3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1 -- may not work in a child care position at the facility until the NSOR clearance is obtained. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility until the NSOR clearance is obtained.

During the annual inspection on 2/21/2025, staff 1 did not have an updated NSOR on file. The NSOR expired 11/9/2024, making it more than 5 years since the last update.

Corrected Corrected by Mar 15, 2025

Category: background checks. Marked corrected in the state record.

3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1 -- may not work in a child care position at the facility until the NSOR clearance is obtained. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility until the NSOR clearance is obtained.

During the annual inspection on 2/21/2025, staff 1 did not have an updated NSOR on file. The NSOR expired 11/9/2024, making it more than 5 years since the last update.

Corrected Corrected by Feb 21, 2025

Category: background checks. 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 2 did not have a child service report on file. Please see LIS for date of admission.

Corrected Corrected by Feb 24, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Child 3 did not have a date of admission on file.

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.181(c) · 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.

During the annual inspection on 2/21/2025, child 1 had an outdated fee agreement. The fee agreement was dated 1/28/2024. Child 2 had an outdated fee agreement and emergency form. The fee agreement was dated 1/28/2024 and the emergency contact form was dated 7/20/2024. The fee agreement and emergency forms were updated more than 6 months ago.

Corrected Corrected by Feb 21, 2025

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.

During the annual inspection on 2/21/2025, it was observed that the fire extinguisher, which was in the kitchen, had it's gauge in the red, signaling that it was empty. Also, the basement smoke detector was not interconnected with the first floor, second floor and attic smoke detectors.

Corrected Corrected by Feb 21, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.64(c) · Toxic plants are not permitted in a child care space.

Facility had one toxic plant in the childcare space. The plant was called a lucky bamboo.

Corrected Corrected by Aug 28, 2024

Category: physical safety. 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. The operator shall update the section of their emergency plan that must address continuity of operations.

During renewal inspection conducted 2/14/2024, facility's emergency plan did not include continuity of operations.

Corrected Corrected by Feb 26, 2024

Category: ratio. Marked corrected in the state record.

3290.24(c) · 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.

During renewal inspection conducted 2/14/2024, last emergency plan training on file for staff person #2 is dated 2/23/2022.

Corrected Corrected by Feb 19, 2024

Category: recordkeeping. 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.

During renewal inspection conducted 2/14/2024, stove in the facility did not have knob covers. Knobs were accessible to children. Child #1 was present in the facility and had access to the stove in the kitchen.

Corrected Corrected by Mar 3, 2024

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

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

During renewal inspection conducted 2/14/2024, fee agreement for child #5 was not signed by the operator.

Corrected Corrected by Feb 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(1)/3290.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

During renewal inspection conducted 2/14/2024, the following information was missing from children's fee agreements: Child #5: Fee amount and date payment is to be made.

Corrected Corrected by Feb 26, 2024

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).

During renewal inspection conducted 2/14/2024, there was no Child Service Report (CSR) on file for child #1. Child #1 has been attending for over 6 months (see LIS code sheet for date of enrollment).

Corrected Corrected by Apr 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(4)/3290.123(a)(6) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the date of the child's admission.

During renewal inspection conducted 2/14/2024, the following information was missing from children's fee agreements: Child #5: Arrival and departure times. Date of admission.

Corrected Corrected by Feb 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2)/3290.124(b)(6) · 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 health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During renewal inspection conducted 2/14/2024, the following information was missing from children's emergency contact forms: Child #3: Health insurance information. Child #4: Name, address, and phone number of child's doctor. Health insurance information and health insurance policy number. Child #5: Health insurance policy number.

Corrected Corrected by Feb 27, 2024

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

3290.124(b)(3)/3290.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

During renewal inspection conducted 2/14/2024, the following information was missing from children's emergency contact forms: Child #3: Father's work and home addresses and phone numbers. Mother's work address and work phone number. Release peoples' addresses. Child #4: Father's work and home addresses and phone numbers. Mother's work address and work phone number. Child #5: Release peoples' addresses.

Corrected Corrected by Apr 9, 2024

Category: recordkeeping. 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.

During renewal inspection conducted 2/14/2024, facility's emergency transportation plan was no in to-go bag used during excursions and transportation.

Corrected Corrected by Feb 26, 2024

Category: transportation. Marked corrected in the state record.

3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #5 must be dismissed from care by close of business 2/14/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During renewal inspection conducted 2/14/2024, the following children's files did not reflect that the child was immunized according to the recommendations of the ACIP: Child #5: Received 1 of 2 Hepatitis A vaccines. First dose was given on 5/19/2023. There is no exemption on file. Child #5 is an older toddler (see LIS code sheet for date of birth)

Corrected Corrected by Feb 14, 2024

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

3290.181(c) · 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.

During renewal inspection conducted 2/14/2024, the following children's documents were not updated within the past 6 months: Child #1: Emergency contact form and fee agreement both last updated on 3/22/2023. Child #2: Fee agreement last updated 1/20/2023.

Corrected Corrected by Feb 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

During renewal inspection conducted 2/14/2024, the following consents were missing from children's emergency contact forms: Child #3: Signed parental consent for minor first-aid and emergency medical care. Child #5: Signed parental consent for minor first-aid and emergency medical care.

Corrected Corrected by Feb 26, 2024

Category: ratio. Marked corrected in the state record.

3290.94(a)(9) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During renewal inspection conducted 2/14/2024, facility's fire drill log did not include the names of the facilicty persons who participated in the drills.

Corrected Corrected by Feb 26, 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. Act 42 of 2022, signed into law July 7, 2022, amended the Fire and Panic Act at 35 P.S. § 1223.6, and requires all certified family child care homes to have interconnected smoke alarms approved, at the time of installation, by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor to test and certify smoke alarms.

During renewal inspection conducted 2/14/2024, facility did have OSHA-approved smoke detectors installed in the home; however, could not demonstrate that they operate in an interconnected fashion.

Corrected Corrected by Feb 14, 2024

Category: ratio. 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 renewal inspection conducted 2/14/2024, staff person #1 obtained 6 of 12 hours of annual child care training for training year 12/19/2022-12/19/2023. Staff person #2 obtained 3 of 12 hours of annual child care training for training year 12/19/2022-12/19/2023.

Corrected Corrected by Mar 3, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)/3290.123(a)(5) · An agreement shall be signed by the operator and the parent. An agreement shall specify the persons designated by a parent to whom the child may be released.

During renewal inspection conducted on 2/21/2023, the following was missing from children's fee agreements: Child #1: Signed by operator. Child #2: Signed by operator. Child #3: Signed by operator. Child #4: Signed by operator. Child #5: Release person(s). Signed by operator.

Corrected Corrected by Feb 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(1)/3290.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

During renewal inspection conducted on 2/21/2023, the following was missing from children's fee agreements: Child #1: Date fee is to be paid. Child #4: Date fee is to be paid. Child #5: Fee amount. Date fee is to be paid.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(4)/3290.123(a)(6) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the date of the child's admission.

During renewal inspection conducted on 2/21/2023, the following was missing from children's fee agreements: Child #1: Arrival and departure times. Date of admission. Child #4: Date of admission. Child #5: Arrival and departure times. Date of admission.

Corrected Corrected by Feb 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2)/3290.124(b)(6) · 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 health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During renewal inspection conducted on 2/21/2023, the following was missing from children's emergency contact forms: Child #2: Health insurance policy number. Child #3: Health insurance coverage information. Child #4: Health insurance coverage information. Phone number of physician. Child #5: Health insurance coverage information and policy number. Name and address of physician.

Corrected Corrected by Feb 28, 2023

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

3290.124(b)(3)/3290.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

During renewal inspection conducted on 2/21/2023, the following was missing from children's emergency contact forms: Child #1: Parent's work phone number. Child #2: Parent's work address and work phone number. Release person's address. Child #3: Parent's work address and work phone number. Release person's name, address, and phone number. Child #4: Parent's home address and home phone number. Parent's work address and work phone number. Child #5: Parent's work address and work phone number.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.181(c) · 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.

During renewal inspection conducted 2/21/2023, Child #5's emergency contact form was last updated 1/28/2022 and fee agreement was last updated on 3/20/2021.

Corrected Corrected by Feb 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

During renewal inspection conducted on 2/21/2023, the following was missing from children's emergency contact forms: Child #1: Consent for emergency medical care. Consent for minor first-aid. Child #2: Consent for emergency medical care. Consent for minor first-aid. Child #3: Consent for emergency medical care. Consent for minor first-aid. Child #4: Consent for emergency medical care. Consent for minor first-aid.

Corrected Corrected by Feb 28, 2023

Category: ratio. 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.

During renewal inspection conducted 2/21/2023, there was no emergency drill log on file at the facility.

Corrected Corrected by Feb 23, 2023

Category: recordkeeping. 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 renewal inspection conducted on 2/21/2023, facility person #1 obtained 7 hours of annual child care training for the training year 12/19/2021-12/19/2022.

Corrected Corrected by Feb 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Per OCDEL Announcement C-22-06, all current child care staff who completed the previous health and safety pre-service training modules, listed below, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 Versión en español: Actualización de Salud y Seguridad de Pennsylvania 2022) by December 30, 2022. Facility person #1 shall complete the required one-hour 2022 update to the health and safety training by March 8, 2023.

During renewal inspection conducted on 2/21/2023, facility person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Mar 8, 2023

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

3290.24(c) · 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.

On unannounced inspection conducted on 2/23/2022, documentation of training regarding the emergency plan was not on file for Staff #1.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.

On unannounced inspection conducted on 2/23/2022, emergency contact information for Child #1 did not contain signed parental consent for emergency medical care.

Corrected Corrected by Feb 27, 2022

Category: recordkeeping. 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.

On unannounced inspection conducted on 2/23/2022, Lysol wipes and Lysol (spray) were observed to be in areas accessible to children. Lysol wipes were on the lower part of the diapering station and the spray was observed to be on the back of the toilet used in the childcare space.

Corrected Corrected by Feb 23, 2022

Category: ratio. Marked corrected in the state record.

3290.73(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.

On unannounced inspection conducted on 2/23/2022, first-aid kit did not contain tape.

Corrected Corrected by Feb 28, 2022

Marked corrected in the state record.

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

On unannounced inspection conducted on 2/23/2022, agreement for Child #2 was not signed by the operator.

Corrected Corrected by Feb 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

On unannounced inspection conducted on 2/23/2022, agreement for Child #2 did not specify the date on which the fee is to be paid.

Corrected Corrected by Feb 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On unannounced inspection conducted on 2/23/2022, the agreement for Child #2 did not specify the child's arrival and departure times.

Corrected Corrected by Feb 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

On unannounced inspection conducted on 2/23/2022, the agreement for Child #2 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Feb 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On unannounced inspection conducted on 2/23/2022, the agreement for Child #2 did not specify the child's date of admission.

Corrected Corrected by Feb 27, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

On unannounced inspection conducted on 2/23/2022, emergency contact information for Child #2 did not include health insurance coverage.

Corrected Corrected by Feb 27, 2022

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

3290.124(e) · 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

On unannounced inspection conducted on 2/23/2022, emergency contact information for Child #2 was originally signed on 5/18/21 and updated on 1/28/22. Emergency contact information was not updated within a 6-month period.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.176 · A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

On unannounced inspection conducted on 2/23/2022, first-aid kit did not contain scissors, tweezers or soap.

Corrected Corrected by Feb 28, 2022

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

3290.181(c) · 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.

On unannounced inspection conducted on 2/23/2022, emergency contact form for Child #2 was originally signed on 5/18/21 and updated on 1/28/22, which is not in a 6-month period. Agreement for child #2 was signed on 5/18/21 and has not been reviewed and updated.

Corrected Corrected by Feb 28, 2022

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.

On unannounced inspection conducted on 2/23/2022, the facility's emergency plan did not specify accommodations for infants and toddlers.

Corrected Corrected by Feb 28, 2022

Category: physical safety. 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.

On unannounced inspection conducted on 2/23/2022, fire drill log was out of compliance. A fire drill was recorded on 4/15/21. Next recorded fire drill was 7/14/21, which is past 60 days.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. 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.

On unannounced inspection conducted 2/23/2022, Staff #2 completed 3 hours of child care training. Staff did not have annual minimum of 12 clock hours of child care training.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. Marked corrected in the state record.