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

Staff 1 only had 4.5 hours of annual training on file. Please see LIS for date of hire.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. 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.

The facility's pack n' play, which is used for napping, was not labeled with a child's name.

Corrected Corrected by Apr 17, 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).

During the annual inspection on 4/17/2025, child 1 did not have an updated child service report on file. The last child service report was dated 4/4/2024 making it more than 6 months since the last child service report.

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During the renewal inspection on 4/17/2025, child 2, who is a young toddler, had a health assessment dated 9/17/2024 making it more than 6 months since the last update. Please see LIS for date of admission and date of birth.

Corrected Corrected by Jun 13, 2025

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 annual inspection on 4/17/2025, the last fire drill on file that was documented was on 3/21/2024 making it more than 60 days since the last fire drill.

Corrected Corrected by Apr 22, 2025

Category: recordkeeping. 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.

A letter to the parents explaining the emergency procedures was not on file at the facility.

Corrected Corrected by Apr 17, 2025

Category: recordkeeping. Marked corrected in the state record.

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

During unannounced monitoring conducted 4/24/2024, children's fee agreements were missing the following information: Child #6: Arrival and departure time. Child #7: Arrival and departure time.

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(3)/3290.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During renewal inspection conducted 4/2/2024, children's emergency contact forms were missing the following information: Child #2: Release person's name, address, and telephone number. Child #4: Both parents' work address and work telephone number. An acceptable plan of correction was received with a correction date of 4/17/2024. When certification representative returned for unannounced monitoring on 4/24/2024, the following information was missing from children's emergency contact forms: Child #4: Mother's work telephone number. Child #6: Release persons' addresses. Child #7: Release persons' addresses.

Corrected Corrected by Apr 28, 2024

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.

During renewal inspection the following forms were not reviewed and updated within the past 6 months: Child #4: Emergency contact form last updated on 8/21/2023. Fee agreement last updated on 8/17/2023. Child #5: Emergency contact form and fee agreement last updated on 9/26/2023. An acceptable plan of correction was received with a correction date of 4/14/2024. When certification representative returned for unannounced monitoring on 4/24/2024, the following forms were not reviewed and updated within the past 6 months: Child #4: Emergency contact form last updated on 8/21/2023. Fee agreement last updated on 8/17/2023. Child #5: Emergency contact form and fee agreement last updated on 9/26/2023.

Corrected Corrected by Apr 28, 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 conducted 4/2/2024, signed parental consents for minor first-aid and emergency medical care were missing from child #4's emergency contact form. An acceptable plan of correction was received with a correction date of 4/12/2024. When certification representative returned for unannounced monitoring on 4/24/2024, the following information was missing from children's emergency contact forms: Child #4: Signed parental consents for minor first-aid. Child #6: Signed parental consents for minor first-aid and emergency medical care. Child #7: Signed parental consents for minor first-aid and emergency medical care.

Corrected Corrected by Apr 28, 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 conducted 4/2/2024, facility's fire detection log reflected that smoke alarms were tested past 30 days on the following occasions: 5/22/2023-6/25/2023, 7/25/2023-8/25/2023, 8/25/2023-9/25/2023, 12/22/2023-1/22/2024, 1/22/2024-2/22/2024. An acceptable plan of correction was received with a correction date of 4/24/2024. When certification representative returned for unannounced monitoring on 4/24/2024, fire detection testing log indicated that smoke alarms were last tested on 3/22/2024, which is over 30 days ago.

Corrected Corrected by Apr 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work at or be present in the child care facility while child care is occurring until signed/dated disclosure statement is on file.

During renewal inspection conducted 4/2/2024, there was no signed/dated disclosure statement on file for facility person #1. Operator reports that facility person #1 is a household member.

Corrected Corrected by Apr 17, 2024

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

3290.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

During renewal inspection conducted 4/2/2024, Child Service Report (CSR) on file for child #1 is not dated. There is no CSR on file for child #5. Child #5 has been attending the facility for over 6 months.

Corrected Corrected by Apr 17, 2024

Category: recordkeeping. 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 conducted 4/2/2024, the following information was missing from children's fee agreements: Child #2: Date of admission. Release person(s). Child #3: Date of admission. Child #5: Date of admission.

Corrected Corrected by Apr 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(3)/3290.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

During renewal inspection conducted 4/2/2024, children's emergency contact forms were missing the following information: Child #2: Release person's name, address, and telephone number. Child #4: Both parents' work address and work telephone number.

Corrected Corrected by Apr 17, 2024

Category: recordkeeping. 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.

During renewal inspection conducted 4/2/2024, health insurance coverage was missing from child #4's emergency contact form.

Corrected Corrected by Apr 17, 2024

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

3290.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

During renewal inspection conducted 4/2/2024, the most recent health assessment on file for child #5 is dated 8/14/2023. Child #5 is an infant (see LIS code sheet for date of birth).

Corrected Corrected by Apr 14, 2024

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

3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 and child #5 must be dismissed from care by close of business 4/12/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

During renewal inspection conducted 4/2/2024, the following children did not receive immunizations according to the ACIP schedule: Child #1: Has 3 of 4 doses of pneumococcal vaccine. Child #1 is preschool-aged (see LIS code sheet for date of birth). There is no exemption on file. Child #5: Has 1 of 2 doses of Hepatitis B vaccine, which was administered on 6/2/2023. Child #5 does not have any doses of DTaP, Rotavirus, Hib, Pneumococcal, or IPV vaccines. Child #10 is an infant (see LIS code sheet for date of birth) There is no exemption on file.

Corrected Corrected by Apr 17, 2024

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

3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During renewal inspection conducted 4/2/2024, staff did not wash a child's hands before feeding them lunch. Staff also did not wash child's hands after diapering.

Corrected Corrected by Apr 4, 2024

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

3290.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

During renewal inspection conducted 4/2/2024, there was no feeding schedule on file for child #5. Child #5 is an infant (see LIS code sheet for date of birth).

Corrected Corrected by Apr 10, 2024

Category: nutrition. 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 conducted 4/2/2024, there were no files for child #6 or child #7. Operator reported that both children started 3/28/2024.

Corrected Corrected by Apr 17, 2024

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.

During renewal inspection the following forms were not reviewed and updated within the past 6 months: Child #4: Emergency contact form last updated on 8/21/2023. Fee agreement last updated on 8/17/2023. Child #5: Emergency contact form and fee agreement last updated on 9/26/2023.

Corrected Corrected by Apr 14, 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 conducted 4/2/2024, signed parental consents for minor first-aid and emergency medical care were missing from child #4's emergency contact form.

Corrected Corrected by Apr 12, 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 conducted 4/2/2024, facility's fire drill log reflected that fire drills were conducted past 60 days on the following dates: 5/22/2023-7/22/2023, 7/22/2023-9/22/2023, 9/22/2023-11/22/2023, 11/22/2023-1/22/2024, 1/22/2024-3/24/2024.

Corrected Corrected by Apr 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.94(a)(9) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During renewal inspection conducted 4/2/2024, facility's fire drill log did not contain the names of participating facility persons during fire drills.

Corrected Corrected by Apr 7, 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 conducted 4/2/2024, facility's fire detection log reflected that smoke alarms were tested past 30 days on the following occasions: 5/22/2023-6/25/2023, 7/25/2023-8/25/2023, 8/25/2023-9/25/2023, 12/22/2023-1/22/2024, 1/22/2024-2/22/2024.

Corrected Corrected by Apr 14, 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. 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 renewal inspection conducted 4/2/2024, the facility had installed OSHA-approved smoke alarms; however, could not demonstrate that they operated in an interconnected fashion. Smoke alarm on the first floor was not interconnected with the rest of the smoke alarms throughout the facility.

Corrected Corrected by Apr 17, 2024

Category: ratio. 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.

During renewal inspection conducted 9/20/2023, rest equipment was not labeled.

Corrected Corrected by Oct 8, 2023

Category: physical safety. 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.

During renewal inspection conducted 9/20/2023, facility person #1, who is also a staff member, has not been trained on the emergency plan within 90 days of hire (see LIS code sheet).

Corrected Corrected by Oct 7, 2023

Category: recordkeeping. 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 renewal inspection conducted 9/20/2023, gate to kitchen was open, rendering the stove to be accessible to children. Provider was cooking and had hot items on the stove when gate was left open. Stove is not equipped with a splash guard.

Corrected Corrected by Oct 3, 2023

Category: physical safety. 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 renewal inspection conducted 9/20/2023, a window on the second floor of the home was not adapted to limit the opening to 6 or fewer inches.

Corrected Corrected by Oct 1, 2023

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

3290.72 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

During renewal inspection conducted 9/20/2023, the telephone numbers of the nearest hospital, police department, fire department, and ambulance were not posted in the facility.

Corrected Corrected by Sep 29, 2023

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

3290.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

During renewal inspection conducted 9/20/2023, a plastic bag was accessible to a young toddler.

Corrected Corrected by Sep 20, 2023

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 conducted 9/20/2023, the following was missing from children's fee agreements: Child #1: Signed/dated by parent and operator. Release person(s). Child #2: Release person(s). Child #3: Release person(s). Child #4: Signed/dated by parent. Operator's signature not dated. Child #5: Operator's signature not dated.

Corrected Corrected by Oct 8, 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 9/20/2023, the following was missing from children's fee agreements: Child #1: Fee amount. Date fee is to be paid.

Corrected Corrected by Oct 8, 2023

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 conducted 9/20/2023, the following was missing from children's fee agreements: Child #1: Arrival and departure times. Date of admission. Child #2: Date of admission. Child #3: Arrival and departure times. Date of admission. Child #5: Date of admission.

Corrected Corrected by Oct 8, 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 9/20/2023, the following was missing from children's emergency contact forms: Child #1: Address and phone number of physician. Child #2: Name, address, and phone number of physician. Medical insurance and policy number. Child #3: Name and phone number of physician. Child #4: Address of physician. Medical insurance and policy number. Child #5: Name, address, and telephone number of physician. Medical insurance and policy number.

Corrected Corrected by Oct 8, 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 9/20/2023, the following was missing from children's emergency contact forms: Child #1: both parents' work addresses and work telephone numbers. Release person(s) name, address, and phone number. Child #2: father's name, address, and telephone number. Both parents' work addresses and telephone numbers Child #3: father's name, address, and telephone number. Both parents' work addresses and telephone numbers. Address(es) of release person(s). Child #4: mother's address. Both parents' work addresses and telephone numbers. Child #5: father's name, address, and telephone number. Both parents' work addresses and telephone numbers. Address(es) of release person(s).

Corrected Corrected by Oct 8, 2023

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.

During renewal inspection conducted 9/20/2023, there was not an individual record on file for child #6 (see LIS code sheet for enrollment date).

Corrected Corrected by Oct 8, 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 9/20/2023, the following was missing from children's emergency contact forms: Child #1: signed parental consent for emergency medical care and signed parental consent for emergency first-aid. Child #2: signed parental consent for emergency medical care and signed parental consent for emergency first-aid. Child #3: signed parental consent for emergency medical care and signed parental consent for emergency first-aid. Child #4: signed parental consent for emergency medical care and signed parental consent for emergency first-aid. Child #5: signed parental consent for emergency medical care and signed parental consent for emergency first-aid.

Corrected Corrected by Oct 8, 2023

Category: ratio. 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 sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

During initial inspection conducted on 5/31/2023, facility's emergency plan did not address continuity of operations.

Corrected Corrected by May 31, 2023

Category: ratio. Marked corrected in the state record.

3290.65(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

During initial inspection conducted 5/31/2023, trash cans in two separate bathrooms and a trash can outside did not have lids.

Corrected Corrected by May 31, 2023

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 5/31/2023, facility's stove was not equipped with a protective guard to prevent direct contact. Children will need to pass the stove to use the bathroom.

Corrected Corrected by May 31, 2023

Category: physical safety. 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 5/31/2023, a window on the third floor of the home was not adapted to limit the opening to 6 or fewer inches.

Corrected Corrected by May 31, 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 5/31/2023, facility's first-aid kit was missing soap and gloves.

Corrected Corrected by May 31, 2023

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 initial inspection conducted 5/31/2023, facility did not have operable smoke detector in the basement.

Corrected Corrected by May 31, 2023

Category: recordkeeping. Marked corrected in the state record.