Treasure House Child Development Center-Monroe

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion shall have an immediate correction date. 2. The legal entity will need to create a written policy on how they will handle staff who are becoming frustrated while working alongside children. The policy must also state that if other staff are witnessing frustration, an intervention must be put in place to prevent aggressive behaviors towards children. The legal entity will need to have all staff review the new policy, sign a document stating that it has been reviewed and it shall be kept in each staff file. This policy must be approved by DHS before implementation. The operator shall provide a date for when this policy will be completed and reviewed by all staff.

During complaint investigation, it was discovered that staff #1 had inappropriately handled a child by forcefully grabbing and lifting a child by the wrist. This can be seen from the facilities video footage. The facility reported the incident immediately upon being informed and terminated staff #1.

Corrected by Jun 23, 2026

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3270.31(e)(4)(i)/3270.31(e)(4)(ii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall 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 facility's fire extinguishers, not including discharge of the fire suppressant agent.

During staff file reviews, it was observed that staff #1 did not complete Pediatric CPR training within the 2-year requirement. The CPR training is dated for 2/26/22 and was not renewed until 4/23/24. During file review, it was observed that staff #1 and #2 did not have any proof of completing annual fire safety training on file.

Corrected by Aug 30, 2024

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #1 did not complete mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/28/2015 and was renewed on 12/11/2020.

Corrected by Aug 19, 2024

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

It was observed in the Young Toddler room that the first aid kit did not have soap in it. It was observed in the Pre-K room that the first aid kit did not have tweezers. It was observed in the Older Toddler room that the first aid kit did not have soap and tweezers.

Corrected by Aug 15, 2024

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3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Child #3 did not have an updated child service report on file.

Corrected by Sep 23, 2024

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3270.124(b)(2)/3270.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child #1 did not have the address and phone number of their physician on their emergency contact sheet. Child #2 did not have the phone number of their physician on their emergency contact sheet. Child #3 did not have the address and phone number of their physician on their emergency contact sheet. Child #4 did not have the name, address, or phone number of their physician on their emergency contact sheet. Child #1 did not have the enrolling mother's work phone number on the emergency contact sheet. Child #2 did not have both enrolling parent's work address and work phone number on the emergency contact sheet. Child #3 did not have the enrolling father's work address and did not have both enrolling parent's work phone number on the emergency contact sheet.

Corrected by Sep 23, 2024

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3270.124(b)(6)/3270.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Child #1 did not have the health insurance policy number on the emergency contact sheet. Child #3 did not have the health insurance coverage on the emergency contact sheet. Child #3 did not have both health insurance/medical assistance coverage or policy number on the emergency contact sheet. Child #2 did not have the release person's address on the emergency contact sheet.

Corrected by Sep 23, 2024

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Child #3's emergency contact information had not been updated in a 6-month period. Current date is 11/6/23. Child #4's emergency contact information and financial agreement had not been updated in a 6-month period. Current date for both is 12/29/23.

Corrected by Sep 23, 2024

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3270.95(a)/3270.95(b) · Fire detection devices or systems must 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 shall ensure the requirements under subsection (a) are met.

The following dates indicate that fire alarm testing was not done within the 30-day requirement: 10/27/23, 11/27/23, 1/26/24, 2/26/24, 3/26/24, 4/26/24, 5/24/24, 6/24/24.

Corrected by Aug 26, 2024

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall 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 facility's fire extinguishers, not including discharge of the fire suppressant agent.

While at the facility for the renewal inspection the inspector observed the staff files and found that staff #2 did not have any proof of having annual fire safety on file at the facility.

Corrected by Aug 21, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff person #4 shall complete the required one-hour 2022 update to the health and safety training by 8/25/23.

Corrected by Aug 21, 2023

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3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall 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 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

While at the facility for the renewal inspection the inspector observed the staff files and found that staff #3 had a health assessment dated 12/5/19 and did not obtain another until 7/11/22. Staff #4 had a health assessment dated 7/2/21 and did not obtain another until 8/4/23.

Corrected by Aug 21, 2023

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3270.133(3)/3270.133(7) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

While at the facility unannounced on 7/27/22 for the renewal inspection the inspector found a bottle of Homeopathic Mucus removal for children in the toddler room cabinet. This medication had no name on it nor a medication log for administration.

Corrected by Aug 8, 2022

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

While at the facility unannounced on 7/27/22 for the renewal inspection the director could not provide documented proof of having conducted an annual emergency drill.

Corrected by Aug 8, 2022

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3270.95(b) · The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

While at the facility unannounced on 7/27/22 for the renewal inspection the inspector noted that the director had proof of having conducted the required every 30 days manual testing of the fire alarm system. The fire drill/detection log noted 3/22/22, 4/25/22, and then 6/22/22. The facility was missing the May and July 30 day testing.

Corrected by Jul 27, 2022

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3270.62(a)/3270.102(e) · A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding. Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

While at the facility for the opening on 7/6/21 the inspector observed the outdoor play space consisted of one large fenced I area with one side being asphalt and the other consisting of mulch. There was no barrier in place to keep the mulch in its place a

Corrected by Jul 9, 2021

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

While at the facility for the opening on 7/6/21 the inspector observed the outdoor play space and found a railroad tie to be protruding from the asphalt area creating a visible hazard.

Corrected by Jul 6, 2021

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3270.24(f)/3270.34(a) · A valid photo identification of the director or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection. A director is responsible for the general management of the facility, including the minimum duties described at §3270.34(a)(1) - (6). A director employed by the facility must meet the qualifications required by regulation.

While at the facility for the opening o 7/6/21 the inspector observed that Staff person #1, who is designated as the director did not produce valid photo identification as staff #1 was not present for the initial inspection. As a result, compliance with the requirements for director qualifications could not be measured.

Corrected by Jul 7, 2021

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3270.33(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

While at the facility for the opening on 7/6/21 the inspector observed the file for Staff person #1, who is designated as the director, and noted that proof of current pediatric/infant first aid and CPR training was missing from the file.

Corrected by Jul 7, 2021

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