Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
During the inspection on 7/15/26 facility persons #3,7, and 9 were observed providing direct child care and their file did not include a DHS FBI clearance and mandated reporter training. Facility persons #4, 5, and 6 were observed providing direct child care and their file did not include DHS FBI Clearance, NSOR clearance and mandated reporter training. Facility person # 8 was observed providing direct child care and their file did not include a NSOR clearance and mandated reporter training.
Center’s plan of correction (accepted, Jul 15, 2026): “Facility persons # 3,4,5,6,7,8 and 9 were removed from providing direct child care at the COB 7/15/26. Facility persons # 3,4,5,6,7,8 and 9 will not provide direct child care at the facility until CPSL requirements are fulfilled.”
Inspection status on COMPASS: Needs Verification
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
During the inspection on 7/15/26 staff person #2 was responsible for 13 children, he did not know the name of child #1 (one of the children they were responsible for).
Center’s plan of correction (accepted, Aug 11, 2026): “Upon notification of the violation, Staff Person #2 was counseled regarding responsibility for knowing the names and whereabouts of all assigned children. Staff were reminded of supervision expectations.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
During the inspection on 7/15/26 the file record for staff person #1 did not include emergency plan training.
Center’s plan of correction (implemented, Aug 11, 2026): “Upon notification of the violation, Staff Person #1 received emergency plan training, and documentation of the training was placed in the employee's personnel file.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 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)
During the inspection on 7/15/2026 facility persons # 3,4,5,6,7,8 and 9 were observed providing direct child care these files were not available/accessible for review and were subsequently reviewed electronically on 7/27/26 their files did not include an initial health assessment and TB test.
Center’s plan of correction (accepted, Aug 11, 2026): “Upon notification of the violation, the personnel files for Staff Persons #3, #4, #5, #6, #7, #8, and #9 were reviewed. The program immediately attempted to schedule the required health assessments and TB tests; however, appointments were not available within the required timeframe due to limited…”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Training & qualifications
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
Staff person #1--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid & Training & CPR).
Center’s plan of correction (accepted, Jul 15, 2026): “Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1-- will have until 7/30/26 to complete the required training. Until such time as the required training has been completed, staff person #1--- must be supervised, when…”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Records & paperwork
Immediate access 55 Pa. Code §3270.24(a)
During the inspection on 7/15/26 the Department did not have immediate access to the files and records. File records for child # 2,3,4,5,6,7 and the files for staff persons #3,4,5,6,7,8 and 9 were not available to the Department.
Center’s plan of correction (implemented, Aug 11, 2026): “Upon notification of the violation, the requested children's and staff files were made available to the Department. The program reviewed its file storage procedures and determined that maintaining all records in one staff member's office created a delay in accessing records during the inspection.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
During the inspection on 7/15/26 the file record for staff person #1 did not include fire safety training
Center’s plan of correction (implemented, Aug 11, 2026): “Upon notification of the violation, Staff Person #1's file was reviewed. Documentation of the required annual fire safety training was obtained and placed in the employee's personnel file.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Records & paperwork
Signed 55 Pa. Code §3270.123(a)
During the electronic inspection on 7/27/26 the file records for child# 4,5 and 7 did not include a financial agreement form signed by the operator and parent.
Center’s plan of correction (accepted, Aug 11, 2026): “Upon notification of the violation, signed financial agreement forms were obtained for the identified children and placed in each child's file.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Records & paperwork
Each child emergency contact person 55 Pa. Code §3270.124(a)
During the electronic inspection on 7/27/26 the file record for child #4,5 and 7 did not include a completed emergency contact form.
Center’s plan of correction (implemented, Aug 11, 2026): “Upon notification of the violation, completed emergency contact forms were obtained and placed in the identified children's files.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Records & paperwork
Information re: special needs 55 Pa. Code §3270.124(b)(5)
During the electronic inspection on 7/27/2026 the file record for child #3 did not include the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation on the emergency contact form.
Center’s plan of correction (implemented, Aug 7, 2026): “Upon notification of the violation, Child #3's emergency contact form was updated to include the required special needs information and placed in the child's file.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
During the electronic inspection on 7/27/2026 the file records for child # 2, and 3 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.
Center’s plan of correction (implemented, Aug 7, 2026): “Upon notification of the violation, the required health insurance or Medical Assistance information was obtained from the parent/guardian and added to the identified children's emergency contact forms.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
During the electronic inspection on 7/27/26 the file record for child # 6 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.
Center’s plan of correction (implemented, Aug 11, 2026): “Upon notification of the violation, Child #6's emergency contact form was updated to include the authorized release person's name, address, and telephone number.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Records & paperwork
Name, address, and phone 55 Pa. Code §3270.192(1)
During the electronic inspection on 7/27/2026 the file records for facility persons #3, 4,5,6, and 7 did not include the name, address and telephone number of the facility person.
Center’s plan of correction (accepted, Aug 11, 2026): “Upon notification of the violation, the personnel files were updated to include each employee's name, address, and telephone number.”
Inspection status on COMPASS: Needs Verification
Citation
Jul 15, 2026
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
During the inspection 7/15/26 the file record for staff person # 1 did not include annual minimum of 12 clock hours of child care training.
Center’s plan of correction (implemented, Aug 11, 2026): “Upon notification of the violation, Staff Person #1's annual training records were reviewed. Documentation verifying completion of the required 12 clock hours of child care training was obtained and placed in the personnel file. If additional training was required, it was completed and documented.”
Inspection status on COMPASS: Needs Verification
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
During the inspection on 6/17/26 the file records for staff person #1 included an expired NSOR clearance dated 11/13/2020.
Center’s plan of correction (implemented, Jul 8, 2026): “Staff person #1 were removed from providing direct child care at the COB 6/17/26. Staff person #1 will not provide direct child care at the facility until CPSL requirements are fulfilled.”
Inspection status on COMPASS: Non Compliant – Finalized
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
During the inspection on 6/17/26 the 4th-5th Grade, 5th-6th grade and K-1st Grade classrooms were observed not having the responsibility for supervision of specific children.
Center’s plan of correction (not implemented, Jul 15, 2026): “develop a clear system to assign staff and group break downs for supervision tracking.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 1, 2026
Inspection
Food & feeding
Wholesome 55 Pa. Code §3270.161(a)
During the inspection on 6/17/2026 the refrigerator was observed having a reddish/pink liquid or substance at the bottom shelf.
Center’s plan of correction (implemented, Jun 17, 2026): “Provider cleaned the reddish/pink liquid during the inspection.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 1, 2026
Inspection
Building & playground safety
Director or designated staff person ensure compliance 55 Pa. Code §3270.95(b)
During the inspection on 6/17/2026 the monthly smoke alarm log was reviewed there was no record and there was no annual fire inspection report.
Center’s plan of correction (implemented, Jun 24, 2026): “Manuel fire detection test took place on 6/17/26 and will be done every 30 days moving forward.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 1, 2026
Inspection
Health & medication
Health information 55 Pa. Code §3270.131(a)
During the inspection on 6/17/26 the file records for child #2 did not include an intial health assessment.
Center’s plan of correction (implemented, Jun 17, 2026): “Provider updated the file for child #2 to include a health assessment during the inspection.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 1, 2026
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
During the inspection on 6/17/26 the file records for child # 1,3,4,5 and 7 did not include the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.
Center’s plan of correction (implemented, Jun 24, 2026): “have parent's fully complete forms upon enrollment & create a system to double check/correct required information before the start of programming.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 1, 2026
Inspection
Records & paperwork
Information re: special needs 55 Pa. Code §3270.124(b)(5)
During the inspection on 6/17/2026 the file record for child #7 did not include the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation on the emergency contact form.
Center’s plan of correction (implemented, Jun 24, 2026): “have parents fully complete forms upon enrollment & create a system to double /correct required information before the start of programming.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 1, 2026
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
During the inspection on 6/17/2026 the file records for child # 5,6, and 8 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.
Center’s plan of correction (implemented, Jun 24, 2026): “have parents fully complete forms upon enrollment & create a system to double /correct required information before the start of programming.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 1, 2026
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
During the inspection on 6/17/26 the file records for child # 3, 5 and 8 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.
Center’s plan of correction (implemented, Jun 24, 2026): “have parents fully complete forms upon enrollment & create a system to double /correct required information before the start of programming.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 1, 2026
Inspection
Records & paperwork
Each child care space 55 Pa. Code §3270.124(c)
During the inspection on 6/17/2026 the Stem Room (5th & 6th Grade) did not have emergency contact information present in a child care space for child #9 receiving care in the space.
Center’s plan of correction (implemented, Jun 17, 2026): “Provider added the emergency contact form for child #9 to all of the emergency contact binders during the inspection.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Jun 1, 2026
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
During the inspection on 6/17/2026 the file records for staff person #2 and 3 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Jul 8, 2026): “obtain full staff files prior to start date.”
Inspection status on COMPASS: Non Compliant – Finalized
Supervised at all times 55 Pa. Code §3270.113(a)
Ongoing non-compliance- During the inspection on 1/13/26 child #1 was observed leaving their classroom alone unsupervised at 2:59 pm. Staff person #1 did not obtain the required trainings by 11/24/25: Supervision: Staff: Child Ratios and Supervision: What is Required?
Center’s plan of correction (implemented, Jun 17, 2026): “1. 1/13/2026-Children must be supervised at all times. 2. 4/13/26-The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the…”
Citation
Jan 13, 2026
Inspection
Health & medication
Child's hands washed 55 Pa. Code §3270.134(a)
Ongoing non-compliance- During the inspection on 1/13/26 the file for staff person #1 did not include required training: Your #1 Priority: Keeping Children Healthy and Safe; this training was required to be completed due to observation of children not washing hands on 11/20/25. The training was due by 12/4/25.
Center’s plan of correction (implemented, Jun 17, 2026): “Retrieve and send certificates of completion.”
Citation
Jan 13, 2026
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
Ongoing non-compliance- During the inspection 1/13/26 the file records for staff person # 1, 2 and 3 did not include annual minimum of 12 clock hours of child care training.
Center’s plan of correction (implemented, Jun 17, 2026): “Send required documentation of completed trainings.”
Mixed Age Level 55 Pa. Code §3270.52
Ongoing non-compliance-During the inspection on 11/20/25 at 3:44pm staff persons # 1 and 2 were observed with 27 school age children, the youngest child was a kindergarten student in the cafe.
Center’s plan of correction (implemented, Jan 13, 2026): “Make sure staff to youth ratios are implemented based on youngest age group.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 20, 2025
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
During the inspection on 11/20/25 the file record for staff person #2 and 3 did not include annual emergency plan training.
Center’s plan of correction (implemented, Dec 10, 2025): “Send required documents and add to staff individual files.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 20, 2025
Inspection
Health & medication
Child's hands washed 55 Pa. Code §3270.134(a)
Ongoing non-compliance- During the inspection on 11/20/25 staff person # 2 was observed serving children chicken alfredo salad platters and chocolate milk in the cafe. All of the children served did not wash their hands prior to eating.
Center’s plan of correction (not implemented, Jan 13, 2026): “Work on plan and put into affect immediately washing hands upon entering the building before going into the café to eat. Have all staff complete training and send certificates.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 20, 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)
During the inspection on 11/20/25 the file records for staff persons #2 and 3 did not include an updated/subsequent health assessment.
Center’s plan of correction (implemented, Jan 7, 2026): “Staff #2 health assessment has been completed, we are waiting on paperwork. Staff #3 assessment will be sent and added to file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 20, 2025
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
During the inspection on 11/20/25 the file record for staff person # 2 and 3 did not include annual fire safety training.
Center’s plan of correction (implemented, Jan 7, 2026): “Staff #2 and 3 will be taking required training on December 9, 2025.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 20, 2025
Inspection
Training & qualifications
Bachelor's, 30 credits + 1 yrs 55 Pa. Code §3270.35(b)(2)
During the inspection on 11/20/25 the file record for staff person #4 did not include a degree in human services field to qualify for the position
Center’s plan of correction (implemented, Jan 13, 2026): “provide copy of transcripts and place into file. Staff person #4 will be used as an AGS. Facility will use another qualified staff person as GS.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 20, 2025
Inspection
Records & paperwork
Each child care space 55 Pa. Code §3270.124(c)
Ongoing non-compliance- During the inspection on 11/20/2025 the cafe did not have emergency contact information present in a child care space for child #1 receiving care in the space.
Center’s plan of correction (implemented, Jan 13, 2026): “send emergency contact form and update in emergency book.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 20, 2025
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
During the inspection on 11/20/2025 the file records for staff person#2 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Dec 10, 2025): “Send completed documents and add references to their file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 20, 2025
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
During the inspection 11/20/25 the file record for staff person # 3 did not include annual minimum of 12 clock hours of child care training.
Center’s plan of correction (implemented, Dec 10, 2025): “Have staff #3 complete required hours of training and send documentations. Place documentation in staffs file.”
Inspection status on COMPASS: Non Compliant – Finalized
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
Staff person #1,2,57,9,10 12--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Pediatric First Aid & CPR). Staff person #3-- was observed to be caring for children unsupervised. Staff person #3-- does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of (10/31/25). Staff person #4-- was observed to be caring for children unsupervised. Staff person #4-- has not completed the following pre-service training required prior to caring for children unsupervised: (Pediatric First Aid & CPR training). Staff person #3,5, 7,10, 12--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Mandated Reporter Training). Staff person #1, 5, 8,9,10, 12--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health & Safety Training).
Center’s plan of correction (implemented, Jan 7, 2026): “Staff person(s) will complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #1,2,3,4,5, 7 8, 9,10 and 12-- will have until 11/25/25 to complete the required training. Until such time as the required training has been completed, staff person #1,2,3,4,5,7…”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
During the inspection on 11/10/25 the file records for staff persons #2, 3, 11 included an expired NSOR clearance. The file records for staff persons #5, 9, and 12 did not include a NSOR clearance. Staff person #10 was observed providing direct child care and they did not have a state police clearance, child abuse clearance, DHS FBI clearance and NSOR clearance. The file for staff person#2 included a state police clearance that was incomplete (missing a rap sheet). Staff person # 4 was observed providing direct child care and their file did not include all of the out of state clearances required for state of Vermont.
Center’s plan of correction (implemented, Nov 26, 2025): “Staff persons #2,3,4,5,9,10,11, and 12 were removed from providing direct child care at the COB 11/10/25. Staff persons #2,3,4,5,9,10,11 and 12 will not provide direct child care at the facility until CPSL requirements are fulfilled. Facility submitted an operational plan for ratio and supervision…”
Inspection status on COMPASS: Non Compliant – Finalized
Aides supervised all times 55 Pa. Code §3270.37(c)
During the inspection on 11/10/25 staff person # 8 was observed in the gym alone unsupervised with 8 school age children at 3:55pm.
Center’s plan of correction (implemented, Dec 1, 2025): “Place a qualified staff member with staff person #8 at all times.”
Inspection status on COMPASS: Non Compliant – Finalized
Mixed Age Level 55 Pa. Code §3270.52
During the inspection on 11/10/25 at 3:44 pm staff person # 9 was alone with 25 school age children in the cafe. At 3:50 staff persons # 9 and 10 were observed with 40 school age children alone in the cafe.
Center’s plan of correction (not implemented, Nov 26, 2025): “Adjust groups and schedules to better fit with the staff to child ratios. Staff # 9,5,8,7,12,4,11,10,3 have currently completed this training.”
Inspection status on COMPASS: Non Compliant – Finalized
Supervised at all times 55 Pa. Code §3270.113(a)
During the inspection on 11/10 25 child# 1 and 4 were observed coming from the cafe to the gym to go to the bathroom alone unsupervised at 3:42 pm.
Center’s plan of correction (not implemented, Jan 13, 2026): “Have all staff complete supervision training and escort children around the building at all times. All staff will have training completed by 12/5/25.”
Inspection status on COMPASS: Non Compliant – Finalized
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
During the inspection on 11/10/25 at 3:20 pm staff persons # 9 and 10 were observed with 8 children in the cafe, staff person #9 stated that they were responsible for 3 children, staff person#10 stated that they were not responsible for any of the children present. At 3:51 pm staff person #4 was observed alone with 8 children in the gym and only knew the name of two children present.
Center’s plan of correction (implemented, Dec 1, 2025): “Delegate specific children to staff within each room.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
During the inspection on 11/10/25 the file record for staff person #1,2,3,4,5,6,7,8,9,11 and 12 did not include emergency plan training.
Center’s plan of correction (implemented, Dec 5, 2025): “Find paperwork and update into every staff persons file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
During the inspection on 11/10/25 the first-aid kit in the Cafe was missing soap.
Center’s plan of correction (implemented, Nov 26, 2025): “Replace soap.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Health & medication
Child's hands washed 55 Pa. Code §3270.134(a)
During the inspection on 11/10/25 staff person # 9 was observed serving children chicken Caesar salad platters and milk in the cafe. All of the children served did not wash their hands prior to eating.
Center’s plan of correction (not implemented, Dec 1, 2025): “Have children escorted to wash hands before entering the cafe for meal times.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 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)
During the inspection on 11/10/25 the file records for staff persons #1, 3, 10 did not include a health assessment. The file records for staff persons # 6 and 11 did not include updated/subsequent health assessment.
Center’s plan of correction (implemented, Jan 7, 2026): “Update staff assessments in files and schedule times for staff to get updated assessments.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Food & feeding
Wholesome 55 Pa. Code §3270.161(a)
During the inspection on1110/2025 spoiled milk was observed in the refrigerator (the milk had an expiration dates of 11/5/2025 and 11/10/25).
Center’s plan of correction (implemented, Dec 1, 2025): “Throw away milk if unused before expiration date”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(6)
During the inspection on 11/10/2025 the fire drill log was observed and there was no record that an emergency drill was conducted.
Center’s plan of correction (implemented, Dec 1, 2025): “Emergency drill was planned and executed on 11/24/25.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Building & playground safety
Director or designated staff person ensure compliance 55 Pa. Code §3270.95(b)
During the inspection on 11/10/2025 the facility did not have proof of installation for the smoke detection system.
Center’s plan of correction (implemented, Jan 13, 2026): “Print proof of installation and keep in main office.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Health & medication
Health information 55 Pa. Code §3270.131(a)
During the inspection on 11/10/25 the file records for child #2 did not include an initial health assessment.
Center’s plan of correction (implemented, Dec 10, 2025): “Parent has reached out to a doctor waiting for finalization of appointment date.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
During the inspection on 11/10/25 the file records for staff person #1,2,3,5, 6, 7, and 11 did not include annual fire safety training
Center’s plan of correction (implemented, Dec 10, 2025): “Print documents and place in files.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
During the inspection on 11/10/25 the file records for staff #2, 3,5, 6,7 and 11 did not include a written evaluation.
Center’s plan of correction (implemented, Dec 10, 2025): “Document a current evaluation for each staff.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Training & qualifications
Bachelor's + 1 yr/Exp, educ., training prior to facility 55 Pa. Code §3270.34(b)(1)/3270.192(2)(ii)
During the inspection on 11/10/25 the file for staff person #1 did not include verification of child care experience and education to qualify for director position.
Center’s plan of correction (implemented, Jan 13, 2026): “Degree found, print a copy of degree and find verification form and placed into file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Training & qualifications
HS/GED + 2 yrs/Exp, educ., training prior to facility 55 Pa. Code §3270.36(b)(5)/3270.192(2)(ii)
During the inspection on 11/10/2025 the file records for staff person # 9 did not include verification of child care experience, and education prior to service at the facility.
Center’s plan of correction (implemented, Jan 13, 2026): “Have verification filled out and place into file. Staff person #9 will be used as an aide until they meet the qualifications to be a AGS.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Training & qualifications
HS/GED/Exp, educ., training prior to facility 55 Pa. Code §3270.37(b)(1)/3270.192(2)(ii)
During the inspection on 11/10/2025 the file records for staff person #5, 8 and 12 did not include verification of child care experience, and education prior to service at the facility.
Center’s plan of correction (implemented, Dec 5, 2025): “Acquire proof of education and have verifications forms filled out and placed into files.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Signed 55 Pa. Code §3270.123(a)
During the inspection on 11/10/25 the file records for child #1,2,3, 4 and 5 did not include a financial agreement form signed by the operator.
Center’s plan of correction (implemented, Dec 1, 2025): “Sign all financial agreements”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Amount of fee 55 Pa. Code §3270.123(a)(1)
During the inspection on 11/10/25 the file records for child # 1,2,3,4 and 5 did not include an agreement that specified the amount of the fee to be charged per day or per week.
Center’s plan of correction (implemented, Dec 1, 2025): “Write amount charged on fee agreement.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Arrival/departure times 55 Pa. Code §3270.123(a)(4)
During the inspection on 11/10/25 the file records for child # 1,2,3,4 and 5 did not include an agreement that specified the child's arrival and departure times.
Center’s plan of correction (implemented, Dec 1, 2025): “Write in all children's arrival and departure times.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Admission date 55 Pa. Code §3270.123(a)(6)
During the inspection on 11/10/25 the file records for child # 1,2,3 and 4 did not include an agreement that specified the date of the child's admission.
Center’s plan of correction (implemented, Dec 1, 2025): “Write children's original date of admissions to the club on the fee agreements”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Physician name, address, phone 55 Pa. Code §3270.124(b)(2)
During the inspection on 11/10/2025 the file records for child # 4 did not include the name, address and telephone number of the child's physician or source of medical care on emergency contact form.
Center’s plan of correction (implemented, Dec 1, 2025): “Have parent update emergency contact form.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
During the inspection on 11/10/25 the file records for child #1,2 and 4 did not include the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.
Center’s plan of correction (implemented, Dec 5, 2025): “Have parent update emergency contact form.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Information re: special needs 55 Pa. Code §3270.124(b)(5)
During the inspection on 11/10/2025 the file record for child #4 did not include the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation on the emergency contact form.
Center’s plan of correction (implemented, Dec 1, 2025): “Have parent update emergency contact form.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
During the inspection on 11/10/2025 the file records for child # 2,4 and 5 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.
Center’s plan of correction (implemented, Jan 7, 2026): “Have parents update emergency contact form.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
During the inspection on 11/10/25 the file recor for child # 2 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.
Center’s plan of correction (implemented, Dec 1, 2025): “Have parents update emergency contact form.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Individual Records 55 Pa. Code §3270.191
During the inspection 11/10/2025 staff person #10 was observed providing direct child care but did not have a file record established.
Center’s plan of correction (implemented, Dec 1, 2025): “File has been added to file binder.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Name, address, and phone 55 Pa. Code §3270.192(1)
During the inspection on 11/10/2025 the file records for staff person #5, 7,8, and 9 did not include the name, address and telephone number of the facility person.
Center’s plan of correction (implemented, Jan 7, 2026): “Add all necessary information to staff files. Staff #5 ID has expired, will have a new one on file by Wednesday 12/3/25.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Age 55 Pa. Code §3270.192(2)(i)
During the inspection on 11/10/25 the file record for staff persons # 5,7, 8 and 9 did not include verification of age.
Center’s plan of correction (implemented, Jan 7, 2026): “Copies of ID's have been added to files. Staff #5 ID has expired, will have a new one on file by Wednesday 12/3/25.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
During the inspection on 11/10/2025 the file records for staff person#1,4,5,7,8,9 and 11 did not include two written, non-family references from individuals attesting to the person's suitability to serve as a facility person.
Center’s plan of correction (implemented, Dec 10, 2025): “References have been added to files. Still waiting on one for staff #1 to be sent.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 10, 2025
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
During the inspection 11/10/25 the file record for staff person # 1, 2,3, 5, 6, 7, and 11 did not include annual minimum of 12 clock hours of child care training.
Center’s plan of correction (not implemented, Jan 13, 2026): “Still completing when there is enough staff to maintain ratios through daily programming. Staff #1,3 have completed the 12 hours.”
Inspection status on COMPASS: Non Compliant – Finalized
Show 75 older citations
Citation
Jan 14, 2025
Inspection
Health & medication
Physical examination/Health assessment, TB test 55 Pa. Code §3270.151(c)(1)/3270.192(3)
Ongoing non-compliance from renewal inspection, staff persons #1 do not have a current health assessment on file.
Center’s plan of correction (implemented, Feb 3, 2025): “Staff members will have updated health assessments on file.”
Citation
Jan 14, 2025
Inspection
Health & medication
Mantoux TB/Health assessment, TB test 55 Pa. Code §3270.151(c)(2)/3270.192(3)
Ongoing non-compliance from renewal inspection, staff persons #1 do not have verification of TB Testing on file.
Center’s plan of correction (implemented, Feb 3, 2025): “Staff members will have TB test with dates on health assessment.”
Citation
Jan 14, 2025
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
Ongoing non-compliance from renewal inspection, staff person #1 file do not have the required verification of completion of required Health and Safety training.
Center’s plan of correction (implemented, Jan 29, 2025): “Staff has started new Health and Safety training. Documentation will be provided upon completion.”
Citation
Jan 14, 2025
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
Ongoing non-compliance from renewal inspection, staff person #2 file do not have documentation of minimum 12 clock hours of annual training.
Center’s plan of correction (implemented, Jan 24, 2025): “Annual trainings are being completed by staff including 10hr. Health and Safety training.”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
At the time of inspection, staff person #1 file did not have verification of completed Mandated Reporter Training. Staff person #9 DHS FBI Clearance and National Sex Offenders Certificate were unreadable.
Center’s plan of correction (implemented, Jan 14, 2025): “Staff person #1 was given a date to print and provide documentation and staff person #9 is no longer with the organization. Documentation provided.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Emergency preparedness
Contact when ended 55 Pa. Code §3270.27(a)(4)
At the time of inspection, the Emergency Plan did not address a method as to how parents will be contacted at the end of an emergency.
Center’s plan of correction (implemented, Jan 10, 2025): “An updated copy has been provided to us after revision.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Emergency preparedness
Training regarding plan 55 Pa. Code §3270.27(c)
At the time of inspection, staff person #5 file did not have documentation of Emergency Plan training.
Center’s plan of correction (implemented, Jan 10, 2025): “Staff person has been fully trained and has signed necessary documentation.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Building & playground safety
110º F or less 55 Pa. Code §3270.69(b)
At the time of inspection, the 2 bathrooms (boy/girl) water temperatures both reached 126 degrees.
Center’s plan of correction (implemented, Jan 14, 2025): “Water temperature has been adjusted.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
At the time of inspection, the Stem Room first aid kit was missing bandaids.
Center’s plan of correction (implemented, Nov 21, 2024): “Band-Aids were placed in first aid kit.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Building & playground safety
Clean and good repair 55 Pa. Code §3270.82(g)
At the time of inspection, the girl's bathroom toilets next to the gym were not flushing properly. One toilet was completely clogged.
Center’s plan of correction (implemented, Jan 14, 2025): “Slow flush issue has been reported, with a work order confirmed.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Health & medication
Physical examination/Health assessment, TB test 55 Pa. Code §3270.151(c)(1)/3270.192(3)
At the time of inspection, staff persons #4 and #5 did not have a health assessment on file.
Center’s plan of correction (not implemented, Jan 21, 2025): “Staff members will have updated health assessments on file.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Health & medication
Mantoux TB/Health assessment, TB test 55 Pa. Code §3270.151(c)(2)/3270.192(3)
At the time of inspection, staff persons #4 and #5 did not have verification of TB Testing. Staff persons #6 and #8 did not have dates as to when their TB testing was conducted.
Center’s plan of correction (not implemented, Jan 21, 2025): “Staff members will have TB test with dates on health assessment.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Transportation
Safe routes posted 55 Pa. Code §3270.171(c)
At the time of inspection, the facility did not have drop off and pick up instructions or safe routes posted.
Center’s plan of correction (implemented, Jan 14, 2025): “Updated instructions and procedures are being finalized.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Transportation
Insured 55 Pa. Code §3270.176(a)
At the time of inspection, provider did not have verification of insurance or registration for the facility's vehicles used to transport children.
Center’s plan of correction (implemented, Dec 5, 2024): “Provider submitted registration and insurance verification for both facility vehicles.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Emergency preparedness
Every 60 days 55 Pa. Code §3270.94(a)(1)
At the time of inspection, the last fire drill conducted was 7.2024.
Center’s plan of correction (implemented, Jan 10, 2025): “Next scheduled fire drill is 12.20.2024.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
On file at facility 55 Pa. Code §3270.18(a)
At the time of inspection, updated copy of the facility's liability insurance was not available. Liability insurance posted expired January of 2022.
Center’s plan of correction (implemented, Dec 5, 2024): “Provider submitted facility's current liability insurance declaration page.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
At the time of inspection, staff person #5 file did not have verification of fire safety training.
Center’s plan of correction (implemented, Jan 14, 2025): “Staff has been scheduled for upcoming Fire Safety training.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
At the time of inspection, staff person #4 file did not have the required verification of completion of required Health and Safety training.
Center’s plan of correction (not implemented, Jan 21, 2025): “Staff has started new Health and Safety training. Documentation will be provided upon completion.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Training & qualifications
Director responsibilities 55 Pa. Code §3270.34(a)
At the time of inspection, the director was not present during the renewal inspection.
Center’s plan of correction (implemented, Jan 14, 2025): “The director will ensure they are available during inspections.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
At the time of inspection, staff persons #2, #3, #4, #6, #7, #8 and #9, did not have updated staff evaluations on file. Last evaluation recorded was January, 2023.
Center’s plan of correction (implemented, Jan 10, 2025): “All staff members have scheduled staff evaluations upcoming. Documentation will be provided.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Signed /Amount of fee 55 Pa. Code §3270.123(a)/3270.123(a)(1)
At the time of inspection, child #1 and children #6 through #10, Agreement Forms did not specify the fee amount. Child #1 Agreement form was only signed by the parent and not the operator.
Center’s plan of correction (implemented, Jan 10, 2025): “Children's Agreement Forms were all updated to reflect the fee amounts and child's #1 Agreement Form was signed by parent and provider.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Date fee to be paid 55 Pa. Code §3270.123(a)(2)
At the time of the inspection, child #1 Agreement Form did not specify date in which fees were due.
Center’s plan of correction (implemented, Jan 10, 2025): “Agreement form was updated accordingly.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Arrival/departure times/Designated release persons 55 Pa. Code §3270.123(a)(4)/3270.123(a)(5)
At the time of inspection, child #1 Agreement Form did not have arrival or departure times, nor did it specify persons designated by the parents to whom the child may be released.
Center’s plan of correction (implemented, Jan 10, 2025): “Form completed by parent.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Admission date/Application, admission, withdrawal dates 55 Pa. Code §3270.123(a)(6)/3270.182(2)
At the time of inspection, child #1, #2 and #3, Agreement Forms did not have Admission Dates listed.
Center’s plan of correction (implemented, Jan 10, 2025): “Provider updated the forms to include the admission dates for all listed children.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Physician name, address, phone/Insurance coverage information 55 Pa. Code §3270.124(b)(2)/3270.124(b)(6)
At the time of inspection, child#1 and #4 Emergency Contact Forms did not contain the address of their physician or source of medical care. Children #1 and #8 did not have health insurance coverage information or policy number listed on the Emergency Contact Form. Child#5 did not have insurance policy number listed on Emergency Contact Form.
Center’s plan of correction (implemented, Jan 10, 2025): “All forms will be updated by parents.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
At the time of inspection, child #1 and children #4 through #9 Emergency Contact Forms did not include parents work addresses or work telephone numbers.
Center’s plan of correction (implemented, Jan 14, 2025): “All applicable sections completed by parent.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Information re: special needs 55 Pa. Code §3270.124(b)(5)
At the time of inspection, child #1 Emergency Contact Form did not specify whether child had disabilities or special needs in case of emergency.
Center’s plan of correction (implemented, Jan 10, 2025): “All applicable areas were updated by parent.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
Child #5 Emergency Contact Form did not include addresses of individuals listed as authorized release persons.
Center’s plan of correction (implemented, Jan 10, 2025): “All applicable areas were updated by parent.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Exp, educ., training prior to facility 55 Pa. Code §3270.192(2)(ii)
At the time of inspection, staff persons #1 and #9 files did not contain education and/or experience.
Center’s plan of correction (implemented, Jan 14, 2025): “Staff person #1 has provided documentation. Staff person #9 is no longer employed with the organization.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
At the time of inspection, staff person #1, #5 and #6 files did not contain required 2 written nonfamily references.
Center’s plan of correction (implemented, Jan 17, 2025): “Documentation has been given to staff and will be provided upon completion.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Training & qualifications
Health and Safety Training - Pediatric First Aid and CPR 55 Pa. Code §3270.31(f)(10)
At the time of inspection, staff person #1 file did not have verification of completion of Pediatric First Aid/CPR Training.
Center’s plan of correction (implemented, Jan 14, 2025): “Staff has been scheduled for Pediatric First Aid and CPR. Documentation will be provided upon completion.”
Inspection status on COMPASS: Non Compliant – Finalized
Citation
Nov 21, 2024
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
At the time of inspection, staff person #5 file did not have documentation of minimum 12 clock hours of annual training.
Center’s plan of correction (not implemented, Jan 21, 2025): “Trainings have been completed but staff is completing revised Health and Safety training.”
Inspection status on COMPASS: Non Compliant – Finalized
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
During the inspection on 11/30/2023 the file record for staff person #6 did not include a FBI clearance. The file records for staff person #7 did not include a NSOR clearance. The file records for staff person # 9 did not include a NSOR clearance. Facility person #12 was observed on the premises while children were present and did not have a State Police Clearance, Child Abuse Clearance, FBI clearance, NSOR clearance, mandated reporter training and disclosure statement. Facility Person #6,7,9 and 12--- may not work in a child care position at the facility.
Center’s plan of correction (implemented, Jan 25, 2024): “Staff persons #6,7, 9 and 12 were removed from providing direct child care at the COB 11/30/23. Staff persons #6,7, and 9 will not provide direct child care at the facility until CPSL requirements are fulfilled. Facility person #12 will not be on the premises until they have obtained all of the…”
Two facility persons present in facility 55 Pa. Code §3270.54(a)
During the inspection on 11/30/23 staff person #13 was observed with 4 children alone from 7:30 am until 7:35 am.
Center’s plan of correction (implemented, Jan 25, 2024): “Additional staff have been added to the 7:30 a.m. shift.”
Two facility persons on excursions 55 Pa. Code §3270.54(b)
During the inspection on 11/30/23 staff person #10 was observed taking/driving children to school alone. Staff person #10 was observed leaving at 7:53 am with 3 children, leaving at 8:15 am with 5 children and leaving at 8:25 am with four children alone.
Center’s plan of correction (implemented, Jan 25, 2024): “At least 2 facility persons will be present on excursions away from the facility.”
Citation
Nov 14, 2023
Inspection
Building & playground safety
Has all items 55 Pa. Code §3270.75(c)
During the inspection on 11/30/23 the first-aid kits in the cafe was missing gloves, scissors, soap and tweezers. The first aid kits in the Stem Room and the Art Room were missing gloves. The first aid kit in the Game room was missing scissors.
Center’s plan of correction (implemented, Dec 18, 2023): “Replaced the missing items from the first aid kits”
Citation
Nov 14, 2023
Inspection
Health & medication
Free from contagious/communicable disease 55 Pa. Code §3270.131(d)(7)
During the inspection on 11/30/23 the file records for child #1,3,4,5,6, 10 and 11 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
Center’s plan of correction (implemented, Jan 10, 2024): “Children #1, 3, 4, 5, 6, 10, and 11 will return a completed health assessment on the correct physical form.”
Citation
Nov 14, 2023
Inspection
Health & medication
Age appropriate screenings complete 55 Pa. Code §3270.131(d)(8)
During the inspection on 11/30/23 the file records for child # 1,3,4,5,6, 10 and 11 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.
Center’s plan of correction (implemented, Jan 10, 2024): “Children #1, 3, 4, 5, 6, 10, and 11 will return a completed health assessment on the proper physical form.”
Citation
Nov 14, 2023
Inspection
Health & medication
12 months prior to service and every 24 months thereafter 55 Pa. Code §3270.151(a)
During the inspection on 11/30/23 the file record for staff person #3 did included a health assessment that was not acceptable (did not answer questions of suitability and if staff person had a communicable disease). The file record for staff person #7 did not include an initial health assessment.
Center’s plan of correction (implemented, Jan 8, 2024): “Staff #3 and 7 will return a completed health assessment with the required information on the proper physical form. Staff person #7 will not return until a health assessment is submitted.”
Citation
Nov 14, 2023
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(a)(6)
During the inspection on 11/30/2023 the fire drill log was observed and there was no record of an emergency drill be conducted.
Center’s plan of correction (implemented, Dec 18, 2023): “Provider located the drill log from this year.”
Citation
Nov 14, 2023
Inspection
Emergency preparedness
Emergency plan 55 Pa. Code §3270.27(f)
During the inspection on 11/30/2023 it was determined that the operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.
Center’s plan of correction (implemented, Dec 18, 2023): “Provider sent a copy of the emergency plan to the local municipality and county emergency management agency.”
Citation
Nov 14, 2023
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
During the inspection on 11/30/23 the file records for staff person #1,6,9 and 11 did not include current fire safety training.
Center’s plan of correction (implemented, Dec 18, 2023): “Provider will retrieve fire safety certificates for staff #1, 6, 9, and 11”
Citation
Nov 14, 2023
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
Staff person #7-- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health & Safety Training).
Center’s plan of correction (implemented, Jan 8, 2024): “Staff person will complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #7-- will have until 12/15/23 to complete the required training. Until such time as the required training has been completed, staff person #7--- must be supervised, when…”
Citation
Nov 14, 2023
Inspection
Training & qualifications
Staff evaluations 55 Pa. Code §3270.34(a)(6)
During the inspection on 11/30/23 the file records for staff #9 did not include a written evaluation.
Center’s plan of correction (implemented, Jan 25, 2024): “Director completed a staff evaluation for staff #9. Staff #9 no longer works at the facility.”
Citation
Nov 14, 2023
Inspection
Training & qualifications
Bachelor's, 30 credits + 2 yrs/Transcript, diploma and letters 55 Pa. Code §3270.34(b)(2)/3270.192(2)(iv)
During the inspection on 11/30/23 the file record for staff person # 1 did not include acceptable verification of education, the degree observed did not identify the study/major of the degree conferred.
Center’s plan of correction (implemented, Jan 3, 2024): “Staff person #1 will retrieve academic transcripts to have on file.”
Citation
Nov 14, 2023
Inspection
Training & qualifications
Bachelor's, 30 credits + 2 yrs/Exp, educ., training prior to facility 55 Pa. Code §3270.34(b)(2)/3270.192(2)(ii)
During the inspection on 11/30/2023 the file records for staff person #1 did not include verification of child care experience prior to service at the facility.
Center’s plan of correction (implemented, Dec 18, 2023): “Staff person #1 will submit verification of experience form.”
Citation
Nov 14, 2023
Inspection
Training & qualifications
HS/GED + 2 yrs/Exp, educ., training prior to facility 55 Pa. Code §3270.36(b)(5)/3270.192(2)(ii)
During the inspection on 11/30/2023 the file records for staff person #2, 4, 7 did not include verification of child care experience, and education prior to service at the facility. The file records for staff persons # 5 did not include verification of child care experience.
Center’s plan of correction (implemented, Jan 25, 2024): “Staff #2, 4, 7, and 5 will include verification of childcare experience. Staff #2, 4, and 7 will provide proof of education.”
Citation
Nov 14, 2023
Inspection
Records & paperwork
Posted in group space 55 Pa. Code §3270.111(b)
During the inspection on 11/30/23 the Stem Room, Art Room and Game Room did not have a daily schedule posted.
Center’s plan of correction (implemented, Dec 18, 2023): “Post the daily schedule in the rooms (stem room, art room, game room)”
Citation
Nov 14, 2023
Inspection
Records & paperwork
Admission date 55 Pa. Code §3270.123(a)(6)
During the inspection on 11/30/23 the file records for child # 1, 2,3,4,5,6,8, and 10 did not include an agreement that specified the date of the child's admission.
Center’s plan of correction (implemented, Dec 18, 2023): “File records for children #1,2, 3, 4, 5, 6, 8, and 10 have been updated to include the child's date of admission.”
Citation
Nov 14, 2023
Inspection
Records & paperwork
Child's name, birth date 55 Pa. Code §3270.124(b)(1)
During the inspection on 11/30/23 the file record for child #6 did not include the birth date of the child on the emergency contact form.
Center’s plan of correction (implemented, Dec 18, 2023): “The birth date section was completed for child #6”
Citation
Nov 14, 2023
Inspection
Records & paperwork
Parent home/work address, phone 55 Pa. Code §3270.124(b)(3)
During the inspection on 11/30/23 the file records for child #1, 5,8, 9 and 11 did not include the home and work addresses and telephone numbers of the enrolling parent on the emergency contact form.
Center’s plan of correction (implemented, Dec 18, 2023): “The files for children #1, 5, 8, 9, and 11 were updated to include the work information and addresses of the enrolling parent.”
Citation
Nov 14, 2023
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
During the inspection on 11/30/2023 the file records for child # 2,3,4,5,6, and 7 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.
Center’s plan of correction (implemented, Dec 18, 2023): “The emergency contact forms for children #2, 3, 4, 5, 6, and 7 were updated to include the health insurance coverage and policy number.”
Citation
Nov 14, 2023
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
During the inspection on 11/30/23 the file records for child #3,4, 6, 7, 10 and 11 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.
Center’s plan of correction (implemented, Dec 18, 2023): “The records for children #3, 4, 6, 7, 10, and 11 were updated to include the name, phone number, and addresses of individuals to whom the child may be released.”
Citation
Nov 14, 2023
Inspection
Records & paperwork
Individual Records 55 Pa. Code §3270.191
During the inspection on 11/30/ 2023 facility person#12 was observed on the premises while children were in care, facility person #12 arrived approximately 7: 55 am and did not have a file at the facility.
Center’s plan of correction (implemented, Jan 25, 2024): “Individual #12 is from an outside organization and is contracted to do work in the Club from time to time. Provider ensures individual #12 is not on site with the children.”
Citation
Nov 14, 2023
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(h)
During the inspection on 11/30/2023 the file record for staff person #9 did not include the required updated one-hour health and safety training.
Center’s plan of correction (implemented, Dec 18, 2023): “Staff #9 completed the updated 1-hour health and safety training.”
Citation
Nov 14, 2023
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
During the inspection 11/30/23 the file records for staff person # 6, 8,9 and 11 did not include annual minimum of 12 clock hours of child care training.
Center’s plan of correction (implemented, Jan 10, 2024): “Staff #6, 8, 9, and 11 will complete a minimum of 12 hours of child care training. Staff person #9 no longer works at the facility.”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
During Renewal Inspection on January 19, 2023, the record of staff #3 did not contain an FBI clearance, the record of staff #4 did not include an FBI clearance or the results of the NSOR verification, the record of staff #9 did not include the results of the NSOR verification, the record of staff #11 contained a mandated reporter training conducted more than 60 months prior, and the record of staff #13 did not include documentation of fingerprint submission for the FBI clearance.
Center’s plan of correction (implemented, Mar 9, 2023): “Facility Persons #3, 4, 9 and 13 may not work in a child care position at the facility until all documentation required under the CPSL is obtained and on file. Facility person #11 will obtain current and valid Mandated Reporter training. All staff have provided updated documentation, and Staff #3…”
Staff assigned to specific children 55 Pa. Code §3270.113(a)(1)
During Renewal Inspection on January 19, 2023, staff #6 and #13 were unable to correctly identify the number of children in the room and only named 12 out of 18 children.
Center’s plan of correction (implemented, Mar 9, 2023): “Director has reviewed supervision standards with staff #6 and 13, as well as all other staff. Provider has given out lists of the names of the children that each staff is responsible for.”
Citation
Jan 19, 2023
Inspection
Building & playground safety
Building Surfaces 55 Pa. Code §3270.76
During Renewal Inspection on January 19, 2023, Certification Representative observed ceiling tiles in need of repair in the K room and small sharp metal rods sticking out of the bookshelf in the Game room.
Center’s plan of correction (implemented, Feb 22, 2023): “The ceiling tiles have been replaced in the K room and the metal rods in the book shelf in the game room were removed.”
Citation
Jan 19, 2023
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
During Renewal Inspection on January 19, 2023, Certification Representative observed areas of chipped paint in the Game room and the Art room.
Center’s plan of correction (implemented, Feb 22, 2023): “Provider has painted over areas of chipped paint in the game room and the art room.”
Citation
Jan 19, 2023
Inspection
Health & medication
Initial health report for school age; accordance with school attendance/Completed or signed by physician, PA, or CRNP 55 Pa. Code §3270.131(a)(4)/3270.131(c)
During Renewal Inspection on January 19, 2023, the records of children #2, 3, 4, 5, 6, and 7 did not include full health reports dated in accordance with the requirements for medical exams for school attendance that were signed by a physician.
Center’s plan of correction (implemented, Feb 22, 2023): “All children have had health assessments completed.”
Citation
Jan 19, 2023
Inspection
Health & medication
12 months prior to service and every 24 months thereafter/Health assessment, TB test 55 Pa. Code §3270.151(a)/3270.192(3)
During Renewal Inspection on January 19, 2023, the record of staff #5 did not include a health assessment conducted within 24 months of the previous health assessment.
Center’s plan of correction (implemented, Feb 22, 2023): “Staff #5 has had a health assessment completed and provided documentation.”
Citation
Jan 19, 2023
Inspection
Training & qualifications
Pertinent Laws & Regulations/General Health and Safety 55 Pa. Code §3270.14/3270.21
During Renewal Inspection on January 19, 2023, the records of staff # 1, 3, 5, 11, and 12 did not include documentation of completion of the Health and safety professional development training updates required by OCDEL within the prescribed timeframe
Center’s plan of correction (implemented, Feb 22, 2023): “Staff 1, 5, 11 and 12 have completed the required trainings. Staff #3 has been suspended until trainings are completed and submitted.”
Citation
Jan 19, 2023
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)(4)(i)
During Renewal Inspection on January 19, 2023, the records of staff #8 and #11 contained First-aid and CPR trainings that were not accepted by DHS.
Center’s plan of correction (implemented, Mar 9, 2023): “Staff will complete an acceptable pediatric First-aid and CPR training.”
Citation
Jan 19, 2023
Inspection
Training & qualifications
Fire safety - 1 yr. 55 Pa. Code §3270.31(e)(4)(ii)
During Renewal Inspection on January 19, 2023, the record of staff #3 did not include documentation of annual fire safety training conducted by a fire protection professional.
Center’s plan of correction (implemented, Feb 22, 2023): “Staff #3 has been suspended until all necessary trainings have been completed.”
Citation
Jan 19, 2023
Inspection
Training & qualifications
Health and Safety Training 55 Pa. Code §3270.31(f)
During Renewal Inspection on January 19, 2023, the records of staff #4 and #6 did not include documentation of training in the Health and Safety topics within 90 days of hire.
Center’s plan of correction (implemented, Feb 22, 2023): “Staff #4 has completed the Health and Safety trainings. Staff #6 has been suspended until all required trainings are completed and submitted.”
Citation
Jan 19, 2023
Inspection
Records & paperwork
Physician name, address, phone 55 Pa. Code §3270.124(b)(2)
During Renewal Inspection on January 19, 2023, the emergency contact information of child #1 did not include the name, address or telephone number of the child's physician.
Center’s plan of correction (implemented, Feb 22, 2023): “Child #1's guardian added the name, address and telephone number of the child's physician.”
Citation
Jan 19, 2023
Inspection
Records & paperwork
Insurance coverage information 55 Pa. Code §3270.124(b)(6)
During Renewal Inspection on January 19, 2023, the emergency contact information of child #7 did not include the health insurance policy number.
Center’s plan of correction (implemented, Feb 22, 2023): “The child's guardian added the health insurance information to the emergency contact.”
Citation
Jan 19, 2023
Inspection
Records & paperwork
Name/address/phone release person 55 Pa. Code §3270.124(b)(7)
During Renewal Inspection on January 19, 2023, the emergency contact information of children #1, 2, 3 and 7 did not include the addresses of the individuals designated by the parent to whom the child may be released.
Center’s plan of correction (implemented, Feb 22, 2023): “The children's guardians have added this information to the emergency contact forms.”
Citation
Jan 19, 2023
Inspection
Records & paperwork
Transcript, diploma and letters 55 Pa. Code §3270.192(2)(iv)
During Renewal Inspection on January 19, 2023, the record of staff #13 did not include acceptable verification of experience, education or training.
Center’s plan of correction (implemented, Feb 22, 2023): “Staff #13 has provided a copy of their diploma and verification of experience.”
Citation
Jan 19, 2023
Inspection
Records & paperwork
Two written references 55 Pa. Code §3270.192(5)
During Renewal Inspection on January 19, 2023, the records of staff #4, 6, 7 and 13 did not include two written, nonfamily references.
Center’s plan of correction (implemented, Mar 9, 2023): “Staff #4 and 7 provided references. Staff #6 is suspended until all documentation is received. Staff #13 will bring in 2 references.”
Citation
Jan 19, 2023
Inspection
Training & qualifications
Age and Training 55 Pa. Code §3270.31(e)
During Renewal Inspection on January 19, 2023, the records of staff #3 and #5 did not include documentation of an annual minimum of 12 clock hours of child care training.
Center’s plan of correction (implemented, Feb 22, 2023): “Staff #5 has completed the annual minimum number of training hours. Staff #3 has been suspended until trainings are completed and submitted.”
Comply with CPSL/CPSL information 55 Pa. Code §3270.32(a)/3270.192(4)
DURING RENEWAL INSPECTION ON FEBRUARY 17, 2022, THE RECORD OF STAFF #1 (HIRED 11-16-21) DID NOT CONTAIN THE DHS FBI CLEARANCE OR THE NSOR VERIFICATION CERTIFICATE AS REQUIRED UNDER THE CPSL. THE RECORDS OF STAFF #2 (HIRED 10-6-21) AND STAFF #3 (HIRED 1-24-22) DID NOT CONTAIN THE NSOR VERIFICATION CERTIFICATE AS REQUIRED UNDER THE CPSL. THE RECORD OF STAFF #4 (HIRED 1-19-22) CONTAINED AN FBI CLEARANCE THAT INDICATED THAT MORE INFORMATION WAS NEEDED REGARDING THE DISPOSITION AND THE GRADING OF CHARGES, THEREFORE WAS INCOMPLETE.
Center’s plan of correction (implemented, May 12, 2022): “PROVIDER HAS OBTAINED ALL MISSING CPSL DOCUMENTS FOR ALL STAFF.”
Supervised at all times 55 Pa. Code §3270.113(a)
DURING RENEWAL INSPECTION ON FEBRUARY 17, 2022, CERTIFICATION REPRESENTATIVE OBSERVED A SCHOOL AGE CHILD UNSUPERVISED IN THE COMPUTER LAB, AND OBSERVED MULTIPLE CHILDREN GO FROM THE MAIN ENTRANCE UP TO THE UPPER LEVEL WHILE UNSUPERVISED ON THE STAIRWELL.
Center’s plan of correction (implemented, May 12, 2022): “PROVIDER WILL ADD A STAFF PERSON IN THE STAIRWELL WHEN CHILDREN ARE ENTERING FROM THE MAIN ENTRANCE AND WILL ENSURE THAT A STAFF PERSON IS IN THE COMPUTER ROOM WHEN TEENS ARE PRESENT.”
Citation
Feb 17, 2022
Inspection
Building & playground safety
No peeling paint or plaster 55 Pa. Code §3270.77(a)
DURING RENEWAL INSPECTION ON FEBRUARY 17, 2022, CERTIFICATION REPRESENTATIVE OBSERVED AREAS OF CHIPPED PAINT IN GAME ROOM AND THE TEEN ROOM.
Center’s plan of correction (implemented, May 12, 2022): “PROVIDER HAS REPAIRED/REPAINTED ALL AREAS OF CHIPPED PAINT.”
“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.