Pennsylvania · Philadelphia · 19152

Serenity Early Learning Center

7510 Brous Ave, Philadelphia, PA 19152 · Philadelphia County

Provisional Certificate of Compliance for Downgrade, August 2026 (COMPASS status: Pending Appeal) Provisional certificate 4 core-safety citations in last 12 months 3 complaint investigations found violations Keystone STAR 4

Serenity Early Learning Center is a certified child care center in Philadelphia, PA, with capacity for 59 children. It holds a Keystone STAR 4 rating. Since August 2021, Pennsylvania certification staff have inspected it 9 times and confirmed violations in 3 complaint investigations. The state cited 96 violations, 8 of them core-safety (supervision, staff ratios, discipline, background checks, child protection or safe sleep), most often for records & paperwork (33 of 96). 28 citations came in the last 12 months, including 4 on a core-safety topic. Measured by topic-weighted citations per inspection, it is tied for #1,093 of 1,163 centers in Philadelphia and has more citations per inspection than 88% of Pennsylvania certified centers.

Inspection record

More citations than 88% of 4,789 Pennsylvania certified centers, per inspection, weighted by topic. Among the most cited

Tied for #1,093 of 1,163 centers in Philadelphia

8 Core-safety citations

88 Other citations

9 Inspections

3 Complaint investigations that found violations

96 citations from 12 state visits since Aug 16, 2021 · 28 in the last 12 months · last inspected Jun 22, 2026

Every state visit

Violation found No violation Top row: inspections · bottom row: complaint investigations, self-reported incidents and other visits

What inspectors cited most

Records & paperwork 33

Building & playground safety 19

Training & qualifications 15

Emergency preparedness 11

Health & medication 9

Supervision 3

Background checks 3

Staff ratios 1

Child protection 1

Food & feeding 1

Citations, newest first

Core safety Jun 22, 2026 Complaint investigation Supervision

Supervised at all times 55 Pa. Code §3270.113(a)

At the time of the inspection, staff #1 confirmed child #2 used their ipad and recorded their private parts and child #1 used the same ipad and recorded their private part. Child #1 & 2 shared the recordings with one another. The brother of child #1 alerted the staff of the incident.

Center’s plan of correction (accepted, Jul 23, 2026): “Serenity Early Learning Center will ensure that all staff are supervising the children at all times. DHS will provide the facility with a 2 hour training on proper supervision and the staff will complete weekly documentation for tracking ratios.”

Inspection status on COMPASS: Needs Verification

Core safety Jun 22, 2026 Inspection Staff ratios

Similar Age Level 55 Pa. Code §3270.51

At the time of the inspection, staff #2 was observed alone with 17 young school age children.

Center’s plan of correction (accepted, Jul 23, 2026): “Serenity Early Learning Center will ensure all staff are in ratio and will maintain this ratio at all times based off the youngest child in their group. For the next 3 months, ratios will be monitored via documentation to ensure it is being maintained.”

Inspection status on COMPASS: Needs Verification

Core safety Jun 22, 2026 Inspection Supervision

Supervised at all times 55 Pa. Code §3270.113(a)

At the time of the inspection, staff # 1 was observed not actively supervising seven children while in the outdoor play space. Staff #1 was observed looking at their cell phone.

Center’s plan of correction (accepted, Jul 23, 2026): “Serenity Early Learning Center will ensure staff #1 is properly supervising children at all times. Training for staff #1 has been provided by the facility and additional training will be provided by DHS within 3 months for all working staff.”

Inspection status on COMPASS: Needs Verification

Citation Jun 22, 2026 Inspection Building & playground safety

Building Surfaces 55 Pa. Code §3270.76

At the time of the inspection, water damage was observed above the front door of the facility.

Center’s plan of correction (accepted, Jul 23, 2026): “Serenity Early Learning Center has contacted the building owners in regards to the water damage observed above the front door of the facility. No date has been provided yet for these repairs, however, the owners have informed contractors to come repair the ceiling.”

Inspection status on COMPASS: Needs Verification

Citation Jun 22, 2026 Inspection Building & playground safety

Clean and good repair 55 Pa. Code §3270.82(g)

At the time of the inspection, the toilet was leaking and had a "do not use" sign on it.

Center’s plan of correction (accepted, Jul 23, 2026): “Serenity Early Learning Center has removed the "do not use" sign in the bathroom and has tested to ensure there is not a leak coming from the toilet.”

Inspection status on COMPASS: Needs Verification

Citation Jun 22, 2026 Inspection Records & paperwork

Immediate access 55 Pa. Code §3270.24(a)

At the time of the inspection, the designated person in charge did not have access to the files and records.

Center’s plan of correction (implemented, Jul 20, 2026): “Serenity Early Learning Center will ensure all designated staff in charge have access to employee files and records.”

Inspection status on COMPASS: Needs Verification

Core safety Oct 22, 2025 Inspection Supervision

Supervised at all times 55 Pa. Code §3270.113(a)

At the time of the inspection, there was a lapse in supervision in the school age room when staff person #5 left the room to answer the door, asked certification staff where their phone is located, went to the bathroom and to retrieve the name/face cards of the children in their primary care group.

Center’s plan of correction (implemented, Dec 18, 2025): “Staff person #5 has been provided with 3 supervision training that are to be completed by the correction date above from Better Kid Care. Training Names: Supervision: What's Required/Supervision: Staff: Child Ratios/ Supervision: Playground Supervision”

Citation Oct 22, 2025 Inspection Emergency preparedness

Training regarding plan 55 Pa. Code §3270.27(c)

At the time of the inspection, the file of staff person #1 and #4 did not include the training regarding the emergency plan.

Center’s plan of correction (implemented, Nov 21, 2025): “Staff person #1 is no longer employed with Serenity Early Learning Center. Her last day of employment with the facility was on 10/22/2025. Staff person #4 has been provided training by Serenity Early Learning Center and has signed the required emergency plan to ensure he/she understands what is to…”

Citation Oct 22, 2025 Inspection Building & playground safety

Locked or inaccessible 55 Pa. Code §3270.66(a)

At the time of the inspection, air freshener pebbles were observed in a glass container in an unlocked sink cabinet in the school age boys' bathroom. Non-compliance was corrected on site.

Center’s plan of correction (implemented, Oct 22, 2025): “Provider removed the air freshener pebbles from the sink cabinet in the school age boys' bathroom.”

Citation Oct 22, 2025 Inspection Building & playground safety

110º F or less 55 Pa. Code §3270.69(b)

At the time of the inspection, the hot water temperature was measured at 122 degrees in the school age girls' bathroom.

Center’s plan of correction (implemented, Dec 18, 2025): “On 11/11/2025, Serenity Early Learning Center hired a plumber/contractor/painter to repair and adjust any maintenance needed for the building to ensure child(ren) safety.”

Citation Oct 22, 2025 Inspection Building & playground safety

Inaccessible to children 55 Pa. Code §3270.75(b)

At the time of the inspection, the first aid kit in the preschool room was in an accessible location to children.

Center’s plan of correction (implemented, Nov 21, 2025): “On 11/11/2025, Serenity Early Learning Center has relocated the first aid kit in the preschool room so it's not accessible to the children.”

Citation Oct 22, 2025 Inspection Building & playground safety

Has all items 55 Pa. Code §3270.75(c)

At the time of the inspection, soap was not observed in the first aid kit of the toddler room. The first aid kit on bus (license plate: myj-5111) did not include scissors, gloves, soap and bus (license plate: myj-5112) did not include scissors and soap in their first aid kit. Non-compliance was corrected on site.

Center’s plan of correction (implemented, Oct 22, 2025): “Provider placed soap in the first aid kit in the toddler room. Scissors, gloves and soap were placed in the first aid kit for Bus (license plate myj-5111) and scissors and soap were placed in the first aid kit for bus (license plate myj-5112).”

Citation Oct 22, 2025 Inspection Building & playground safety

Building Surfaces 55 Pa. Code §3270.76

At the time of the inspection, the bathroom door in the toddler room had a crack to the lower right section.

Center’s plan of correction (implemented, Nov 21, 2025): “On 11/11/2025, Serenity Early Learning Center hired a plumber/contractor/painter to repair and adjust any maintenance needed for the building to ensure children safety.”

Citation Oct 22, 2025 Inspection Building & playground safety

No peeling paint or plaster 55 Pa. Code §3270.77(a)

At the time of the inspection, peeled paint was observed on the walls of the toddler room.

Citation Oct 22, 2025 Inspection Building & playground safety

Handwashing signs 55 Pa. Code §3270.82(h)

At the time of the inspection, staff person #1 changed the diaper of child #1 and the child's hands were not washed following the diaper change.

Citation Oct 22, 2025 Inspection Building & playground safety

Dramatic role playing 55 Pa. Code §3270.101(c)(1)

At the time of the inspection, dramatic role playing equipment and materials were not observed in the toddler and preschool rooms.

Center’s plan of correction (implemented, Nov 21, 2025): “On 11/13/2025, Serenity Early Learning Center provided the toddler and preschool rooms with dramatic play equipment and materials.”

Citation Oct 22, 2025 Inspection Health & medication

2 feet apart 55 Pa. Code §3270.106(f)

At the time of the inspection, the cots of child #1 and #2 did not observe 2 feet on 3 sides during nap time. Non-compliance was corrected on site.

Center’s plan of correction (implemented, Oct 22, 2025): “Provider placed both cots to have 2 feet on 3 sides.”

Citation Oct 22, 2025 Inspection Training & qualifications

Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)

At the time of the inspection, the file of staff person #1 and #2 did not include fire safety training.

Center’s plan of correction (implemented, Nov 21, 2025): “Staff person #1 is no longer employed with Serenity Early Learning Center. Her last day of employment with the facility was on 10/22/25. Staff person #2 has completely the required fire safety training, required annually.”

Citation Oct 22, 2025 Inspection Training & qualifications

HS/GED + 2 yrs/Transcript, diploma and letters 55 Pa. Code §3270.36(b)(5)/3270.192(2)(iv)

At the time of the inspection, the file of staff person #4 did not include verification of education.

Center’s plan of correction (implemented, Jan 7, 2026): “Staff person #4 has provided Serenity Early Learning Center with verification of education.”

Citation Oct 22, 2025 Inspection Training & qualifications

HS/GED + 2 yrs/Exp, educ., training prior to facility 55 Pa. Code §3270.36(b)(5)/3270.192(2)(ii)

At the time of the inspection, the file of staff person #4 did not include verification of child care experience.

Center’s plan of correction (implemented, Nov 21, 2025): “Staff person #4 has provided Serenity Early Learning Center with verification of child care experience.”

Citation Oct 22, 2025 Inspection Records & paperwork

Services proceeded 55 Pa. Code §3270.123(a)(3)

At the time of the inspection, the file of child #2 and #3 did not include a child service report.

Center’s plan of correction (implemented, Dec 2, 2025): “Child #2 and #3 has been provided with a child service report.”

Citation Oct 22, 2025 Inspection Records & paperwork

Written consent/Consent for emergency medical care required prior to admission 55 Pa. Code §3270.124(b)(4)/3270.182(3)

At the time of the inspection, the emergency contact of child #3 and #5 did not include parental consent for emergency medical care.

Center’s plan of correction (implemented, Dec 2, 2025): “Child#3 and #5 parents have provided Serenity Early Learning Center with parental consent for emergency medical care.”

Citation Oct 22, 2025 Inspection Records & paperwork

Name/address/phone release person 55 Pa. Code §3270.124(b)(7)

At the time of the inspection, the file of child #1 did not include the address of the individual designated by the parent to whom the child may be released.

Center’s plan of correction (implemented, Nov 13, 2025): “Child #1 is no longer enrolled with Serenity Early Learning Center. Her day of enrollment at the facility was oin 11/7/2025.”

Citation Oct 22, 2025 Inspection Records & paperwork

Updated every 6 months/Emergency info/agreement updated 6 mos 55 Pa. Code §3270.124(f)/3270.181(c)

At the time of the inspection, the emergency contact of child #5 did not include a 6 month period review.

Center’s plan of correction (implemented, Dec 2, 2025): “Child #5 emergency contact has been updated with a signature for the periodic 6 month review.”

Citation Oct 22, 2025 Inspection Records & paperwork

Consent for administration of medications or special dietary needs 55 Pa. Code §3270.182(4)

At the time of the inspection, the emergency contact for child #3 and #5 did not include parental consent for the administration of medications or special dietary needs.

Center’s plan of correction (implemented, Dec 2, 2025): “Child #3 and #5 parents have provided Serenity Early Learning Center with parental consent for the administration of medications or special dietary needs.”

Citation Oct 22, 2025 Inspection Records & paperwork

Consent for administration of minor first-aid required prior to admission 55 Pa. Code §3270.182(5)

At the time of the inspection, the emergency contact of child #3 and #5 did not include parental consent for the administration of minor first aid procedures by facility staff.

Center’s plan of correction (implemented, Dec 2, 2025): “Child #3 and #5 parents have provided Serenity Early Learning Center with parental consent for the administration of minor first aid procedures by facility staff.”

Citation Oct 22, 2025 Inspection Records & paperwork

Signed parental consent for transportation, walking excursions, swimming and wading 55 Pa. Code §3270.182(6)

At the time of the inspection, the emergency contact of child #3 and #5 did not include parental consent for transportation, walking excursions, swimming and wading.

Center’s plan of correction (implemented, Dec 18, 2025): “Child #3 and #5 parents have provided Serenity Early Learning Center with parental consent for transportation, walking excursions, swimming and wading.”

Citation Oct 22, 2025 Inspection Records & paperwork

Two written references 55 Pa. Code §3270.192(5)

At the time of the inspection, two written, nonfamily references were not observed in the file of staff person #2 and #4.

Center’s plan of correction (implemented, Nov 21, 2025): “Staff person #2 and #4 has provided Serenity Early Learning Center with two written references from nonfamily.”

Show 70 older citations

Core safety Mar 5, 2025 Inspection Background checks

Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)

During the renewal inspection on 03/05/25 the file reviewed for staff person #1 hired (see code sheet) did not include DHS FBI clearance.

Center’s plan of correction (implemented, Mar 21, 2025): “Staff person #1 must be removed from childcare position at the facility. Staff person #1 no longer employed at facility.”

Citation Mar 5, 2025 Inspection Building & playground safety

Has all items 55 Pa. Code §3270.75(c)

During the renewal inspection on 03/05/25 the first aid kit reviewed in the Little Lambs classroom (behind desk) was missing gauze and soap.

Center’s plan of correction (implemented, Mar 5, 2025): “Items were replaced during inspection.”

Citation Mar 5, 2025 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 on 03/05/25 the fee agreements and emergency contact forms reviewed for child #1, child #2, child #3, child #4 and child #5 were not reviewed/updated within 6-month time period.

Center’s plan of correction (implemented, Mar 21, 2025): “Serenity Early Learning Center has ensured that emergency contact forms and fee agreements have been updated for child #1, child #2, child #3, child #4 and child #5.”

Citation Mar 5, 2025 Inspection Records & paperwork

Locked cabinet 55 Pa. Code §3270.183(a)

During the renewal inspection on 03/05/25 the child files were observed not being stored in a locked cabinet.

Center’s plan of correction (implemented, Mar 21, 2025): “A new file cabinet has been purchased to ensure all child records are locked away.”

Citation Mar 5, 2025 Inspection Records & paperwork

Transcript, diploma and letters 55 Pa. Code §3270.192(2)(iv)

During the renewal inspection the file reviewed for staff person #1 did not include verification of education.

Center’s plan of correction (implemented, Mar 21, 2025): “Staff #1 has provided Serenity Early Learning Center with verification of education. Staff #1 no longer works at facility.”

Citation Oct 29, 2024 Inspection Records & paperwork

Immediate access 55 Pa. Code §3270.24(a)

Certification representative attempted to gain access to the facility on 10/29/24, 11/05/24, and 11/26/24 to complete renewal inspection. All attempts have been unsuccessful.

Center’s plan of correction (implemented, Mar 5, 2025): “A staff person will be at the facility to provide access to a certification representative. Our new business hours are from 4:00 pm - 6:00 pm This is the best time for a certification representative to come.”

Core safety Nov 29, 2023 Inspection Background checks

Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)

During the renewal inspection conducted on 11/29/2023 observed staff person #1's FBI clearance expired. The last one on file is dated 6/8/2018.

Center’s plan of correction (implemented, Jan 23, 2024): “Staff #1 will provide Serenity Early Learning Center with documention of their FBI appointment and receipt until their new clearance arrives in the mail. Until this clearance arrives, staff #1 should not be left alone with any children if they return to work. Completion Date: 12/8/2023”

Citation Nov 29, 2023 Inspection Emergency preparedness

Training regarding plan 55 Pa. Code §3270.27(c)

During the renewal inspection conducted on 11/29/2023 observed staff person #1's file did not include verification of annual emergency plan training. The last training on file is dated 11/28/2022.

Center’s plan of correction (implemented, Jan 23, 2024): “Staff #1 will complete an emergency plan training. Once completed, staff #1 will sign and date documentation as proof of their training completion. Completion Date: 12/8/2023”

Citation Nov 29, 2023 Inspection Building & playground safety

Inaccessible to children 55 Pa. Code §3270.75(b)

During the renewal inspection conducted on 11/29/2023 observed the first-aid kit child accessible in the room on the left of the main lobby.

Center’s plan of correction (implemented, Jan 23, 2024): “The director or owners of Serenity Early Learning Center will reposition the first-aid bag so it is not accessible by a child in the room on the left of the main lobby. Completion Date: 12/10/2023”

Citation Nov 29, 2023 Inspection Building & playground safety

No peeling paint or plaster 55 Pa. Code §3270.77(a)

During the renewal inspection conducted on 11/29/2023 observed peeled paint in the room at the back of the lobby.

Center’s plan of correction (implemented, Jan 23, 2024): “The director or owners of Serenity Early Learning Center will hire a painter to come and patch any peeling paint in the facility. Completion Date: N/A (Until this room has been repaired it will be closed off for children usage)”

Citation Nov 29, 2023 Inspection Building & playground safety

Handwashing signs 55 Pa. Code §3270.82(h)

During the renewal inspection conducted on 11/29/2023 observed the two bathrooms in the room on the right side of the main lobby and the bathroom in the back room did not have handwashing signs posted above the toilets and sinks.

Center’s plan of correction (implemented, Jan 23, 2024): “The director of Serenity Early Learning Center will ensure all bathrooms are properly labeled with hand washing signs posted above the toilets and sinks. Completion Date: 12/8/2023”

Citation Nov 29, 2023 Inspection Health & medication

Immunization record/Exemption documentation from parent/guardian 55 Pa. Code §3270.131(d)(5)/3270.131(e)(1)

During the renewal inspection conducted on 11/29/2023 observed child #2's health report did not include a current influenza vaccine. The last one was administered on 10/4/2021.

Center’s plan of correction (implemented, Dec 10, 2023): “The director will ensure that child #2 has a health report that includes their most recent influenza vaccine or a letter stating why they can not get one. Completion Date: N/A (Child can not return until this has been completed by the parent)”

Citation Nov 29, 2023 Inspection Health & medication

Free from contagious/communicable disease 55 Pa. Code §3270.131(d)(7)

During the renewal inspection conducted on 11/29/2023 observed child #1's health report 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, Dec 10, 2023): “The director will ensure that child #1 health report includes a statement that says they are able to participate in child care and free from contagious or communicable disease. Completion Date: N/A (Child can not return until this has been completed by the parent)”

Citation Nov 29, 2023 Inspection Health & medication

Physical examination/Health assessment, TB test 55 Pa. Code §3270.151(c)(1)/3270.192(3)

During the renewal inspection conducted on 11/29/2023 observed staff person #1's health assessment on file is expired. It was dated 11/22/2021.

Center’s plan of correction (implemented, Jan 23, 2024): “Staff #1 will provide Serenity Early Learning Center with an updated health assessment. Completion Date: N/A (Staff #1 has currently set up an appointment but has not been seen yet)”

Citation Nov 29, 2023 Inspection Emergency preparedness

Emergency plan 55 Pa. Code §3270.27(a)(5)

During the renewal inspection conducted on 11/29/2023 observed the facility's emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Center’s plan of correction (implemented, Jan 23, 2024): “The director for Serenity Early Learning Center will revise the emergency plan to state that no infants, toddlers, or preschoolers are to be enrolled in the center. The reviseed emergency plan will also state how an emergency is handled for a child with autism and as the facility get more children…”

Citation Nov 29, 2023 Inspection Emergency preparedness

Emergency plan 55 Pa. Code §3270.27(a)(6)

During the renewal inspection conducted on 11/29/2023 observed the facility did not have verification of annual emergency drill.

Center’s plan of correction (implemented, Jan 23, 2024): “The director for Serenity Early Learning Center will ensure that an annual emergency drill will be conducted with the children and staff. Once conducted, an Emergency Drill Log will be completed and posted in the facility. Completion Date: 12/1/2023”

Citation Nov 29, 2023 Inspection Emergency preparedness

Every 60 days 55 Pa. Code §3270.94(a)(1)

During the renewal inspection conducted on 11/29/2023 observed the last fire drill documented on the fire drill log was not within the 60-day time frame. The last one was dated 11/29/2022.

Center’s plan of correction (implemented, Jan 23, 2024): “The director of Serenity Early Learning Center will ensure a fire drill is conducted at the facility. Completion Date: 12/1/2023”

Citation Nov 29, 2023 Inspection Building & playground safety

Devices must be compliant 55 Pa. Code §3270.95(a)

During the renewal inspection conducted on 11/29/2023 observed the fire extinguisher was last inspected on 5/2022.

Center’s plan of correction (implemented, Jan 23, 2024): “The director of Serenity Early Learning Center will ensure that each fire extinguisher is inspected, tagged and dated. Completion Date: 12/8/2023”

Citation Nov 29, 2023 Inspection Emergency preparedness

Emergency plan 55 Pa. Code §3270.27(f)

During the renewal inspection conducted on 11/29/2023 observed the operator did not have verification that a copy of the emergency plan and subsequent plan updates were sent to the local municipality and to the county emergency management agency.

Center’s plan of correction (implemented, Jan 23, 2024): “The director for Serenity Early Learning Center will ensure that a copy of the emergency plan and subsequent plan updates are sent to the local municipality and to the county emergency management agency. Completion Date: 12/10/2023”

Citation Nov 29, 2023 Inspection Health & medication

Health information/Initial and subsequent health reports 55 Pa. Code §3270.131(a)/3270.182(1)

During the renewal inspection conducted on 11/29/2023 observed child #3 and #4's record did not contain initial health reports.

Center’s plan of correction (implemented, Dec 10, 2023): “The director will ensure that child #3 and child #4 have completed health reports. Completion Date: N/A (Children can not return until this has been completed by the parent)”

Citation Nov 29, 2023 Inspection Training & qualifications

Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21

During the renewal inspection conducted on 11/29/2023 observed staff person #1's file did not include verification of Health and Safety (CCDBG) training update.

Center’s plan of correction (implemented, Jan 23, 2024): “Staff #1 will provide Serenity Early Learning Center with the Health and Safety (CCDBG) training. Completion Date: 10/24/2022”

Citation Nov 29, 2023 Inspection Records & paperwork

On file at facility 55 Pa. Code §3270.18(a)

During the renewal inspection conducted on 11/29/2023 observed the facility did not have a current copy of the insurance policy on file at the facility.

Center’s plan of correction (implemented, Jan 23, 2024): “The director for Serenity Early Learning Center will ensure that the insurance policy for Serenity Early Learning Center has been posted beside the compliance board for easy access during state inspections. Completion Date: 12/8/2023”

Citation Nov 29, 2023 Inspection Training & qualifications

Age and Training 55 Pa. Code §3270.31(e)(4)(i)

During the renewal inspection conducted on 11/29/2023 observed staff person #1's pediatric first aid and/CPR training expired. The last one on file is dated 6/30/2021.

Center’s plan of correction (implemented, Jan 23, 2024): “Staff #1 will provide Serenity Early Learning Center with an updated pediatric first aid and/CPR training. Completion Date: 12/6/2023”

Citation Nov 29, 2023 Inspection Training & qualifications

Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)

During the renewal inspection conducted on 11/29/2023 observed staff person #1's fire safety training is expired. The last one on file is dated 12/29/2021.

Center’s plan of correction (implemented, Jan 23, 2024): “Staff #1 will provide Serenity Early Learning Center with an updated fire safety training. Completion Date: 12/6/2023”

Citation Nov 29, 2023 Inspection Training & qualifications

Staff evaluations 55 Pa. Code §3270.34(a)(6)

During the renewal inspection conducted on 11/29/2023 observed staff person #1's file did not include verification of current staff evaluation. The last one on file is dated 11/3/2021.

Center’s plan of correction (implemented, Jan 23, 2024): “Staff #1 will be given an evaluation upon their return to work. Once evaluated, staff #1 will be required to sign off on the evaluation as proof that they spoke with the director about their performance in the facility. Completion Date: N/A (Staff #1 has not returned to work yet to perform this…”

Citation Nov 29, 2023 Inspection Records & paperwork

Written plan/Posted in group space 55 Pa. Code §3270.111(a)/3270.111(b)

During the renewal inspection conducted on 11/29/2023 observed the room on the right side of the lobby and the room in the back did not have a daily schedule posted.

Center’s plan of correction (implemented, Jan 23, 2024): “The director of Serenity Early Learning Center will ensure that a daily schedule is posted in the facility. Completion Date: 12/8/2023”

Citation Nov 29, 2023 Inspection Records & paperwork

Amount of fee 55 Pa. Code §3270.123(a)(1)

During the renewal inspection conducted on 11/29/2023 observed child #3's agreement did not specify the amount of the fee to be charged per day or per week.

Center’s plan of correction (implemented, Dec 10, 2023): “The director will ensure that child #3's agreement form is completed. Completion Date: N/A (Child can not return until this has been completed by the parent)”

Citation Nov 29, 2023 Inspection Records & paperwork

Admission date/Application, admission, withdrawal dates 55 Pa. Code §3270.123(a)(6)/3270.182(2)

During the renewal inspection conducted on 11/29/2023 observed child #1, #2, #3, #4 and #5's agreement did not specify the date of the child's admission.

Center’s plan of correction (implemented, Jan 23, 2024): “The director will ensure that child #1, #2, #3, #4, #5 have specified start dates added to their files. Completion Date: N/A (Child can not return until this has been completed by the parent)”

Citation Nov 29, 2023 Inspection Records & paperwork

Physician name, address, phone 55 Pa. Code §3270.124(b)(2)

During the renewal inspection conducted on 11/29/2023 observed child #2's emergency contact information did not include the address of the child's physician or source of medical care.

Center’s plan of correction (implemented, Dec 10, 2023): “The director will ensure that child #2 provides updated emergency contact information. Completion Date: N/A (Child can not return until this has been completed by the parent)”

Citation Nov 29, 2023 Inspection Records & paperwork

Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)

During the renewal inspection conducted on 11/29/2023 observed child #4 and #5's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

Center’s plan of correction (implemented, Dec 10, 2023): “The director will ensure that child #4 and child #5 provides updated emergency contact information. Completion Date: N/A (Children can not return until this has been completed by the parent)”

Citation Nov 29, 2023 Inspection Records & paperwork

Insurance coverage information 55 Pa. Code §3270.124(b)(6)

During the renewal inspection conducted on 11/29/2023 observed child #2's emergency contact information did not include health insurance coverage. Observed child #4's emergency contact information 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, Dec 10, 2023): “The director will ensure that child #2 and child #4 provides updated emergency contact information in regards to their health insurance. Completion Date: N/A (Children can not return until this has been completed by the parent)”

Citation Nov 29, 2023 Inspection Records & paperwork

Written emergency plan posted 55 Pa. Code §3270.124(e)

During the renewal inspection conducted on 11/29/2023 observed the room on the right side of the lobby and the room in the back did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously.

Center’s plan of correction (implemented, Jan 23, 2024): “The director will ensure that a transportation plan is posted in the facility for emergency responses. Completion Date: 12/8/2023”

Citation Nov 29, 2023 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 conducted on 11/29/2023 observed child 3's emergency contact information and financial agreement were not reviewed and updated within the 6-month time frame. The last updates were dated 1/5/2023.

Center’s plan of correction (implemented, Dec 10, 2023): “The director will ensure that child #3 emergency contact and financial agreement is completed. Completion Date: N/A (Child can not return until this has been completed by the parent)”

Citation Nov 29, 2023 Inspection Records & paperwork

Availability of certificate of compliance and applicable regulations 55 Pa. Code §3270.25(a)

During the renewal inspection conducted on 11/29/2023 observed the operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Center’s plan of correction (implemented, Jan 23, 2024): “The director for Serenity Early Learning Center will ensure that a copy of the DHS REGULATIONS and Contact Information has been posted beside the compliance board for easy access during state inspections and near the front door for parents coming into the facility who are looking for their…”

Citation Nov 29, 2023 Inspection Training & qualifications

Age and Training 55 Pa. Code §3270.31(e)

During the renewal inspection conducted on 11/29/2023 observed staff person #1's file did not include the annual minimum of 12 clock hours of child care training.

Center’s plan of correction (implemented, Jan 23, 2024): “Staff #1 will provide Serenity Early Learning Center with a total of 12 hours of training from Better Kid Care. Completion Date: 12/8/2023”

Core safety Dec 22, 2022 Inspection Background checks

Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)

During the renewal inspection on 12/22/22, it was observed that the records of staff person #2 did not include the Federal Bureau of investigations (FBI) clearance as required by the CPSL.

Center’s plan of correction (implemented, Jan 27, 2023): “To correct this violation Staff #2 will no longer be working with Serenity Early learning center.”

Citation Dec 22, 2022 Inspection Building & playground safety

In child care spaces 55 Pa. Code §3270.75(a)

During the renewal inspection on 12/22/22, it was observed that there was no First Aid Kit in the school-age room

Center’s plan of correction (implemented, Jan 27, 2023): “To correct this violation a First Aid bag has been placed into the school age room.”

Citation Dec 22, 2022 Inspection Health & medication

Annual immunization reporting to DOH 55 Pa. Code §3270.131(e)(4)

During the renewal inspection on 12/22/22, it was observed that the records of child #2, child #3, and child #4 did not comply with the annual immunization reporting requirements with Influenza vaccines dated 9/22/21, 7/29/21 and 2/17/20 respectively.

Center’s plan of correction (implemented, Jan 27, 2023): “To correct this violation child #1, child #3, and child #4 no longer attends the program since the program transitioned to school age care only.”

Citation Dec 22, 2022 Inspection Health & medication

12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)

During the renewal inspection on 12/22/22, it was observed that the records of staff #1 did not contain an updated heath assessment-health record dated 9/16/20. The records of staff #2 did not contain a health assessment conducted within 12 months prior to providing initial service in a childcare setting

Center’s plan of correction (implemented, Jan 27, 2023): “To correct this violation, staff #1 has gotten an updated health assessment. Staff #2 is no longer working at the facility.”

Citation Dec 22, 2022 Inspection Health & medication

Mantoux TB 55 Pa. Code §3270.151(c)(2)

During the renewal inspection on 12/22/22, it was observe that the records of staff person #2 did not include tuberculosis screening by the Mantoux method at initial employment.

Center’s plan of correction (implemented, Jan 27, 2023): “To correct this violation, staff #2 is no longer working at the facility.”

Citation Dec 22, 2022 Inspection Emergency preparedness

Emergency plan 55 Pa. Code §3270.27(a)(6)

During the renewal inspection on 12/22/22, it was observed that there was no document to verify that an emergency drill was conducted annually.

Center’s plan of correction (implemented, Jan 16, 2023): “To correct this violation an emergency drill was conducted on 1/13/23 with the staff and children in our facility. This emergency drill was done with one of the owners of Serenity early learning center and is attached for documentation purposes.”

Citation Dec 22, 2022 Inspection Emergency preparedness

Emergency plan 55 Pa. Code §3270.27(f)

During the renewal inspection on 12/22/22, it was observed that there was no document to verify that the emergency plan was sent to the local municipality.

Center’s plan of correction (implemented, Jan 16, 2023): “To correct this violation, the owner printed our emergency plan and emergency drill and physically sent these documents to both municipality locations on 1/13/23. However, on 1/16/22 documents will be emailed as well.”

Citation Dec 22, 2022 Inspection Records & paperwork

Insurance coverage information 55 Pa. Code §3270.124(b)(6)

During the renewal inspection on 12/22/22, it was observed that the records of child #1 did not contain health insurance coverage for a child under a family policy. The records of child #2 did not contain policy number for a child under a family policy.

Center’s plan of correction (implemented, Jan 27, 2023): “Ro correct this violation, child #1 and child #2 will no longer be attending the program since we transitioned to school age care only.”

Citation Dec 22, 2022 Inspection Records & paperwork

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission 55 Pa. Code §3270.182(3)/3270.182(5)

During the renewal inspection on 12/22/22, it was observed that the records of child #1 did not contain signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.

Center’s plan of correction (implemented, Jan 27, 2023): “To correct this violation, child #1 is no longer attending the program since the program transitioned to school age only care.”

Citation May 11, 2022 Inspection Emergency preparedness

Training regarding plan 55 Pa. Code §3270.27(c)

During the unannounced inspection on 5/17/22, it was observed that the records of facility person #1 did not contain training regarding the emergency plan.

Center’s plan of correction (implemented, Jun 28, 2022): “Facility person #1 is no longer employed at Serenity Early Learning Center Please refer to the employment resignation letter we have attached with this inspection summary”

Citation May 11, 2022 Inspection Building & playground safety

Building Surfaces 55 Pa. Code §3270.76

During the unannounced inspection on 5/11/22, it was observed that there were water stained tiles in the ceiling of the infant room

Center’s plan of correction (implemented, Jun 28, 2022): “Ceiling tiles in the infant room that show signs of water damaged will be inspected and replaced”

Citation May 11, 2022 Inspection Emergency preparedness

Every 60 days/Written record 55 Pa. Code §3270.94(a)(1)/3270.94(a)(9)

During the unannounced inspection on 5/11/22, it was observed that there was no fire drill conducted within the last 60 days and no testing of the fire detection system within the last 30 days-fire drill recording document was blank

Center’s plan of correction (implemented, Jun 28, 2022): “A fire drill and testing of the fire alarms will be immediately initiated in the center and logged onto the fire drill and fire detection log”

Citation May 11, 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)

During the renewal inspection on 5/11/22, it was observed that the fire extinguishers in the facility were not tagged within the last year-tags on the extinguishers were dated March 2021

Center’s plan of correction (implemented, Jun 28, 2022): “Each fire extinguisher in the facility will be checked and tagged upon the arrival of the company assigned to perform the annual tagging”

Citation May 11, 2022 Complaint investigation Records & paperwork

Parent receives original 55 Pa. Code §3270.123(b)

During the unannounced inspection on 5/11/22 it was observed that the family did not receive the original agreement document and the facility Director verified that it was unknown for the families to receive the document

Center’s plan of correction (implemented, Jun 28, 2022): “The family who did not receive the original agreement document will be provided the original document and the facility will make a copy to be left in the center”

Citation May 11, 2022 Inspection Training & qualifications

Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)

During the unannounced inspection on 5/17/22, it was observed that the records of facility person #1 did not include fire safety training conducted by a fire protection professional

Citation May 11, 2022 Inspection Training & qualifications

Staff evaluations 55 Pa. Code §3270.34(a)(6)

During the unannounced inspection on 5/17/22, it was observed that the records of facility person #1 did not include a written evaluation of staff persons on a regular basis

Citation May 11, 2022 Inspection Records & paperwork

Individual Records 55 Pa. Code §3270.191

During the unannounced inspection on 5/11/22, it was observed that there was no individual record onsite for facility person #1to be reviewed

Center’s plan of correction (implemented, Jun 28, 2022): “Provider has obtained and provided a record for Facility person #1”

Citation May 11, 2022 Inspection Records & paperwork

Health assessment, TB test 55 Pa. Code §3270.192(3)

During the unannounced inspection on 5/17/22, it was observed that the records of facility person #1 did not include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Citation May 11, 2022 Inspection Training & qualifications

CPSL information 55 Pa. Code §3270.192(4)

During the renewal inspection on 5/17/22, it was observed that the records of facility person #1 included a Mandated Reporter training with an illegible date-date could not be read

Citation May 11, 2022 Inspection Training & qualifications

Health and Safety Training 55 Pa. Code §3270.31(h)

During the unannounced inspection on 5/17/22, it was observed that the records of facility person #1 did not include the Health and safety training as required by the CCDBG

Citation May 11, 2022 Inspection Training & qualifications

Age and Training 55 Pa. Code §3270.31(e)

During the unannounced inspection on 5/17/22 it was observed that the records of facility person #1 did not include an annual minimum of 12 clock hours of child care training.

Center’s plan of correction (implemented, Jun 28, 2022): “Facility person #1 is no longer employed at Serenity Early learning center Please refer to the employment resignation letter we have attached with this inspection summary”

Core safety Jan 28, 2022 Complaint investigation Child protection

Required to report 55 Pa. Code §3270.19(a)

During the inspection on 1/28/22-2/25/22, provider was unable to submit documentation to verify that reports of suspected child abuse were reported to ChildLine through the hotline at (800) 932-0313, online, or any other method as prescribed by the Department.

Center’s plan of correction (implemented, Mar 14, 2022): “Serenity Early Learning Center has been reviewing, revising and updating our handbooks with procedures to report suspected abuse, and will review it with staff and include Data collection procedures, with timelines that outline the processes for recording the submission. The Manual updates will be…”

Follow-up Jan 24, 2022 Inspection Health & medication

12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)

During an unannounced visit on 1/24/22, continued non-compliance from 11/18/21 was observed since the record of facility person #1 did not include an updated health assessment record.

Center’s plan of correction (implemented, Jan 28, 2022): “Facility person #1 has updated their health Assessment 1/26/22”

Re-cited at a follow-up visit; counted once, with the original citation.

Follow-up Jan 24, 2022 Inspection Training & qualifications

Health and Safety Training/Health and Safety Training 55 Pa. Code §3270.31(f)/3270.31(h)

During an unannounced visit on 1/24/22, continued noncompliance from 11/18/21 was observed since the record of facility person #1's record did not contain verification of Health and safety training as required by the CCDBG

Center’s plan of correction (implemented, Jan 28, 2022): “Facility person #1 has completed the health and safety training”

Re-cited at a follow-up visit; counted once, with the original citation.

Citation Nov 18, 2021 Inspection Emergency preparedness

Training regarding plan 55 Pa. Code §3270.27(c)

During the renewal inspection on 11/18/21, it was observed that the records of facility person #1 and facility person #3 did not contain an updated emergency plan training on an annual basis

Center’s plan of correction (implemented, Jan 24, 2022): “Emergency plan training for person #1 and #3 will receive training by 12/1/21”