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 9/18/2023, facility's emergency plan does not address continuity of operations.

Corrected Corrected by Sep 22, 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, facility person #2, and facility person #3 may not work in a child care position or be present at the facility until signed, dated disclosure statements are on file.

During renewal inspection conducted 9/18/2023, facility person #1, facility person #2, and facility person #3 did not have signed, dated disclosure statement on file.

Corrected Corrected by Sep 25, 2023

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

3290.124(b)(6)/3290.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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 9/18/2023, the following was missing from children's emergency contact forms: Child #1: health insurance policy number and release person's address.

Corrected Corrected by Sep 25, 2023

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

3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

During renewal inspection conducted 9/18/2023, facility's emergency transportation plan was not posted.

Corrected Corrected by Oct 2, 2023

Category: transportation. Marked corrected in the state record.

3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 will be dismissed from care by close of business (day of inspection/notification) until either the immunization record is updated, or a parent provides a written, signed exemption letter.

During renewal inspection conducted 9/18/2023, there was no record of influenza vaccine or acceptable exemption on file for child #1 for the year 2022. Child #1 is preschool aged (see LIS code sheet).

Corrected Corrected by Sep 27, 2023

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

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

During renewal inspection conducted 9/18/2023, emergency contact form for child #1 did not contain signed parental consent for emergency medical care.

Corrected Corrected by Sep 25, 2023

Category: recordkeeping. 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 9/18/2023, operator admitted that facility's emergency plan was never sent to Allentown EMA (local municipality).

Corrected Corrected by Oct 2, 2023

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

3290.94(a)(1) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

During renewal inspection conducted 9/18/2023, facility's fire drill log indicated that fire drills were conducted past 60 days on the following occasions: 8/8/2022-10/31/2022; 12/7/2022-2/24/2022-5/2/2023-7/4/2023

Corrected Corrected by Sep 25, 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 9/18/2023, facility's fire detection testing log indicated that smoke alarms were tested past 30 days during the following occasions: 3/1/2023-4/3/2023.

Corrected Corrected by Sep 25, 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. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

During renewal inspection conducted 9/13/2022, facility did not develop a policy and procedure for Shaken Baby, Abusive Head Trauma, and Child Maltreatment.

Corrected Corrected by Sep 14, 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. Facility Person #1 and #2 may not work in a child care position at the facility until appropriate information is on file.

During renewal inspection conducted 9/13/2022, a disclosure statement was not on file for Facility person #1 or facility person #2.

Corrected Corrected by Sep 19, 2022

Category: background checks. 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 9/13/2022, a dog (Milo) was present at the facility. His veterinarian's certificate of current rabies immunizations was not on file.

Corrected Corrected by Sep 14, 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 renewal inspection conduct3ed 9/13/2022, initial health assessment for Child #3 was dated 9/24/2021, which later than 60 days following the first day of attendance at the facility (see LIS code sheet for child's date of admission).

Corrected Corrected by Sep 13, 2022

Category: health medication. 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 9/13/2022, most recent health assessment on file for Child #1, who is preschool age, is dated 8/28/2021 (see LIS code sheet for child's date of birth).

Corrected Corrected by Nov 29, 2022

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

3290.131(e)(1) · 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.

During renewal inspection conducted 9/13/2022, records for Child #1 and Child #2 did not include record of influenza vaccine for 2021. There was not an exemption on file.

Corrected Corrected by Sep 13, 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 9/13/2022, facility's fire drill log reflected that drills were conducted on 10/31/21, 1/3/22; 2/8/22, 5/16/22, 8/8/22, which is past 60 days.

Corrected Corrected by Sep 13, 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.

During renewal inspection conducted 9/13/2022, facility did not conduct annual emergency drill.

Corrected Corrected by Sep 14, 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. Facility person #1 will have until 9/28/2022 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 facility person #1, facility person #1 may not work in a child-care position at the facility.

During renewal inspection conducted 9/13/2022, Facility 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 Sep 28, 2022

Category: supervision. Marked corrected in the state record.

3290.24(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

At the time of the inspection, facility person #6 did not have emergency plan training on file. En el momento de la inspección, la persona # 6 de la instalación no tenía capacitación en el plan de emergencia en el archivo.

Corrected Corrected by Dec 10, 2021

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 CPSL was revised to include the requirement for the National Sex Offender Registry (NSOR) clearance, effective 9/30/19. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance.

At the time of the inspection, facility person #6 did not have a completed National Sex Offender Registry certificate or mandated child abuse reporting training on file. En el momento de la inspección, la persona # 6 de la instalación no tenía un certificado completo del Registro Nacional de Delincuentes Sexuales o una capacitación obligatoria para informar sobre abuso infantil en el archivo.

Corrected Corrected by Nov 8, 2021

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. Facility Person # 6 may not work in a child care position at the facility.

At the time of the inspection, facility person #6 did not have a completed National Sex Offender Registry certificate or mandated child abuse reporting training on file. En el momento de la inspección, la persona # 6 de la instalación no tenía un certificado completo del Registro Nacional de Delincuentes Sexuales o una capacitación obligatoria para informar sobre abuso infantil en el archivo.

Corrected Corrected by Nov 8, 2021

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

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

At the time of the inspection, there was no arrival and departure times on the agreement for child #1. En el momento de la inspección, no había horarios de llegada y salida en el acuerdo para el niño # 1.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the inspection, the agreement on file for child #1, 2 and 3 did not specify the persons designated by a parent to whom the child may be released. En el momento de la inspección, el acuerdo en el expediente para los niños # 1, 2 y 3 no especificaba las personas designadas por un padre a quienes el niño puede ser liberado.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6)/3290.182(2) · An agreement shall specify the date of the child's admission.A child's record must contain the dates of application, admission and withdrawal of the child.

At the time of the inspection, there was no date of admission on the agreement for child #5. En el momento de la inspección, no había fecha de admisión en el acuerdo para el niño # 5.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the inspection, on the emergency contact form for child # 1-5, the parent's home and work address was missing. En el momento de la inspección, en el formulario de contacto de emergencia para el niño # 1-5, faltaba la dirección de la casa y el trabajo de los padres. .

Corrected Corrected by Dec 10, 2021

Category: nutrition. Marked corrected in the state record.

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

At the time of the inspection, the emergency contact form for child #2 and 3 did not contain health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits. En el momento de la inspección, el formulario de contacto de emergencia para el niño # 2 y 3 no contenía cobertura de seguro de salud y número de póliza para un niño bajo una póliza familiar o beneficios de asistencia médica.

Corrected Corrected by Dec 10, 2021

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

3290.124(b)(7) · 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.

At the time of the inspection, the address of the individual designated by the parent to whom the child may be released was missing from the emergency contact form for child #4. En el momento de la inspección, la dirección de la persona designada por el padre a quien el niño puede ser liberado faltaba en el formulario de contacto de emergencia para el niño # 4.

Corrected Corrected by Dec 10, 2021

Category: nutrition. 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.

At the time of the inspection, there was no written plan posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. En el momento de la inspección, no se publicó ningún plan escrito que identificara los medios para transportar a un niño a la atención de emergencia y las disposiciones de personal de la instalación en caso de emergencia.

Corrected Corrected by Dec 10, 2021

Category: transportation. Marked corrected in the state record.

3290.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

At the time of the inspection, the health assessment on file for child #1-4 did not state that the child is able to participate in child care and appears to be free from contagious or communicable disease. En el momento de la inspección, la evaluación de salud en el archivo para el niño # 1-4 no indicaba que el niño pueda participar en el cuidado infantil y parece estar libre de enfermedades contagiosas o transmisibles.

Corrected Corrected by Dec 10, 2021

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

3290.151(a)/3290.151(c)(2) · 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.An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

At the time of the inspection, there was no health assessment or TB screening on file for facility person #6. En el momento de la inspección, no había una evaluación de salud o una evaluación de TB en el archivo para la persona # 6 de la instalación.

Corrected Corrected by Dec 10, 2021

Category: ratio. 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.

At the time of the inspection, the evacuation routes were not posted on the 1st and 2nd floors of the home. En el momento de la inspección, las rutas de evacuación no estaban publicadas en los pisos 1 y 2 de la casa.

Corrected Corrected by Dec 10, 2021

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.

At the time of the inspection, the provider did not have verification that the parents of the enrolled children are given information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. En el momento de la inspección, el proveedor no tenía verificación de que los padres de los niños inscritos recibieron información sobre cómo acceder a las regulaciones en este capítulo de manera electrónica y con instrucciones para comunicarse con la oficina regional de cuidado infantil correspondiente.

Corrected Corrected by Dec 10, 2021

Marked corrected in the state record.

3290.24(a)(2)/3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §  3290.94 (relating to fire drills).The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

At the time of the inspection, the provider did not have accommodations for infants and toddlers in the event of an emergency and did not have lock-down procedures in the emergency plan. En el momento de la inspección, el proveedor no tenía adaptaciones para bebés y niños pequeños en caso de una emergencia y no tenía procedimientos de bloqueo en el plan de emergencia.

Corrected Corrected by Dec 10, 2021

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