3290.64(c) · Toxic plants are not permitted in a child care space.

There was a toxic plant accessible to children in the play area.

Corrected Corrected by Sep 20, 2024

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

3290.18/3290.102(a) · Conditions at the facility may not pose a threat to the health or safety of the children. Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Knives were accessible to children in the kitchen.

Corrected Corrected by Sep 20, 2024

Category: health medication. 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.

In the upstairs bathroom, which is used by the children, the window was able to open more than 6 inches.

Corrected Corrected by Sep 20, 2024

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

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.

In the outside playground, there was a hole by the fence to the right of the entrance. The concrete under the fence was crumbling, which was causing the hole. The hole posed to be a tripping hazard.

Corrected Corrected by Sep 26, 2024

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 1-3 did not have updated child service reports on file.

Corrected Corrected by Oct 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

The infant bottle was not labeled.

Corrected Corrected by Sep 20, 2024

Marked corrected in the state record.

3290.24(f)/3290.24(g) · 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. 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.

The emergency plan, as per operator, was not submitted to the local municipality or the county emergency management agency. As per operator, the emergency plan was emailed to the parents. However, a letter was not sent to the parents explaining the emergency procedures.

Corrected Corrected by Sep 26, 2024

Category: physical safety. 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 needs 8 additional hours of annual training.

Corrected Corrected by Nov 19, 2024

Category: recordkeeping. 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 9/11/2023, facility's fire drill log reflected that fire drills were conducted past 60 days on the following occasions: 9/6/2022-1/20/2023-5/17/2023-8/1/2023. An acceptable plan of correction was received with a correction date of 9/15/2023. When certification representative returned for unannounced monitoring on 10/23/2023, last fire drill documented was conducted on 8/1/2023.

Corrected Corrected by Oct 24, 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. The operator shall update the sections of their emergency plan that must address continuity of operations.

During renewal inspection conducted 9/11/2023, facility's emergency plan did not address continuity of operations.

Corrected Corrected by Sep 22, 2023

Category: ratio. 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 9/11/2023, there was no documentation stating that staff person #2 had been trained on facility's emergency plan.

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)/3290.123(a)(4) · An agreement shall be signed by the operator and the parent. An agreement shall specify the child's arrival and departure times.

During renewal inspection conducted 9/11/2023, the following was missing from children's fee agreements: Child #1: signed by parent. Child #3: departure time.

Corrected Corrected by Sep 15, 2023

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).

During renewal inspection conducted 9/11/2023, child service reviews (CSRs) were not on file for child #1, child #2, child #3, child #4, or child #5.

Corrected Corrected by Sep 19, 2023

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 9/11/2023, the following was missing from children's emergency contact forms: Child #2: mother's work address and work phone number. Child #4: father's home address and home phone number. both parents' work addresses and work phone numbers. Child #5: both parents' work addresses and work phone numbers. Release person(s) address(es).

Corrected Corrected by Sep 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(1)/3290.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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 9/11/2023, the following children's health assessments are outdated: Child #2: last health assessment on file is dated 3/23/2022. Child #2 is a young toddler (see LIS code sheet). Child #3: last health assessment on file is dated 8/5/2022. Child #3 is preschool-aged (see LIS code sheet). Child #5: last health assessment on file is dated 3/29/2022. Child #5 is preschool-aged (see LIS code sheet).

Corrected Corrected by Oct 19, 2023

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, child #2, child #3, child #4, and child #5 will be dismissed from care by close of business September 11, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

During renewal inspection conducted 9/11/2023, the following children are not immunized according to the recommended schedule of the ACIP: Child #1: no record of influenza vaccine. Child #1 is an older toddler (see LIS code sheet). There is no exemption on file. Child #2: 3 of 4 doses each of the DTAP, HIB, Pneumococcal, and IPV vaccines. No record of influenza, MMR, Varicella, or Hepatitis A vaccines. Child #2 is a young toddler (see LIS code sheet). There is no exemption on file. Child #3: no record of influenza vaccine. Child #3 is preschool-aged (see LIS code sheet). There is no exemption on file. Child #4: no record of influenza vaccine. Child #4 is an older toddler (see LIS code sheet). There is no exemption on file. Child #5: no record of influenza vaccine. Child #5 is preschool-aged (see LIS code sheet). There is no exemption on file.

Corrected Corrected by Oct 19, 2023

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

3290.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

During renewal inspection conducted 9/11/2023, certification representative observed unlabeled diaper cream in the facility.

Corrected Corrected by Sep 13, 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 9/11/2023, the following forms were not updated within 6 months: Child #1: fee agreement not signed/dated. Child #5: fee agreement and emergency contact form both last updated on 9/15/2022.

Corrected Corrected by Sep 12, 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 9/11/2023, operator admitted that emergency plan was never sent to the local municipality (Allentown EMA) or to the county emergency management agency (Lehigh County EMA).

Corrected Corrected by Sep 22, 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 9/11/2023, facility's fire drill log reflected that fire drills were conducted past 60 days on the following occasions: 9/6/2022-1/20/2023-5/17/2023-8/1/2023.

Corrected Corrected by Sep 15, 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 renewal inspection conducted 9/11/2023, at the time of installation, the interconnected smoke alarms in the facility were not approved by a testing laboratory recognized by OSHA to test and certify smoke alarms.

Corrected Corrected by Sep 17, 2023

Category: ratio. 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 #2 shall complete the required one-hour 2022 update to the health and safety training by September 29, 2023.

During renewal inspection conducted 9/11/2023, staff person #1 and staff person #2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff person #1 completed the updated 10-hour training on 8/24/2023.

Corrected Corrected by Sep 18, 2023

Category: health medication. 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 conducted 9/6/2022, toxics including aerosol room spray and bathroom cleaner labeled "Keep out of reach of children" located under bathroom sink were accessible to children. An acceptable plan of correction was received with a correction date of 9/6/2022. When certification representative returned for unannounced monitoring on 9/22/2022, toxics including aerosol room spray and bathroom cleaner labeled "Keep out of reach of children" located under bathroom sink were accessible to children.

Corrected Corrected by Sep 22, 2022

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 9/6/2022, rest equipment used by children in the facility was not labeled. An acceptable plan of correction was received with a correction date of 9/6/2022. When certification representative returned for unannounced monitoring on 9/22/2022, rest equipment used by children in the facility was not labeled. Operator reports that children are removing the labels.

Corrected Corrected by Sep 22, 2022

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

3290.22(a)/3290.124(d) · 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. 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 9/6/2022, facility did not have Chapter 3290 regulations or the instructions for contacting the appropriate regional child care office posted. Facility also 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 posted. An acceptable plan of correction was received with a correction date of 9/6/2022. When certification representative returned for unannounced monitoring on 9/22/2022, facility did not have Chapter 3290 regulations or the instructions for contacting the appropriate regional child care office posted. Facility also 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 posted.

Corrected Corrected by Sep 22, 2022

Category: transportation. 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 9/6/2022, facility has not practiced an annual emergency drill. An acceptable plan of correction was received with a correction date of 9/9/2022. When certification representative returned on 9/22/2022 for unannounced monitoring, facility has not practiced an annual emergency drill.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. 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 conducted 9/6/2022, toxics including aerosol room spray and bathroom cleaner labeled "Keep out of reach of children" located under bathroom sink were accessible to children.

Corrected Corrected by Sep 6, 2022

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 renewal inspection conducted 9/6/2022, rest equipment used by children in the facility was not labeled.

Corrected Corrected by Sep 6, 2022

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

3290.121(b) · At the time of enrollment, a parent shall receive in writing 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 conducted 9/6/2022, facility does not have 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 in writing.

Corrected Corrected by Sep 23, 2022

Category: supervision. Marked corrected in the state record.

3290.123(a)(2)/3290.123(a)(5) · An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the persons designated by a parent to whom the child may be released.

During renewal inspection conducted 9/6/2022, fee agreement for Child #1 did not include date fee is to be paid. Fee agreements for Child #3 and Child #4 did not include release person(s).

Corrected Corrected by Sep 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(3)/3290.124(b)(6) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 9/6/2022, emergency contact form for Child #2 did not include enrolling parent's work address or phone number. Emergency contact form for Child #3 did not include health insurance policy number.

Corrected Corrected by Sep 6, 2022

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 9/6/2022, financial agreement for Child #2 was last updated 8/30/2021.

Corrected Corrected by Sep 6, 2022

Category: recordkeeping. 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 9/6/2022, last fire drill on file at the facility was conducted on 5/15/2022.

Corrected Corrected by Sep 6, 2022

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 9/6/2022, last fire detection on file at the facility was conducted on 7/30/2022.

Corrected Corrected by Sep 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.22(a)/3290.124(d) · 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. 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 9/6/2022, facility did not have Chapter 3290 regulations or the instructions for contacting the appropriate regional child care office posted. Facility also 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 posted.

Corrected Corrected by Sep 6, 2022

Category: transportation. 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 9/6/2022, facility has not practiced an annual emergency drill.

Corrected Corrected by Sep 9, 2022

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.

On unannounced monitoring conducted 5/17/2022, facility did not develop policy/procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by May 20, 2022

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

3290.18 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, 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 person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

During unannounced monitoring conducted 5/17/2022, Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by May 17, 2022

Category: supervision. 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.

On unannounced monitoring conducted 5/17/2022, several arenol sprays labeled "Keep out of reach of children" were observed on the back of the toilet in an area accessible to children in the bathroom used by children.

Corrected Corrected by May 17, 2022

Category: ratio. Marked corrected in the state record.

3290.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

On unannounced monitoring conducted 5/17/2022, daily activities schedule was not posted.

Corrected Corrected by May 20, 2022

Marked corrected in the state record.

3290.123(a) · An agreement shall be signed by the operator and the parent.

On unannounced monitoring conducted 5/17/2022, fee agreements for Child #1 and Child #2 were not signed by parent.

Corrected Corrected by May 17, 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.

On unannounced monitoring conducted 5/17/2022, there was not an initial health report for Child #1, Child #2, or Child #4 on file.

Corrected Corrected by Aug 8, 2022

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

3290.131(e) · 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 unannounced monitoring conducted 5/17/2022, there were no immunization records for Child #1, Child #2, or Child #4. Children have been in attendance for more than 60 days.

Corrected Corrected by May 17, 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.

On unannounced monitoring conducted 5/17/2022, immunization record for Child #3 did not contain record of influenza vaccine or letter of exemption.

Corrected Corrected by May 20, 2022

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.

On unannounced monitoring conducted 5/17/2022, emergency contact information and financial agreement for Child #3 were last updated 8/4/2021. Financial agreement for Child #4 was last updated 10/26/2021.

Corrected Corrected by May 17, 2022

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.

On unannounced monitoring conducted 5/17/2022, emergency contact information for Child #1 and Child #4 did not contain signed parental consent for emergency medical care or administration of minor first-aid.

Corrected Corrected by May 17, 2022

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.

On unannounced monitoring conducted 5/17/2022, evacuation route was not posted in the basement of the facility.

Corrected Corrected by May 17, 2022

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 unannounced monitoring conducted 5/17/2022, facility did not have proof of purchase on file for 10-year lithium ion battery-operated smoke detectors.

Corrected Corrected by May 17, 2022

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.

On unannounced monitoring conducted 5/17/2022, facility's current certificate of compliance was not present in the facility.

Corrected Corrected by May 18, 2022

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. Staff person #1 will have until 6/1/2022 to complete the required pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum 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 staff person #1, staff person #1 may not work in a child-care position at the facility.

On unannounced monitoring conducted 5/17/2022, Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Jun 1, 2022

Category: supervision. Marked corrected in the state record.

3290.123(b)/3290.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

During review of several children's files on 11/1/21, cert rep observed that CHILD #1, 2, 3, 4, 5 financial agreement was not given to parents.

Corrected Corrected by Nov 8, 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.

During review of several children's files on 11/1/21, cert rep observed that CHILD # 1, 2, 3, 4, 5 Emergency Contact forms did not include enrolling parent's work address and phone number.

Corrected Corrected by Nov 8, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(4)/3290.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During review of several children's files on 11/1/21, cert rep observed that CHILD # 2 Emergency Contact form did not include written consent signed by a parent for emergency medical care.

Corrected Corrected by Nov 8, 2021

Category: recordkeeping. Marked corrected in the state record.

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

During review of several children's files on 11/1/21, cert rep observed that CHILD # 1 Emergency Contact form did not include information on child's special needs if applicable.

Corrected Corrected by Nov 8, 2021

Category: health medication. 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 review of several children's files on 11/1/21, cert rep observed that CHILD # 1 and # 3 Emergency Contact forms did not include health insurance coverage and policy number for the child.

Corrected Corrected by Nov 8, 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.

During review of several children's files on 11/1/21, cert rep observed that CHILD # 1 Emergency Contact form had the address for one of the two release persons.

Corrected Corrected by Nov 8, 2021

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.

During renewal inspection on 11/1/21 cert rep reviewed several children's files. CHILD # 1 and # 2 Emergency Contact form did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Nov 8, 2021

Category: ratio. Marked corrected in the state record.

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

During initial inspection on7/12/21 there was no emergency plan available to review.

Corrected Corrected by Jul 26, 2021

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

3290.62 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

During initial inspection on 7/12/21 cert rep observed a hand rail on the back porch steps that was very loose and wobbly which could be a safety hazard.

Corrected Corrected by Jul 26, 2021

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 initial inspection on7/12/21 emergency phone numbers were not posted anywhere in the facility.

Corrected Corrected by Jul 26, 2021

Category: physical safety. 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 on7/12/21 cert rep checked the facility refrigerator. There was no thermometer in the refrigerator.

Corrected Corrected by Jul 26, 2021

Category: nutrition. Marked corrected in the state record.

3290.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

During initial inspection on7/12/21 there was no daily schedule of activities.

Corrected Corrected by Jul 26, 2021

Marked corrected in the state record.

3290.94(a)(5) · Evacuation routes are posted in a conspicuous location on each floor of the facility.

During initial inspection on7/12/21 there was 1 evacuation route that was posted on the first floor. There were no evacuation routes posted on the 2nd floor or in the basement.

Corrected Corrected by Jul 26, 2021

Marked corrected in the state record.