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 10/3/2023, fee agreement for child #2 was missing fee amount and date fee is to be paid.

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6) · An agreement shall specify the date of the child's admission.

During renewal inspection conducted 10/3/2023, fee agreement for child #2 is missing date of admission.

Corrected Corrected by Oct 5, 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 #1 will be dismissed from care by close of business October 3, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

During renewal inspection conducted 10/3/2023, immunization schedule for child #1 does not reflect influenza vaccine for 2022. There was no exemption on file.

Corrected Corrected by Oct 5, 2023

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

3290.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During renewal inspection conducted 10/3/2023, facility's diapering surface was ripped, exposing the foam inside and rendering the surface unable to be properly sanitized.

Corrected Corrected by Oct 5, 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 10/3/2023, emergency contact form and fee agreement for child #1 were last updated 4/1/2023.

Corrected Corrected by Oct 5, 2023

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 10/3/2023, facility conducted fire drills on 5/3/2023 and 7/7/2023, which is past 60 days.

Corrected Corrected by Oct 5, 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. 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 trainings are 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.

Facility person #1 was observed to be caring for children unsupervised. 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 12/12/2017.

Corrected Corrected by Dec 15, 2022

Category: supervision. 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 in a childcare position at the facility.

During renewal inspection conducted 12/14/2022, 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 12/12/2017.

Corrected Corrected by Dec 15, 2022

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

3290.64(a)/3290.102(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. 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.

During renewal inspection conducted 12/14/2022, the door of the cabinet on the bathroom sink used by children was broken. When certification representative pulled on the handle, the door dislodged exposing several nails sticking out. Additionally, there was a cleaning material under the sink labeled "Keep out of reach of children" which was accessible to children due to the broken door.

Corrected Corrected by Dec 16, 2022

Category: ratio. 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 12/14/2022, facility's first-aid kit did not contain tape.

Corrected Corrected by Dec 16, 2022

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 12/14/2022, last health assessment on file for Child #1 is dated 9/29/2021. Child is preschool-aged (see LIS code sheet).

Corrected Corrected by Jan 12, 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 12/14/2022, signed parental consent for emergency medical care was missing from Child #1 and Child #2's records.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. 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.

During renewal inspection conducted 12/14/2022, facility did not have evacuation routes posted on the first, second, or third floors of the facility.

Corrected Corrected by Dec 16, 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 12/14/2022, facility's fire detection testing log reflected that smoke alarms were last tested 11/12/2022, which is past 30 days.

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. Marked corrected in the state record.