Show 75 older citations
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
At the time of the inspection facility person #1 had expired State Police, expired child abuse, mandated reporter and missing NSOR certificate, facility person #3 had missing State police clearance, DHS FBI clearance and NSOR, facility person #6 has missing DHS FBI clearance and NSOR clearance, facility #8 is missing State Police, DHS FBI clearance, NSOR and mandated reporter training, facility person #9 did not have DHS FBI Clearance, NSOR clearance, and mandated reporter training, facility person #10 did not have State Police Clearance and NSOR Certificate and facility person #11 did not have NSOR clearance on file. Facility persons#2, 3, 4, 6, 8, 9, did not have signed disclosure statements on file.
Center’s plan of correction (not implemented, Oct 30, 2025): “The facility will have person #1 current State Police, child abuse, mandated reporter and NSOR certificate, facility person #3 current State police clearance, DHS FBI clearance and NSOR, facility person #6 has DHS FBI clearance and NSOR clearance, facility person #9 DHS FBI Clearance, NSOR…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Emergency preparedness
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
At the time of inspection facility's emergency plan did not address the continuity of operations and specify the role of all facility persons including volunteers. Staff person #3, 4, 5, 6, 8, 9, 10, and 11 has completed the health and safety course completed but have not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.
Center’s plan of correction (not implemented, Oct 30, 2025): “The facility's emergency plan will address the continuity of operations and specify the role of all facility persons including volunteer. Staff #3,4,5,6,9,10 and 11 will complete the required health and safety update course titled Pennsylvania Health and Safety Update 2022 training. Staff #8 no…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Emergency preparedness
Contact when arises 55 Pa. Code §3270.27(a)(3)
At the time of the inspection the facility did not have an emergency plan that provided a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.
Center’s plan of correction (implemented, Oct 30, 2025): “The facility will provide an emergency plan that includes a method for the facility persons to contact parents as soon as reasonably possible when an emergency situation arises.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Emergency preparedness
Contact when ended 55 Pa. Code §3270.27(a)(4)
The facility did not have an emergency plan that provides a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.
Center’s plan of correction (implemented, Oct 30, 2025): “The facility will submit an emergency plan that provides a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Emergency preparedness
Plan reviewed/updated annually 55 Pa. Code §3270.27(b)
At the time of the inspection the operator did not review the emergency plan at least annually or update the plan as needed. The operator shall document in writing each review and update of the emergency plan and have it kept on file at the facility.
Center’s plan of correction (not implemented, Oct 30, 2025): “The operator will update the plan as needed. The operator will document in writing each review and update of the emergency plan kept on file at the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Health & medication
Mantoux TB 55 Pa. Code §3270.151(c)(2)
At the time of the inspection facility persons #4, 7 and 8 did not have Mantoux testing or reading on file
Center’s plan of correction (implemented, Oct 30, 2025): “The facility will obtain and include in the file for persons #4 and 7 their Mantoux testing or reading. Person 8 no longer works for the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Health & medication
Mantoux TB/Health assessment, TB test 55 Pa. Code §3270.151(c)(2)/3270.192(3)
At the time of the inspection facility person #3, 4, 7, 8, 9and 11 did not have health assessments on file.
Center’s plan of correction (not implemented, Oct 30, 2025): “The facility will include the health assessments for person #3, 4, 7, 9 and 11 on file. Person #8 no longer works for the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(6)
At the time of inspection, the facility did not have emergency drills conducted annually. Annual emergency drills were not documented and on file at the facility.
Center’s plan of correction (not implemented, Oct 30, 2025): “The facility will conduct an initial emergency drills and include in the file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Emergency preparedness
Every 60 days 55 Pa. Code §3270.94(a)(1)
At the time of the inspection the facility did not have fire drills conducted every 60 days as required.
Center’s plan of correction (implemented, Oct 30, 2025): “The facility will participate in a fire drill.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Training & qualifications
Age and Training/Health and Safety Training - Pediatric First Aid and CPR 55 Pa. Code §3270.31(e)(4)(i)/3270.31(f)(10)
At the time of the inspection facility persons #1, 2, 4, and 10 did not have pediatric first aid / CPR training on file.
Center’s plan of correction (not implemented, Oct 30, 2025): “Persons 1, 2, 4, and 10 will complete pediatric first aid / CPR training.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
At the time of the inspection facility person #1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and 11 did not have fire safety training on
Center’s plan of correction (implemented, Oct 30, 2025): “The facility will have persons #1, 2, 3, 4, 5, 6, 7, 9, 10 and 11 complete fire safety training. #8 no longer works for the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
At the time of the inspection facility persons #3, 4, and 9 did not their health and safety training on file.
Center’s plan of correction (implemented, Oct 30, 2025): “The facility will have persons #3, 4, and 9 health and safety training on file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
At the time of the inspection facility persons #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 did not have annual staff evaluations on file.
Center’s plan of correction (not implemented, Oct 30, 2025): “The facility will include annual staff evaluations on file for persons #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11. Persons #8 no longer work for the facility”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Records & paperwork
Signed 55 Pa. Code §3270.123(a)
At the time of inspection children #1, 2 and 3 did not have a signature from the parent on this fee agreement.
Center’s plan of correction (not implemented, Oct 30, 2025): “Fee agreements will be obtained for children #1,2 and 3 that include parent signatures.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Records & paperwork
Updated every 6 months 55 Pa. Code §3270.124(f)
At the time of the inspection children # 1, 2 and 3did not have and updated emergency contact form on file.
Center’s plan of correction (implemented, Oct 30, 2025): “Legal entity will obtain the emergency contact form for child #1,2 and 3 and will keep copy on file and where children are in care and will send a copy to OCDEL for evidence of correction.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Records & paperwork
Emergency info/agreement updated 6 mos 55 Pa. Code §3270.181(c)
At the time of the inspection children #1, 2 and 3 did not have updated fee agreements on file.
Center’s plan of correction (not implemented, Oct 30, 2025): “The facility will obtain updated fee agreements for children #1, 2 and 3 and include in files.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
At the time of the inspection facility persons #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 did not have 12 hours of annual PD training.
Center’s plan of correction (implemented, Oct 30, 2025): “Facility persons #1, 2, 3, 4, 5, 6, 7, 9, 10, and 11 will complete 12 hours of annual PD training. Persons # 8 no longer work for the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 19, 2025
Inspection
Training & qualifications
Assistant Group Supervisor responsibilities/Exp, educ., training prior to facility 55 Pa. Code §3270.36(a)/3270.192(2)(ii)
At the time of the inspection facility persons# 4 and 11 did not have education on file and facility person #9 did not have verified experience on file.
Center’s plan of correction (implemented, Oct 30, 2025): “The facility will include education files for persons# 4 and 11 and will verify person #9's experience on file.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
At the time of inspection facility person #3 did not have DHS FBI clearance, NSOR and disclosure statement, facility person# 2 & 4 did not have a NSOR and facility person #3 Mandated reporter training on file at the time.
Center’s plan of correction (implemented, Nov 20, 2024): “Legal entity will ensure that facility persons 2, 3 and 4 are not working in the facility with children until all clearances are received. Legal entity will ensure that facility person #3 obtains DHS FBI clearance, NSOR and disclosure statement, also facility persons# 2 & 4 obtain a NSOR. and send…”
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
At the time of inspection facility person #3 was not supervising assigned children by leaving them alone while she was attending to children and families arriving to the facility.
Center’s plan of correction (implemented, Nov 20, 2024): “Legal entity will have facility person #3 complete proper supervision of children training and submit a copy of completion to OCDEL for evidence of correction.”
Citation
Nov 1, 2024
Inspection
Health & medication
Physical examination/Health assessment, TB test 55 Pa. Code §3270.151(c)(1)/3270.192(3)
At the time of inspection facility persons #3 & 4 did not have a health assessment on file.
Center’s plan of correction (implemented, Nov 20, 2024): “Legal entity will have facility persons#3 & 4 obtain an updated health assessment and submit a copy to OCDEL for evidence of correction.”
Citation
Nov 1, 2024
Inspection
Health & medication
Mantoux TB/Health assessment, TB test 55 Pa. Code §3270.151(c)(2)/3270.192(3)
At the time of inspection facility person #4 did not have a Mantoux Testing / Dates on file.
Center’s plan of correction (implemented, Nov 20, 2024): “Legal entity will not have facility person #4 at the facility until Mantoux Tests and results are received and on file at the facility. Legal entity will have facility person #4 obtain a Mantoux testing and result and submit a copy to OCDEL for evidence of correction and kept on file at all times.”
Citation
Nov 1, 2024
Inspection
Training & qualifications
Aide responsibilities/Transcript, diploma and letters 55 Pa. Code §3270.37(a)/3270.192(2)(iv)
At the time of the inspection facility person #3 did not have verified experience on file and facility person #2 did not have an evaluated diplomat / degree on file.
Center’s plan of correction (implemented, Nov 20, 2024): “Legal entity will ensure that facility person# 3's experience is verified, facility person # 2 obtains an evaluation of their education and a copy is sent to OCDEL for evidence of correction and kept on at the facility at all times.”
Citation
Nov 1, 2024
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
At the time of inspection facility person #3 did not have two non-family references on file
Center’s plan of correction (implemented, Nov 20, 2024): “Legal entity will ensure that facility person #3 obtains two written non-family references on file and a copy will be submitted to OCDEL for evidence of correction.”
Citation
Nov 1, 2024
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
At the time of inspection facility person #1 did not have 12 hours of annual training on file.
Center’s plan of correction (implemented, Nov 20, 2024): “Legal entity will have facility person #1 obtain 12 hours of annual professional training and send a copy to OCDEL for proof of corrections.”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
At the time of inspection facility person #3 did not have DHS FBI clearance, NSOR and disclosure statement, facility person# 2 & 4 did not have a NSOR and facility person #3 Mandated reporter training on file at the time.
Center’s plan of correction (not implemented, Nov 1, 2024): “Legal entity will ensure that facility persons 2, 3 and 4 are not working in the facility with children until all clearances are received. Legal entity will ensure that facility person #3 obtains DHS FBI clearance, NSOR and disclosure statement, also facility persons# 2 & 4 obtain a NSOR. and send…”
Inspection status on COMPASS: Non Compliant – Finalized
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
At the time of inspection facility person #3 was not supervising assigned children by leaving them alone while she was attending to children and families arriving to the facility.
Center’s plan of correction (not implemented, Nov 1, 2024): “Legal entity will have facility person #3 complete proper supervision of children training and submit a copy of completion to OCDEL for evidence of correction.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Parent access
Parent Access & Participation/Safe routes posted 55 Pa. Code §3270.23/3270.171(c)
At the time of inspection parents were not allow in the facility including drop off and pickup. At the time of inspection facility also did not have their Pickup / Drop Off procedure posted.
Center’s plan of correction (implemented, Sep 27, 2024): “/Legal entity will allow parents access into the facility and provide families with their updated Pickup / Drop Off procedure and ensure it is updated in their Parent Handbook as of 9/17/2024. Legal entity will post their Pickup / Drop off procedure and ensure that they remain posted in the…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
At the time of inspection facility persons #2 and 4 did not have emergency plan training on file.
Center’s plan of correction (implemented, Nov 4, 2024): “Legal entity will ensure that facility persons #2 and 4 obtain emergency plan training and a copy of the training submitted to OCDEL for evidence of correction.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Emergency preparedness
Plan posted 55 Pa. Code §3270.27(d)
At the time of inspection facility did not have Emergency Plan posted.
Center’s plan of correction (implemented, Sep 27, 2024): “Legal entity will ensure that facility has their Emergency Plan posted at all times while children are in care.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Health & medication
Physical examination/Health assessment, TB test 55 Pa. Code §3270.151(c)(1)/3270.192(3)
At the time of inspection facility persons #3 & 4 did not have a health assessment on file.
Center’s plan of correction (not implemented, Nov 1, 2024): “Legal entity will have facility persons#3 & 4 obtain an updated health assessment and submit a copy to OCDEL for evidence of correction.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Health & medication
Mantoux TB/Health assessment, TB test 55 Pa. Code §3270.151(c)(2)/3270.192(3)
At the time of inspection facility person #4 did not have a Mantoux Testing / Dates on file.
Center’s plan of correction (not implemented, Nov 1, 2024): “Legal entity will not have facility person #4 at the facility until Mantoux Tests and results are received and on file at the facility. Legal entity will have facility person #4 obtain a Mantoux testing and result and submit a copy to OCDEL for evidence of correction and kept on file at all times.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Food & feeding
Menus 55 Pa. Code §3270.165
At the time of the inspection facility did not have their menu posted.
Center’s plan of correction (implemented, Sep 27, 2024): “Legal entity will post the menu at least 1-week prior and ensure that they remain posted in the facility at all times while child is in care.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Emergency preparedness
Evacuation routes posted 55 Pa. Code §3270.94(a)(5)
At the time of inspection facility did not have the Evaluation Routes posted.
Center’s plan of correction (implemented, Sep 27, 2024): “Legal entity will post the Evacuation Routes and ensure that they remain posted in the facility at all times while children are in care.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Records & paperwork
Immediate access/Individual Records 55 Pa. Code §3270.24(a)/3270.191
At the time of inspection legal entity did not staff files at the facility nor could provide the department access.
Center’s plan of correction (implemented, Sep 27, 2024): “Legal entity will obtain a file for each employed person and keep on file at the facility at all times and send a copy of the files to OCDEL for evidence of corrections.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Records & paperwork
Immediate access/Each child 55 Pa. Code §3270.24(a)/3270.181(a)
At the time of inspection facility did not have any children files at the facility and could not provide access to the department.
Center’s plan of correction (implemented, Sep 27, 2024): “Legal entity will obtain files for all enrolled children and supply a copy to OCDEL for proof of evidence for corrections.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Training & qualifications
Aide responsibilities/Transcript, diploma and letters 55 Pa. Code §3270.37(a)/3270.192(2)(iv)
At the time of the inspection facility person #3 did not have verified experience on file and facility person #2 did not have an evaluated diplomat / degree on file.
Center’s plan of correction (not implemented, Nov 1, 2024): “Legal entity will ensure that facility person# 3's experience is verified, facility person # 2 obtains an evaluation of their education and a copy is sent to OCDEL for evidence of correction and kept on at the facility at all times.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Records & paperwork
Posted in group space 55 Pa. Code §3270.111(b)
At the time of inspection facility did not have their daily schedule posted.
Center’s plan of correction (implemented, Sep 27, 2024): “Legal entity will post their daily schedule and ensure that they remain posted in the facility at all times while children are in care.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
At the time of inspection facility person #3 did not have two non-family references on file
Center’s plan of correction (not implemented, Nov 1, 2024): “Legal entity will ensure that facility person #3 obtains two written non-family references on file and a copy will be submitted to OCDEL for evidence of correction.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Training & qualifications
Professional development certificate 55 Pa. Code §3270.31(g)
At the time of inspection facility persons #3 & 4 did not have Health and Safety training on file.
Center’s plan of correction (implemented, Nov 4, 2024): “Legal entity will ensure that facility person #3 &4 obtains Health and Safety training, and a copy submitted to OCDEL for evidence of correction and kept on file at all times.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Records & paperwork
Availability of certificate of compliance and applicable regulations 55 Pa. Code §3270.25(a)
At the time of inspection facility did not have the 3270 regulations posted.
Center’s plan of correction (implemented, Sep 27, 2024): “Legal entity will post the regulations and ensure that they remain posted in the facility at all times.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Records & paperwork
Availability of certificate of compliance and applicable regulations/Post the inspection summary 55 Pa. Code §3270.25(a)/3270.25(b)
At the time of inspection facility did not have their Certificate of Compliance posted.
Center’s plan of correction (implemented, Sep 27, 2024): “Legal entity will post their Certificate of Compliance and ensure that they remain posted in the facility at all times while their children are in care.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Aug 16, 2024
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
At the time of inspection facility person #1 did not have 12 hours of annual training on file.
Center’s plan of correction (not implemented, Nov 1, 2024): “Legal entity will have facility person #1 obtain 12 hours of annual professional training and send a copy to OCDEL for proof of corrections.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
At the time of inspection staff person # 1 did not have a NSOR clearance on file.
Center’s plan of correction (implemented, Oct 4, 2023): “Legal entity will ensure that staff persons #1 obtains NSOR clearance, keep a copy on file at the facility at all times and will submit a copy to OCDEL for proof of correction.”
Citation
Sep 27, 2023
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
At the time of inspection staff person did not have annual fire safety training on file.
Center’s plan of correction (implemented, Oct 4, 2023): “Legal entity will ensure that staff persons #1 obtain annual fire safety, keep a copy on file at the facility at all times and will submit a copy to OCDEL for proof of correction.”
Citation
Sep 27, 2023
Inspection
Records & paperwork
Exp, educ., training prior to facility/Transcript, diploma and letters 55 Pa. Code §3270.192(2)(ii)/3270.192(2)(iv)
At the time of inspection staff person #1 did not have proof of education nor verified hours of experience on file at the facility.
Center’s plan of correction (implemented, Oct 4, 2023): “Legal entity will ensure that staff person#1 obtain proof of education and verified hours of experience, keep a copy on file at the facility at all times and will submit a copy to OCDEL for proof of correction.”
Citation
Sep 27, 2023
Inspection
Records & paperwork
Issuance of COC/Professional development certificate 55 Pa. Code §3270.11(f)/3270.31(g)
At the time of inspection facility person #1 did not have Health and Safety nor Update on file at the time of inspection.
Center’s plan of correction (implemented, Oct 4, 2023): “Legal entity will ensure that staff person #1 Health and Safety and Update, keep a copy on file at the facility at all times and will submit a copy to OCDEL for proof of correction.”
Citation
Sep 27, 2023
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
At the time of inspection staff person #1 did not have 12 clock hours of child care training on file.
Center’s plan of correction (implemented, Oct 4, 2023): “Legal entity will ensure that staff persons #1 obtains an annual minimum of 12 clock hours of childcare training., keep a copy on file at the facility at all times and will submit a copy to OCDEL for proof of correction.”
Citation
Aug 3, 2023
Inspection
Records & paperwork
Individual Records 55 Pa. Code §3270.191
At the time of annual inspection facility person #1 did not have a file.
Center’s plan of correction (implemented, Sep 13, 2023): “Legal entity will submit complete staff file for facility person #1 and a copy will be sent to OCDEL for proof of correction and kept on file at the facility at all times.”
Follow-up
Mar 30, 2023
Inspection
Background checks
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
Continued noncompliance on 3/2/23 a renewal inspection was conducted at the facility. Staff persons# 1,2,3 and 6 file did not include verification of FBI clearances completed. Staff persons# 3 file did not include verifications of NSOR clearances completed.
Center’s plan of correction (accepted, May 8, 2023): “Staff person 1,2, and 6 has completed FBI clearances and documentation will be forwarded to Cert Rep.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Mar 30, 2023
Inspection
Health & medication
Physical examination/Health assessment, TB test 55 Pa. Code §3270.151(c)(1)/3270.192(3)
Continued noncompliance on 3/30/23 a renewal inspection was conducted at the facility. Staff persons# 3 and 5 file did not include documentation of health assessment. Also, staff persons# 3 and 4 file did not include results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
Center’s plan of correction (accepted, May 8, 2023): “Staff person#4 has completed required health assessment this documentation will be forward to Cert Rep. Staff person# 5 is scheduled to completed health assessment on 5/8/23 documentation will be forward.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Mar 30, 2023
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
Continued noncompliance on 3/2/23 a renewal inspection was conducted at the facility. An unannounced inspection was conducted on 3/30/23 at the facility. Staff persons#1 and 3 has not completed the following required pediatric first aid/CPR training within 90 days of their date of hire. The facility's acceptable plan of correction indicated the correction would be implemented by 3/17/23. On 3/30/23 an unannounced inspection was conducted. Staff person#1 and 3 still has not completed the following required pre-service pediatric first aid/CPR training. Also, continued noncompliance staff persons# 3 has not completed the following required health and safety training within 90 days of their date of hire. The facility's acceptable plan of correction indicated the correction would be implemented by 3/17/23. On 3/30/23 an unannounced inspection was conducted. Staff person# 3 still has not completed the following required pre-service health and safety training.
Center’s plan of correction (accepted, May 8, 2023): “Staff person #1 has completed pediatric first AID /CPR documentation will be forwarded to Cert Rep. Staff person#3 has been terminated from the program and a termination letter will be forwarded as well.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Mar 30, 2023
Inspection
Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
Continued noncompliance on 3/30/23 an unannounced inspection was conducted at the facility. Staff persons# 4 and 5 file did not include documentation of verification of child care experience, education and training prior to service at the facility.
Center’s plan of correction (accepted, May 8, 2023): “Provider will have staff persons # 4 and 5 complete employment verifications forms and these completed forms with document hours of child care experience will be forwarded to Cert Rep.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Mar 30, 2023
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
Continued noncompliance on 3/30/23 an unannounced inspection was conducted at the facility. Staff persons# 3 file 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 (accepted, May 8, 2023): “Staff person #3 has been terminated and no longer works with this program a termination letter will be forwarded to Cert Rep.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
While conducting a renewal inspection on 3/2/23 it was observed staff persons# 1,2,3, 4 and 8 file did not include verification of FBI clearances completed. Staff persons# 3 and 6 file did not include verifications of NSOR clearances completed. Staff person#4 file did not include documentation of completed mandated reporter training.
Center’s plan of correction (not implemented, Apr 18, 2023): “Provider will have staff persons# 1,2,3, 4 and 8 obtain FBI clearances these documents will be forward to cert rep. Staff persons# 3 and 6 obtain NSOR clearances. Staff person#4 will complete mandated reporter training.”
Inspection status on COMPASS: Non Compliant – Finalized
Supervised at all times 55 Pa. Code §3270.113(a)
While conducting a renewal inspection on 3/2/23 program had a total 37 children present. Staff person#3 was asked for the names of the children responsible for. Staff person#3 did not identify children specifically assigned to the child care group.
Center’s plan of correction (implemented, Mar 30, 2023): “Staff persons will have attendance sheets of responsible children and staff will continue to communicate with each other of total count of children present.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2023
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
While conducting a renewal inspection on 3/2/23 it was observed staff person# 3 file did not include documentation of completion of emergency plan training.
Center’s plan of correction (implemented, Mar 30, 2023): “Provider conducted emergency plan training 3/28/23 all staff completed, and verification will be emailed to cert rep.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2023
Inspection
Health & medication
Physical examination/Health assessment, TB test 55 Pa. Code §3270.151(c)(1)/3270.192(3)
While conducting a renewal inspection on 3/2/23 it was observed staff persons# 3,7, and 8 file did not include documentation of health assessment. Also, staff persons# 3 and 6 file did not include results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
Center’s plan of correction (not implemented, Apr 18, 2023): “Staff persons#3,7, and 8 will provide verification of recent health assessment and TB test results and documentation will be provided to Cert Rep.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2023
Inspection
Records & paperwork
On file at facility 55 Pa. Code §3270.18(a)
While conducting a renewal inspection on 3/2/23 it was observed the liability insurance was expired.
Center’s plan of correction (implemented, Mar 3, 2023): “Provider will provide current liability insurance and email verification to certification representative.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2023
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
While conducting a renewal inspection on 3/2/23 it was observed staff persons#1 and 3 has not completed the following required pediatric first aid/CPR training within 90 days of their date of hire. Also, staff persons# 1 through 7 file did not complete health and safety training within 90 days of their date of hire.
Center’s plan of correction (not implemented, Apr 18, 2023): “Provider will ensure that staff persons # 1 and 3 will complete pediatric first aid /CPR verification will be forward to cert rep. All staff will complete health and safety training verification will be forward to cert rep. Staff person#4 is no longer employed with the program and termination…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2023
Inspection
Records & paperwork
Admission date 55 Pa. Code §3270.123(a)(6)
While conducting a renewal inspection on 3/2/23 it was observed child # 2,3, and 5 agreement form did not include an admission date.
Center’s plan of correction (implemented, Apr 5, 2023): “Provider will have the parent of child# 2,3, and 5 up date agreement form including admissions date.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2023
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
While conducting a renewal inspection on 3/2/23 it was observed child# 1,2, and 3 file did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
Center’s plan of correction (implemented, Apr 5, 2023): “Provider will have the parent complete emergency contact form including health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2023
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
While conducting a renewal inspection on 3/2/23 it was observed child# 3 file did not include address of the individual designated by the parent to whom the child may be released. Child# 4 file did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Child# 6 file did not include address and telephone number of the individual designated by the parent to whom the child may be released.
Center’s plan of correction (implemented, Apr 5, 2023): “Provider will have the parent of child# 3,4, and 6 update the emergency contact form to include the name, address and telephone number of the individual designated by the parent to whom the child may be released.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2023
Inspection
Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
While conducting a renewal inspection on 3/2/23 it was observed staff persons# 4,6, and 7 file did not include documentation of verification of child care experience, education and training prior to service at the facility.
Center’s plan of correction (not implemented, Apr 18, 2023): “Staff person # 4,6, and 7 will provide verification of child care experience, education and training prior to service at the facility and documentation will be forwarded to Cert Rep”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2023
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
While conducting a renewal inspection on 3/2/23 it was observed staff persons# 2 through 4 and 6 and 7 file 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 (not implemented, Apr 18, 2023): “Staff person # 2 through 4, 6 and 7 will provide two written, nonfamily references and documentation will be forwarded to Cert Rep.”
Inspection status on COMPASS: Non Compliant – Finalized
Follow-up
Nov 2, 2022
Inspection
Background checks
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
While conducting a follow-up inspection, continued noncompliance observing staff person #1 file did not include NSOR clearance and staff person # 2 did not include DHS issued FBI clearance.
Center’s plan of correction (accepted, Nov 14, 2022): “Provider stated that all staff will register and complete all clearances to be in compliance.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Follow-up
Nov 2, 2022
Inspection
Records & paperwork
Each child emergency contact person 55 Pa. Code §3270.124(a)
While conducting a follow-up inspection, continued noncompliance observing child # 1, 2, 3, 4, and 5 file did not include an emergency contact form.
Center’s plan of correction (accepted, Nov 14, 2022): “Provider will have parents' complete emergency contact forms for child # 1,2,3,4 and 5 by 11/10/22.”
Inspection status on COMPASS: Non Compliant – Finalized
Re-cited at a follow-up visit; counted once, with the original citation.
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
It was observed on 9/29/22 staff person #1,4,5, and 6 file did not include the required DHS issued FBI clearances. Staff person # 3 file did not include NSOR, DHS issued FBI, Child abuse, or State Police clearances.
Center’s plan of correction (not implemented, Nov 14, 2022): “Provider will have staff person # 1,4,5, and 6 register and complete DHS FBI clearance. Provider will have staff person#3 register for NSOR clearances.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 29, 2022
Inspection
Emergency preparedness
Contact when ended 55 Pa. Code §3270.27(a)(4)
It was observed on 9/29/22 the program's emergency plan did not include procedures to contact parents before and after an emergency arises.
Center’s plan of correction (implemented, Nov 8, 2022): “Updates made to existing emergency plan including procedures that provides methods for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children to existing emergency plan.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 29, 2022
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
It was observed on 9/29/22 staff person #1 file did not include verification of emergency plan training.
Center’s plan of correction (implemented, Nov 14, 2022): “Provider will have all staff complete emergency plan training and document completion of training. Verification of completion will be sent to certification representative.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 29, 2022
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(5)
It was observed on 9/29/22 the program's emergency plan did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Center’s plan of correction (implemented, Nov 8, 2022): “Updates made to existing emergency plan including the procedure that gives accommodations for children with disabilities, and children with chronic medical conditions.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 29, 2022
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(1)
It was observed on 9/29/22 the program's emergency plan did not include procedure for lock-down.
Center’s plan of correction (implemented, Nov 8, 2022): “Updates made to existing emergency plan to include lock-down procedure.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 29, 2022
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(2)
It was observed on 9/29/22 the program's emergency plan did not include a procedure for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.
Center’s plan of correction (implemented, Nov 4, 2022): “Updates made to existing emergency plan to include procedures to provide accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plan to exit the building may be the same as…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 29, 2022
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
It was observed on 9/29/22 staff person # 1,3, and 4 has not completed pediatric first aid /CPR training within 90 days of hire.
Center’s plan of correction (implemented, Nov 10, 2022): “Provider has scheduled Pediatric first aid/CPR training for all staff to be completed on November 8, 2022. Verification of completion will be sent to certification representative.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Sep 29, 2022
Inspection
Records & paperwork
Each child emergency contact person 55 Pa. Code §3270.124(a)
It was observed on 9/29/22 child # 1,2, 3, 4, 5, and 6 files did not include an emergency contact form.
Center’s plan of correction (not implemented, Nov 14, 2022): “Provider will have the parents of 1,2,3,4,5, and 6 complete emergency contact form. Completed form will be emailed to certification representative.”
Inspection status on COMPASS: Non Compliant – Finalized