Show 96 older citations
Follow-up
Sep 16, 2025
Inspection
Background checks
Comply with CPSL 55 Pa. Code §3270.32(a)
CONTINUED NONCOMPLIANCE was observed during the unannounced inspection on 9/16/2025: staff person # 1 did not have National Sex Offenders Registry clearance on file and was still present at the facility after being told on 09/08/2025 that they were no longer employed at Learning Garden Academy. Newly hired staff person # 3 (08/27/2025) who was designated director did not have NSOR on file.
Center’s plan of correction (implemented, Oct 28, 2025): “Staff persons' # 1 and 3 are no longer employed at Learning Garden Academy.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Sep 16, 2025
Inspection
Records & paperwork
On file at facility 55 Pa. Code §3270.18(a)
CONTINUED NONCOMPLIANCE was observed during the unannounced inspection on 09/16/25, comprehensive general liability insurance was not on file.
Center’s plan of correction (implemented, Oct 28, 2025): “The liability insurance is current and it is now hanging up.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Sep 16, 2025
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
CONTINUED NONCOMPLIANCE was observed during the unannounced inspection on 09/16/2025, staff person # 1 and newly hired staff person # 3 (08/27/2025) who was also designated director, did not have Fire Safety Training on file.
Center’s plan of correction (implemented, Oct 28, 2025): “Staff persons' # 1 and 3 are no longer employed at Learning Garden Academy.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Sep 16, 2025
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
CONTINUED NON COMPLIANCE was observed during the unannounced inspection on 09/16/2025, staff person # 1 and newly hired staff person # 3 (08/27/2025) who was designated as director, did not have Health and Safety 1- hour update on file or Health and Safety part one and part two.
Center’s plan of correction (implemented, Oct 28, 2025): “Staff person's # 1 and 3 are longer employed at Learning Garden Academy.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 16, 2025
Inspection
Training & qualifications
Director qualifications 55 Pa. Code §3270.34(b)
During the unannounced inspection on 09/16/2025, staff person # 4 who was hired on 09/08/2025 and also designated as the new director did not have required qualifications on file.
Center’s plan of correction (not implemented, Oct 28, 2025): “Staff person # 4 is no longer considered as the director. Staff person # 4 will remain employed at Learning Garden Academy, but will now be considered an Assisted Group Supervisor. A new director with the proper credentials and qualifications has been hired with a complete file ready for review.”
Inspection status on COMPASS: Non Compliant – Finalized
Follow-up
Sep 16, 2025
Inspection
Training & qualifications
Employed and present 30 hrs/wk 55 Pa. Code §3270.34(c)
CONTINUED NONCOMPLIANCE was observed during the unannounced inspection on 9/16/2025: a director was still not present or available at the facility.
Center’s plan of correction (not implemented, Oct 28, 2025): “A new director was hired as of 9/16/2025 and schedule is available for review and will work a minimum of 30 hours a week.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Sep 16, 2025
Inspection
Training & qualifications
HS/GED + 30 credits 55 Pa. Code §3270.36(b)(1)
During the unannounced inspection on 9/16/2025, staff # 1 who was hired as AGS on 11/11/2021 did not have proof of education on file.
Center’s plan of correction (implemented, Oct 28, 2025): “Staff person # 1 is no longer employed at Learning Garden Academy and will no longer be present on site and within ratio at any time moving forward unless she has been re-employed by the center and has a complete file. A letter of resignation or departure will be provided.”
Inspection status on COMPASS: Non Compliant – Finalized
Follow-up
Sep 16, 2025
Inspection
Records & paperwork
Health assessment, TB test 55 Pa. Code §3270.192(3)
During the unannounced inspection on 09/16/2025, staff person # 2 who was hired on 09/08/2025, had TB test dated 11/14/2024 on file, staff person # 4 did not have any Health Assessment or results of initial TB skin tests on file. CONTINUED NONCOMPLIANCE was observed during the unannounced inspection on 9/16/2025, staff person # 3 hired on 08/27/2025, did not have Health Assessments or TB results on file.
Center’s plan of correction (implemented, Oct 28, 2025): “Staff #2 will make an appointment to get an initial TB test done. Staff person # 3 is no longer employed at the Learning Garden Academy and a letter of departure will be provided. Staff person # 4 now has their health assessment on file and will be available for review upon request.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Sep 16, 2025
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
During the unannounced inspection on 9/16/2025, staff # 1 and 4 did not have two written references on file.
Center’s plan of correction (not implemented, Oct 28, 2025): “Staff person # 1 is no longer employed at the Learning Garden Academy and a letter of departure will be on file and available for review upon request. Staff person # 4 now has their references on file and available for review upon request.”
Inspection status on COMPASS: Non Compliant – Finalized
Follow-up
Aug 27, 2025
Inspection
Background checks
Comply with CPSL 55 Pa. Code §3270.32(a)
Continued noncompliance was observed during the unannounced inspection on 08/27/25, staff person number two did not have National Sex Offenders Registry clearance on file. Newly hired staff person three did not have NSOR on file.
Center’s plan of correction (not implemented, Sep 16, 2025): “Staff person two is no longer employed at Learning Garden. Staff person three's NSOR will be provided to you.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Aug 27, 2025
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
During the unannounced inspection on 08/27/25, staff person number three did not have emergency plan training on file.
Center’s plan of correction (not implemented, Sep 16, 2025): “Staff person three now has the emergency plan on file and I can send you evidence.”
Inspection status on COMPASS: Non Compliant – Finalized
Follow-up
Aug 27, 2025
Inspection
Records & paperwork
On file at facility 55 Pa. Code §3270.18(a)
Continued noncompliance was observed during the unannounced inspection on 08/27/25, comprehensive general liability insurance was not on file.
Center’s plan of correction (not implemented, Sep 16, 2025): “I will print it out and make sure it's on file at all times. I will take a picture and send to cert rep or they may verify in person.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Aug 27, 2025
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
Continued noncompliance was observed during the unannounced inspection on 08/27/25, staff person number two did not have fire safety training on file and newly hired staff person (start date 08/27/25) did not have Fire Safety training on file.
Center’s plan of correction (not implemented, Sep 16, 2025): “Staff person two is no longer employed at Learning Garden. Verification will be done in person. Staff person three now has a complete file. I will send it to you or you can verify in person.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Aug 27, 2025
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
Continued noncompliance was observed during the unannounced inspection on 08/27/25, staff person one did not have Health and Safety training on file. During the unannounced inspection on 08/27/25, newly hired staff person three with start date 08/27/25 did not have Health and Safety training on file.
Center’s plan of correction (not implemented, Sep 16, 2025): “Staff person one is no longer employed at Learning Garden. Staff person three now has a complete file and I will send you proof.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Aug 27, 2025
Inspection
Training & qualifications
Employed and present 30 hrs/wk 55 Pa. Code §3270.34(c)
Continued noncompliance was observed during the unannounced inspection on 08/27/25, a director was still not present or available at the facility.
Center’s plan of correction (not implemented, Sep 16, 2025): “Another director was hired because the previous was terminated. A copy of their work schedule will be sent out to you. A copy of their work schedule will be kept at the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Aug 27, 2025
Inspection
Records & paperwork
Health assessment, TB test 55 Pa. Code §3270.192(3)
During the unannounced inspection on 08/27/25, staff person number three did not have a Health Assessment or results of initial TB skin tests on file.
Center’s plan of correction (not implemented, Sep 16, 2025): “Staff person number three has their health assessment on file. I am on my way to the daycare right now. I can send it to you once I get there.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL 55 Pa. Code §3270.32(a)
Continued noncompliance was observed during the unannounced inspection on 08/12/25: staff person number two did not have National Sex Offenders Registry clearance on file and was still present and providing direct care to children.
Center’s plan of correction (implemented, Aug 27, 2025): “Staff member number 2 was misplaced; however, it was redone. I will have staff person sent home and close until I can find additional help.”
Inspection status on COMPASS: Non Compliant – Finalized
Follow-up
Aug 12, 2025
Inspection
Records & paperwork
On file at facility 55 Pa. Code §3270.18(a)
Continued noncompliance was observed during the unannounced inspection on 08/12/25: Comprehensive general liability insurance was not on file.
Center’s plan of correction (not implemented, Aug 27, 2025): “Print proof of insurance from email and make sure it's on file and updated at all times.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Aug 12, 2025
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
Continued noncompliance observed on 08/12/25: it was observed that staff person number two did not have fire safety training on file.
Center’s plan of correction (not implemented, Aug 27, 2025): “Staff had Fire Safety Training but it was misplaced. It was put on file and will send a copy.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Citation
Aug 12, 2025
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
During the unannounced inspection 08/12/25, it was observed that staff person number one did not have Health and Safety Training on file.
Center’s plan of correction (not implemented, Aug 27, 2025): “I thought I sent it to you already. I will resend it.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 12, 2025
Inspection
Training & qualifications
Employed and present 30 hrs/wk 55 Pa. Code §3270.34(c)
During the unannounced inspection on 08/12/25, a director was not present and their schedule / contact information was not provided.
Center’s plan of correction (not implemented, Aug 27, 2025): “I will send you their contact information and their schedule.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
During the unannounced renewal inspection on 06/11/25, it was observed that staff person number two did not have National Sex Offenders Registry clearance on file.
Center’s plan of correction (not implemented, Aug 27, 2025): “Staff member number 2 was misplaced; however, it was redone.”
Inspection status on COMPASS: Non Compliant – Finalized
Mixed Age Level/Two facility persons present in facility 55 Pa. Code §3270.52/3270.54(a)
During the unannounced Renewal Inspection on 06/11/25, there was only one staff member present at the facility with six mixed-age children; the youngest being a young toddler.
Center’s plan of correction (implemented, Aug 12, 2025): “Staff will not leave for any reason when out of ratio.”
Inspection status on COMPASS: Non Compliant – Finalized
Restraints prohibited 55 Pa. Code §3270.113(e)
During the unannounced Renewal Inspection on 06/11/25, a young toddler was observed sleeping in a high chair while staff member carried on with other activities.
Center’s plan of correction (implemented, Jun 11, 2025): “Will not keep child in high chair unless he or she is eating.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
During the unannounced Renewal Inspection on 06/11/25, paint, paint tools, disinfecting wipes and heartburn medicine (Alka-Seltza heartburn medicine) and disinfecting wipes were located on shelf in the front office which is accessible to children.
Center’s plan of correction (implemented, Aug 12, 2025): “Make sure all chemicals and other toxic supplies are put up in proper places and locked away.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Building & playground safety
Trash removed grounds once/week 55 Pa. Code §3270.67(b)
During the unannounced Renewal Inspection on 06/11/25, the outdoor play space had trash, rubbish bags, a large opened tin container with sharp edges, and wet cardboard scattered throughout grounds.
Center’s plan of correction (implemented, Aug 12, 2025): “Cleaned back yard.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Food & feeding
Refrigerator 55 Pa. Code §3270.107
During the unannounced Renewal Inspection on 06/11/25, banana peels, opened and exposed foods that appeared to be spoiled were observed in the refrigerator. Inside of the refrigerator was unclean.
Center’s plan of correction (implemented, Aug 12, 2025): “Cleaned the refrigerator out and wiped it down with a cleaner.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Health & medication
Written instructions/Locked 55 Pa. Code §3270.133(2)/3270.133(4)
During the unannounced Renewal Inspection on 06/11/25, child number one had medication that was brought in by the parent but did not contain written instructions provided by the individual who prescribed the medicine and the medication was also stored in the child's cubby on a hook - making it accessible to children.
Center’s plan of correction (implemented, Aug 12, 2025): “Will make sure parent sends medication with written instructions from the doctor. Also reached out to mom and informed her.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Health & medication
2 hour diaper check 55 Pa. Code §3270.135(e)
During the Unannounced Renewal Inspection on 06/11/25, the young toddler smelled like they had a soiled diaper and was not changed for over two hours.
Center’s plan of correction (implemented, Jun 11, 2025): “Child was changed.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Food & feeding
Bottles labeled 55 Pa. Code §3270.166(4)
During the unannounced Renewal Inspection on 06/11/25, unlabeled sippy cups and bottles were seen on the kitchen countertop.
Center’s plan of correction (implemented, Aug 12, 2025): “Thrown cups and bottles away. Informed staff to label the ones for the two babies.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(5)
During the unannounced renewal inspection 06/11/25, it was observed that the emergency plan did not provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions
Center’s plan of correction (implemented, Aug 27, 2025): “I have an updated emergency plan I updated during the last inspection which was emailed to Ashley that I found and posted.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Emergency preparedness
Written record 55 Pa. Code §3270.94(a)(9)
During the unannounced renewal inspection on 06/11/25, there was no written documentation of fire drills and testing every 30 days on file upon request.
Center’s plan of correction (implemented, Aug 27, 2025): “Put fire drill log in file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Transportation
Pick-up and drop-off points 55 Pa. Code §3270.171(a)
During the unannounced Renewal Inspection on 06/11/25, an outdated letter to local traffic authorities was posted and was dated June 22, 2020. Current notification was not provided upon request.
Center’s plan of correction (implemented, Aug 27, 2025): “Rewrote, printed and informed local traffic authorities about the routes around the center.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Records & paperwork
On file at facility 55 Pa. Code §3270.18(a)
During the unannounced renewal inspection on 06/11/25, comprehensive general liability insurance was not on file.
Center’s plan of correction (not implemented, Aug 27, 2025): “Print proof of insurance from email and make sure it's on file and updated at all times.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
During the unannounced renewal inspection 06/11/25, it was observed that staff person number two did not have fire safety training on file.
Center’s plan of correction (not implemented, Aug 27, 2025): “Staff had Fire Safety Training but it was misplaced. It was put on file and will send a copy.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
During the unannounced renewal inspection on 06/11/25, it was observed that staff persons numbers one and two did not have staff evaluations on file within 12 months timeframe.
Center’s plan of correction (implemented, Aug 27, 2025): “Staff evaluation was misplaced and found will be emailed.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Records & paperwork
Health assessment, TB test 55 Pa. Code §3270.192(3)
During the unannounced renewal inspection on 06/11/25, staff person number one did not have any initial or subsequent health assessments on file.
Center’s plan of correction (implemented, Aug 27, 2025): “Health assessment was printed.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 11, 2025
Inspection
Records & paperwork
Availability of certificate of compliance and applicable regulations 55 Pa. Code §3270.25(a)
During the unannounced renewal inspection on 06/11/25, it was observed that an expired Certificate of Compliance was posted dated 8-28-2023 to 8-28-2024.
Center’s plan of correction (implemented, Aug 12, 2025): “Print updated certificate of compliance and post at the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 10, 2024
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
During the renewal inspection the certification representative conducted a facility walk through and observed 3 ceiling tiles that need to be replaced due to damage.
Center’s plan of correction (implemented, Oct 3, 2024): “The provider will submit a pictures of corrected ceiling tile.”
Citation
Sep 10, 2024
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
During the renewal inspection the certification representative viewed staff #1 file, staff #1 was missing their fire safety certificate in the file.
Center’s plan of correction (implemented, Oct 3, 2024): “The provider will ensure that staff #1 obtains the fire safety training and include it in the file.”
Citation
Sep 10, 2024
Inspection
Records & paperwork
Health assessment, TB test 55 Pa. Code §3270.192(3)
During the renewal inspection the certification representative viewed staff #3 file staff #3 was missing a health assessment and TB shot record in the file
Center’s plan of correction (implemented, Oct 5, 2024): “The provider will obtain staff #3's health assessment and TB shot records on 10/1/24.”
Citation
Aug 28, 2024
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
During the renewal inspection the certification representative viewed staff #1 file staff #1 was missing their emergency plan training in the file.
Center’s plan of correction (implemented, Sep 10, 2024): “The provider will ensure staff #1 is aware of the emergency plan and procedures and will include the emergency plan certificate in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 28, 2024
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
During the renewal inspection the certification representative conducted a facility walk through and observed 3 ceiling tiles that need to be replaced due to damage.
Center’s plan of correction (not implemented, Sep 10, 2024): “The provider will contact maintenance and put a request to have the ceiling tiles replaced.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 28, 2024
Inspection
Health & medication
Adult Hygiene 55 Pa. Code §3270.152
During the renewal inspection the certification representative observed staff #2 not washing her hands after a diaper change then using same gloves to clean the tables off.
Center’s plan of correction (implemented, Sep 5, 2024): “The provider will have staff #2 take a sanitation training.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 28, 2024
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(6)
During the renewal inspection the certification representative requested to view the emergency drill and was unable to do so at the time of the renewal.
Center’s plan of correction (implemented, Sep 10, 2024): “The provider will submit a copy of the facilities emergency drill.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 28, 2024
Inspection
Records & paperwork
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
The certification representative viewed the emergency plan and did not see the plans for continuity of care included. The certification representative requested to view the shaken baby, abusive head trauma and child maltreatment policy and was unable to view the policy at the time of the inspection.
Center’s plan of correction (implemented, Sep 10, 2024): “The provider will include the plans for continuity of care to the emergency plan. The provider will submit policy on shaken baby/abusive head trauma and child maltreatment.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 28, 2024
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
During the renewal inspection the certification representative viewed staff #1 file, staff #1 was missing their fire safety certificate in the file.
Center’s plan of correction (not implemented, Sep 10, 2024): “The provider will notify staff #1 and request for them to obtain the fire safety training and included it in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 28, 2024
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
During the renewal inspection the certification representative viewed staff #1 file and did not see a staff evaluation in the file
Center’s plan of correction (implemented, Sep 10, 2024): “The provider will complete a staff evaluation for staff #1 and include it in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 28, 2024
Inspection
Records & paperwork
Given parents in writing 55 Pa. Code §3270.121(b)
During the renewal inspection the certification requested to view the parent handbook and was unable to do so at the time of the renewal inspection.
Center’s plan of correction (implemented, Sep 10, 2024): “The provider will submit a copy of the parent handbook.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 28, 2024
Inspection
Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
During the renewal inspection the certification representative viewed staff #1 file staff #1 was missing their level of education in the file.
Center’s plan of correction (implemented, Sep 10, 2024): “The provider will review files periodically to ensure all files are complete and up to date.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 28, 2024
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
) During the renewal inspection the certification representative viewed staff #1 file staff #1 was missing 12 hours of professional development trainings in the file.
Center’s plan of correction (implemented, Sep 10, 2024): “The provider will notify staff #1 and request for them to provide 12 hours of professional development trainings that will be included in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
During the renewal inspection the certification representative viewed staff # 1 file staff # 1 was missing their FBI results in the file.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will obtain the FBI results for staff #1 and included them in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
During the renewal inspection the certification representative viewed staff #1 file staff #1 was missing their emergency plan training in the file.
Center’s plan of correction (not implemented, Aug 28, 2024): “The provider will ensure staff #1 is aware of the emergency plan and procedures and will include the emergency plan certificate in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Building & playground safety
Outside Walkways 55 Pa. Code §3270.64
During the renewal inspection the certification representative conducted a walkthrough of the place space and observed overgrown weeds that are growing on the play space.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will request for maintenance to clear the play space from overgrown weeds.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
During the renewal inspection the certification representative observed cleaning toxins accessible to children.
Center’s plan of correction (implemented, Jun 10, 2024): “The provider removed the toxins, so they were in accessible to children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
During the renewal inspection the certification representative viewed the first- aid kit was missing tweezers.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will replace the missing tweezers in the first aid kit.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
During the renewal inspection the certification representative conducted a facility walk through and observed 3 ceiling tiles that need to be replaced due to damage.
Center’s plan of correction (not implemented, Aug 28, 2024): “The provider will contact maintenance and put a request to have the ceiling tiles replaced.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
During the renewal inspection the certification representative conducted a facility walk through and discovered that the peeling paint inside the bathroom that is used by the children.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will request for maintenance to correct all areas of peeling paint in areas that are used by the children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Health & medication
Clean, age appropriate 55 Pa. Code §3270.106(a)
During the renewal inspection the certification representative observed labels missing from some of the resting equipment.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will replace the missing labels on the cots that were missing them.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Health & medication
Toddler/preschool: updated health report every 12 months/Child's health history 55 Pa. Code §3270.131(b)(2)/3270.131(d)(1)
During the renewal inspection the certification representative viewed the children's files, children #1, and #2 were both missing health assessments in the file. Child #3 short records did not include the health assessment that includes the child health history or statement free from communicable disease.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will notify the parents and request for an updated physical.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Health & medication
Immunization record 55 Pa. Code §3270.131(d)(5)
During the renewal inspection the certification representative viewed the children's files, children #1 and #2 were both missing immunization records according to the recommendations of the ACIP.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will notify the parents and request for them to provide a updated immunization record for their children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Health & medication
Adult Hygiene 55 Pa. Code §3270.152
During the renewal inspection the certification representative observed staff #2 not washing her hands after a diaper change then using same gloves to clean the tables off.
Center’s plan of correction (not implemented, Aug 28, 2024): “The provider will have staff #2 take a sanitation training.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(6)
During the renewal inspection the certification representative requested to view the emergency drill and was unable to do so at the time of the renewal.
Center’s plan of correction (not implemented, Aug 28, 2024): “The provider will submit a copy of the facilities emergency drill.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
During the renewal inspection the certification representative viewed staff #1 file staff #1 was missing the health and safety update in the file.
Center’s plan of correction (implemented, Aug 28, 2024): “The provider will notify staff #1 and request for them to provide their health and safety update training and include it in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
During the renewal inspection the certification representative viewed the emergency plan and did not see the plans for continuity of care included. The certification representative requested to view the shaken baby, abusive head trauma and child maltreatment policy and was unable to view the policy at the time of the inspection.
Center’s plan of correction (not implemented, Aug 28, 2024): “The provider will include the plans for continuity of care to the emergency plan. The provider will submit policy on shaken baby/abusive head trauma and child maltreatment.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
On file at facility 55 Pa. Code §3270.18(a)
During the renewal inspection the certification representative requested to view the liability insurance and was unable to do so at the time of the renewal due to the responsible person not knowing where to locate it.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will submit a copy of the current liability insurance.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)(4)(i)
During the renewal inspection the certification representative viewed staff #1 file staff #1 was missing a up to date CPR certificate in the file. The certificate that was in the file was expired.
Center’s plan of correction (implemented, Aug 29, 2024): “The provider will notify staff #1 and request for them to provide their up-to-date CPR/ first aid certificate.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
During the renewal inspection the certification representative viewed staff #1 file, staff #1 was missing their fire safety certificate in the file.
Center’s plan of correction (not implemented, Aug 28, 2024): “The provider will notify staff #1 and request for them to obtain the fire safety training and included it in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
During the renewal inspection the certification representative viewed staff #1 file and did not see a staff evaluation in the file.
Center’s plan of correction (not implemented, Aug 28, 2024): “The provider will complete a staff evaluation for staff #1 and include it in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Given parents in writing 55 Pa. Code §3270.121(b)
During the renewal inspection the certification requested to view the parent handbook and was unable to do so at the time of the renewal inspection.
Center’s plan of correction (implemented, Sep 10, 2024): “The provider will submit a copy of the parent handbook”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Signed 55 Pa. Code §3270.123(a)
During the renewal inspection the certification representative viewed the children's files, children #1, #2, #3, #4 and #5 were all missing the operator's signature on the financial agreement.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will sign the financial agreement.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Amount of fee 55 Pa. Code §3270.123(a)(1)
During the renewal inspection the certification representative viewed the children's files, children #1, #2, and #4 were missing the fee amount.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will include the fee amount on the financial agreement.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Services proceeded/Services proceeded 55 Pa. Code §3270.123(a)(3)/3270.123(a)(3)
During the renewal inspection the certification representative viewed the children's files, children #1, #2, and #4 were missing the date fee to be paid on the agreement. Children #1, #2, #3, #4 and #5 were all missing a child service report in the file (CSR).
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will provide the date the fee needs to be paid on the financial agreement. The provider will complete a CSR on each child that was missing a report in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Arrival/departure times 55 Pa. Code §3270.123(a)(4)
During the renewal inspection the certification representative viewed the children's files child #4 was missing the arrival time and departure time on the agreement.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will complete the missing information on the agreement.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Designated release persons 55 Pa. Code §3270.123(a)(5)
During the renewal inspection the certification representative viewed the children's files children #4 #5 were both missing the release person the agreement
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will notify the parents and request the parent to complete the missing information on the agreement.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Admission date/Application, admission, withdrawal dates 55 Pa. Code §3270.123(a)(6)/3270.182(2)
During the renewal inspection the certification representative viewed the children's files children #1, #2, #3, #4 and #5 were all missing the admission date on the financial agreement.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will include the admission date on the financial agreement.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Physician name, address, phone 55 Pa. Code §3270.124(b)(2)
During the renewal inspection the certification representative viewed the children's file child #5 was missing the physician phone number on the emergency contact form.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will notify the parent and request for the parent to complete the emergency contact form to its entirety leaving no areas blank.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Written consent/Consent for emergency medical care required prior to admission 55 Pa. Code §3270.124(b)(4)/3270.182(3)
During the renewal inspection the certification representative viewed the children's files, child # 3 was missing consent for emergency med care. on the emergency contact form.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will notify the parent of the child and request for them to complete the emergency contact form to its entirety leaving no areas blank.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
During the renewal inspection the certification representative viewed the children's files, children #1, #2, #3 and #5 were all missing the policy number on the emergency contact form.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will notify the parents of the children and request for them to provide the missing information completing the emergency contact form to its entirety leaving no areas blank.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
During the renewal inspection the certification representative viewed the children's files, children #1, #2, #3, #4 and #5 were all missing the release person address on the emergency contact form
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will notify the parents and request for them to complete the emergency contact form to its entirety leaving no areas blank.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Updated every 6 months/Emergency info/agreement updated 6 mos 55 Pa. Code §3270.124(f)/3270.181(c)
During the renewal inspection the certificate representative viewed the children's files, child #5 emergency contact needs to be updated as well as the financial agreement.
Center’s plan of correction (implemented, Jul 10, 2024): “The provider will notify the parent and request for an updated signature on the emergency contact for as well as the financial agreement.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Consent for administration of minor first-aid required prior to admission 55 Pa. Code §3270.182(5)
During the renewal inspection the certification representative viewed the children's files, child # 3 was missing consent for administration of minor first-aid procedures by facility staff. This area was left blank.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will notify the parent and request for the parent to complete the emergency contact form to its entirety leaving no areas blank.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Signed parental consent for transportation, walking excursions, swimming and wading 55 Pa. Code §3270.182(6)
During the renewal inspection the certification representative viewed the children's files, children #3 and #4 were missing the consent for transportation, walking excursions, swimming and wading this area was left blank.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will notify the parent and request for the parent to complete the missing information leaving no areas blank.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Individual Records 55 Pa. Code §3270.191
During the renewal inspection the certification representative viewed the staff files staff #2 and #3 did not have a file at the facility at the time of the renewal inspection.
Center’s plan of correction (implemented, Aug 16, 2024): “The provider will submit a staff #2 and #3 files.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
During the renewal inspection the certification representative viewed staff #1 file staff #1 was missing their level of education in the file.
Center’s plan of correction (implemented, Sep 10, 2024): “The provider will notify staff #1 and request for them to provide the level of education to be included in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 10, 2024
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
During the renewal inspection the certification representative viewed staff #1 file staff #1 was missing 12 hours of professional development trainings in the file.
Center’s plan of correction (not implemented, Aug 28, 2024): “The provider will notify staff #1 and request for them to provide 12 hours of professional development trainings that will be included in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jul 19, 2023
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
Observed outdoor play space unclean.
Center’s plan of correction (implemented, Jul 26, 2023): “Provider will clean the outdoor play area.”
Citation
Jul 19, 2023
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
Observed chipped paint in child care space.
Center’s plan of correction (implemented, Jul 26, 2023): “Provider will have all chipped paint repaired.”
Citation
Jul 19, 2023
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.82(g)
Observed bathroom area unclean with a smell.
Center’s plan of correction (implemented, Jul 26, 2023): “Provider will have bathrooms clean.”
Citation
Jul 19, 2023
Inspection
Food & feeding
Bottles labeled 55 Pa. Code §3270.166(4)
Observed cups unlabeled.
Center’s plan of correction (implemented, Jul 26, 2023): “Provider will label all bottles and cups.”
Citation
Sep 19, 2022
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
Observed first aid kit missing tweezers, gloves and soap.
Center’s plan of correction (implemented, Sep 26, 2022): “Provider will add tweezers, gloves, and soap to first aid kit.”
Citation
Sep 19, 2022
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
Observed outdoor play space unclean.
Center’s plan of correction (implemented, Sep 26, 2022): “Provider will clean outdoor play space.”
Citation
Sep 19, 2022
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
Observed chipped paint in bathroom.
Center’s plan of correction (implemented, Sep 26, 2022): “Provider will have all chipped paint fixed.”
Citation
Feb 25, 2022
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
CERTIFICATION REPRESENTATIVE OBSERVED CEILING TILES IN NEED OF REPAIR ON THE RIGHT SIDE OF THE CHILDCARE SPACE IN NEED OF REPAIR.
Center’s plan of correction (implemented, Mar 11, 2022): “Owner repair the ceiling tiles on the right of the childcare space that were in need of repair;”
Citation
Feb 25, 2022
Inspection
Records & paperwork
Written consent 55 Pa. Code §3270.124(b)(4)
FILE RECORD FOR CHILD #1 DID NOT INCLUDE WRITTEN CONSENT SIGNED BY A PARENT FOR EMERGENCY MEDICAL CARE
Center’s plan of correction (implemented, Mar 11, 2022): “OWNER/DIRECTOR OBTAINED WRITTED CONSENT SIGNED BY THE PARENT FOR EMERGENCY MEDICAL CARE”
Citation
Feb 25, 2022
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
FILE RECORD FOR CHILD #2 DID NOT INCLUDE THE NAME,ADDRESS, AND TELEPHONE NUMBER OF THE INDIVIDUAL DEISGNATED BY THE PARENT TO WHOM THE CHILD MAY BE RELEASED.
Center’s plan of correction (implemented, Mar 11, 2022): “OWNER/DIRECTOR OBTAINED THE ADDRESSES AND PHONE NUMBERS OF THE DESIGNATED RELEASE PERSONS”