3290.31(b) · A staff person shall be 18 years of age or older.

As of the renewal inspection on 9/26/22, staff #2 did not have identification on file to verify her age.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.105(a) · (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

During the renewal inspection on 9/26/22, the pack n play used for child #2 was not labeled with the child's name.

Corrected Corrected by Sep 30, 2022

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

3290.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

As of the renewal inspection on 9/26/22, the most recent health assessment for child #2, a young toddler, was dated 10/6/21.

Corrected Corrected by Oct 26, 2022

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

3290.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

As of the renewal inspection on 9/26/22, the most recent health assessment on file for child #3 was dated 8/3/21.

Corrected Corrected by Nov 17, 2022

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

3290.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

As of the renewal inspection on 9/26/22, the most recent influenza vaccine for child #1 was dated 10/21/19 with no exemption letter on file. The most recent influenza vaccine for child #3 was dated 2/3/20 with no exemption letter on file.

Corrected Corrected by Oct 26, 2022

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

3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During the renewal inspection on 9/26/22, the hands of child #2 were not washed after diapering.

Corrected Corrected by Sep 26, 2022

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

3290.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During the renewal inspection on 9/26/22, the diaper changing surface was not sanitized after diaper changing.

Corrected Corrected by Sep 26, 2022

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

3290.94(a)(1) · 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.

During the renewal inspection on 9/26/22, there were no fire drills conducted between 3/15/22 and 8/1/22.

Corrected Corrected by Sep 30, 2022

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.

As of the renewal inspection on 9/26/22, the operator had not provided the parent of each enrolled child with information on how to access the regulations electronically and with instructions for contacting the regional child care office.

Corrected Corrected by Sep 30, 2022

Marked corrected in the state record.

3290.31(f) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

During the renewal inspection on 9/26/22, there was no documentation of 12 hours of annual training for staff #1.

Corrected Corrected by Oct 7, 2022

Category: recordkeeping. 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.

At time of renewal, inspector observed a knife on the table that was accessible to children in care.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

3290.62 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

At time of renewal inspection, inspector was unable to walk up the front walkway due to construction. The front walkway was torn up and unsafe.

Corrected Corrected by Oct 7, 2021

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

3290.64(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Inspector observed white out on the lunch table, baby oil on the green cubby, disinfectant spray in bedrooms. Doors to bedrooms were not locked. All toxics are accessible to children.

Corrected Corrected by Oct 28, 2021

Category: ratio. Marked corrected in the state record.

3290.69 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

At time of renewal, the stove was accessible to children in care. The stove did not have a stove guard and no gate was in place blocking access to the stove.

Corrected Corrected by Oct 1, 2021

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

3290.77 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

The sunroom/back room where the provider offers child care has a big glass sliding door that that does not have a visual strip or other visual identification placed on the glass.

Corrected Corrected by Oct 4, 2021

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

3290.123(a)(6) · An agreement shall specify the date of the child's admission.

Fee agreement for child 1 does not specify the date of the child's admission.

Corrected Corrected by Oct 4, 2021

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.

Emergency contact information for child 1 does not include the work address of the enrolling parent. Emergency contact information for child 2 does not include the home and work addresses of the enrolling parent.

Corrected Corrected by Oct 4, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.131(d)(1) · A health report shall include a review of the child's health history.

Children 1, 2, and 3's health reports do not include a review of the child's health history.

Corrected Corrected by Oct 26, 2021

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

3290.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Health reports for children 1, 2 and 3 do not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Oct 26, 2021

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

3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

While conducting the physical renewal inspection, inspector observed child 1 eating a snack without washing hands.

Corrected Corrected by Oct 4, 2021

Category: health medication. 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.

Emergency plan on file does not provide for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 28, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.94(a)(1) · Fire drills are conducted at least once every 60 days.

Fire drills are not being conducted at least once every 60 days. Fire drill log only lists two fire drills which are 1.2.21 and 2.21.21.

Corrected Corrected by Oct 4, 2021

Category: physical safety. 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.

At the time of the renewal inspection, the facility was unable to provide proof of fire detection systems being tested every 30 days as required by section 1016(c) of the act (62 P.S. §1016(c)). Provider does not have proof of fire detection systems being tested every 30 days.

Corrected Corrected by Oct 4, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.22(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Provider does not have instructions for contacting the appropriate regional child care office posted at facility.

Corrected Corrected by Oct 4, 2021

Marked corrected in the state record.

3290.24(a)(1)/3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Emergency plan on file does not provide for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises nor does it provide accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.24(b)/3290.24(c) · 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 operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Emergency plan was not reviewed annually. Last review documented for facility's emergency plan review is dated 3.20.20.. Staff 1 did not review the emergency plan annually. Staff 1 signed off as last review being 3.20.20.

Corrected Corrected by Oct 27, 2021

Category: recordkeeping. Marked corrected in the state record.