3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person 1 must be supervised by a family child care home 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

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/cpr.

Corrected Corrected by Jan 20, 2025

Category: supervision. 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 renewal inspection on 12/18/2024, it was observed that the first-floor smoke detector was not interconnected with the basement, 2nd floor or attic smoke detector.

Corrected Corrected by Jan 3, 2025

Category: recordkeeping. 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.

During the renewal inspection on 12/18/2024, it was observed that the emergency plan was last reviewed in October of 2023.

Corrected Corrected by Dec 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

The emergency plan was not posted in a conspicuous location.

Corrected Corrected by Dec 18, 2024

Category: physical safety. 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 may not work at or be present in the facility while child care is occurring.

During renewal inspection, facility person #1 did not have signed/dated disclosure statement on file. Operator reported that facility person #1 has resided in the facility for at least one month.

Corrected Corrected by Mar 4, 2024

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

3290.92(a) · Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions.

During renewal inspection, a portable space heater was observed in the bathroom used by children. Allentown does not allow space heaters in facilities.

Corrected Corrected by Mar 4, 2024

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

3290.105(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 renewal inspection, an infant was observed to be asleep in an unlabeled bassinet. A young toddler was observed to be sleeping in an unlabeled pack-n-play.

Corrected Corrected by Mar 4, 2024

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

3290.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

During renewal inspection, facility's handbook did not address facility's general daily schedule, hours, supervision, dismissal policy, or pick-up arrangements.

Corrected Corrected by Mar 4, 2024

Category: supervision. 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, the following information was missing from children's fee agreements: Child #2: Release person(s). Child #3: Signed/dated by parent. Child #4: Release person(s).

Corrected Corrected by Mar 4, 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, the following information was missing from children's fee agreements: Child #1: Date fee is to be paid. Child #4: Fee amount and date fee is to be paid.

Corrected Corrected by Mar 4, 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, the following information was missing from children's fee agreements: Child #1: Date of admission. Child #4: Arrival and departure times

Corrected Corrected by Mar 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(1)/3290.124(b)(5) · Emergency contact information must include the name and birth date of the child. Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

During renewal inspection, the following information was missing from children's emergency contact forms: Child #2: Child's birthdate. Information on child's special needs. Child #4: Information on child's special needs.

Corrected Corrected by Mar 4, 2024

Category: health medication. 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, the following information was missing from children's emergency contact forms: Child #2: Name, address, and phone number of child's doctor. Health insurance information and policy number. Child #4: Name, address, and phone number of child's doctor. Health insurance information and policy number.

Corrected Corrected by Mar 4, 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, the following information was missing from children's emergency contact forms: Child #2: Both parents' home phone numbers. Both parents' work addresses and work phone numbers. Child #4: Release person's address.

Corrected Corrected by Mar 4, 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, signed parental consent for emergency medical care and minor first-aid was missing from emergency contact form of child #3.

Corrected Corrected by Mar 4, 2024

Category: ratio. 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, smoke alarms were tested past 30 days on the following occassions: 11/30/2023 - 12/30/2023, 12/30/2023 - 1/30/2024.

Corrected Corrected by Mar 4, 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. The operator shall update the section of their emergency plan that must address continuity of operations.

During initial inspection conducted 10/11/2023, facility's emergency plan did not include continuity of operations.

Corrected Corrected by Oct 13, 2023

Category: ratio. 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.

During initial inspection conducted 10/11/2023, a container of sanitizing wipes labeled "keep out of reach of children" was observed on the lower shelf of the changing table in the bathroom that will be used by children. Lower shelf of the changing table is accessible to children.

Corrected Corrected by Oct 11, 2023

Category: ratio. Marked corrected in the state record.

3290.70(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

During initial inspection conducted 10/11/2023, windows on the second floor of the facility were not adapted to limit the opening to 6 or fewer inches.

Corrected Corrected by Oct 13, 2023

Category: physical safety. 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.

During initial inspection conducted 10/11/2023, facility's first-aid kit was missing gloves, soap, and tweezers.

Corrected Corrected by Oct 11, 2023

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.

During initial inspection conducted 10/11/2023, operator admitted that emergency plan was not sent to Allentown EMA (local municipality).

Corrected Corrected by Oct 12, 2023

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

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 evacuation routes are posted in a conspicuous location on each floor of the facility.

During initial inspection conducted 10/11/2023, an evacuation route was not posted in the facility's basement.

Corrected Corrected by Oct 11, 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. 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 initial inspection conducted on 10/11/2023, facility's smoke alarms were not interconnected.

Corrected Corrected by Oct 13, 2023

Category: ratio. Marked corrected in the state record.