Citation
Jun 22, 2026
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
On 6/22/26 documentation of cleaning checklist required per tiered LIS Sin-00286295 was not submitted timely.
Center’s plan of correction (implemented, Jul 6, 2026): “Provider will ensure that the documentation of the cleaning checklist that is required per tiered LIS Sin-00286295 is turned in and submitted timely.”
Core safety
Jun 17, 2026
Complaint investigation
Supervision
Supervised at all times /Staff assigned to specific children 55 Pa. Code §3270.113(a)/3270.113(a)(1)
During the complaint investigation on 6/17/26, child #1 in the Monkeys' classroom, was observed to be in the bathroom for at least 5 minutes while in the care of staff persons #1 and #4 and in the primary care group of staff person #1.
Center’s plan of correction (submitted, Jul 13, 2026): “All classroom staff including staff #1 and #4, will receive refresher training on supervision expectations, including: Maintaining continuous supervision of children in their assigned primary care groups. Following children's movements throughout the classroom and facility. Ensuring children who…”
Inspection status on COMPASS: Non Compliant – Finalized
No harsh language 55 Pa. Code §3270.113(d)
During investigation of complaint, it was observed that staff #8 was using loud tones and harsh language with the children in the Jaguars' classroom. Repeated non-compliance as cited on 5/18/2026 (SIN-00288867).
Center’s plan of correction (submitted, Jul 13, 2026): “Staff #8 was immediately counseled regarding the expectations for appropriate communication, positive behavior guidance, and professional interactions with children. Staff #8 will complete refresher training on positive discipline practices, child development, effective classroom management, and…”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
It was observed that staff person #17 was working with children and did not have evidence of updated State Police, Child Abuse, or DHS FBI clearances on file. It was observed that the file of staff person #18 had a disclosure statement but it was not signed by a witness. It was observed that the file for staff person #20 contained evidence that they began working with children before their NSOR was on file. It was observed that staff person #21 did not updated their clearances every 60 months. State Police- 1/4/20-12/25/25 Child Abuse Clearance- 11/4/20- 12/25/25 DHS FBI Clearnce- 9/15/20- 12/23/25
Center’s plan of correction (submitted, Jul 14, 2026): “Staff Person #17: Updated Pennsylvania State Police, Child Abuse, and DHS FBI clearances have been obtained and placed in the employee's file. The staff member did not work with children until all required clearances were current and on file. Staff Person #18: The disclosure statement has been…”
Inspection status on COMPASS: Non Compliant – Finalized
Similar Age Level 55 Pa. Code §3270.51
On 6/17/2026, in the PreK-1 classroom, 20 children were present with staff #1 during naptime. Naptime ratios were not applicable because least 3 children were observed to be off their cots and were not participating in naptime. Repeated non-compliance as cited on 6/8/2026 (SIN-00289213) and 4/2/2026 (SIN-00286295).
Center’s plan of correction (submitted, Jul 13, 2026): “The Director and Assistant Director provided retraining to all classroom staff on supervision expectations, naptime ratio requirements, and procedures for requesting additional staff coverage, on June 23. Classroom staffing will be monitored daily through classroom checks, and attendance and…”
Inspection status on COMPASS: Non Compliant – Finalized
Supervised at all times /Staff assigned to specific children 55 Pa. Code §3270.113(a)/3270.113(a)(1)
On 6/17/2026 at 11:50AM, 20 children were observed in the Jaguar's (school-age) classroom with Staff #8 and Staff #19. When asked to identify their primary care groups, staff #8 and staff #19 identified only 19 children. The supervision and ratio tracking sheets did not include the names of all of the children assigned to each staff person. Staff #19 was able to identify which child was unaccounted for by using a list of names on a classroom whiteboard within 5 minutes of prompting from the certification supervisor. Staff #8 and staff #19 had been present with their group of children for at least one hour prior to 11:50AM. Repeated non-compliance as cited on 6/8/2026 (SIN-00290012 and SIN-00289213), 5/18/2026 (SIN-00288006), and 4/2/2026 (SIN-00286295).
Center’s plan of correction (submitted, Jul 13, 2026): “Immediately following the observation on 6/17/2026, staff reviewed the classroom roster, supervision tracking sheets, and primary care group assignments to ensure all children were accurately assigned to a staff member. The missing child's assignment was verified and documented. Staff were reminded…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Emergency preparedness
Pertinent Laws & Regulations/Training regarding plan 55 Pa. Code §3270.14/3270.27(c)
It was observed that the file for staff person #20 did not contain evidence of emergency plan training. It was observed that the files of staff persons #17 and #21 had a lapse in annual emergency plan training. (2/17/25- 6/18/26) It was observed that the files of staff persons #18 and #19 did not contain evidence of annual emergency plan training. Last documented training was 2/17/25.
Center’s plan of correction (submitted, Jul 14, 2026): “Staff Person #20 completed emergency plan training immediately upon identification of the deficiency, and documentation has been placed in the employee's personnel file. Staff Persons #17 and #21 completed their overdue annual emergency plan training, and documentation has been updated in their…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Health & medication
Toddler/preschool: updated health report every 12 months 55 Pa. Code §3270.131(b)(2)
The file for child #1 contained evidence that the child's health assessment was not updated every 12-months. Last one on file was dated 7/9/24.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider reviewed the child's file and identified that the required 12-month health assessment update had not been obtained and maintained in the child's records as required. The child's parent/guardian was contacted and provided with a reminder to submit an updated health assessment. Once…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
It was observed that the file of staff persons #19, and #21 did not contain evidence that their health assessment was updated every 24 months #19 10/21/22-2/12/25 #21- 2/26/23- 2/17/26 It was observed that the file of staff person #17 did not contain evidence that their health assessment was updated every 24 months. The last one documented was 2/7/24.
Center’s plan of correction (submitted, Jul 13, 2026): “Upon identification of this deficiency, the Provider reviewed the personnel files of staff persons #17, #19, and #21 to verify compliance with required health assessment documentation. The Provider has contacted the identified staff members and initiated completion of updated health assessments to…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Health & medication
Mantoux TB/Health assessment, TB test 55 Pa. Code §3270.151(c)(2)/3270.192(3)
It was observed that the file for staff person #20 did not contain evidence of a health assessment or TB test.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider will obtain and place documentation of a completed health assessment and TB test results for Staff Person #20 in the employee's personnel file. The staff person will not be scheduled to work in a capacity requiring compliance with these health requirements until the required…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Health & medication
Health information/ACIP recommended immunization record 55 Pa. Code §3270.131(a)/3270.131(e)
The file for children #2 and #4 did not contain evidence of a complete initial health assessment nor a vaccination record.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider will obtain and maintain complete health assessment documentation and current vaccination records for children #2 and #4. The parents/guardians of the children will be contacted and requested to provide the missing health assessment forms and immunization records within the required…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Complaint investigation
Other standards
Promote development 55 Pa. Code §3270.111(c)
During complaint investigation on 6/17/26, it was observed that daily activities that promote the development of skills, social competence and self-esteem did not seem to have been planned and were not implemented. Children in the Monkey's classroom were climbing on shelves and in the Caterpillars', classroom climbing on top of the stack of cots outside of the classroom door. Repeated non-compliance as cited on 6/8/2026 (SIN-00290012).
Center’s plan of correction (submitted, Jul 13, 2026): “Teachers in the Monkey and Caterpillars classrooms were immediately instructed to increase active supervision, redirect children from unsafe behaviors, and provide appropriate alternative activities that meet children's developmental needs. Shelves, stacked cots, and other areas that may encourage…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Accommodate a child with special needs 55 Pa. Code §3270.17(a)
Staff #17 was not able to identify what accommodations were being implemented to support child #1 and child #4 while they were in care at the facility other than allowing specialized services on the facility premises. Child #4 receives specialized services while in care but does not have an IEP on file. Child #1 receives specialized services while in care but does not have an updated IEP on file. The last IEP on file is dated from 2023.
Center’s plan of correction (submitted, Jul 14, 2026): “Child #1's current Individualized Education Program (IEP) will be obtained from the parent/guardian and maintained in the child's file, by 7/31/26. Child #4's current Individualized Education Program (IEP) will be obtained from the parent/guardian and maintained in the child's file, by 7/31/26. The…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
It was observed that file of staff person #17 contained evidence of a lapse in annual fire safety training. (1/16/25-6/17/26) It was observed that file of staff person #18 did not contain evidence of annual fire safety training. The last documented training was 2/25/25. It was observed that file of staff person #19 did not contain evidence of annual fire safety training. The last documented training was 2/17/25. It was observed that file of staff person #20 did not contain evidence of annual fire safety training.
Center’s plan of correction (submitted, Jul 14, 2026): “Staff #17, #18, #19, and #20 have completed annual fire safety training immediately. Documentation of completed training has been placed in each employee's personnel file upon completion. (Staff #18/19 no longer work at the facility) Personnel records have been reviewed to verify the status of…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Training & qualifications
Each staff person meets quals/Assistant Group Supervisor qualifications 55 Pa. Code §3270.33(a)/3270.36(b)
Staff persons #10 and #11 were observed working without a qualified staff person supervising and did have evidence of education and/or childcare experience on file.
Center’s plan of correction (submitted, Jun 18, 2026): “Staff Persons #10 and #11 were immediately removed from working independently until their qualifications were verified. Documentation of education and/or qualifying child care experience was obtained and placed in each staff member's personnel file. Until all qualification requirements are…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
It was observed that the file of staff persons #18, #19, #20 and #21 did not contain evidence of an annual staff evaluation.
Center’s plan of correction (submitted, Jul 14, 2026): “The personnel files for Staff #18, #19, #20, and #21 were reviewed. Annual performance evaluations were completed (or obtained, if previously completed but not filed) and placed in each employee's personnel file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Other standards
Outdoor Activity 55 Pa. Code §3270.114
Staff person #17 was heard telling a potential parent that the infants do not go outside.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider reviewed the outdoor activity requirements with all staff members to ensure accurate information is communicated to families. Staff person #17 was counseled regarding the importance of providing families with correct information about program practices and policies. Staff were reminded…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Signed 55 Pa. Code §3270.123(a)
It was observed that the agreement forms of children #1, #3, and #4 were not signed by the operator.
Center’s plan of correction (submitted, Jul 13, 2026): “The operator will sign and update children #1, 3, and 4's agreement forms and any other forms that may need a signature in their files.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Amount of fee 55 Pa. Code §3270.123(a)(1)
The agreement form for child #3 did not include the fee amount.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider will ensure that all child care agreement forms are completed accurately and include all required information, including the agreed-upon fee amount, prior to enrollment or continued care. The provider will review the agreement form for Child #3, update it to include the missing fee…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Date fee to be paid 55 Pa. Code §3270.123(a)(2)
The agreement form for child #3 did not include the date/day on which the fee is to be paid.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider reviewed the enrollment/fee agreement form for child #3 and updated the form to include the specific date/day that fees are due. The corrected agreement was reviewed with the parent/guardian and signed to ensure all required payment information is clearly documented.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Services proceeded 55 Pa. Code §3270.123(a)(3)
It was observed that the file for child #1 did not have updated child service reports every 6 months. The last report on file was 11/7/24. It was observed that child #2 did not have evidence of a child service report being completed and had been in care for more than 6 months.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider will review all children's files to ensure that child service reports are completed and updated at least every six months as required. The provider will complete the missing child service report for child #2 and update the child service report for child #1.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Admission date 55 Pa. Code §3270.123(a)(6)
It was observed that the agreement form of children #1 and #4 did not contain the child's admission date.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider will review the agreement forms for children #1 and #4 and update the forms to include the children's admission dates. The provider will ensure that all required information is completed on enrollment/admission documents before the child begins care.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Services considered extra 55 Pa. Code §3270.123(a)(7)
The agreement forms for children #1, #2, #3, and #4 did not contain extra services nor N/A.
Center’s plan of correction (submitted, Jul 13, 2026): “To correct this violation, the provider will review and update all children's agreement forms to ensure that the extra services section is completed accurately by either documenting the additional services provided or marking the section as N/A when no extra services apply, including agreement…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
The emergency contact forms for children #2 and #4 did not contain the work address for the enrolling parent. The emergency contact form for child #3 did not contain the work phone number for the enrolling parent.
Center’s plan of correction (submitted, Jul 13, 2026): “To correct this violation, the provider will review all children's enrollment and emergency contact records to ensure that all required parent/guardian employment information, including work address and work phone number when applicable, is complete and up to date, including emergency contact forms…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Information re: special needs 55 Pa. Code §3270.124(b)(5)
The emergency contact form of child #3 did not include information on the child's special needs.
Center’s plan of correction (submitted, Jul 13, 2026): “To correct this violation, the provider will review all children's enrollment and emergency contact records to ensure that all required information is noted for a child's special needs, is complete and up to date, including emergency contact forms for child #3. Any missing information identified…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
The emergency contact forms of children #2 and #3 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.
Center’s plan of correction (submitted, Jul 13, 2026): “To correct this violation, the provider will review all children's enrollment and emergency contact records to ensure that all required information is noted for a child's health insurance coverage and policy number, is complete and up to date, including emergency contact forms for children#2 and…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
The emergency contact form for child #3 did not include the release persons' addresses or phone numbers. The emergency contact form for child #4 did not include the release persons' phone numbers.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider reviewed the emergency contact forms for all enrolled children to ensure that all required information is complete and up to date. The emergency contact forms for child #3 and child #4 were corrected to include the missing release person information, including addresses and phone…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Emergency info/agreement updated 6 mos 55 Pa. Code §3270.181(c)
The emergency contact and agreement forms for children #1 and #2 showed evidence that they were not reviewed, updated, and signed every 6-months.
Center’s plan of correction (submitted, Jul 13, 2026): “To correct this issue, the provider will immediately review and update all children's emergency contact and agreement forms to ensure they contain current information and required signatures, including agreement forms for children #1 and 2.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Consent for emergency medical care required prior to admission 55 Pa. Code §3270.182(3)
The emergency contact forms of children #2, #3, and #4 did not contain signed parental consent for emergency medical care.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider will review the emergency contact records for all enrolled children to ensure that required parental signatures for emergency medical care authorization were present. The parents/guardians of children #2, #3, and #4 were contacted, and updated emergency medical care consent forms will…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Consent for administration of medications or special dietary needs 55 Pa. Code §3270.182(4)
The emergency contact forms of children #2 and #4 did not contain signed parental consent for administration of medications or special dietary needs.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider reviewed the emergency contact forms for all enrolled children to ensure that required parental consent documentation for medication administration and special dietary needs was complete and current. Updated forms were obtained from the parents/guardians of children #2 and #4…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Consent for administration of minor first-aid required prior to admission 55 Pa. Code §3270.182(5)
The emergency contact forms of children #2, #3, and #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.
Center’s plan of correction (submitted, Jul 13, 2026): “Upon identification of the deficiency, the facility reviewed the emergency contact records for all enrolled children to ensure that signed parental consent for administration of minor first-aid procedures by facility staff was completed and on file. Parents/guardians of children #2, #3, and #4 were…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Transcript, diploma and letters 55 Pa. Code §3270.192(2)(iv)
It was observed that the file for staff person #19 did not contain evidence of childcare experience. It was observed that the file for staff person #20 did not contain evidence of education.
Center’s plan of correction (submitted, Jul 13, 2026): “The provider will review and update all staff files to ensure required documentation is complete and maintained in accordance with childcare licensing requirements. The provider has obtained or will obtain the missing documentation for staff person #19 verifying childcare experience and for staff…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
It was observed that the files for staff persons #19 and #21 only contained one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person
Center’s plan of correction (submitted, Jul 13, 2026): “The provider will review and update all staff files to ensure required documentation is complete and maintained in accordance with childcare licensing requirements. The provider has obtained or will obtain the missing documentation for staff person #19 and #21 where they were mission one written…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Training & qualifications
Health and Safety Training - Pediatric First Aid and CPR 55 Pa. Code §3270.31(f)(10)
It was observed that the staff file for staff person #20 did not have evidence of pediatric first aid and CPR training and was outside of their 90-day pre-service training period.
Center’s plan of correction (submitted, Jul 14, 2026): “Staff Person #20 was immediately scheduled to complete an approved pediatric First Aid and CPR certification course. Upon successful completion, copies of the certification will be placed in the employee's personnel file and maintained as required.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 17, 2026
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
It was observed that the files of staff persons #17, #18, #19, #20 and #21 did not contain 12 hours of childcare training.
Center’s plan of correction (submitted, Jul 14, 2026): “The training records for all identified staff have been reviewed. For staff #17, #18, #19, #20, and #21 any outstanding required training hours, and completion certificates have been obtained and placed in their personnel files upon completion.”
Inspection status on COMPASS: Non Compliant – Finalized
Core safety
Jun 8, 2026
Complaint investigation
Staff ratios
Similar Age Level 55 Pa. Code §3270.51
At 8:02 AM it was observed that there were six young toddlers in the Bears' classroom with staff #9.
Center’s plan of correction (submitted, Jul 13, 2026): “The violation was corrected immediately by ensuring the Bears classroom was brought back into compliance required staff to child ratios, and children remained under appropriate supervision at all times. To prevent this from occurring again, staff will monitor classroom attendance and ratios…”
Inspection status on COMPASS: Non Compliant – Finalized
Core safety
Jun 8, 2026
Complaint investigation
Staff ratios
Toddler and preschool children 55 Pa. Code §3270.55(a)
It was observed that in the Jaguars' classroom nap ratios were being used. Staff #2 had 20 children in their care and child #1 was sitting at a table and not on their rest mat.
Center’s plan of correction (submitted, Jul 13, 2026): “The violation was corrected immediately by having child number one returned to their assigned rest mat, ensuring that all children remained on their designated rest mats during nap time so the classroom met nap time ratio requirements. To ensure that time ratios are maintained at all times all…”
Inspection status on COMPASS: Non Compliant – Finalized
Core safety
Jun 8, 2026
Complaint investigation
Supervision
Supervised at all times 55 Pa. Code §3270.113(a)
It was observed that in the Jaguars and Caterpillars classroom that the arrangement of the classroom hindered supervision of children while nap time ratios were in use.
Center’s plan of correction (submitted, Jul 13, 2026): “Classroom arrangement will be assessed and arranged to ensure all children can be supervised during nap time period teachers will maintain a movement of walking the room as well to ensure they can see all children while in ratio during nap time.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
It was observed that the file of staff person #2 did not contain evidence that their mandated reporter training was updated every 60 months. (9/10/26- 6/9/26) It was observed that the file of staff person #6 had a disclosure statement but it was not signed by a witness). It was observed that staff person #10 began working with children before their DHS FBI clearance and NSOR were on file. It was observed that staff person #11 began working with children before their DHS FBI clearance was on file. It was observed that staff person #12 began working with children before their child abuse clearance was on file. It was observed that staff person #13 began working with children before their child abuse clearance and out of state clearances were on file. It was observed that staff person #14 began working with children before their disclosure statement was signed, child abuse clearance and FBI clearances were on file. It was observed that the file for staff person #13 did not have evidence of mandated reporter training and was outside of the 90-day provisional hiring period. It was observed that the file of staff person #15 did not contain evidence that their DHS FBI (2/24/21- 6/9/26)…
Center’s plan of correction (submitted, Jul 14, 2026): “The provider immediately reviewed all staff files to ensure compliance with mandated reporter training requirements, disclosure statements, and all required clearances. Any missing or outdated documentation identified during the review was addressed immediately. For staff person #2, documentation…”
Inspection status on COMPASS: Non Compliant – Finalized
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
It was observed that in the Butterfly classroom staff person #6 was unable to name the group of children in their care.
Center’s plan of correction (submitted, Jul 14, 2026): “The provider will implement a procedure to ensure that all new staff assigned to a classroom are familiar with the children in their assigned care group prior to assuming responsibility for supervision. Staff assigned to new classrooms or groups of children will be introduced to each individual…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Complaint investigation
Building & playground safety
Stairs, exits, etc. unobstructed 55 Pa. Code §3270.91(a)
It was observed that carts of nap mats were blocking the hallway doors of the Caterpillars' and Bears' classrooms.
Center’s plan of correction (submitted, Jul 13, 2026): “Immediately upon identifying the violation, staff removed the carts of Nat mats from the hallway doors of the caterpillars and bears classrooms, ensuring that all exit doors were fully accessible and free of Obstructions. Staff were reminded that exit routes and doorways must remain clear at all…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Emergency preparedness
Pertinent Laws & Regulations/Training regarding plan 55 Pa. Code §3270.14/3270.27(c)
It was observed that the files for staff persons #1, #4, #5, #8, #12, and #15 did not contain evidence of emergency plan training. It was observed that the file of staff person #2 did not contain evidence of annual emergency plan training. Last documented training was 2/17/25. It was observed that the file of staff person #9 did not contain evidence of annual emergency plan training. Last documented training was 8/12/24. It was observed that the file of staff person #16 did not contain evidence of annual emergency plan training. Last documented training was 2/17/25.
Center’s plan of correction (submitted, Jul 14, 2026): “provider will create a document for all initial staff emergency plan training to be complete during first week of hire. All staff that need initial emergency plan training will complete and sign the document. Staff missing yearly training will complete training and sign emergency plan training…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
At least three mop buckets with cleaning solution were observed in the hallway, accessible to children as they walked through the hallway.
Center’s plan of correction (submitted, Jul 14, 2026): “The mop buckets containing cleaning solution were immediately removed from the hallway and placed in a secure, designated storage area that is inaccessible to children. Staff were reminded that cleaning supplies and equipment must not be left unattended or within children's reach at any time. The…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Health & medication
Locked/Medication log 55 Pa. Code §3270.133(4)/3270.133(7)
At drop off, the parent of Child #2 told Staff #1 that Child #2 had an inhaler in their backpack. The parent left the classroom. The inhaler remained in the Child #2's backpack, in the reach of children. A medication log, including written parental consent for administration was not obtained. Action to properly store the medication and establish a medication log did not occur until the certification supervisor informed Staff #17 of the non-compliance.
Center’s plan of correction (submitted, Jul 14, 2026): “Provider was notified of the non compliance and immediately connected with the parent to obtain a medication form to be completed as well as a medication log to be with the medication. The medication was removed from child #2's backpack and place in the proper location in order to maintain…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Health & medication
Child's hands washed 55 Pa. Code §3270.134(a)
It was observed in the Bears' classroom that staff person #9 did not ensure that children's hands were washed after diapering.
Center’s plan of correction (submitted, Jul 14, 2026): “Staff were retrained on handwashing and diapering policy, they will ensure that children's hands will be washed before meals, snacks, after toileting and after diaper changes.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Health & medication
12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)
It was observed that staff persons #10, #11, #13, and #14 were working with children and did not have evidence of a health assessment or a TB test on file. It was observed that staff person #12 began working with children before their health assessment was on file, documented 12/1/25.
Center’s plan of correction (submitted, Jul 14, 2026): “Provider will ensure that completed TB test screening will be obtained and added to each staff person file by 7/31/26.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
It was observed that the file of staff person #4 did not contain evidence that their health assessment was updated every 24 months (the last one documented was 5/20/24). It was observed that the file of staff person #5 did not contain evidence that their health assessment was updated every 24 months (the last one documented was 3/11/24). It was observed that the file of staff person #8 did not contain evidence that their health assessment was updated every 24 months (the last one documented was 4/8/24).
Center’s plan of correction (submitted, Jul 14, 2026): “Provider will ensure that documentation of complete health assessment is obtained and placed in each staff persons file by 7/31/26”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Records & paperwork
Post the inspection summary 55 Pa. Code §3270.25(b)
It was observed that the facility did not have open inspection summaries: SIN-00287770, SIN-00288867, and SIN-00288006 posted.
Center’s plan of correction (accepted, Jun 29, 2026): “All open summaries are posted in a conspicuous location used by parents.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)(4)(i)
It was observed that the file for staff person #5 showed evidence of their pediatric first aid and CPR were not renewed before the expiration date of 4/10/24. It was observed that the file for staff person #7 showed evidence of their pediatric first aid and CPR were not renewed before the expiration date of 5/8/24.
Center’s plan of correction (submitted, Jul 14, 2026): “CPR class has been scheduled for 6/30/26 for all staff that need or are missing CPR. Once training is completed provider will /has made sure that all completed training is kept on file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
It was observed that file of staff person #1 did not contain evidence of annual fire safety training. The last documented training was 1/19/25. It was observed that file of staff person #2 did not contain evidence of annual fire safety training. The last documented training was 1/15/25. It was observed that file of staff person #3 did not contain evidence of annual fire safety training. The last documented training was 1/16/25. It was observed that files of staff persons #4, #8, did not contain evidence of fire safety training. It was observed that file of staff person #5 did not contain evidence of annual fire safety training. The last documented training was 1/16/25. It was observed that file of staff person #7 did not contain evidence of annual fire safety training. The last documented training was 5/28/25. It was observed that file of staff person #15 did not contain evidence of annual fire safety training. The last documented training was 1/5/25. It was observed that file of staff person #16 did not contain evidence of annual fire safety training. The last documented training was 2/16/25. It was observed that file of staff person #9 did not contain evidence of annual fire…
Center’s plan of correction (submitted, Jul 14, 2026): “Staff will ensure that the fire safety training is complete by 7/2/26, and will ensure they maintain an updated fire safety annually moving forward. Provider will ensure that the completed trainings are kept on file at the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Training & qualifications
Director responsibilities 55 Pa. Code §3270.34(a)
Staff #17 has not demonstrated responsibility for the general management of the facility, including the minimum duties of administering personnel, maintenance, program objectives and activities, and overall program planning as described in the violation on this inspection summary (SIN-00290012) and prior inspection summaries including SIN-00286295, SIN-00287770, SIN-00288006, SIN-00288867, SIN-002879213, SIN-00284094.
Center’s plan of correction (submitted, Jul 14, 2026): “1-Provider was given additional support by an existing director within the company to help administer general management of the facility. With a correction date of 6/9/26. 2-Staff member #17 is schedule to attend Existing Provider Training on 7/16/26 3-Provider is to ensure submition of complete…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
It was observed that the file of staff persons #1, #2, #3, $5, #8, #9, #15 and #16 did not contain evidence of an annual staff evaluation.
Center’s plan of correction (accepted, Jun 29, 2026): “Evals from last year were printed by provider and placed in the individuals files.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Training & qualifications
HS/GED + 2 yrs 55 Pa. Code §3270.36(b)(5)
It was observed that the files of staff persons #8 and #9 did not contain evidence of a total of two years of experience with children and was observed working alone.
Center’s plan of correction (submitted, Jul 14, 2026): “Provider ensured that staff persons #8 and #9 have documented evidence on file and staff persons #8 and #9 are now able to work unsupervised.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Other standards
Promote development 55 Pa. Code §3270.111(c)
It was observed that the between the hours of 7:00- noon children were moved between classrooms and no teacher directed activities were planned and/or implemented.
Center’s plan of correction (submitted, Jul 14, 2026): “staff will ensure that daily activities listed on lesson plans are completed throughout the day, allowing promotion of developmental skills.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Records & paperwork
Each child care space/Emergency master file updated 55 Pa. Code §3270.124(c)/3270.181(e)
Emergency contact forms were not present in the child care space for all of the children receiving care in the space. The emergency contact binder was observed in the Jaguar's classroom and an emergency contact form was not present for at least 16 children in care at the time. The forms that were present in the Jaguar's classroom, had not been reviewed and updated within the previous 6-months. Some forms were lasted signed and dated 1/2023, 2/2022. and 1/2025. The emergency contact binder was observed in the infant classroom and an emergency contact form was not present for 3 children in care at the time. Additionally, three of the emergency contact forms present in the infant room had not been reviewed and updated within the previous 6-months. When asked about the status of emergency contact forms in the other facility classrooms, Staff #17 shared that emergency contact forms in all classrooms may need to be added and updated for the children currently receiving care in those spaces.
Center’s plan of correction (submitted, Jul 14, 2026): “All families have been given new emergency contact forms to update for files and classrooms.Provider will make copies for all rooms and place in binder and in child files by 8/31.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
It was observed that the file of staff person #6 did not contain evidence of education prior to service at the facility. It was observed that the file of staff person #10 did not contain evidence of education or childcare experience prior to service at the facility. It was observed that the file of staff person #11 did not contain evidence of childcare experience prior to service at the facility.
Center’s plan of correction (submitted, Jul 14, 2026): “Provider will ensure that that documentation of education and childcare experience will be obtained and added to each staff person's file by 7/31/26”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
It was observed that the file of staff person #2 did not contain evidence of childcare experience. It was observed that the files of staff persons #13 and #14 did not contain evidence of childcare experience or education.
Center’s plan of correction (submitted, Jul 14, 2026): “Provider will ensure that that documentation of education and childcare experience will be obtained and added to each staff person's file by 7/31/26”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
It was observed that the files for staff persons #10, #11, and #14 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. It was observed that the file for staff person #12 did not contained one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (submitted, Jul 14, 2026): “Provider will ensure that documentation of two written non-family references be obtained and added to each staff person's file by 7/31/26.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Training & qualifications
Health and Safety Training - Pediatric First Aid and CPR 55 Pa. Code §3270.31(f)(10)
It was observed that staff persons #12 and #13 had evidence of pediatric first aid and CPR training with a non- PQAS instructor.
Center’s plan of correction (submitted, Jul 14, 2026): “CPR class has been scheduled for 6/30/26 for all staff that need or are missing CPR. The provider will ensure that all completed trainings will be kept on file in the facility. Both staff members #12 and #13 are no longer working at the facility.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 8, 2026
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
It was observed that the files of staff persons #15 and #16 did not contain 12 hours of childcare training.
Center’s plan of correction (submitted, Jul 14, 2026): “Provider will ensure that staff members print any completed training to add into file, if staff do not have trainings complete, staff will ensure trainings are complete by end of business on 7/2.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
May 18, 2026
Inspection
Records & paperwork
Post the inspection summary 55 Pa. Code §3270.25(b)
At the time of the inspection, it was observed that the open inspection summaries were not posted.
Center’s plan of correction (accepted, Jun 25, 2026): “Provider will print out previous inspection summaries and post out in the lobby in a conspicuous location used by parents.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Apr 30, 2026
Inspection
Building & playground safety
Outdoor equip.- protective surfacing 55 Pa. Code §3270.102(c)
It was observed that the mulch on the outdoor play space was less than nine inches and was compacted.
Center’s plan of correction (implemented, Jul 6, 2026): “Provider put in a work order to have mulch filled in all over the playground but especially around the fall zone areas. Just received approval, awaiting delivery of Mulch. Children will not be allowed to play on equipment with fall zones until mulch is delivered and measures at least nine inches…”
General Health and Safety 55 Pa. Code §3270.21
It was observed that the stove burners were on with two pots of boiling water and were left unattended for an extended period of time. Several staff reported that children have been sent to the kitchen on multiple occasions to be supervised by the facility cook to maintain ratio in the classrooms. The kitchen has multiple hazards in reach of the children, including hot surfaces, sharp kitchen utensils, and toxic cleaning supplies.
Center’s plan of correction (accepted, May 4, 2026): “When the stove burners are on, they will not be left unattended. Children will not be in the kitchen.”
Inspection status on COMPASS: Non Compliant – Finalized
Similar Age Level 55 Pa. Code §3270.51
It was observed in the Monkeys' preschool classroom that there were 11 children with one staff person. It was observed in the Butterflies' preschool classroom that there were 11 children with one staff person. It was observed in the Turles' older toddler classroom that there were 13 children with two teachers. It was observed in the Caterpillars' preschool classroom that there were 22 children with two teachers.
Center’s plan of correction (accepted, May 4, 2026): “1. The required staff: child ratios will be maintained at all times. (4/2/26) 2.The legal entity has arranged for all facility staff to receive a minimum of two hours of training regarding ratio and supervision of children and at one session of TA in each classroom. The legal entity will receive…”
Inspection status on COMPASS: Non Compliant – Finalized
Supervised at all times /Staff assigned to specific children 55 Pa. Code §3270.113(a)/3270.113(a)(1)
It was observed that when the Turtles' class left the indoor play space that 4 children ran down the hall and around the corner and were not able to be seen staff person #1 who was back with two other children from the classroom.
Center’s plan of correction (accepted, May 4, 2026): “1.When a staff person is alone with children and they need to transition their children from the classroom to the play space or from the play space to the classroom, they will be required to use a walking rope with the children in order to maintain vision of the children in their care. They can…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Apr 2, 2026
Inspection
Building & playground safety
No insects or rodents 55 Pa. Code §3270.67(c)
In the Monkeys' classroom it was observed that there was an infestation of ants in packages of food in the closet and also on the sink counter.
Center’s plan of correction (accepted, May 4, 2026): “Staff are no longer allowed to keep any food in the classrooms/cabinets/closets. Any food brought into the classrooms is to be provided by the facilities cook in the proper containers. Food is to be discarded of in the proper way including sweeping the floors immediately after mealtimes/cleaning…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Apr 2, 2026
Inspection
Building & playground safety
Contaminated trash in closed plastic-lined receptacle 55 Pa. Code §3270.67(d)
It was observed that in the caterpillars', zebras', turtles' bathrooms, there was trash in trash can without a liner.
Center’s plan of correction (accepted, May 4, 2026): “Staff will be trained that once and old plastic liner is removed from a trash receptacle, a new [plastic liner is required to be placed immediately into the trash receptacle.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Apr 2, 2026
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
The following areas were observed in the Caterpillars' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, windows and windowsills, corners of the classroom, baseboards, inside and outside of the trash cans, tops and sides of cabinets, children's chairs, carpet, toy baskets, fans, vents, doors, door handles and light switches. The metal blinds on the back of the outside door had an excessive buildup of dirt and had sharp edges. There was chipping paint on the walls and chipping plaster around the windows. The baseboard behind the play kitchen was missing. There was sticky tape residue with an excessive buildup of dirt on cabinets and walls. The following areas were observed in the Bears' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, tops and sides of cabinets, windows and windowsills, corners of the classroom, children's chairs, play mats, baseboards, insides and outsides of trash cans, carpets, toy baskets, fans, vents, doors, door handles and light switches. There was chipping paint on the walls. The refrigerator had an excessive build-up of dirt on both the inside and outside and had opened milk on the door which had spilled. On the…
Center’s plan of correction (accepted, May 4, 2026): “In the Caterpillars' classroom: excessive build-up of dirt on the: shelves, cubbies, walls, windows and windowsills, corners of the classroom, baseboards, inside and outside of the trash cans, tops and sides of cabinets, children's chairs, carpet, toy baskets, fans, vents, doors, door handles and…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Apr 2, 2026
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.82(g)
The following areas were observed in the Caterpillars' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk and there was a dirty bucket with a toilet brush in it sitting on the floor. The following areas were observed in the Ducks' area where handwashing occurs: excessive buildup of dirt on the baseboards, the step stools, mirror, and the sink handles. In addition, the shelf had items haphazardly placed causing a fall risk. There were boxes, highchairs, and other items stored in the room causing a risk of injury to children. The following areas were observed in the Turtles' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles. In addition, the shelf above the toilets had items haphazardly placed causing a fall risk and there was a dirty bucket with a toilet brush and a plunger in it sitting on the floor. There was chipping paint on the walls. The following areas were observed in the Jaguars'…
Center’s plan of correction (accepted, May 4, 2026): “The following areas that were observed in the Caterpillars' bathroom: excessive build-up of dirt on the baseboards, around the bottom of the toilets, on the toilets, the step stools, mirror, and the sink handles will be detailed cleaned and will have a correction date of 5/15/26. In addition, the…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Apr 2, 2026
Inspection
Building & playground safety
Small Toys and Objects 55 Pa. Code §3270.103
In the handwashing room between the Bears' and Ducks' classrooms was a plastic bag with dirty clothes in it in reach of the children. There were plastic bags in the Turtles' bathroom in reach of children.
Center’s plan of correction (accepted, May 4, 2026): “In the handwashing room between the Bears' and Ducks' classrooms the plastic bag with dirty clothes in it in reach of the children was removed.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Apr 2, 2026
Inspection
Food & feeding
Fresh fruit/vegetables refrigerated 55 Pa. Code §3270.161(e)
It was observed that there was a box of oranges on the counter and a bowl of oranges on the corner wire shelf that were not delivered that day.
Center’s plan of correction (accepted, May 4, 2026): “All fresh fruits and vegetables that are ordered for snacks and lunch menu will be placed in a refrigerator on the day of delivery. It will be observed by a member of management that this is being followed through with. Staff that handle the deliveries and/or handle the food will be trained to use…”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Mar 2, 2026
Inspection
Building & playground safety
Devices must be compliant/Director or designated staff person ensure compliance 55 Pa. Code §3270.95(a)/3270.95(b)
Documentation showed that the fire detection system was not tested at least every 30 days. 12/10/25-1/10/26 (31 days) 1/10/26- present (51 days)
Center’s plan of correction (implemented, Mar 13, 2026): “Fire detection devices or systems will be in compliance with standards established under section 1016(c) of the act (62 P.S. 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter will ensure the requirements under subsection (a) are met”
No physical punishment 55 Pa. Code §3270.113(b)
Upon video footage review it was observed on 1/21/2026 around 8:03am staff person #1 (DOH see LIS code sheet) was sitting in a chair at a table and picked up child #1 (DOB see LIS code sheet) who was laying on the floor near the staff person, by the calf area of their leg, swung the child over the staff person's lap and abruptly placed child #1 on the floor on the other side of the chair. Later that day between the time frame of 11:20 - 11:27am staff person #1 picked up child #1 by the wrists and sat the child in a chair to do an art project, then proceeded to pick child #1 up three more times to move child #1 to a different area of the classroom. At approximately 11:27 child #1 was removed from the classroom and joined another classroom.
Center’s plan of correction (implemented, Apr 7, 2026): “Staff person #1 was released from the company and is no longer working there effective 2/10/2026. All remaining staff are scheduled to receive a 2-hour training in person regarding ways to deal with challenging behaviors and appropriate interactions with children. DHS did approve this training that…”
Citation
Jan 23, 2026
Incident investigation
Records & paperwork
Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file 55 Pa. Code §3270.182(7)
On 1/12/2026 child #1 (DOB see LIS code sheet) was playing in a sensory bin, put a glass bead in their mouth and swallowed it. Child #1 reported to staff person #1 they bit the glass bead. Staff person #1 checked child #1's mouth and did not see an injury. Staff person #1 never informed management staff or the child's parent of the incident.
Center’s plan of correction (implemented, Mar 9, 2026): “A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of…”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The record for staff person #2 (DOH see LIS code sheet) does not include the results of the PSP or DHS FBI clearance and the Child Abuse clearance. A NSOR certificate dated 9/22/2025 is the only clearance included in the staff person's record.
Center’s plan of correction (implemented, Nov 21, 2025): “The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #2 may not work in a child care position with direct contact or routine interaction with children until the results of all clearances have been obtained and are on file at the facility.…”
Citation
Oct 29, 2025
Inspection
Building & playground safety
Protective Outlet Covers 5 yrs. or less 55 Pa. Code §3270.65
It was observed on 10/29/2025 in the Preschool 1 classroom protective receptacle covers were not placed in two (2) electrical outlets accessible to children 5 years of age or younger. It was observed on 10/29/2025 in the Pre-K 2 classroom protective receptacle covers were not placed in three (3) electrical outlets accessible to children 5 years of age or younger. (ALL CORRECTED ON SITE)
Center’s plan of correction (implemented, Nov 14, 2025): “During the inspection, outlet covers were placed in all electrical outlets accessible to children 5 years of age or younger.”
Citation
Oct 29, 2025
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
It was observed on 10/29/2025 in the Twos 2 classroom there is a hole in the bathroom door. It was observed on 10/29/2025 in the Preschool 2 classroom the ends of an area rug are curled up, posing a tripping hazard. It was observed on 10/29/2025 in the Pre-K 1 classroom a portion of the carpet is frayed and curling up, posing a tripping hazard. It was also observed a portion of the bulletin board frame is sticking out from the wall with nails exposed and accessible to children. It was observed on 10/29/2025 in the Pre-K 2 classroom a metal cover is protruding from the wall, making sharp corners accessible to children. (ALL CORRECTED ON SITE)
Center’s plan of correction (implemented, Nov 14, 2025): “During the inspection duct tape was placed over the hole in the bathroom door in the Twos 2 classroom, the area rug in the Preschool 2 classroom was removed, the frayed carpet in the Pre-K 1 classroom was trimmed and covered with duct tape and the nails were removed from the bulletin board frame…”
Citation
Oct 29, 2025
Inspection
Health & medication
12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)
The record for staff person #2 (DOH see LIS code sheet) does not include an initial health assessment, including the results of tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. The record for staff person #3 (DOH see LIS code sheet) does not include an initial health assessment.
Center’s plan of correction (implemented, Dec 3, 2025): “Staff person # 2 did not obtain a health assessment with results from a TB test and turned it into the office. Staff person #2 is no longer employed at this facility. An initial health assessment is now in the file for Staff person #3.”
Citation
Oct 29, 2025
Inspection
Building & playground safety
Devices must be compliant/Director or designated staff person ensure compliance 55 Pa. Code §3270.95(a)/3270.95(b)
The Director or designated staff person who is responsible for compliance with this chapter did not ensure the requirements under section 1016(c) of the act (62 P.S. § 1016(c)) are met. This is evidenced by the last manual testing of the fire detection system being conducted on 9/10/2025, which exceeds the every 30-day requirement.
Center’s plan of correction (implemented, Dec 3, 2025): “Fire detection devices or systems shall be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter will ensure the requirements under subsection (a) are met. The fire…”
Citation
Oct 29, 2025
Inspection
Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
The record for staff person #2 (DOH see LIS code sheet) does not include verification of child care experience and education prior to service at the facility.
Center’s plan of correction (implemented, Nov 21, 2025): “A facility person's record shall include verification of child care experience, education and training prior to service at the facility. This will be followed through with asking for this before the staff member comes in for their first day. Staff person #2 did not provide record of verification of…”
Citation
Oct 29, 2025
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
The record for staff person #2 (DOH see LIS code sheet) only contains one (1) written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person, not two as required. The record for staff person #3 (DOH see LIS code sheet) does not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for staff person #4 (DOH see LIS code sheet) only contains one (1) written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person, not two as required.
Center’s plan of correction (implemented, Dec 3, 2025): “A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.. A written reference was not obtained for staff person #2. Staff person #2 no longer works at this facility. Staff #4 provided a written…”
Citation
Oct 29, 2025
Inspection
Training & qualifications
Health and Safety Training - Pediatric First Aid and CPR 55 Pa. Code §3270.31(f)(10)
Staff person #1 (DOH see LIS code sheet) did not complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.
Center’s plan of correction (implemented, Nov 21, 2025): “Staff persons shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #1 no longer works at this facility.”
Show 65 older citations
Supervised at all times 55 Pa. Code §3270.113(a)
On 6/5/2025 facility staff self-reported that Child #1 was climbing on a shelf, the shelf fell over, and the child fell on top of the shelf. The fall resulted in a head injury. The child's parent was notified by telephone then arrived at the child care facility within 10 minutes and transported the child the ER. While at the ER the child was evaluated by medical professionals and received 4 stitches on their forehead. A certification representative conducted an on-site incident review on 6/9/2025. Staff person #1 and staff person #2 were the staff in the classroom when the incident occurred. Staff person #2 stated that they attempted to redirect child #1 from climbing on the shelf but child #1 did not listen.
Center’s plan of correction (implemented, Jul 25, 2025): “Children on the facility premises and on facility excursions off the premises will be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children will be supervised at all times.”
Citation
Jun 9, 2025
Inspection
Building & playground safety
Clean, good repair, proper size 55 Pa. Code §3270.104(a)
On 6/5/2025 facility staff self-reported that Child #1 was climbing on a shelf, the shelf fell over, and the child fell on top of the shelf. The fall resulted in a head injury. The child's parent was notified by telephone then arrived at the child care facility within 10 minutes and transported the child the ER. While at the ER the child was evaluated by medical professionals and received 4 stitches on their forehead. A certification representative conducted an on-site incident review on 6/9/2025. At that time it was observed the shelf the child was reported to have been climbing on was pushed against the wall and was unstable when touched and swayed. Staff person #3 described it as being "wobbly."
Center’s plan of correction (implemented, Jul 25, 2025): “Furniture will be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.Wobbly shelf was removed from classroom.”
Citation
Jun 9, 2025
Inspection
Health & medication
Promote development 55 Pa. Code §3270.111(c)
On 6/5/2025 facility staff self-reported that Child #1 was climbing on a shelf, the shelf fell over, and the child fell on top of the shelf. The fall resulted in a head injury. The child's parent was notified by telephone then arrived at the child care facility within 10 minutes and transported the child the ER. While at the ER the child was evaluated by medical professionals and received 4 stitches on their forehead. A certification representative conducted an on-site incident review on 6/9/2025. It was observed that multiple children were running around the classroom, climbing on furniture, and not engaged in daily activities that promote the development of skills, social competence and self-esteem.
Center’s plan of correction (implemented, Aug 21, 2025): “Daily activities will promote the development of skills, social competence and self-esteem. Daily experiences will recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. The legal entity has arranged for all facility…”
Core safety
May 30, 2025
Complaint investigation
Supervision
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
During staff interviews it was confirmed that on 5/19/2025 at approximately 5:15pm Staff Person #1 (DOH see LIS code sheet) and Staff Person #2 (DOH see LIS code sheet) were transitioning nine (9) children from the Caterpillar classroom to the indoor play space area in the facility. Child #1 (DOB see LIS code sheet) eloped back into the Caterpillar classroom without Staff Person #1 or Staff Person #2 knowing. Staff Person #1 was assigned the responsibility for the supervision of Child #1 at the time of the incident. Child #1 was found in the Caterpillar classroom with the lights off alone, and unsupervised by the child's father. It is estimated Child#1 was unsupervised for 2-5 minutes.
Center’s plan of correction (implemented, Aug 21, 2025): “1. 5/19/2025 Each staff person will be assigned the responsibility for supervision of specific children. The staff person will know the names and whereabouts of the children in his assigned group. The staff person will be physically present with the children in his group on the facility premises…”
Citation
May 30, 2025
Complaint investigation
Health & medication
2 hour diaper check 55 Pa. Code §3270.135(e)
On 5/19/2025 Child #1 (DOB see LIS code sheet) was found alone and unsupervised in the Caterpillar classroom by the child's father. The child was found in a soiled diaper at approximately 5:15pm. The last diaper change that was logged in the Sprout About app the facility uses occurred at 2:15pm. A staff person failed to check Child #1's diaper at least every 2 hours.
Center’s plan of correction (implemented, Jul 25, 2025): “A staff person will check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person will change a child's diaper when the diaper is soiled. Staff are directed to check and change a child's diaper if needed…”
Core safety
May 2, 2025
Complaint investigation
Sleep safety
General Health and Safety/Infant sleep position 55 Pa. Code §3270.21/3270.119
It was confirmed through photographic evidence and staff interviews that child #1 (DOB 1/9/2025) was left sleeping in a bouncer seat on 4/22/2025 rather than being placed on their back in a crib as per the sleeping position recommended by the American Academy of Pediatrics. Child #1 does not have medical reason they should not sleep in this position. While child #1 was in the bouncer seat, a burp cloth was used to prop up the child's head because they kept slumping over which poses a threat to the health or safety of children.
Center’s plan of correction (implemented, Jul 2, 2025): “Children will not be left sleeping in a bouncer. All bouncers have been removed and will no longer be used in the classroom at this facility. All infants will be placed on their backs in a crib to sleep as per the sleeping position recommended by the American Academy of Pediatrics. No materials…”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The operator is not in compliance with the CPSL as staff person #1 (DOH see LIS code sheet) did not update their mandated reporter training within 60 months. This is evidenced by mandated reporter training certificates dated 3/5/2020 and 3/12/2025. The operator is not in compliance with the CPSL as the record for staff person #2 (DOH see LIS code sheet) contains a NSOR verification dated 11/5/2024, which exceeds the 45-day provisional hire period. The operator is not in compliance with the CPSL as the record for staff person #5 (DOH see LIS code sheet) contains a NSOR verification dated 9/19/2024, which exceeds the 45-day provisional hire period. Staff person #5 did not complete mandated reporter training within 90 days of hire, as evidenced by the mandated reporter training certificate being dated 9/15/2024.
Center’s plan of correction (implemented, Mar 26, 2025): “Operator will comply with the CPSL and Chapter 3490. All staff will update their mandated reporter training within 60 months. All staff will be required to have a NSOR verification before being placed in a classroom as to not exceed the 45-day provisional hire period. Any staff person who does not…”
Citation
Mar 11, 2025
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
it was observed on 3/12/2025 in the Toddler 1 classroom an eye hook latch was ripped out of the wall leaving behind damaged plaster. (CORRECTED ON SITE)
Center’s plan of correction (implemented, Mar 26, 2025): “During the inspection painters tape was placed over the damaged plaster/small hole in the wall until it can be repaired.”
Citation
Mar 11, 2025
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.82(g)
It was observed on 3/12/2025 the toilet area and fixtures in the shared bathroom between the Preschool 2 room and Pre-K 1 room are visibly dirty.
Center’s plan of correction (implemented, Apr 7, 2025): “All bathrooms in the facility will be cleaned daily. There will be no visible dirty areas permitted. Any staff member in violation of this policy will receive a corrective action.”
Citation
Mar 11, 2025
Inspection
Health & medication
Written instructions 55 Pa. Code §3270.133(2)
It was observed on 3/12/2025 in the Preschool 1 room an Epi-Pen was present for child #3; however, written instructions have not been provided from the individual who prescribed the medicine, nor was there a prescription label. It was observed on 3/12/2025 in the Toddler 2 room an Epi-Pen was present for child #4; however, written instructions have not been provided from the individual who prescribed the medicine, nor was there a prescription label.
Center’s plan of correction (implemented, Apr 7, 2025): “Written instructions will be provided for all medication from the individual who prescribed the medicine. All medication will contain a prescription label. Center Director or member from management will look over all medications brought into the facility and be sure that they include written…”
Citation
Mar 11, 2025
Inspection
Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
The health assessment for staff person #3 (DOH see LIS code sheet) was not updated within 24 months. This is evidenced by health assessments dated 6/16/20221 and 8/25/2023. The health assessment for staff person #4 (DOH see LIS code sheet) was not updated within 24 months. This is evidenced by health assessments dated 8/25/20221 and 9/12/2023.
Center’s plan of correction (implemented, Mar 26, 2025): “Health assessments for all staff persons must be updated within 24 months. Facility staff persons will not come into direct contact with the children until they have a health assessment on site in their file. The health assessments will be conducted within 12 months prior to providing initial…”
Citation
Mar 11, 2025
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
Staff person #5 (DOH see LIS code sheet) did not complete professional development with 90 days of hire as listed in subsections (f)1-10. This is evidenced by the health and safety training certificate, Get Started with Center-Based Care Revised 2022 being dated 12/4/2024.
Center’s plan of correction (implemented, Mar 27, 2025): “All staff persons will complete professional development within their 90 days of hire. This training will include professional development as listed in subsections (f)1-10. These training requirements will be logged and tracked by the Center Director to ensure they are being completed within the 90…”
Citation
Mar 11, 2025
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
Emergency contact information for child # 1 does not include the address for the individuals designated by the parent to whom the child may be released. Emergency contact information for child # 2 does not include the address for the individuals designated by the parent to whom the child may be released.
Center’s plan of correction (implemented, Mar 26, 2025): “Emergency contact information for all children will include the name, address, and telephone number of the individual designated by the parent to whom the child may be released. Child #1 and Child #2 will have an updated copy of the emergency contact information that includes the address for the…”
Citation
Mar 11, 2025
Inspection
Records & paperwork
Written emergency plan posted 55 Pa. Code §3270.124(e)
It was observed on 3/12/2025 in all the child care spaces, with the exception of the indoor gross motor room a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency is not displayed conspicuously.
Center’s plan of correction (implemented, Apr 7, 2025): “All child care spaces will include a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency. This written plan will be on display in all child care spaces, laminated, and placed directly beside all indoor phones. All staff…”
Citation
Mar 11, 2025
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
The record for staff person #6 (DOH see LIS code sheet) includes one written, nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Mar 26, 2025): “All facility staff person's record will include two written, non-family references from individuals attesting the person's suitability to serve as a facility person. All facility staff person's will not be permitted in a classroom until their record includes two written non-family references from…”
Mistreatment or abuse of a child/children cared for in facility 55 Pa. Code §20.71(a)(5)
Facility Person #1 has mistreated or abused clients being cared for in the facility or receiving service from the agency.
Center’s plan of correction (implemented, Dec 5, 2024): “Facility Person #1 was placed on administrative leave following the incident effective 8/9/24 and no longer does or will ever have access to the facility or the children at the facility. Facility person #1 was terminated immediately after management reviewed footage of the incident and completed an…”
No physical punishment 55 Pa. Code §3270.113(b)
Upon review of video footage from 8/9/2024 it was observed that Staff Person #1 (DOH see LIS code sheet) grabbed child #1 (DOB see LIS code sheet) by the arm and pulled the child onto a rest mat because the child was pushing on a bookshelf. Approximately 30 seconds later, Staff Person #1 was observed to grab Child #1 by the leg and pull the child onto a rest mat because the child was pushing up on a table with their feet and legs. A few seconds later, Staff Person #1 was observed to pull Child #1 by the arm again and move the child onto a rest mat. Child #1 was observed to looking at their arm and holding it with their other hand close to their body. Scratch marks were later observed on Child #1's arm.
Center’s plan of correction (implemented, Dec 5, 2024): “No Facility person may use any form of physical punishment on any child under their care. Any facility person in violation of this policy will no longer have access to the facility or the children at the facility. Facility person #1 was immediately placed on administrative leave on 8/9/24 upon…”
Restraints prohibited 55 Pa. Code §3270.113(e)
Staff Person #1, Staff Person #2, and Staff Person #3 all admitted to placing Child #1 (DOB see LIS code sheet) in a highchair with some toys to restrict Child #1's movements after Child #1 bit another child. This has occurred on numerous occasions.
Center’s plan of correction (implemented, Jul 24, 2024): “All facility staff will not restrict a child's movement by enclosing the child in a confined space. All staff person will redirect children for behaviors including biting.”
Core safety
Apr 3, 2024
Complaint investigation
Staff ratios
Similar Age Level 55 Pa. Code §3270.51
It was observed on 4/3/2024 at 8:20 am there were three (3) staff members in the Little Lambs room with fourteen (14) infants receiving child care. The required staff to child ratio is 1:4. (CORRECTED ON SITE)
Center’s plan of correction (implemented, May 3, 2024): “When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply at all times: Infants 1:4 with a maximum group size of 8, Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool…”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The record for Staff Person #8 (DOH see LIS code sheet) contains a Child Abuse clearance dated 6/22/2023, which is after their hire date, a NSOR verification dated 9/1/2023, which is beyond the 45-day provisional hire period, and mandated reporter training dated 9/23/2023 which exceeds 90 days after initial hire, all of which is not in compliance with the CPSL. The record for Staff Person # 9 (DOH see LIS code sheet) does not contain documentation the NSOR verification was applied for at initial hire. The record contains NSOR verification results dated 2/8/2024, which exceeds the 45-day provisional hire period and is therefore not in compliance with the CPSL.
Center’s plan of correction (implemented, Apr 8, 2024): “The Center Director will comply with the CPSL and Chapter 3490. All staff persons records will include a copy of the requests for the criminal history record, NSOR verification, and child abuse registry clearance information, a copy of the disclosure statement and a copy of the complete clearance…”
Citation
Mar 19, 2024
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
It was observed on 3/20/2024 in the preschool room bathroom several rusty nails are protruding out of the wall behind the tank of the toilet. (CORRECTED ON SITE)
Center’s plan of correction (implemented, Apr 5, 2024): “During the inspection the rusty nails were covered up and made inaccessible to the children until they can be removed or otherwise repaired. The rusty nails have since been removed, the holes from the nails have been covered, and the wall was painted during a time that children were not in…”
Citation
Mar 19, 2024
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
It was observed on 3/20/2024 on the toddler side of the indoor play space area there were several spots with damaged paint as well as damaged plaster. (CORRECTED ON SITE)
Center’s plan of correction (implemented, Apr 5, 2024): “During the inspection the areas of damaged paint and plaster were covered up with tape and made inaccessible to the children until they can be repaired. Since the time of our on-site inspection, the area with peeling paint has been painted. This painting occurred at a day and time that children…”
Citation
Mar 19, 2024
Inspection
Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
The record for Staff Person #1 (DOH see LIS code sheet) contains health assessments dated 1/19/2022 and 2/7/2024, which exceeds 24 months. The record for Staff Person #2 (DOH see LIS code sheet) contains a health assessment dated 2/22/2024 which is not within 12 months prior to providing initial service in a child care setting. The record for Staff Person #3 (DOH see LIS code sheet) contains health assessments dated 12/23/2020 and 2/21/2023, which exceeds 24 months. The record for Staff Person #6 (DOH see LIS code sheet) contains health assessments dated 6/9/2020 and 2/9/2024, which exceeds 24 months. The record for Staff Person #7 (DOH see LIS code sheet) contains health assessments dated 2/22/2022 and 3/4/2024, which exceeds 24 months. The record for Staff Person #10 (DOH see LIS code sheet) contains a health assessment dated 3/25/2021 which is not within 12 months prior to providing initial service in a child care setting.
Center’s plan of correction (implemented, Apr 5, 2024): “All facility persons providing direct care that come into contact with the children or who work with food preparation will have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter.”
Citation
Mar 19, 2024
Inspection
Other standards
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
Staff Person #10 has not completed the required one-hour Pennsylvania health and safety update 2022 by December 30, 2022.
Center’s plan of correction (implemented, Apr 5, 2024): “Each staff person will complete all required trainings with their first 90 days. Failure to do so will lead to the staff person not being permitted in the classroom setting until all required trainings are completed and documentation is in their file on site at the facility. Facility person #10 has…”
Citation
Mar 19, 2024
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
Staff Person #4 (DOH see LIS code sheet) last participated in fire safety training on 2/19/2023, which exceeds the annual requirement.
Center’s plan of correction (implemented, Apr 5, 2024): “Staff Person #4 has completed the required annual fire safety training that is conducted by a fire protection professional. Staff person and volunteers will receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the…”
Citation
Mar 19, 2024
Inspection
Records & paperwork
Designated release persons 55 Pa. Code §3270.123(a)(5)
The agreement for Child #1 does not specify the persons designated by a parent to whom the child may be released. The agreement for Child #2 does not specify the persons designated by a parent to whom the child may be released. The agreement for Child #3 does not specify the persons designated by a parent to whom the child may be released.
Center’s plan of correction (implemented, Apr 5, 2024): “An agreement will specify the person designated by a parent to whom the child may be released.”
Citation
Mar 19, 2024
Inspection
Records & paperwork
Admission date 55 Pa. Code §3270.123(a)(6)
The agreement for Child #2 does not specify the date of the child's admission.
Center’s plan of correction (implemented, Apr 5, 2024): “The child's admission date for Child #2 as well as all children at the facility will be specified. The updated copy with the specified child's date of admission will be kept in the child's file.”
Citation
Mar 19, 2024
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
Emergency contact information for Child #5 does not include the work address and telephone number of the enrolling parent.
Center’s plan of correction (implemented, Apr 5, 2024): “Emergency contact information for all children will include all required information including both the address and telephone number of the enrolling parent. Child #5 has updated paperwork that does include all emergency contact information for the enrolling parent. This document is in Child #5…”
Citation
Mar 19, 2024
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
Emergency contact information for Child #4 does not include the address of the individual designated by the parent to whom the child may be released.
Center’s plan of correction (implemented, Apr 5, 2024): “Emergency contact information for all children will include the address of the individual designated by the parent to whom the child may be released. Child #4 paperwork has been updated to include the address of the individual designated by the parent to whom the child may be released.”
Citation
Mar 19, 2024
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
The record for facility person #5 (DOH see LIS code sheet) contains one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person #8 (DOH see LIS code sheet) contains one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. The record for facility person #9 (DOH see LIS code sheet) does not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Apr 5, 2024): “All facility person's records will include two written, nonfamily references from individuals attesting to this person's suitability to serve as a facility person. Staff Person #5, #8, and staff person #9 have obtained the required references. These written references for all staff person are now…”
Core safety
Mar 5, 2024
Complaint investigation
Supervision
Supervised at all times /Staff assigned to specific children 55 Pa. Code §3270.113(a)/3270.113(a)(1)
During staff interviews it was stated that Staff Person #1 (DOH see LIS code sheet) and Staff Person #2 were responsible for 20 children in the Caterpillars room on 3/4/2024. At approximately 12:15pm Child #1 (DOB see LIS code sheet) climbed up on the windowsill, unwound the window blind cord that was wrapped around a hook secured to the window frame, wrapped the cord around their neck and stepped off the windowsill causing their feet to be completely off the ground. Staff Person #1 immediately responded when they heard a scream and Staff Person #2 came to assist right afterwards. Both staff persons assisted holding up the child and unwrapping the window blind cord from around Child #1's neck. Once the cord was unwrapped, Staff Person #1 called for the director. Once appraised of the incident that just occurred the director immediately notified the child's mother by telephone. Staff Person #1 and Staff Person #2 both stated that primary care groups were established at the time of the incident, but on the day they were interviewed they could not recall whose primary care group Child #1 was assigned to. Neither Staff Person #1 nor Staff Person #2 knew the whereabouts of Child #1…
Center’s plan of correction (implemented, May 15, 2024): “Children on the facility premises and on facility excursions off the premises will be supervised by a staff person at all times. Outdoor play paces used by the facility are considered part the facility premises. Each staff person will be assigned the responsibility for supervision of specific…”
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
Staff Person #1 (DOH see LIS code sheet) was observed to be caring for children unsupervised on 12/6/2023. Staff Person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid & CPR. Staff Person #1 was observed to be working alone in the Bouncy Bears classroom. Staff Person #2 (DOH see LIS code sheet) was observed to be caring for children unsupervised on 12/6/2023. Staff Person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety topics including Pediatric First Aid & CPR and mandated reporter training. Staff Person #3 (DOH see LIS code sheet) was observed to be caring for children unsupervised on 12/6/2023. Staff Person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Health & Safety topics including Pediatric First Aid & CPR and mandated reporter training. Both Staff Person #2 and #3 were observed to be working in the Ducks classroom without being supervised by an AGS who has completed the required training related to this citation.
Center’s plan of correction (implemented, Jan 3, 2024): “Staff Person #1 is unable to be unsupervised until staff person has completed the required Pediatric First Aid & CPR. Staff Person #2 is unable to be unsupervised until all preservice training is completed which includes Pediatric First Aid & CPR, Health & Safety topics, and mandated reporter…”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The record for Staff Person #1 (DOH see LIS code sheet) contains a PSP clearance request dated 12/1/2022 and a Child Abuse clearance dated 1/26/2023, which are both after their start date and therefore not in compliance with the CPSL. The record for Staff Person #4 (DOH see LIS code sheet) contains Mandated Reporter training dated 2/16/2023, which is more than 90 days from date of hire and is therefore not in compliance with the CPSL. The record for Staff Person # 5 (DOH see LIS code sheet) contains a DHS FBI clearance dated 2/17/2023, which is beyond the 45-day provisional hire date and is therefore not in compliance with the CPSL.
Center’s plan of correction (implemented, Apr 10, 2023): “Each staff person will obtain all required clearances before their start date to ensure all staff persons are in compliance with CPSL. Each staff person will complete their mandated reporter training before their 90 days from their hire date to ensure all staff persons are in compliance with CPSL.…”
Citation
Mar 21, 2023
Inspection
Building & playground safety
Original container 55 Pa. Code §3270.66(b)
It was observed on 3/22/2023 in the Ducks room a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. It was observed on 3/22/2023 in the Jaguars room a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. It was observed on 3/22/2023 in the Butterflies room a Magic Eraser was not stored in an original labeled container or in a container that specifies the content. (ALL CORRECTED ON SITE)
Center’s plan of correction (implemented, Apr 10, 2023): “During the inspection the Magic Erasers were placed in the original labeled container or in a container that specifies the content.”
Citation
Mar 21, 2023
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.82(g)
It was observed on 3/22/2023 in the Butterflies bathroom a lid to the holding tank of a toilet was missing and packing tape was placed over the top of the tank to make it inaccessible to children. The toilet was not in good repair.
Center’s plan of correction (implemented, Apr 21, 2023): “The Butterflies bathroom lid to the toilet holding tank is no longer missing and packing tape is no longer placed over the top of the leak. This is no longer accessible to the children. The toilet is now in good repair. The toilet does contain a lid and the tank is no longer accessible to the…”
Citation
Mar 21, 2023
Inspection
Building & playground safety
Small Toys and Objects 55 Pa. Code §3270.103
it was observed on 3/22/2023 in the Turtles room plastic bags were accessible to children who are still placing objects in their mouths. (CORRECTED ON SITE)
Center’s plan of correction (implemented, Apr 10, 2023): “During the inspection the plastic bags were placed in an area inaccessible to children who are still placing objects in their mouths.”
Citation
Mar 21, 2023
Inspection
Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
The record for Staff Person #1, who provides direct care to children (DOH see LIS code sheet) contains a health assessment dated 11/29/2022, which was not conducted within 12 months prior to providing initial service in a child care setting. The record for Staff Person #3, who provides direct care to children (DOH see LIS code sheet) contains health assessments dated 10/16/2019 and 1/10/2022 which is more than 24 months following the date of signature. The record for Staff Person #4 who provides direct care to children (DOH see LIS code sheet) contains a health assessment dated 9/30/2022, which was not conducted within 12 months prior to providing initial service in a child care setting. The record for Staff Person #5 who provides direct care to children (DOH see LIS code sheet) contains a health assessment dated 10/21/2022, which was not conducted within 12 months prior to providing initial service in a child care setting.
Center’s plan of correction (implemented, Apr 10, 2023): “All Staff Person records will contain a health assessment that is conducted within 12 months prior to providing initial service in a child care setting. All facility persons providing direct care who come into contact with the children or who work with food preparation will have a health assessment…”
Citation
Mar 21, 2023
Inspection
Health & medication
Exam communicable disease 55 Pa. Code §3270.151(c)(3)
The adult health assessment for Staff Person #2 (DOH see LIS code sheet) does not include an examination for communicable diseases and the results of that examination.
Center’s plan of correction (implemented, Apr 10, 2023): “The adult health assessment for Staff Person #2 does include an examination for communicable diseases and the results of that examination. Any adult health assessment will include an examination for the communicable diseases and the results of that examination for all staff persons.”
Citation
Mar 21, 2023
Inspection
Records & paperwork
Amount of fee 55 Pa. Code §3270.123(a)(1)
The agreement for Child #3 does not specify the amount of the fee to be charged per day or per week.
Center’s plan of correction (implemented, Apr 10, 2023): “The agreement for Child #3 has been filled out and does now specify the amount of the fee to be charged per day per week. All agreements will be filled out entirely before a child is enrolled. This information will include an agreement that will specify the amount of the fee to be charged per day…”
Citation
Mar 21, 2023
Inspection
Records & paperwork
Date fee to be paid 55 Pa. Code §3270.123(a)(2)
The agreement for Child #3 does not specify the date on which the fee is to be paid.
Center’s plan of correction (implemented, Apr 10, 2023): “The agreement for Child #3 has been filled out in its entirety and has a specified date on which the fee is to be paid. All agreements will be filled out entirely before a child is enrolled. This information will include an agreement that will specify the amount of the fee to be charged per day or…”
Citation
Mar 21, 2023
Inspection
Records & paperwork
Arrival/departure times 55 Pa. Code §3270.123(a)(4)
The agreement for Child # 2 does not specify the child's arrival and departure times.
Center’s plan of correction (implemented, Apr 10, 2023): “The agreement for Child #2 has been filled out in its entirety and does specify the child's arrival and departure times. All agreements will be filled out entirely before a child is enrolled. This information will include an agreement that will specify the arrival and departure times.”
Citation
Mar 21, 2023
Inspection
Records & paperwork
Designated release persons 55 Pa. Code §3270.123(a)(5)
The agreement for Child #2 does not specify the persons designated by a parent to whom the child may be released.
Center’s plan of correction (implemented, Apr 10, 2023): “The agreement for Child #2 has been filled out in its entirety and does specify the persons designated by a parent to whom the child may be released. All agreements will be filled out entirely before a child is enrolled. This information will include the persons designated by the parent to whom the…”
Citation
Mar 21, 2023
Inspection
Records & paperwork
Information re: special needs 55 Pa. Code §3270.124(b)(5)
The emergency contact information for Child #3 does not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP.
Center’s plan of correction (implemented, Apr 10, 2023): “The emergency contact form for Child #3 has been filled out in its entirety and does include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP. All emergency contact forms will be filled out entirely before a child is enrolled.…”
Citation
Mar 21, 2023
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
The emergency contact information for Child #1 does not include the address of the individual designated by the parent to whom the child may be released.
Center’s plan of correction (implemented, Apr 10, 2023): “The emergency contact information for Child #1 has been filled out in its entirety and does include the address of the individual designated by the parent to whom the child may be released. All agreements will be filled out entirely before a child is enrolled. The Emergency contact information will…”
Core safety
Sep 16, 2022
Complaint investigation
Staff ratios
Similar Age Level/Mixed Age Level 55 Pa. Code §3270.51/3270.52
Facility staff verified on 9/7/2022 that Staff Person #1 was alone in the Turtles classroom with seventeen (17) young and older toddlers. The required ratio for this mixed age grouping should have been 1:5. Staff Person #2 arrived at approximately 7:52am and Staff Person #3 arrived at approximately 8:08am, bringing the classrooms back into compliance with ratios.
Center’s plan of correction (implemented, Jan 19, 2023): “When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10…”
Core safety
Aug 24, 2022
Complaint investigation
Staff ratios
Similar Age Level 55 Pa. Code §3270.51
Staff members verified that on Monday, August 22, 2022 Staff person #1 and #2 were in the Lady Bug classroom with a ratio of 2:15 from approximately 8 am until 8:53am. At 8:53am additional staff members arrived and primary care groups were rearranged to come into compliance with ratios. The Lady Bug classroom is an older toddler room which requires a ratio of 1:6. Staff members verified that on Monday, August 22, 20222 Staff Person #3 and #4 were in the Monkey classroom with a ratio of 2:27 from 9am until approximately 9:05am. At 9:05 am additional staff members arrived and primary care groups were rearranged to come into compliance with ratios. The Monkey classroom is a preschool room which requires a ratio of 1:10.
Center’s plan of correction (implemented, Sep 22, 2022): “At 8:53am additional staff members arrived in the Lady Bug room and primary care groups were rearranged to come into compliance with ratios. At 9:05 am additional staff members arrived in the Monkey classroom and primary care groups were rearranged to come into compliance with ratios.”
Citation
Aug 24, 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)
Upon review of the fire drill and fire detection log on 8/24/2022 it was observed there was a lapse of more than 30 days in between manual testing that occurred on 3/30/2022 and 5/12/2022 of the fire detection system and is not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).
Center’s plan of correction (implemented, Sep 9, 2022): “The fire detection system will remain in compliance moving forward. The Center Director or Associate Director have set reminders and alarms on their digital calendars to ensure the system is tested manually at least once every 30 days. A fire drill will be conducted every 60 days. The length of…”
Citation
Aug 24, 2022
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)(4)(i)
Staff Person #1(DOH see LIS code sheet) has not renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. The most current certification is dated 8/18/2018 - 8/2020.
Center’s plan of correction (implemented, Sep 22, 2022): “Staff Person #1 will not be left alone with children. Staff #1 will be in ratio with another Staff Person who has received and/or renewed their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR). Staff Person #1 will renew her certification in pediatric first aid…”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
The file for Staff Person #2 hired 1/20/2022 contains documentation the FBI clearance was submitted on 1/12/2022; however, the results of the DHS required FBI clearance are not in the file. The file for Staff Person #5 hired 1/31/2022 does not contain out of state clearances for the state of MD, as required by the CPSL. The file for Staff Person #8 hired 6/16/2021 contains a DHS required FBI clearance dated 2/23/22, which is beyond the 45 day provisional hire period.
Center’s plan of correction (implemented, Apr 6, 2022): “The operator will comply with the CPSL and with Chapter 3490.A facility person's record will include a copy of the requests for the criminal history record and child abuse clearance information, a copy of the disclosure statement, and a copy of the completed clearance information required under the…”
Citation
Mar 8, 2022
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
Staff Person #1 hired 7/20/2021 does not have documentation of receiving training regarding the emergency plan at the time of initial employment, and was not trained on the emergency plan until 12/16/2021. Staff Person #3 hired 8/31//2021 does not have documentation of receiving training regarding the emergency plan at the time of initial employment, and was not trained on the emergency plan until 12/16/2021.
Center’s plan of correction (implemented, Apr 6, 2022): “Each Staff Person will receive training regarding the emergency plan at the time of initial employment. A document that summarizes the emergency plan will be given to each Staff Person at the time of initial employment and will be signed and dated by the Staff Person at the time of initial…”
Citation
Mar 8, 2022
Inspection
Building & playground safety
Locked or inaccessible 55 Pa. Code §3270.66(a)
It was observed on 3/10/2022 in the Caterpillar room Bingo Markers labeled "Keep out of the Reach of Children" were on an art cart accessible to children. (CORRECTED ON SITE)
Center’s plan of correction (implemented, Apr 6, 2022): “During the inspection the Bingo Markers were removed from the art cart and made inaccessible to children.”
Citation
Mar 8, 2022
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
It was observed on 3/10/2022 in the Bears room the first-aid kit does not contain scissors.
Center’s plan of correction (implemented, Apr 14, 2022): “The Bear classroom was provided with scissors that were immediately placed in the first-aid kit. All first-aid kits will be checked to ensure that each first-aid kit contains the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors, and disposable…”
Citation
Mar 8, 2022
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
It was observed on 3/10/2022 on the toddler side of the indoor play space areas of peeling and damaged paint. (CORRECTED ON SITE)
Center’s plan of correction (implemented, Apr 6, 2022): “During the inspection, painters tape was placed over the areas of peeling and damaged paint in the indoor play space until repairs can be made.”
Citation
Mar 8, 2022
Inspection
Building & playground safety
No styrofoam 55 Pa. Code §3270.108(c)
It was observed on 3/10/2022 Styrofoam bowls were being used to serve children food.
Center’s plan of correction (implemented, Apr 14, 2022): “Styrofoam cups, bowls, and plates were removed immediately from all classrooms as well as the facility. Styrofoam will not be used in any manner on site.”
Citation
Mar 8, 2022
Inspection
Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
The file for Staff Person #4 hired 1/5/2022 contains a health assessment dated 2/5/2020, which is more than 12 months prior to providing initial service in a child care setting. The file for Staff Person #6 contains health assessments dated 7/1/2019 and 11/5/2021, which is more than 24 months apart.
Center’s plan of correction (implemented, Apr 6, 2022): “All facility persons providing direct care who come into contact with the children or who works with food preparation will have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for…”
Citation
Mar 8, 2022
Inspection
Records & paperwork
Signed 55 Pa. Code §3270.123(a)
The agreements for Child #2, 4, 5 and 8 were not signed by the operator.
Center’s plan of correction (implemented, Apr 13, 2022): “Agreements for Child #2, 4, 5, and 8 were reviewed and signed by the operator. Copies of the signed agreements were placed in the child's file to be kept on site at the facility.”
Citation
Mar 8, 2022
Inspection
Records & paperwork
Amount of fee 55 Pa. Code §3270.123(a)(1)
The agreements for Child # 2, 4, and 6 does not specify the amount of the fee to be charged per day or per week.
Center’s plan of correction (implemented, Apr 13, 2022): “The agreements for Child #2, 4, and 6 will specify the amount of the fee to be charged per week. The agreements for Child #2, 4, and 6 will include the correct weekly tuition amount and will be initialed by the parent or guardian. These signed agreements will be placed in the child's file and kept…”
Citation
Mar 8, 2022
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
Emergency contact information for Child # 2 does include the home telephone number of the enrolling parent. Emergency contact information for Child # 3 does include the work telephone number of the enrolling parent. Emergency contact information for Child # 4 does include the home telephone number of the enrolling parent. Emergency contact information for Child # 5 does include the home telephone number of the enrolling parent. Emergency contact information for Child # 6 does include the home telephone number of the enrolling parent. Emergency contact information for Child #10 does not include the home and work addresses and telephone numbers of the enrolling parent.
Center’s plan of correction (implemented, Apr 13, 2022): “Emergency contact information for Child #2, 4, 5, 6, and 10 will include the home telephone number of the enrolling parent. Emergency contact information for Child #3 and 10 will include the work telephone number of the enrolling parent. Emergency contact information for Child #10 will include the…”
Citation
Mar 8, 2022
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
Emergency contact information for Child #3 does not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits. Emergency contact information for Child #8 does not include the policy number for a child under a family policy or Medical Assistance benefits.
Center’s plan of correction (implemented, Apr 13, 2022): “Emergency Contact information for Child #8 will include the policy number for a child under a family policy or Medical Assistance benefits. The Emergency Contact information for Child #8 will include the policy number for a child under a family policy or Medical Assistance benefits and will be kept…”
Citation
Mar 8, 2022
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
Emergency contact information for Child # 9 and #10 does not include the address of the individual designated by the parent to whom the child may be released.
Center’s plan of correction (implemented, Apr 13, 2022): “Emergency contact information for Child # 9 and #10 will include the address of the individual designated by the parent to whom the child may be released. The Emergency contact information for Child # 9 and #10 will include the address of the individual designated by the parent to whom the child…”
Citation
Mar 8, 2022
Inspection
Records & paperwork
Each child care space 55 Pa. Code §3270.124(c)
It was observed on 3/10/2022 emergency contact information for Child #4 and #11 was not present in the Turtles room, where the children were receiving care.
Center’s plan of correction (implemented, Apr 14, 2022): “Emergency contact information for Child #4 and #11 is now present in the Turtles room, where the children are receiving care. When the children are in the facility, emergency contact information will be present”
Citation
Mar 8, 2022
Inspection
Records & paperwork
Consent for administration of minor first-aid required prior to admission 55 Pa. Code §3270.182(5)
The record for Child #1 (admission date 11/23/2020), Child # 2 (admission date1/3/22), Child #3 (admission date 8/12/2019), Child #4 (admission date 8/10/2020), Child #5 (admission date 1/18/2018), Child #6 (admission date 4/26/2021), Child #7 (admission date10/4/2021), Child #8 (admission date 9/8/2021), Child #9 (admission date 12/29/2019) and Child #10 (admission date 8/2/2021) does not contain signed parental consent for administration of minor first-aid procedures by facility staff.
Center’s plan of correction (implemented, Apr 13, 2022): “The record for Child #1 (admission date 11/23/2020), Child # 2 (admission date1/3/22), Child #3 (admission date 8/12/2019), Child #4 (admission date 8/10/2020), Child #5 (admission date 1/18/2018), Child #6 (admission date 4/26/2021), Child #7 (admission date10/4/2021), Child #8 (admission date…”
No physical punishment 55 Pa. Code §3270.113(b)
During a complaint investigation a staff member stated that on October 12, 2021 they witnessed Staff Person #1 become frustrated with Child #1, pick the child up by their wrists, swing the child around and drop the child to ground and said "I don't want to deal with this kid anymore!"
Center’s plan of correction (implemented, May 3, 2022): “A facility person is not, in any way permitted to use any form of physical punishment with the children in their care. This includes, but is not limited to, spanking of a child, picking up a child by the wrist, swinging a child and dropping them to the ground. This behavior will not be tolerated by…”
No physical punishment 55 Pa. Code §3270.113(b)
During a complaint investigation a staff member stated around the time of October 12, 2021 they witnessed Staff Person #1 sitting on the floor in the young toddler room when Child #2 walked over and wanted to sit on Staff Person #1's lap. Staff Person #1 pushed Child #2 with both hands and said "Get away from me!" which caused Child #2 to fall backwards on their buttocks.
Center’s plan of correction (implemented, May 3, 2022): “A facility person is not permitted to use any form of physical punishment at any time. This includes but is not limited to, spanking, pushing a child with both hands, and/or use of language such as "Get away from me!" This type of language and physical interactions with any child at our facility…”
Core safety
Oct 13, 2021
Complaint investigation
Supervision
Supervised at all times /Staff assigned to specific children 55 Pa. Code §3270.113(a)/3270.113(a)(1)
Provider self reported on 10/7/2021 at 4:22pm Child #1 (DOB 1/29/2020) opened the classroom door leading to the fenced in play yard and went outside unattended. Staff Person # 1 and Staff Person #2 did not know the whereabouts of Child #1 for approximately 5 minutes. Child #1 was in the primary care group of Staff Person #1. Staff Person #3 found Child #1 on the play yard and reunited the child with Staff Person #1 and Staff Person #2 in the Turtles classroom. Staff #3 immediately reported the incident to the Center Director.
Center’s plan of correction (implemented, Mar 10, 2022): “Children will be supervised at all times. Face-to-Name sheets will be filled out daily by every Team Member from each classroom that is opened. These sheets will be submitted weekly on Monday to the Regional Office of Child Development and Early Learning from the previous week for a three month…”
“Core safety” marks citations about supervision and staff ratios, discipline and caregiver conduct, background checks, child protection and safe sleep, the topics our score weights most. Pennsylvania’s records don’t grade violations by severity. “Follow-up” marks a violation re-cited at a follow-up visit, counted once. How scores work.