3290.74(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

As per provider, she would take the children outside in the backyard for the children to get air sometimes. The backyard had broken wooden boards from the wooden fence throughout the yard.

Corrected Corrected by May 19, 2025

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.

There were two pack n' plays in the childcare space. Neither one was labeled with a child's name. As per provider, one child will occasionally use one.

Corrected Corrected by May 19, 2025

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

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Staff 1 had three dogs present. 1 dog, named Mama, did not have a rabies vaccine on file.

Corrected Corrected by Jun 19, 2025

Category: health medication. 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 1 had a completed child service report, but it was not reviewed with the parent. There was no documentation that it was reviewed with the parent and the parent signature was not on the report.

Corrected Corrected by May 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.24(b)/3290.24(d) · 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. Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The last update to the emergency plan that was on file was from March 15th, 2020. There was no emergency plan drill on file.

Corrected Corrected by May 20, 2025

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.

Staff 1 did not have 12 hours of annual childcare training on file. Staff 1 only had 7.5 hours on file.

Corrected Corrected by May 27, 2025

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).

Child 1 did not have a child service report on file. Please see LIS for date of admission.

Corrected Corrected by Jun 6, 2024

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.

Child 1, who is preschool age, did not have an updated health assessment on file. The last health report on file was dated 3/21/2023.

Corrected Corrected by Jun 6, 2024

Category: health medication. 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.

The facility did not have evacuation routes posted in the attic or basement of the facility.

Corrected Corrected by Jun 6, 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 the renewal inspection on 5/23/3034, it was observed that the facility did not have alarms tested within 30 days. Per facility, the alarms were tested within 30 days but they were not documented.

Corrected Corrected by May 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.22(b) · The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility did not have electronic access to the regulations available to the parents.

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.

3290.24(f) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

In the emergency plan, the facility did not have a letter explaining the emergency procedures.

Corrected Corrected by Jun 6, 2024

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

3290.123(a)/3290.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

During renewal inspection conducted 5/10/2023, the following was missing from children's fee agreements: Child #1: Date of admission. Signed by parent. Child #2: Date of admission. Signed by parent. Child #3: Date of admission. Child #4: Date of admission. An acceptable plan of correction was received with a correction date of 6/3/2023. When certification representative returned for unannounced monitoring on 6/13/2023, all dates of admission were added to children's fee agreements. The following was missing from children's fee agreements: Child #1: Signed by parent. Child #2: Signed by parent.

Corrected Corrected by Jun 19, 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 5/10/2023, the following was missing from children's fee agreements: Child #1: Fee amount. Date fee is to be paid. Child #2: Fee amount. Date fee is to be paid. An acceptable plan of correction was received with a correction date of 6/3/2023. When certification representative returned for unannounced monitoring on 6/13/2023, the following was missing from children's fee agreements: Child #1: Fee amount. Date fee is to be paid. Child #2: Fee amount. Date fee is to be paid.

Corrected Corrected by Jun 19, 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 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Name, address, and phone number of physician/medical care. Health insurance policy number. Child #2: Phone number of physician/medical care. Child #3: Health insurance coverage and policy number. Child #4: Health insurance coverage and policy number. Child#5: Health insurance coverage and policy number. An acceptable plan of correction was received with a correction date of 6/3/2023. When certification representative returned for unannounced monitoring on 6/13/2023, the following was missing from children's emergency contact forms: Child #1: Name, address, and phone number of physician/medical care. Health insurance policy number. Child #2: Phone number of physician/medical care. Child #3: Health insurance coverage and policy number.

Corrected Corrected by Jun 19, 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 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Parent's work address and work phone number. Child #2: Parent's work address and work phone number. Father's phone number. Child #5: Parent's work address and work phone number. Father's information (address, phone number, work address and work telephone number). Release person(s) address(es). An acceptable plan of correction was received with a correction date of 6/3/2023. When certification representative returned for unannounced monitoring on 6/13/2023, the following was missing from children's emergency contact forms: Child #1: Parent's work address and work phone number. Child #2: Parent's work address and work phone number. Father's phone number. Child #5: Release person(s) address(es).

Corrected Corrected by Jun 19, 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 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Consent for emergency medical care. Consent for first-aid by facility staff. Child #2: Consent for emergency medical care. Consent for first-aid by facility staff. Child #3: Consent for emergency medical care. Consent for first-aid by facility staff. Child #4: Consent for emergency medical care. Consent for first-aid by facility staff. Child #5: Consent for emergency medical care. Consent for first-aid by facility staff. Child #6: Consent for emergency medical care. Consent for first-aid by facility staff. An acceptable plan of correction was received with a correction date of 5/12/2023. When certification representative returned for unannounced monitoring on 6/13/2023, the following was missing from children's emergency contact forms: Child #1: Consent for emergency medical care. Consent for first-aid by facility staff. Child #2: Consent for emergency medical care. Consent for first-aid by facility staff.

Corrected Corrected by Jun 19, 2023

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 conducted 5/10/2023, smoke alarms were tested more than 30 days the following instances: 10/14/2022-11/23/2022. Per the log, fire detection systems were last tested on 3/13/2023. An acceptable plan of correction was received with a correction date of 5/10/2023. When certification representative returned for unannounced monitoring on 6/13/2023, fire detection systems were last tested on 5/10/2023.

Corrected Corrected by Jun 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

During renewal inspection conducted 5/10/2023, dog's (Falcor) last rabies vaccine expired on 2/14/2023.

Corrected Corrected by May 19, 2023

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

3290.123(a)/3290.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

During renewal inspection conducted 5/10/2023, the following was missing from children's fee agreements: Child #1: Date of admission. Signed by parent. Child #2: Date of admission. Signed by parent. Child #3: Date of admission. Child #4: Date of admission.

Corrected Corrected by Jun 3, 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 5/10/2023, the following was missing from children's fee agreements: Child #1: Fee amount. Date fee is to be paid. Child #2: Fee amount. Date fee is to be paid.

Corrected Corrected by Jun 3, 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 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Name, address, and phone number of physician/medical care. Health insurance policy number. Child #2: Phone number of physician/medical care. Child #3: Health insurance coverage and policy number. Child #4: Health insurance coverage and policy number. Child#5: Health insurance coverage and policy number.

Corrected Corrected by Jun 3, 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 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Parent's work address and work phone number. Child #2: Parent's work address and work phone number. Father's phone number. Child #5: Parent's work address and work phone number. Father's information (address, phone number, work address and work telephone number). Release person(s) address(es).

Corrected Corrected by Jun 3, 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 #6 will be dismissed from care by close of business 5/10/2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

During renewal inspection conducted 5/10/2023, there is no flu shot on file for Child #6.

Corrected Corrected by May 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 5/10/2023, emergency contact form and fee agreement for Child #6 were last updated on 9/11/2022, which is past 6 months.

Corrected Corrected by May 24, 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 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Consent for emergency medical care. Consent for first-aid by facility staff. Child #2: Consent for emergency medical care. Consent for first-aid by facility staff. Child #3: Consent for emergency medical care. Consent for first-aid by facility staff. Child #4: Consent for emergency medical care. Consent for first-aid by facility staff. Child #5: Consent for emergency medical care. Consent for first-aid by facility staff. Child #6: Consent for emergency medical care. Consent for first-aid by facility staff.

Corrected Corrected by May 12, 2023

Category: ratio. 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 renewal inspection conducted 5/10/2023, operator admitted that she did not send the emergency plan to the local municipality (Allentown).

Corrected Corrected by Jun 6, 2023

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

3290.95(a)/3290.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

During renewal inspection conducted 5/10/2023, smoke alarms were tested more than 30 days the following instances: 10/14/2022-11/23/2022. Per the log, fire detection systems were last tested on 3/13/2023.

Corrected Corrected by May 10, 2023

Category: recordkeeping. 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 5/10/2023, facility did not have annual emergency drill on file.

Corrected Corrected by May 16, 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. Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by June 3, 2023.

Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by May 23, 2023

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

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

On renewal inspection conducted 5/10/2022, certification representative observed children using unlabeled pack-n-plays. An acceptable plan of correction was received on 5/10/2022 with a correction date of 5/10/2022. When certification representative returned for unannounced monitoring on 6/16/2022, rep observed children using unlabeled pack-n-plays and cots.

Corrected Corrected by Jun 16, 2022

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

3290.22(c) · The operator shall post a copy of each inspection summary issued by the Department next to the facility's certificate of compliance in a conspicuous location used by parents. The inspection summary must remain posted until an agent of the Department verifies that each noncompliance item noted on the inspection summary has been corrected.

On unannounced monitoring conducted 6/16/2022, renewal inspection summary was not posted in the facility.

Corrected Corrected by Jun 17, 2022

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.

On renewal inspection conducted 5/10/2022, facility reported that they have not conducted an annual emergency drill. An acceptable plan of correction was received on 5/10/2022 with a correction date of 5/20/2022. On unannounced monitoring conducted on 6/16/2022, emergency drill was still not conducted or documented.

Corrected Corrected by Jun 17, 2022

Category: recordkeeping. Marked corrected in the state record.

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

On renewal inspection conducted 5/10/2022, certification representative observed children using unlabeled pack-n-plays.

Corrected Corrected by May 10, 2022

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.

On renewal inspection conducted 5/10/2022, facility did not develop policy/procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by May 10, 2022

Category: health medication. 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. Staff #1 may not work in a child care position at the facility.

On renewal inspection conducted 5/10/2022, records for Staff #1 and Household Member #2 did not contain signed disclosure statements. Staff #1 FBI Clearance is dated 5/8/2017 and is expired.

Corrected Corrected by May 27, 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. Staff #1 will not provide child care.

On renewal inspection conducted 5/10/2022, records for Staff #1 and Household Member #2 did not contain signed disclosure statements. Staff #1 FBI Clearance is dated 5/8/2017 and is expired.

Corrected Corrected by May 10, 2022

Category: background checks. 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 renewal inspection conducted 5/10/2022, first-aid kit was missing soap and gloves.

Corrected Corrected by May 10, 2022

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 renewal inspection conducted 5/10/2022, fee agreement for Child #1 did not specify the date on which the fee is to be paid.

Corrected Corrected by Jun 3, 2022

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.

On renewal inspection conducted 5/10/2022, Emergency contact information for Child #1 was missing enrolling parent's work address and phone number and release person(s) address(es).

Corrected Corrected by Jun 3, 2022

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.

On renewal inspection conducted 5/10/2022, facility did not have a written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Corrected Corrected by May 13, 2022

Category: transportation. 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.

On renewal inspection conducted 5/10/2022, there was not an initial health report or immunization record on file for Child #2, Child #3, or Child #4.

Corrected Corrected by Jun 7, 2022

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

3290.135(a)(3)/3290.135(b) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.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.

On renewal inspection conducted 5/10/2022, operator reported using a cloth diapering mat for children who wear diapers. Mat is unable to be sanitized. Facility's hands-free garbage can used for diapering is broken.

Corrected Corrected by May 10, 2022

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.

On renewal inspection conducted 5/10/2022, facility did not have individual files for Child #2, Child #3, or Child #4.

Corrected Corrected by May 10, 2022

Category: recordkeeping. 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. Operator must attend a Technical Assistance session with Certification Representative to watch the DHS vodcast regarding children's files on 5/20/2022. The session will be conducted virtually and the operatory may not be providing care for children during the session.

On renewal inspection conducted 5/10/2022, facility did not have individual files for Child #2, Child #3, or Child #4.

Corrected Corrected by May 20, 2022

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.

On renewal inspection conducted on 5/10/2022, emergency contact information and financial agreement for Child #1 were last updated on 9/6/2021, which is past 6 months.

Corrected Corrected by Jun 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.182(5) · 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.

On renewal inspection conducted 5/10/2022, emergency contact information for Child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 3, 2022

Category: ratio. 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 renewal inspection conducted 5/10/2022, facility's emergency plan did not provide accommodations for infants, toddlers, or children with disabilities.

Corrected Corrected by May 13, 2022

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

3290.95(a)/3290.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

On renewal inspection conducted 5/10/2022, facility's fire detection documentation log reflected that smoke detectors were tested on 2/17/2022 and again on 3/25/2022, which is past 30 days.

Corrected Corrected by May 10, 2022

Category: recordkeeping. 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.

On renewal inspection conducted 5/10/2022, facility reported that they have not conducted an annual emergency drill.

Corrected Corrected by May 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.131(a) · 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.

During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that Child #1 (DOB 1/30/2021) and Child #2 (DOB 8/21/2016) did not have a health assessments on file. Children began care in July 2021. The operator acknowledged that the violation is accurate. An acceptable plan was received from the provider during verification on 4/1/2022. Child #1 has a current health assessment on file. Child #2 does not have an initial health assessment on file.

Corrected Corrected by May 6, 2022

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

3290.18/3290.31(g)(10) · Conditions at the facility may not pose a threat to the health or safety of the children. Pediatric first aid and pediatric cardiopulmonary resuscitation.

During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that Staff #1 did not have a valid pediatric first aid / CPR certification. The operator acknowledged that the violation is accurate.

Corrected Corrected by Feb 8, 2022

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

3290.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that there was not an emergency contact form on file for Child #2. The operator acknowledged that the violation is accurate.

Corrected Corrected by Feb 21, 2022

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

3290.131(a) · 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.

During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that Child #1 (DOB 1/30/2021) and Child #2 (DOB 8/21/2016) did not have a health assessments on file. Children began care in July 2021. The operator acknowledged that the violation is accurate.

Corrected Corrected by Mar 12, 2022

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

3290.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.

During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that Staff #1 did not have a current physical on file. The staff had proof of a doctor appointment scheduled and will provide documentation after the appointment. The operator acknowledged that the violation is accurate.

Corrected Corrected by Feb 18, 2022

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 inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that fire drills are not being held/documented. The operator acknowledged that the violation is accurate.

Corrected Corrected by Feb 17, 2022

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 an unannounced monitoring, provider acknowledged that she has not been testing her smoke detector every 30 days and documenting.

Corrected Corrected by Feb 17, 2022

Category: recordkeeping. Marked corrected in the state record.