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.

The facility did not have a receipt on file for the smoke detectors. There was also more than 30 days between tests. Testing occurred on 7/19/2024 and again on 8/21/2024.

Corrected Corrected by Aug 21, 2024

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.

There were knives accessible in the kitchen to the children. The knives were in an unlocked drawer.

Corrected Corrected by Aug 21, 2024

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). Facility Person #1 may not work in a child care position at the facility until all clearances are obtained. 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 in a child care position at the facility until all clearances are obtained.

Staff 1 did not have a state police, FBI or NSOR clearance on file. Staff 1 also did not have a signed disclosure statement on file.

Corrected Corrected by Aug 21, 2024

Category: background checks. 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 outdoor play space, there were wooden board in the back that were spilt and accessible to children. The children could be poked with the boards. Also, upon entering the play space, to the left, there was broken siding that had sharp edges.

Corrected Corrected by Aug 21, 2024

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

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

Child 4 did not have a fee agreement on file.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. 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.

Staff 1 did not have a health assessment and TB screening on file.

Corrected Corrected by Sep 21, 2024

Category: ratio. 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.

Children 1-3 did not have consent for emergency medical care and minor first aid on file.

Corrected Corrected by Aug 28, 2024

Category: ratio. 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. Instructions for contacting the appropriate regional office also were not posted.

Corrected Corrected by Aug 21, 2024

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 2 and 3 did not have 12 hours of annual training on file. Staff 2 needs 6 more hours of annual training, while staff 4 needs 1 more hour of annual training.

Corrected Corrected by Aug 28, 2024

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) within 90 days of hire. Staff person #1 will have until 9/11/2024 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 staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of hire. (see LIS code sheet for date of hire): Get Started in Home Based Care-Revised 2022.

Corrected Corrected by Aug 28, 2024

Category: supervision. 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 8/1/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 1/2/2023-2/10/2023-3/14/2023; 4/6/2023-5/20/2023. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility's fire detection testing log reflected that smoke alarms were tested on 6/25/2023 and 8/1/2023, which is past 30 days. Smoke alarms were not tested since 8/1/2023. When certification representative returned for unannounced monitoring on 10/23/2023, facility's fire detection testing log indicated that smoke detectors were last tested on 9/20/2023, which is over 30 days ago.

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.18/3290.24(a)(5) · Conditions at the facility may not pose a threat to the health or safety of the children. The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

During renewal inspection conducted 8/1/2023, facility's emergency plan does not address volunteer emergency preparedness training, practice drills, or continuity of operations. Emergency plan does not provide for accommodations of infants and toddlers. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility's emergency plan does not address continuity of operations.

Corrected Corrected by Oct 18, 2023

Category: ratio. 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.

During renewal inspection conducted 8/1/2023, facility person #1 obtained 4.5 hours and facility person #2 obtained 7.5 clock hours of child care training for training year 12/19/2021-12/19/2022. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility person #2 obtained 10.5 clock hours of child care training for training year 12/19/2021-12/19/2022.

Corrected Corrected by Oct 18, 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 #2 will be dismissed from care by close of business 8/1/2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

During renewal inspection conducted 8/1/2023, child #2 did not have proof of receiving influenza vaccine or acceptable exemption on file. An acceptable plan of correction was received with correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, child #2 did not have proof of receiving influenza vaccine or acceptable exemption on file.

Corrected Corrected by Oct 18, 2023

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 renewal inspection conducted 8/1/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 1/2/2023-2/10/2023-3/14/2023; 4/6/2023-5/20/2023. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility's fire detection testing log reflected that smoke alarms were tested on 6/25/2023 and 8/1/2023, which is past 30 days. Smoke alarms were not tested since 8/1/2023.

Corrected Corrected by Oct 18, 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 unannounced inspection conducted 9/21/2023, facility's smoke alarms were not interconnected.

Corrected Corrected by Oct 18, 2023

Category: ratio. Marked corrected in the state record.

3290.22(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

During renewal inspection conducted 8/1/2023, facility's expired certificate of compliance was posted. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility did not have any certificate of compliance posted.

Corrected Corrected by Oct 18, 2023

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.

During unannounced monitoring conducted 9/21/2023, operator did not post a copy of inspection summary issued by the Department on August 28, 2023.

Corrected Corrected by Oct 18, 2023

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. Facility person #2 shall complete the required one-hour 2022 update to the health and safety training by October 7, 2023.

During renewal inspection conducted 8/1/2023, facility person #1, facility person #2, and facility person #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility person #2 has not completed the one-hour 2022 update to the health and safety training.

Corrected Corrected by Oct 18, 2023

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

3290.18/3290.24(a)(5) · 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. The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

During renewal inspection conducted 8/1/2023, facility's emergency plan does not address volunteer emergency preparedness training, practice drills, or continuity of operations. Emergency plan does not provide for accommodations of infants and toddlers.

Corrected Corrected by Aug 25, 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 8/1/2023, operator did not have documentation that facility person #2 and facility person #3 have been trained on the emergency plan within the past year.

Corrected Corrected by Aug 28, 2023

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 will have until August 29, 2023 to complete the mandated reporter training. Until such time as the required training has been completed, facility 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 facility person #1, facility person #1 may not work in a child-care position at the facility.

During renewal inspection conducted 8/1/2023, operator could not locate signed disclosure statements for facility person #2 and facility person #3. Facility person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/25/2016.

Corrected Corrected by Sep 5, 2023

Category: supervision. 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 renewal inspection conducted 8/1/2023, trash can outside containing used tissues and napkins did not have a lid. Trash can is in the outdoor play space and is accessible to children.

Corrected Corrected by Aug 25, 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 renewal inspection conducted 8/1/2023, facility's first-aid kit was missing tape.

Corrected Corrected by Aug 25, 2023

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 8/1/2023, the following was missing from children's fee agreements: Child #1: Date fee is to be paid. Child #2: Fee amount and date fee is to be paid. Child #3: Fee amount and date fee is to be paid.

Corrected Corrected by Aug 25, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During renewal inspection conducted 8/1/2023, the following was missing from children's fee agreements: Child #2: Arrival and departure times.

Corrected Corrected by Aug 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During renewal inspection conducted 8/1/2023, the following was missing from children's emergency contact forms: Child #1: Name, address, and phone number of child's physician. Child #2: Address, and phone number of child's physician. Child #3: Address, and phone number of child's physician.

Corrected Corrected by Aug 25, 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 8/1/2023, the following was missing from children's emergency contact forms: Child #1: Release person(s) address(es). Child #2: Mother's work address and work phone number. Child #3: Parent's work address and work phone number.

Corrected Corrected by Aug 25, 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 #2 will be dismissed from care by close of business 8/1/2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

During renewal inspection conducted 8/1/2023, child #2 did not have proof of receiving influenza vaccine or acceptable exemption on file.

Corrected Corrected by Aug 25, 2023

Category: health medication. 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 8/1/2023, the following was missing from children's emergency contact forms: Child #1: Signed parental consent for minor first-aid and signed parental consent for emergency medical care.

Corrected Corrected by Aug 25, 2023

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 8/1/2023, facility's fire drill log reflected that fire drills were conducted past 60 days on the following occasions: 8/9/2022-10/12/2022-12/15/2022-2/15/2023-4/20/2023.

Corrected Corrected by Aug 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 8/1/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 1/2/2023-2/10/2023-3/14/2023; 4/6/2023-5/20/2023

Corrected Corrected by Aug 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.22(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

During renewal inspection conducted 8/1/2023, facility's expired certificate of compliance was posted.

Corrected Corrected by Aug 25, 2023

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 8/1/2023, operator reports having done an emergency drill within the past year but could not locate documentation.

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During renewal inspection conducted 8/1/2023, facility's emergency plan was not posted in the facility. Operator reports that she does have an emergency plan and that she dropped it off to EMA for review.

Corrected Corrected by Aug 25, 2023

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. Facility person #1 must obtain 7.5 hours and facility person #2 must obtain 4.5 hours of child care training which will be counted toward training year 12/19/2021-12/19/2022. Training hours obtained to make up previous year's training hours cannot be used toward training year 12/19/2022-12/19/2023.

During renewal inspection conducted 8/1/2023, facility person #1 obtained 4.5 hours and facility person #2 obtained 7.5 clock hours of child care training for training year 12/19/2021-12/19/2022.

Corrected Corrected by Aug 25, 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. Facility person #1, facility person #2, and facility person #3 shall complete the required one-hour 2022 update to the health and safety training by August 29, 2023.

During renewal inspection conducted 8/1/2023, facility person #1, facility person #2, and facility person #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Aug 25, 2023

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