork
Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file 55 Pa. Code §3270.182(7)
During the unannounced monitoring, it was observed that there weren't accident reports on file for child 1 for incidents that occurred on 2/9/23 and 2/10/23.
Center’s plan of correction (implemented, Apr 12, 2023): “To correct this issue, all teachers were talked to during our staff meeting about the importance of documenting any and all injuries, or concerns, making sure the information is communicated to parents, as well as, getting the paperwork signed and keep a copy for ourselves and providing the family…”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
Staff number 4 had an FBI clearance on file for the Department of Education, which is not accepted. Facility Person # 4 may not work in a child care position at the facility until the clearance is obtained. Staff number 5 has a state police clearance dated 7/20/17 and updated on 11/19/22, Child Abuse clearance dated 7/31/17 and updated on 11/21/22, FBI clearance dated 9/18/17 and updated on 11/23/22, and mandated reporter training dated 8/1/17 and updated on 11/19/22, all of which were obtained greater than 60 months.
Center’s plan of correction (implemented, Jan 26, 2023): “We will ensure staff #4 and #5 do not work with children until they have their updated paperwork.”
Citation
Nov 17, 2022
Inspection
Transportation
Pertinent Laws & Regulations 55 Pa. Code §3270.14
Vehicle registration was observed to be missing from 2 of the busses used for transportation. Vehicle license plate number OB-86959 and OB-89112 did not have a vehicle registration card on board.
Center’s plan of correction (implemented, Jan 26, 2023): “To correct the issue, we reached out to our transportation department to mail us a copy of the vehicle registration for our two buses. Buses will not be used until the registration is obtained.”
Citation
Nov 17, 2022
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
First Aid Kit in the infant room was observed to be missing soap. First Aid Kit in the Preschool room was observed to be missing soap.
Center’s plan of correction (implemented, Jan 30, 2023): “We purchased the supplies for the first aid kit in the infant and preschool room (soap and tweezers)”
Citation
Nov 17, 2022
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
In the infant rooms, the windows and window frames were observed to be dirty and dusty. In the DPS room (older toddlers), toy shelves were observed to be dusty. In the Preschool room, dirt and debris was observed where a hamster cage was once located. Debris appeared to be old bedding from the hamster, this was corrected on site
Center’s plan of correction (implemented, Jan 30, 2023): “The teachers cleaned the windows, window frames, shelves, and counter that had dust and debris.”
Citation
Nov 17, 2022
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.82(g)
In the preschool room, the toilet in the boy's bathroom (bathroom closest to entrance) was observed to be broken. When the door was open, an odor was observed to be coming from the broken toilet. In the PreK 4 room, a bathroom was observed to have a broken toilet.
Center’s plan of correction (implemented, Jan 30, 2023): “We contacted out maintenance department to have someone sent out to repair the toilets. All toilets have been repaired.”
Citation
Nov 17, 2022
Inspection
Building & playground safety
Lidded waste receptacles 55 Pa. Code §3270.82(i)
The trashcan located in the school aged room was observed to have a broken lid.
Center’s plan of correction (implemented, Jan 30, 2023): “We ordered a new trashcan and replaced the broken one in the bathroom.”
Citation
Nov 17, 2022
Inspection
Building & playground safety
Clean, good repair, proper size 55 Pa. Code §3270.104(a)
In the Young Toddler classroom, a large round table was observed to be wobbly and unstable. This was corrected on site by tightening the legs to the table.
Center’s plan of correction (implemented, Jan 26, 2023): “We adjusted the legs of the table to ensure they were tight and the table was stable”
Citation
Nov 17, 2022
Inspection
Building & playground safety
No styrofoam 55 Pa. Code §3270.108(c)
During lunchtime, lunch was observed being served in Styrofoam bowls in all classes that received lunch (excludes the infant room where lunch was not served).
Center’s plan of correction (implemented, Jan 30, 2023): “We stopped using the styrofoam bowls for the children and ordered state approved food ware”
Citation
Nov 17, 2022
Inspection
Health & medication
Child's health history 55 Pa. Code §3270.131(d)(1)
Child #8 did not have a review of health history on file.
Center’s plan of correction (implemented, Jan 26, 2023): “Review of the child's health history was provided by the parent and is on file.”
Citation
Nov 17, 2022
Inspection
Health & medication
Child's allergies 55 Pa. Code §3270.131(d)(2)
Child #8 did not have a list of the child's allergies on file.
Center’s plan of correction (implemented, Jan 26, 2023): “Talked to the parent and had them complete the child allergies portion of the application”
Citation
Nov 17, 2022
Inspection
Health & medication
Current medication and reason 55 Pa. Code §3270.131(d)(3)
Child #8 did not have a list of current medications and reasons for the medications on file.
Center’s plan of correction (implemented, Jan 26, 2023): “Parent listed current medications and reasons on the child's file.”
Citation
Nov 17, 2022
Inspection
Health & medication
Acute or chronic health problem 55 Pa. Code §3270.131(d)(4)
Child #8 did not have an assessment of any health problems on file.
Center’s plan of correction (implemented, Jan 26, 2023): “Parent completed the health assessment for the child”
Citation
Nov 17, 2022
Inspection
Health & medication
Diagnosis and treatment for emergency 55 Pa. Code §3270.131(d)(6)
Child #8 did not have a statement of the child's medical information pertinent to diagnosis and treatment in case of emergency.
Center’s plan of correction (implemented, Jan 26, 2023): “Had parent complete PA state medical forms instead of New York to ensure all necessary information was listed.”
Citation
Nov 17, 2022
Inspection
Health & medication
Free from contagious/communicable disease 55 Pa. Code §3270.131(d)(7)
Child #8 did not have a statement indicating that the child is able to participate in child care and appears to be free from contagious or communicable disease.
Center’s plan of correction (implemented, Jan 26, 2023): “The parent completed the health form indicating that the child is able to participate in child care”
Citation
Nov 17, 2022
Inspection
Health & medication
Disposable diapers 55 Pa. Code §3270.135(a)(3)
In the Young Toddler room, the trash can used for soiled diapers was observed to be broken. The foot pedal that lifted the lid was observed to be broken.
Center’s plan of correction (implemented, Jan 30, 2023): “We purchased a new trash can for the young toddler room.”
Citation
Nov 17, 2022
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)
Staff Person number 1 did not have a health assessment and TB screening on file. Staff Person number 2 did not have a health assessment and TB screening on file. Health assessment for staff number 3 did not state if the staff was free from communicable disease and suitable to work in child care. Staff person number 4 had a health assessment dated 9/12/19 and did not have an updated health assessment on file. Staff person number 5 had a health assessment dated 9/19/19 and updated on 2/9/22, which is greater than 24 months. Staff person number 6 had a health assessment dated 8/17/20 and did not have an updated health assessment on file. Staff person number 7 had a health assessment dated 9/12/19 and updated 2/4/22, which is greater than 24 months.
Center’s plan of correction (implemented, Jan 26, 2023): “staff 1 and 2 obtained a health assessment and TB screening. Staff 3 has a statement that the staff is free from communicable disease and is free to work in child care. All other health assessments have been updated.”
Citation
Nov 17, 2022
Inspection
Transportation
Transportation First Aid Kit 55 Pa. Code §3270.178
In all three busses used for transportation (license plate numbers OB-89272, OB-89112, and OB-8959) the first aid kit was observed to be missing soap and tweezers.
Center’s plan of correction (implemented, Jan 30, 2023): “We bought soap and tweezers and added the items to the three first aid kits.”
Citation
Nov 17, 2022
Inspection
Health & medication
Health information 55 Pa. Code §3270.131(a)
Child #8 did not have a health report on file.
Center’s plan of correction (implemented, Jan 26, 2023): “Health report for child #8 was received and on file.”
Citation
Nov 17, 2022
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)(4)(i)
Staff person number 5 did not have approved Pediatric CPR/First Aide on file. Staff person number 7 did not have approved Pediatric CPR/First Aide on file. Staff person #5 and 7 will have until 1/5/23 to complete the required training. Until such time as the required training has been completed, staff person #5 and 7 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #5 and 7, staff person #5 and 7 may not work in a child-care position at the facility.
Center’s plan of correction (implemented, Jan 26, 2023): “Staff person #5 and #7 will attend an approved CPR/First Aid Course. Staff #5 and #7 will not be left unsupervised until training has been completed.”
Citation
Nov 17, 2022
Inspection
Records & paperwork
Signed 55 Pa. Code §3270.123(a)
Agreement form for child #9 was not signed by the parent.
Center’s plan of correction (implemented, Jan 26, 2023): “We asked the parent of child #9 to sign the agreement form and the form was signed by the parent.”
Citation
Nov 17, 2022
Inspection
Records & paperwork
Admission date/Application, admission, withdrawal dates 55 Pa. Code §3270.123(a)(6)/3270.182(2)
Agreement forms for child #4, 5, 6, 7, 9, 10 did not list the date of the child's enrollment.
Center’s plan of correction (implemented, Jan 26, 2023): “The date of enrollment was filled out for child #4,5,6,7,9, and 10.”
Citation
Nov 17, 2022
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
Emergency contact form for child #1 was missing the parents home address, parent work address, parent home phone number, and parent work phone number. Emergency contact form for child #2 was missing parent work addresses. Emergency contact form for child #3 was missing parent work addresses. Emergency contact form for child #6 was missing parent work addresses and parent work phone number. Emergency contact form for child #9 was missing parent home address, and parent work phone number.
Center’s plan of correction (implemented, Jan 26, 2023): “Parent work information for children #1,2,3,6, and 9 was completed.”
Citation
Nov 17, 2022
Inspection
Records & paperwork
Information re: special needs 55 Pa. Code §3270.124(b)(5)
Emergency contact form for children #1, 2, 6, and 9 did not list information on the child's disabilities or special needs.
Center’s plan of correction (implemented, Jan 26, 2023): “Information on the child's disability or special needs was added to the emergency contact form for child #1, 2, 6, and 9.”
Citation
Nov 17, 2022
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
Emergency contact form for child # 1 and 6 were missing health insurance coverage and policy number.
Center’s plan of correction (implemented, Jan 26, 2023): “Health insurance coverage and policy number were added to the emergency contact form for child #1 and 6.”
Citation
Nov 17, 2022
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
Emergency contact form for child #1, 3, 4, and 5 was missing a complete address for persons to whom the child may be released.
Center’s plan of correction (implemented, Jan 26, 2023): “Emergency contact form for child #1, 3, 4, and 5 was updated to include the complete address for the persons to whom the child may be released.”
Citation
Nov 17, 2022
Inspection
Records & paperwork
Exp, educ., training at facility 55 Pa. Code §3270.192(2)(iii)
File for facility person number 3 did not include verification of experience.
Center’s plan of correction (implemented, Jan 26, 2023): “We observed staff member #3's verification of experience.”
Citation
Nov 17, 2022
Inspection
Records & paperwork
Transcript, diploma and letters 55 Pa. Code §3270.192(2)(iv)
File for staff person number 6 did not include verification of education.
Center’s plan of correction (implemented, Jan 26, 2023): “Staff #6 turned in their proof of education.”
Core safety
Nov 3, 2022
Complaint investigation
Supervision
Released only to parent or designee 55 Pa. Code §3270.117(a)
Staff number 1 released child number one to a person not approved as a release person. Staff number 1 did not check any form of ID to verify the person that picked up the child.
Center’s plan of correction (implemented, Jan 4, 2023): “On November 3rd 2022, staff #1 was documented on their lack of following protocol and failure to check form of ID. She has now been properly trained on how to release a child to an unknown individual. Unknown adults will have their ID checked and the emergency contact form will be checked. Families…”
Core safety
Aug 24, 2022
Complaint investigation
Staff ratios
Mixed Age Level 55 Pa. Code §3270.52
Staff number 2 was left to observe two separate classrooms. Once classroom contained approximately 8-9 children rages 3-5 and the other classroom contained approximately 6-9 school aged children
Center’s plan of correction (implemented, Sep 21, 2022): “To correct this violation, staff child ratio will be met at all times. All teachers must understand the child/staff ratio and the importance of maintaining the ratio at all times.”
Core safety
Aug 24, 2022
Complaint investigation
Supervision
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
Staff number 1 was observed leaving her classroom and walking into another classroom, leaving children in the assigned group unaccounted for.
Center’s plan of correction (implemented, Sep 21, 2022): “All staff will be assigned a primary care group and know the location of the staff's assigned group of children at all times. Staff number 1 is no longer employed with the company.”
Citation
Aug 24, 2022
Complaint investigation
Other standards
Promote development 55 Pa. Code §3270.111(c)
Staff number 1 did not allow child #1 to leave the table. Staff number 1 was observed obstructing child #1 from leaving the table by standing behind the child's chair.
Center’s plan of correction (implemented, Sep 21, 2022): “To correct this issue, staff number 1 is no longer employed with the company.”
Follow-up
Aug 10, 2022
Inspection
Background checks
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
As previously cited on 6/15/22, Staff number 2 did not have NSOR clearance on file. Staff number 2 provided an NSOR dated 6/24/22 after the inspection. Staff number 5 did not have an NSOR clearance on file. Staff number 5 may not work in a child care position at the facility. Staff number 7 did not have a child abuse clearance on file. Staff number 7 may not work in a child care position at the facility Staff number 8 did not have an NSOR clearance on file. Staff number 8 may not work in a child care position at the facility.
Center’s plan of correction (implemented, Oct 26, 2022): “Director will attend the Existing Provider Orientation on 10/6/22 and will provide documentation of completion”
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Aug 10, 2022
Inspection
Records & paperwork
Exp, educ., training at facility/Transcript, diploma and letters 55 Pa. Code §3270.192(2)(iii)/3270.192(2)(iv)
As previously cited on 6/15/22, File for staff number 8 did not include verification of education.
Center’s plan of correction (implemented, Aug 24, 2022): “To correct this violation, we will require all new hires to provide their verification of education at their initial orientation. Education for staff #8 will be obtained and kept on file.”
Citation
Jul 27, 2022
Inspection
Health & medication
Communicate report to DOH 55 Pa. Code §3270.136(d)
Facility had a positive case of COVID-19 on 7/20/22 and did not report the communicable disease to the Department of Health as required.
Center’s plan of correction (implemented, Aug 9, 2022): “When notified of any communicable disease, management must react immediately by calling the department of health, OCDEL, contacting families and following all Kindercare protocol.”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
Staff number 2 did not have an FBI or NSOR clearance on file. Staff number 2 may not work in a child care position at the facility. Staff number 3 had a state police clearance dated 6/16/22, which was obtained after the start date. Staff number 3 did not have an FBI clearance on file. Staff number 3 may not work in a child care position at the facility. Staff number 4 did not have a disclosure statement on file. Staff number 5 did not have a Child abuse clearance, FBI, or NSOR clearance on file. Staff number 5 may not work in a child care position at the facility. Staff number 6 did not have a disclosure statement on file. Staff number 6 did not have a state police clearance, FBI, Child Abuse, or NSOR clearance on file. Staff number 6 may not work in a child care position at the facility. Staff number 7 did not have a disclosure statement on file. Staff number 7 did nit have mandated reporter training on file. Staff number 7 did not have a child abuse clearance, state police clearance, FBI, or NSOR clearance on file. Staff number 7 may not work in a child care position at the facility Staff number 8 did not have a disclosure statement on file. Staff number 8 did not have out of…
Center’s plan of correction (not implemented, Aug 10, 2022): “All staff members who did not have all of their clearances on file were immediately removed from the classroom and could not work in a classroom until all of their clearances were handed into management. Clearances for staff number 2,3,4,5,6, and 8 were obtained and on file. Staff number 7 is not…”
Inspection status on COMPASS: Non Compliant – Finalized
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
In the young toddler room, staff listed primary supervision groups but there were 3 children that were not accounted for in a primary supervision group. In the Preschool room, staff did not have assigned supervision groups. In the Prek transitional K room, staff did not have assigned supervision groups.
Center’s plan of correction (implemented, Aug 10, 2022): “Assistant director explained to staff members how care groups work during inspection and to utilize care cards as a tool. Center will be holding a staff meeting July 13th to discuss how supervision groups work. All staff will be assigned a care group and will no the whereabouts of their group”
Inspection status on COMPASS: Non Compliant – Finalized
No harsh language 55 Pa. Code §3270.113(d)
While in the PreK room, staff number 1 was heard yelling at a child using a harsh tone in the preschool room next door.
Center’s plan of correction (implemented, Aug 10, 2022): “Staff number 1 was coached on her behavior with the child and that all interactions with children should promote positive development skills. Due to the severity of the issue, staff #1 is no longer employed with KinderCare.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
Staff person number 2 did not receive emergency plan training at initial employment. Training was documented on 6/15/22.
Center’s plan of correction (implemented, Aug 10, 2022): “Staff person 2 completed emergency plan training.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
In the Young Toddler room, contact paper was observed to be peeling from the walls.
Center’s plan of correction (implemented, Aug 10, 2022): “Peeling contact paper will be removed from the toddler room wall and replaced with new, intact contact paper.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Building & playground safety
Promote development 55 Pa. Code §3270.111(c)
In the Preschool room, staff number 1 was observed telling a child that the child "owed the staff 5 minutes on the playground". When staff 1 was asked about this staff 1 reported that this means a child is made to sit for 5 minutes as a form of discipline. Staff 1 confirmed that a child was made to sit with the staff while on the playground as a result of negative behavior in the classroom.
Center’s plan of correction (implemented, Aug 10, 2022): “Staff member #1 was coached on her behavior with the child and that all staff interactions with children should promote positive development skills. Due to the severity of the issue, staff member #1 is no longer employed by Kindercare”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
Staff number 5, 7, 8, and 9 did not have a health assessment completed before initial employment.
Center’s plan of correction (implemented, Aug 10, 2022): “Staff members 5,6,7,8 and 9 were not allowed to work in classrooms once it was discovered they did not provide a health assessment. Staff 5,6,7,8, and 9 have updated health assessment on file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Health & medication
Mantoux TB/Health assessment, TB test 55 Pa. Code §3270.151(c)(2)/3270.192(3)
Staff number 5, 7, and 8 did not have documentation of a TB screening completed before initial employment.
Center’s plan of correction (implemented, Aug 10, 2022): “Staff 5,7, and 8 were taken off the schedule until they were able to provide an updated TB screening. Staff 5,7, and 8 have an updated TB test on file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Health & medication
Adult Hygiene 55 Pa. Code §3270.152
In the infant room, it was observed that staff number 8 did not wash the staff's hands after changing a child's diaper
Center’s plan of correction (implemented, Aug 10, 2022): “Staff member 8's behavior was addressed at the time of the issue. The assistant director explained the importance of proper hand washing. Staff will wash hands following all diaper changes”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Building & playground safety
Devices must be compliant/Director or designated staff person ensure compliance 55 Pa. Code §3270.95(a)/3270.95(b)
There was no record of a fire detection testing log. Annual fire detection testing letter was dated 7/15/2020 and was not completed within a year.
Center’s plan of correction (implemented, Aug 10, 2022): “Centry was contacted to have an inspection completed. They provided us a copy of our fire alarm inspection dated 3/16/22. This paperwork will be filed away.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)(4)(i)
Staff number 7 did not have approved Pediatric CPS/First Aid on file.
Center’s plan of correction (implemented, Aug 10, 2022): “Staff number 7 completed an in person CPR/First Aid training course and paperwork will be added to file once recieved.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
Staff number 2, 6, and 7 did not have health and safety training on file.
Center’s plan of correction (implemented, Aug 10, 2022): “Staff number 2 and 7 printed out their proof of health and safety training and it was placed in their file. Staff number 6 is no longer employed at the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Records & paperwork
Exp, educ., training prior to facility/Transcript, diploma and letters 55 Pa. Code §3270.192(2)(ii)/3270.192(2)(iv)
File for staff number 3 did not include verification of experience. File for staff number 4 did not contain verification of education or verification of experience. File for staff number 5 did not contain verification of education. File for staff number 6 did not include verification of experience of verification of education. File for staff number 8 did not include verification of experience or verification of education.
Center’s plan of correction (not implemented, Aug 10, 2022): “All staff listed were removed from the schedule and were unable to work until they were able to provide proof of education and experience to be included in their file. Staff 4,5, and 8 have verification of education and experience on file. Staff number 3 and 6 are no longer employed at the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 15, 2022
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
File for staff number 2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. File for staff number 3 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person File for staff number 4 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person File for staff number 5 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. File for staff number 6 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person File for staff number 8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person File for staff number 9 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person
Center’s plan of correction (implemented, Aug 10, 2022): “Ensure each teacher listed above has 2 written references on file. Staff 2,4,5,8, and 9 now have 2 written nonfamily references on file. Staff number 3 and 6 are no longer employed at the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
Staff person number 1 had a previous FBI clearance dated 1/16/17 and does not have a new FBI clearance on file. Staff person number 4 had a previous state police clearance of 1/4/16 and did not have an update state police clearance on file. Facility Person # 1and 4 may not work in a child care position at the facility until all clearances as required by the CPSL are obtained and on file.
Center’s plan of correction (implemented, Feb 15, 2022): “State police clearance for staff number 4 was obtained and on file and is dated 1/15/21. Staff person #1 will get fingerprints done on 2/7/22 for FBI clearance. Facility person #1 will get finger printed for FBI clearance on 2/7/22. Facility person #1 will not serve in a child care role until FBI…”
Citation
Jan 21, 2022
Inspection
Building & playground safety
Building Surfaces/No peeling paint or plaster 55 Pa. Code §3270.76/3270.77(a)
In the infant room, the plaster (popcorn) ceiling was observed to be peeling and chipping around the vents on the ceiling.
Center’s plan of correction (implemented, Feb 10, 2022): “Popcorn ceiling is being repaired on 2/4/2022 by our facilities management department and should be dry and ready by 2/5/2022”
Citation
Jan 21, 2022
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.82(g)
In the School Age child care room, a toilet was observed to be missing a lid on top of the water tank.
Center’s plan of correction (implemented, Feb 10, 2022): “The whole toilet was removed from the bathroom and replaced with a brand new one.”
Citation
Jan 21, 2022
Inspection
Health & medication
Child's health history 55 Pa. Code §3270.131(d)(1)
Child number 4 was missing a review of the child's health history.
Center’s plan of correction (implemented, Feb 17, 2022): “Child will get an updated physical and health report for child file”
Citation
Jan 21, 2022
Inspection
Health & medication
Child's allergies 55 Pa. Code §3270.131(d)(2)
Health Report for child number 1, 2, 4, and 5 did not include a list of the child's allergies.
Center’s plan of correction (implemented, Feb 17, 2022): “Child files missing allergies will be updated to note allergies or "n/a" to reflect no known allergies.”
Citation
Jan 21, 2022
Inspection
Health & medication
Current medication and reason/Special diet - parent's instructions 55 Pa. Code §3270.131(d)(3)/3270.133(8)
The health report for child 1 and 4 did not include a list of the child's current medication or special diet.
Center’s plan of correction (implemented, Feb 17, 2022): “Children #1 and #4 will include a list of medications and/or special diets in the health reports or "N/A" if not applicable. Children attaining updated records from doctor.”
Citation
Jan 21, 2022
Inspection
Health & medication
Acute or chronic health problem 55 Pa. Code §3270.131(d)(4)
Health report for child 1, 2, and 4 did not include an assessment of an acute or chronic health problem or special needs.
Center’s plan of correction (implemented, Feb 17, 2022): “Children 1, 2, and 4 will have updated health reports that list any acute or chronic health problems or special needs.”
Citation
Jan 21, 2022
Inspection
Health & medication
Free from contagious/communicable disease 55 Pa. Code §3270.131(d)(7)
The health report for child number 1, 2, 4, and 5 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
Center’s plan of correction (implemented, Feb 17, 2022): “Children 1, 2, 4, and 5 will obtain updated health reports from their doctor that includes a statement that the child is able to participate in child care and is free of contagious or communicable disease.”
Citation
Jan 21, 2022
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)
Staff person number 2 hire date 8/14/17 had a health assessment date 9/19/19 and does not have an updated health assessment on file. Staff person number 3, hire date 8/30/20, had a health assessment dated 8/15/19 and did not have an updated health assessment on file. Staff number 7 hire date 10/4/21 had an initial health assessment dated 12/8/19 and does not have an updated health assessment on file. Staff number 8 hire date 9/23/19, had a health assessment on file dated 9/10/19 and does not have an updated health assessment on file.
Center’s plan of correction (implemented, Feb 16, 2022): “Staff person 2, 7, and 8 will attain updated physicals. Staff number 3 is no longer employed at the facility.”
Citation
Jan 21, 2022
Inspection
Food & feeding
Written statement 55 Pa. Code §3270.166(1)
There was no written documentation on file from a parent with a statement about feeding schedules for infants.
Center’s plan of correction (implemented, Feb 4, 2022): “Infant feeding schedules were sent to parents and returned for our records.”
Citation
Jan 21, 2022
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)(4)(i)
Staff person number 6 and staff number 5 do not have Pediatric CPR first aid training on file.
Center’s plan of correction (implemented, Feb 15, 2022): “CPR and First Aid certifications will be updated for staff files for person #5 and #6. We have a training at our center on February 16.”
Citation
Jan 21, 2022
Inspection
Records & paperwork
Child's name, birth date 55 Pa. Code §3270.124(b)(1)
Emergency contact form for child #4 did not have a date of birth for the child listed.
Center’s plan of correction (implemented, Feb 4, 2022): “The emergency contact form for child #4 was updated to include the child's date of birth.”
Citation
Jan 21, 2022
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
Emergency contact form for child number 3 did not contain a complete work address.
Center’s plan of correction (implemented, Feb 4, 2022): “We had his mom complete the work address at pick up time.”
Citation
Jan 21, 2022
Inspection
Records & paperwork
Information re: special needs 55 Pa. Code §3270.124(b)(5)
Emergency Contact form for child #4 and child #7 did not contain information on the child's disability.
Center’s plan of correction (implemented, Feb 4, 2022): “Parents were asked to complete the part containing information on possible disabilities in their files. "N/A" is present if the child has no known disabilities.”
Citation
Jan 21, 2022
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
Emergency contact form for child #3 did not include health insurance coverage and policy number.
Center’s plan of correction (implemented, Feb 4, 2022): “Parent filled out coverage/insurance and policy number on emergency contact form.”
Citation
Jan 21, 2022
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
Emergency contact form for child number 6 and 7 did not contain an address for release persons.
Center’s plan of correction (implemented, Feb 4, 2022): “Parents updated emergency contact sheets to include addresses for release persons.”
Citation
Oct 22, 2021
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
A child in the Young Toddler classroom was observed carrying a basket of diapering supplies. The basket contained baby powder and a diaper cream labeled "keep out of reach of children". Other diapering supplies labeled "keep out of reach of children" were observed within a child's reach. This was corrected on site.
Center’s plan of correction (implemented, Nov 9, 2021): “Corrected on site. Diaper cream and baby powder was removed from area accessible to children and placed in a locked cabinet up high.”
Citation
Oct 22, 2021
Inspection
Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
The file for staff person #2 (hired 1/25/21) contained a health assessment dated 4/29/19 and a TB test dated 5/1/19, both obtained more than 12 months prior to hire date at facility.
Center’s plan of correction (implemented, Dec 10, 2021): “The file for staff #2 will contain a health assessment and she will get a TB test.”
Citation
Oct 22, 2021
Inspection
Health & medication
Mantoux TB/Health assessment, TB test 55 Pa. Code §3270.151(c)(2)/3270.192(3)
The file for staff person #5 (hired 1/5/21) did not contain an initial health assessment and documentation of a TB test. The file for staff person #6 (hired 8/16/21) did not contain an initial health assessment and documentation of a TB test. The file for staff person #7 (hired 4/2/21) did not contain an initial health assessment and documentation of a TB test.
Center’s plan of correction (implemented, Dec 10, 2021): “The file for Staff person #5, #6, and #7 will include a health assessment and documentation of a TB test.”
Citation
Oct 22, 2021
Inspection
Records & paperwork
Services proceeded/Services considered extra 55 Pa. Code §3270.123(a)(3)/3270.123(a)(7)
The agreement form for child #2 did not list what services are provided and any extra services that are provided
Center’s plan of correction (implemented, Nov 9, 2021): “The agreement form for Child #2 will list services provided by us. The original copy of the agreement with the services provided will be given to enrolling parents/guardians.”
Citation
Oct 22, 2021
Inspection
Records & paperwork
Arrival/departure times 55 Pa. Code §3270.123(a)(4)
The agreement form did not specify arrival time or departure time for child number 5. The agreement form did not specify arrival time or departure time for child number 2.
Center’s plan of correction (implemented, Dec 13, 2021): “Arrival and departure times will be updated and listed for child #5 and child #2.”
Citation
Oct 22, 2021
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
Child number 5 was missing a complete parent work address. Child number 5 was missing a parent work phone number.
Center’s plan of correction (implemented, Dec 13, 2021): “Child #5's emergency contact form and agreement form will be updated with parent work addresses and work phone numbers.”
Citation
Oct 22, 2021
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
On the emergency contact form, child number 2 was missing insurance coverage and health insurance policy number
Center’s plan of correction (implemented, Dec 13, 2021): “The emergency contact for file of child #2 will include insurance information including the current policy number.”
Citation
Oct 22, 2021
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
On the emergency contact form, child number 5 was missing a complete address for release persons. Child number 5 was missing a phone number for release persons.
Center’s plan of correction (implemented, Dec 13, 2021): “File for child #5 will include complete addresses and phone numbers of persons to which the child may be released.”
Citation
Oct 22, 2021
Inspection
Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
The file for staff person #1 did not include verification of experience prior to service at facility.
Center’s plan of correction (implemented, Dec 10, 2021): “File for staff person #1 will include verification of experience.”
Core safety
Sep 8, 2021
Complaint investigation
Supervision
Supervised at all times /Staff assigned to specific children 55 Pa. Code §3270.113(a)/3270.113(a)(1)
While the toddler class was outside with 2 staff members, two toddlers were unsupervised as they left the playground and entered the facility. The staff members did not know the whereabouts of the children in their primary care groups and the staff were not physically with the children assigned to them.
Center’s plan of correction (implemented, Nov 4, 2021): “Staff has gone under retraining, as well as 30 min CSR checks. We have a supervision training scheduled for October 27th. Staff must have their primary care cards on them at all times. Staff will be able to name the children in their primary care groups. Staff will know the whereabouts of the…”
Core safety
Sep 2, 2021
Self-reported violation
Supervision
Supervised at all times /Staff assigned to specific children 55 Pa. Code §3270.113(a)/3270.113(a)(1)
Staff number 1 was responsible for 6 children. Staff number 2 came out of the staff bathroom and Staff number 1 gave the children to staff number 2 to transition back to the class with because Staff number 1 was leaving for the day. Staff number 1 did not specify the names of the children or identify a primary care group that she was responsible for. Staff number 2 took the children back to the classroom but left child number 1 in the hallway because Staff number 2 did not know who was in her assigned care group. Child number 1 was left unattended in the hallway for approximately 4 minutes until being found by another staff member.
Center’s plan of correction (implemented, Jan 10, 2022): “All staff have undergone a re-training about supervision and transitions through our quality business partner. All staff will do a training about supervision that is state approved on 10/27/2021. CSRs that have name-to-face checks will be used every 30 minutes. These forms will be completed daily…”
Inspection status on COMPASS: Non Compliant – Finalized