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

During the renewal inspection on 2/10/2025, it was observed that staff 1 only had 4.5 hours of annual training. Staff 1 opened the daycare in January of 2024.

Corrected Corrected by Feb 17, 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 4 did not have a date of admission on file.

Corrected Corrected by Feb 10, 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 2/10/2025, it was observed that the last update to the emergency plan was 11/22/2023 making it updated more than one year ago.

Corrected Corrected by Feb 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(3)/3290.24(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility did not have a method to contact parents when an emergency arises. The facility also did not have a method to contact parents when an emergency ended and how to reunite with their children.

Corrected Corrected by Feb 11, 2025

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.

There were cleaners accessible to the children in the bathroom. There was also an air freshener plugged into the wall outlet in the bathroom that was accessible to children.

Corrected Corrected by Feb 10, 2025

Category: ratio. 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 the annual inspection, it was observed that the cots and pack and play was not labeled with the children's names.

Corrected Corrected by Feb 10, 2025

Category: physical safety. 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).

Children 1, 2 and 3 did not have the service provided section filled out on the fee agreement or child service reports on file. Please see LIS for dates of admission and birth.

Corrected Corrected by Feb 11, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.118 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During a verification visit on 930/2024. certification representative observed child 1 sleeping in a bouncer with a blanket. Provider did not state that there was a medical reason on file.

Corrected Corrected by Sep 30, 2024

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 allocated unannounced visit on 9/26/2024, it was observed that the last fire drill was conducted on 7/12/2024, making it more than 60 days since the last fire drill.

Corrected Corrected by Sep 30, 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.

During an allocated unannounced visit on 9/26/2024, it was observed that the last fire alarm test was completed on 7/12/2024, making it more than 30 days since the last test. It was also observed that the alarm on the third floor was operational but not interconnected with the alarms in the basement, first floor and second floor.

Corrected Corrected by Sep 26, 2024

Category: ratio. Marked corrected in the state record.

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

The full emergency plan was not posted in a conspicuous location.

Corrected Corrected by Sep 30, 2024

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

3290.111(b)/3290.124(d) · The written plan of daily activities and routines shall be posted in a traffic area used by parents. 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, facility's general daily schedule and emergency transportation plan were not posted in an area used by parents. An acceptable plan of correction was received with a correction date of 4/13/2024. When certification representative returned for unannounced monitoring on 5/13/2024, emergency transportation plan was not posted in an area used by parents.

Corrected Corrected by May 17, 2024

Category: transportation. 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 renewal inspection, facility did not have a fire drill log on file. Operator reports that facility last conducted fire drill on 3/22/2024; however, did not document it. An acceptable plan of correction was received with a correction date of 3/25/2024. When certification representative returned for unannounced monitoring on 5/13/2024, facility's fire drill log indicated that last fire drill was conducted on 3/12/2024, which is over 60 days ago.

Corrected Corrected by May 17, 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.

During renewal inspection, facility did not have fire detection testing log on file. An acceptable plan of correction was received with a correction date of 3/25/2024. When certification representative returned for unannounced monitoring on 5/13/2024, fire detection testing log reflected that smoke alarms were last tested on 4/12/2024, which is past 30 days.

Corrected Corrected by May 17, 2024

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.

During renewal inspection, instructions for contacting the Northeast Regional child care office were not posted near the facility's current certificate of compliance. An acceptable plan of correction was received with a correction date of 4/13/2024. When certification representative returned for unannounced monitoring on 5/13/2024, instructions for contacting the Northeast Regional child care office were not posted near the facility's current certificate of compliance.

Corrected Corrected by May 17, 2024

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 renewal inspection, cabinet under the kitchen sink was not locked. Cabinet is accessible to children and contained several cleaning products labeled "keep out of reach of children".

Corrected Corrected by Mar 25, 2024

Category: ratio. Marked corrected in the state record.

3290.111(b)/3290.124(d) · The written plan of daily activities and routines shall be posted in a traffic area used by parents. 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, facility's general daily schedule and emergency transportation plan were not posted in an area used by parents.

Corrected Corrected by Apr 13, 2024

Category: transportation. 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).

During renewal inspection, staff person #1 went to different floors of the home several times, leaving child #1 unattended. Staff person #1 could not see, hear, direct, or assess child from different floors of the home. Facility is not equipped with cameras to supervise children for short periods of time.

Corrected Corrected by Mar 25, 2024

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). The operator must complete the training entitled "Supervising Children in Family Child Care" through Better Kid Care.

During renewal inspection, staff person #1 went to different floors of the home several times, leaving child #1 unattended. Staff person #1 could not see, hear, direct, or assess child from different floors of the home. Facility is not equipped with cameras to supervise children for short periods of time.

Corrected Corrected by Apr 13, 2024

Category: supervision. 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 did not have a parent handbook that outlines 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.

Corrected Corrected by Apr 21, 2024

Category: supervision. Marked corrected in the state record.

3290.123(a)(5)/3290.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. 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 #2: Date of admission. Child #3: Date of admission. Release person(s). Child #4: Release person(s).

Corrected Corrected by Apr 13, 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, the following information was missing from children's emergency contact forms: Child #3: Name, address, and telephone number of child's physician. Health insurance information and policy number. Child #4: Health insurance policy number.

Corrected Corrected by Apr 13, 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: Mother's work address and work telephone number. Release person's address. Child #3: Mother and father's work addresses and work telephone numbers. Father's home address. Child #4: Mother and father's work addresses. Father's work phone number. Release persons' addresses.

Corrected Corrected by Apr 13, 2024

Category: recordkeeping. 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, there was no initial health assessment or immunization summary on file for child #2. Child #2 has been attending the facility for over 60 days (see LIS code sheet for start date).

Corrected Corrected by Mar 25, 2024

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

3290.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

During renewal inspection, there was no record on file for child #1. Staff person #1 indicated that child #1 has been attending the facility for approximately two weeks.

Corrected Corrected by Apr 13, 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, the following information was missing from children's emergency contact forms: Child #3: Signed parental consent for minor first-aid and emergency medical care. Child #4: Signed parental consent for minor first-aid and emergency medical care.

Corrected Corrected by May 13, 2024

Category: ratio. 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 renewal inspection, facility did not have a fire drill log on file. Operator reports that facility last conducted fire drill on 3/22/2024; however, did not document it.

Corrected Corrected by Mar 25, 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.

During renewal inspection, facility did not have fire detection testing log on file.

Corrected Corrected by Mar 25, 2024

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.

During renewal inspection, instructions for contacting the Northeast Regional child care office were not posted near the facility's current certificate of compliance.

Corrected Corrected by Apr 13, 2024

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 be present or work in a child care position at the facility while child care is occurring.

During initial inspection conducted 11/8/2023, the following was missing from household members' files: Facility person #1: Signed and dated disclosure statement, PSP clearance, NSOR clearance. Facility person #2: Signed and dated disclosure statement, PSP clearance, NSOR clearance. An acceptable plan of correction was received with a correction date of 12/1/2023. When certification representative returned for verification visit on 12/20/2023, the following was missing from household members' files: Facility person #1: Signed and dated disclosure statement. Facility person #2: Signed and dated disclosure statement.

Corrected Corrected by Dec 21, 2023

Category: background checks. 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 11/8/2023, facility's smoke detectors were not interconnected. An acceptable plan of correction was received with a correction date of 11/10//2023. When certification representative returned for verification visit on 12/20/2023, facility did not have interconnected smoke detector in the basement. Smoke detectors were interconnected on the first and second floors. Third floor smoke detector did not operate in an interconnected fashion.

Corrected Corrected by Dec 21, 2023

Category: ratio. Marked corrected in the state record.

3290.24(a) · The facility shall have an emergency plan.

During initial inspection conducted 11/8/2023, the facility's emergency plan was not at the facility for review.

Corrected Corrected by Dec 1, 2023

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 and facility person #2 may not be present or work in a child care position at the facility while child care is occurring.

During initial inspection conducted 11/8/2023, the following was missing from household members' files: Facility person #1: Signed and dated disclosure statement, PSP clearance, NSOR clearance. Facility person #2: Signed and dated disclosure statement, PSP clearance, NSOR clearance.

Corrected Corrected by Dec 1, 2023

Category: background checks. 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 11/8/2023, an air freshener was observed in an outlet in the living space, which will be used for childcare. Air freshener was labeled "Keep out of reach of children" and was accessible to children.

Corrected Corrected by Nov 8, 2023

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.

During initial inspection conducted 11/8/2023, there is an uncovered radiator in the living area of the home, which will be used for childcare. Radiator is accessible to children. Additionally, facility's stove is not equipped with a protective guard. Children will need to pass through the kitchen area to use the bathroom.

Corrected Corrected by Nov 15, 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 11/8/2023, facility's first-aid kit was missing soap.

Corrected Corrected by Nov 15, 2023

Marked corrected in the state record.

3290.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During initial inspection conducted 11/8/2023, facility's refrigerator did not have a thermometer.

Corrected Corrected by Nov 10, 2023

Category: nutrition. 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 11/8/2023, facility did not have evacuation route posted in the basement of the facility.

Corrected Corrected by Nov 8, 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 11/8/2023, facility's smoke detectors were not interconnected.

Corrected Corrected by Nov 10, 2023

Category: ratio. Marked corrected in the state record.