3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address continuity of operations, a contingency plan or contingency fund that can help you strategize how you will pay for repairs, pay staff, and continue to run your business after a disaster or emergency.

The facility's emergency plan did not address continuity of operations.

Corrected Corrected by Mar 26, 2025

Category: ratio. Marked corrected in the state record.

3290.124(b)(6)/3290.124(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's emergency contact sheet did not have the health insurance/ medical assistance policy number . The sheet also did not have child #1's release person's address.

Corrected Corrected by Apr 22, 2024

Category: health medication. Marked corrected in the state record.

3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

The facility did not have an emergency transportation plan posted.

Corrected Corrected by Apr 22, 2024

Category: transportation. Marked corrected in the state record.

3290.24(g) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator did not have documentation that their emergency plan had been sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Apr 22, 2024

Category: physical safety. Marked corrected in the state record.

3290.94(a)(1)/3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

It was observed while reviewing the fire drill log, dates 6/13/23 to 8/30/23 indicates that a fire drill was conducted past the 60 day requirement. The operator did not have evacuation route maps on every floor within the facility.

Corrected Corrected by Apr 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.95(a)/3290.95(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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

The following dates indicate that fire alarm testing was done past the 30 day requirement: 7/2/23, 8/17/23, 9/15/23, 10/16/23, 1/10/24, 2/10/24, 3/21/24. The facility also did not have an interconnected fire alarm system.

Corrected Corrected by Apr 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The operator did not have documentation of an emergency drill being done.

Corrected Corrected by Apr 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Child #1, 2, & 4 are missing the amount of the fee to be charged.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.151(a)(2) · 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.

Staff person #1 has a health assessment dated 7/1/19 which exceeds the requirement of an updated health assessment every 24 months.

Corrected Corrected by Mar 25, 2023

Category: health medication. Marked corrected in the state record.

3290.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Child #3 is missing signed parental consent for minor first aid.

Corrected Corrected by Mar 24, 2023

Category: ratio. Marked corrected in the state record.

3290.102(e) · 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.

The outside play space has mulch on the entire ground area. There are pieces of mulch that is less than an inch in diameter accessible in the play space which is used by toddlers.

Corrected Corrected by Apr 18, 2023

Category: physical safety. Marked corrected in the state record.

3290.15(a) · The operator shall make reasonable accommodation to include a child with special needs in accordance with applicable Federal and State laws.

Operator does not have a policy in place to make reasonable accommodations to include a child with special needs.

Corrected Corrected by Mar 22, 2023

Marked corrected in the state record.

3290.18/3290.32(a) · Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

Staff person #1 has a mandated reporter training dated 5/30/16 which exceeds the requirement of completing every 60 months.

Corrected Corrected by Mar 21, 2023

Category: health medication. Marked corrected in the state record.

3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. Child Care Providers must ensure that federal requirements at 45 CFR 98.41(a)(l)(vi) are in compliance. Certified child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Facility does not have a policy in place to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Mar 22, 2023

Category: health medication. Marked corrected in the state record.

3290.123(a) · An agreement shall be signed by the operator and the parent.

Child #1, 2, 3 & 4's agreement is missing the operators signature.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(3) · An agreement shall specify 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 at § 3290.124(e).

Child #1, 2, 3, & 4 are missing the services to be provided to the family and the child.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child #2's agreement is missing the child's arrival and departure times.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6)/3290.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Child #1, 2, 3 & 4 are missing the child's date of admission.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child #3 is missing the work addresses and telephone number of the enrolling parent.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(e)/3290.181(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 #4's emergency contact and agreement are not updated.

Corrected Corrected by Mar 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.182(1) · The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Child #1 does not have an initial health assessment and immunizations on file.

Corrected Corrected by Mar 27, 2023

Category: health medication. Marked corrected in the state record.

3290.131(d)(5)/3290.131(e)(4) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Child #1 does not have a current flu vaccine for 2022 . Child #2 does not have a current flu vaccine for 2022, date of last flu vaccine 10/25/21.

Corrected Corrected by Mar 27, 2023

Category: health medication. Marked corrected in the state record.

3290.24(g) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator has not sent an updated copy of the emergency plan to the county emergency management agency.

Corrected Corrected by Mar 28, 2023

Category: physical safety. Marked corrected in the state record.

3290.95(b) · The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

During the record review portion of the renewal inspection it was observed that the smoke detectors were tested on 2/7/23 and then again on 3/21/23 during the renewal inspection which is a span of 42 days which exceeds the requirement of testing every 30 days.

Corrected Corrected by Mar 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.22(b) · The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Operator does not have information posted for parents on how to access the regulations or contacting the regional office.

Corrected Corrected by Mar 22, 2023

Marked corrected in the state record.

3290.24(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The facility's emergency plan has not been updated annually, date of last update 3/10/21.

Corrected Corrected by Mar 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Operator admitted that she has not completed an emergency drill annually.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Operator has an infant and young toddler enrolled and does not have a record within the emergency plan regarding accommodations.

Corrected Corrected by Apr 29, 2022

Category: recordkeeping. Marked corrected in the state record.