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 renewal inspection on 9/16/2024, it was observed that the basement did not have a smoke detector that was interconnected with the 1st and 2nd floor and attic smoke detectors.

Corrected Corrected by Sep 16, 2024

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. A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by a family child care staff who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child care position at the facility. The facility may not operate until staff 1 receives updated pediatric first aid/cpr training.

Staff person #1 was observed to be caring for children unsupervised. Staff person 1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 7/2/2024.

Corrected Corrected by Jul 9, 2024

Category: supervision. Marked corrected in the state record.

3290.76(b) · If the facility is located in a residence, ammunition shall be contained in a locked area separate from weapons and firearms.

During an unannounced visit on 7/8/2024, it was observed that the facility did not have ammunition locked up. The gun was in a locked safe and the ammunition was in a plastic storage container next to the safe.

Corrected Corrected by Jul 9, 2024

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

3290.31(g)(10) · Pediatric first aid and pediatric cardiopulmonary resuscitation. Staff person(s) shall complete professional development in the topics of 3290.31(g) (10). Staff persons #1 and 2 will have until 7/24/2024 to complete the required training. Until such time as the required training has been completed, staff persons #1 and 2 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1 and 2, staff persons #1 and 2 may not work in a child-care position at the facility.

Staff persons 1 and 2 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 7/2/2024.

Corrected Corrected by Jul 20, 2024

Category: supervision. 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 will only provide child care in areas designated on the current certificate of occupancy or obtain an amended certificate of occupancy.

During unannounced visit conducted 10/30/2023, operator has been using areas of the home that do not fall under the current certificate of occupancy issued for the residence.

Corrected Corrected by Oct 30, 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. The operator shall update the section of their emergency plan that must address continuity of operations.

During renewal inspection conducted 9/26/2023, facility's emergency plan did not address continuity of operations. An acceptable plan of correction was received with a correction date of 10/20/2023. When certification representative returned to facility for unannounced monitoring on 10/30/2023, facility's emergency plan did not address continuity of operations.

Corrected Corrected by Nov 2, 2023

Category: ratio. Marked corrected in the state record.

3290.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). The Legal Entity will establish a supervision policy. The policy will include how the facility will demonstrate their knowledge and ability to adequately supervise children at all times. The policy must focus on ensuring that each child is seen, heard, assessed and able to be directed at all times. The policy must include how the facility will ensure appropriate supervision at all times including nap/overnight care and short periods of time when a staff may have to use the bathroom. The legal entity must submit the policy to regional office for approval. Once approved, all existing staff and new hires must be trained on the policy and sign an acknowledgment that must be kept on file.

When certification representative arrived for unannounced monitoring on 10/30/2023, facility person #1 was on the first floor of the home with a related child. Child #5 came downstairs from the second floor to inform rep that he was sick. There were no staff members upstairs with child #5. Rep then went into the basement (child care space) to review documents. When rep went back upstairs to the first floor, child #2 was present on the first floor with facility person #2 who is not a staff member at the facility. Rep asked where child #2 was when rep arrived at the home and facility person #1 informed rep that child #2 was upstairs listening to headphones. Facility person #1 advised that there are no other staff members in the home besides her.

Corrected Corrected by Nov 20, 2023

Category: supervision. Marked corrected in the state record.

3290.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

When certification representative arrived for unannounced monitoring on 10/30/2023, facility person #1 was on the first floor of the home with a related child. Child #5 came downstairs from the second floor to inform rep that he was sick. There were no staff members upstairs with child #5. Rep then went into the basement (child care space) to review documents. When rep went back upstairs to the first floor, child #2 was present on the first floor with facility person #2 who is not a staff member at the facility. Rep asked where child #2 was when rep arrived at the home and facility person #1 informed rep that child #2 was upstairs listening to headphones. Facility person #1 advised that there are no other staff members in the home besides her.

Corrected Corrected by Oct 30, 2023

Category: supervision. 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 9/26/2023, there was no child service report (CSR) on file for child #2. An acceptable plan of correction was received with a correction date of 10/16/2023. When certification representative returned for unannounced monitoring on 10/30/2023, there was no child service report (CSR) on file for child #2

Corrected Corrected by Oct 30, 2023

Category: recordkeeping. 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 9/26/2023, the following information was missing from children's emergency contact forms: Child #1: both parents' work addresses and work telephone numbers. Release person(s) address(es). Child #2: father's home address and home telephone number. Child #3: father's home address and home telephone number. Child #4: mother's work information. Child #5: both parents' work addresses and work telephone numbers. Release person(s) address(es). An acceptable plan of correction was received with a correction date of 10/16/2023. When certification representative returned for unannounced monitoring on 10/30/2023, the following information was missing from children's emergency contact forms: Child #2: father's home address and home telephone number. Child #3: father's home address and home telephone number. Child #4: mother's work information.

Corrected Corrected by Oct 30, 2023

Category: recordkeeping. 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 #2 will be dismissed from care by close of business November 3, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

During renewal inspection conducted 9/26/2023, immunization record for child #2 reflects that child received 1 of 2 doses of Hep A vaccine. Child #2 is an older toddler (see LIS code sheet). An acceptable plan of correction was received with a correction date of 9/26/2023. When certification representative returned for unannounced monitoring on 10/30/2023, immunization record for child #2 reflects that child received 1 of 2 doses of Hep A vaccine. Child #2 is an older toddler (see LIS code sheet).

Corrected Corrected by Nov 3, 2023

Category: health medication. 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 renewal inspection conducted 9/26/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days during the following occasions: 9/9/2022; 1/5/2023; 1/5/2023-2/9/2023; 4/5/2023-5/15/2023. An acceptable plan of correction was received with a correction date of 10/16/2023. When certification representative returned for unannounced monitoring on 10/30/2023, facility's fire detection testing log reflected that smoke alarms were last tested on 9/14/2023.

Corrected Corrected by Oct 30, 2023

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. Operator shall create a schedule for smoke detector testing for the next twelve (12) months and submit it to the Northeast Regional Office.

During renewal inspection conducted 9/26/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days during the following occasions: 9/9/2022; 1/5/2023; 1/5/2023-2/9/2023; 4/5/2023-5/15/2023. An acceptable plan of correction was received with a correction date of 10/16/2023. When certification representative returned for unannounced monitoring on 10/30/2023, facility's fire detection testing log reflected that smoke alarms were last tested on 9/14/2023.

Corrected Corrected by Nov 17, 2023

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

During renewal inspection conducted 9/26/2023, facility's emergency plan did not address continuity of operations.

Corrected Corrected by Oct 20, 2023

Category: ratio. 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). 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 and facility person #2 may not work in or be present in the child care facility while care is occurring until signed and dated disclosure statements are on file.

During renewal inspection conducted 9/26/2023, there was no disclosure statement on file for facility person #1 or facility person #2.

Corrected Corrected by Oct 20, 2023

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).

During renewal inspection conducted 9/26/2023, there was no child service report (CSR) on file for child #2.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. 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 9/26/2023, the following information was missing from children's emergency contact forms: Child #1: both parents' work addresses and work telephone numbers. Release person(s) address(es). Child #2: father's home address and home telephone number. Child #3: father's home address and home telephone number. Child #4: mother's work information. Child #5: both parents' work addresses and work telephone numbers. Release person(s) address(es).

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. 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.

During renewal inspection conducted 9/26/2023, the last health assessment on file for child #2 is dated 4/4/2022. Child #2 is an older toddler (see LIS code sheet).

Corrected Corrected by Oct 23, 2023

Category: health medication. 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 #2 will be dismissed from care by close of business September 26, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

During renewal inspection conducted 9/26/2023, immunization record for child #2 reflects that child received 1 of 2 doses of Hep A vaccine. Child #2 is an older toddler (see LIS code sheet).

Corrected Corrected by Sep 26, 2023

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 renewal inspection conducted 9/26/2023, facility's diaper changing surface was covered by a fabric cover. Fabric cannot be properly sanitized with a solution after each use.

Corrected Corrected by Oct 10, 2023

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 9/26/2023, child #1 and child #5's emergency contact forms and fee agreements were last updated on 3/12/2023.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. 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. Operator's plan of correction must include the plan to complete drill log for the remainder of 2023.

During renewal inspection conducted 9/26/2023, facility's fire drill log reflected that fire drill was conducted 8/10/2022 and not again until 1/5/2023, which is past 60 days. Operator reports that the facility does practice fire drills every 60 days; however, supporting documentation was not on file at the facility.

Corrected Corrected by Oct 16, 2023

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 renewal inspection conducted 9/26/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days during the following occasions: 9/9/2022; 1/5/2023; 1/5/2023-2/9/2023; 4/5/2023-5/15/2023.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. 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).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 or #2 may not work in a child care position or be present while child care is occurring at the facility until disclosure statements are on file.

During renewal inspection conducted 9/29/2022, there is no disclosure statement on file for Facility Person #1 and Facility Person #2.

Corrected Corrected by Sep 29, 2022

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

3290.131(a)/3290.131(e) · 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.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.

During renewal inspection conducted 9/29/2022, initial health report and immunization record for Child #1 are dated 7/29/21, which was past 60 days from date of enrollment (see LIS code sheet for enrollment date).

Corrected Corrected by Sep 29, 2022

Category: health medication. 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 9/29/2022, facility's fire drill log reflected that last fire drill was conducted 9/8/2021 and again in August 2022. Operator reports that facility conducted monthly fire drills with children during this time; however, logs were misplaced.

Corrected Corrected by Sep 29, 2022

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 renewal inspection conducted 9/29/2022, facility's fire detection testing log reflected that last time alarms were tested were 9/8/2021 and again in August 2022. Operator reports that facility had been testing fire detection systems during this time; however, logs were misplaced.

Corrected Corrected by Sep 29, 2022

Category: recordkeeping. 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). 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. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. 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. Staff #2 may not work or be present in the facility while child care is occurring.

On complaint investigation conducted 8/9/2022, Staff #1 did not obtain FBI clearance within 60 months. FBI clearances on file were dated 10/17/16 and 7/25/22. Staff #2 did not have NSOR clearance on file. Staff #2 has been employed at the facility for longer than 45 day provisional period (see LIS code sheet for hire date).

Corrected Corrected by Oct 7, 2022

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). 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. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. 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. Staff #2 will not work or be present in the child care facility until clearances are on file.

On complaint investigation conducted 8/9/2022, Staff #1 did not obtain FBI clearance within 60 months. FBI clearances on file were dated 10/17/16 and 7/25/22. Staff #2 did not have NSOR clearance on file. Staff #2 has been employed at the facility for longer than 45 day provisional period (see LIS code sheet for hire date).

Corrected Corrected by Sep 21, 2022

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

3290.131(b)(2)/3290.131(e)(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

On complaint investigation conducted 8/9/2022, provider acknowledged that health assessments and immunization records for Child #1Child #2, and Child #3 were not current during Allentown Bureau of Health inspection conducted on 7/20/2022.Immunization record for Child #3 is not in accordance with the schedule recommended by the ACIP for child's age.

Corrected Corrected by Sep 9, 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 complaint investigation conducted 8/9/2022, emergency contact form and fee agreements for Child #1 and Child #2 were last updated 8/15/2021. Provider acknowledged fee agreement for Child #5 and emergency contact forms for Child #3, Child #4 and Child #5 were not updated within a 6-month period during Allentown Bureau of Health inspection conducted on 7/20/2022. Fee agreement for Child #5 and emergency contact forms for Child #3, Child #4, and Child #5 were updated on 7/25/2022.

Corrected Corrected by Aug 15, 2022

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

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 9/8/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Aug 16, 2022

Category: supervision. 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.

On unannounced visit conducted 8/9/2022, fee agreement for Child #1 was missing arrival and departure times and date of admission.

Corrected Corrected by Aug 15, 2022

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.

On unannounced inspection conducted 8/9/2022, facility's fire detection log showed that the fire detection systems were tested at an interval greater than 30 days: 10/6/21-11/10/21, 12/4/21-1/7/21, 2/4/22-3/10/22, 4/4/22-5/5/22, 5/5/22-6/8/22. Testing for July was not on file at the facility.

Corrected Corrected by Aug 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 9/8/2022 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

On unannounced inspection conducted 8/9/2022, Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): CCDBG Health and Safety training.

Corrected Corrected by Aug 23, 2022

Category: supervision. Marked corrected in the state record.