3290.124(e)/3290.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Child #1's agreement and emergency contact was reviewed and signed by parent on 7/26/23 and then again on 7/1/24 which exceeds the requirement of parents reviewing every 6 months.

Corrected Corrected by Jul 19, 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.

It was observed during an inspection on 3/14/2024, that the last fire alarm test was on 2/1/2024, making it more than 30 days since the last fire alarm test. It was also observed that the facility did not have interconnected fire alarms on site. The facility did have 10-year lithium-ion smoke detectors, that were operational.

Corrected Corrected by Mar 22, 2024

Category: ratio. 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.

Child 1 did not have the release person address on the emergency contact form.

Corrected Corrected by Jul 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2)/3290.124(b)(3) · 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 the home and work addresses and telephone numbers of the enrolling parent.

Child 2 did not have the phone number of the physician on file. Child 2 also did not have the parents work address and phone number on file. The home phone number also was not on file.

Corrected Corrected by Jul 26, 2023

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.

Child 2 did not have a health insurance policy number on file.

Corrected Corrected by Jul 26, 2023

Category: health medication. 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 facility was not able to produce a Shaken Baby, Syndrome, Abusive Head Trauma, and Child Maltreatment policy.

Corrected Corrected by Jul 25, 2023

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 Child Protective Services). Staff person 1 will have until 8/10/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children, by a primary care 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. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 may not work in a child care position at the facility until the NSOR 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 and 2 may not work in a child care position at the facility until the NSOR clearances are obtained.

Staff person 2 did not have proof of the mandated reporter training on file. Staff 1 and 2 did not have the NSOR clearance on file.

Corrected Corrected by Jul 25, 2023

Category: supervision. Marked corrected in the state record.

3290.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The facilities basement exit did not have a clear exit. On the facility's emergency plan, the facility's basement is one of the emergency exit points.

Corrected Corrected by Aug 1, 2023

Category: physical safety. 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.

The facility did not have a written daily schedule posted in the child care space.

Corrected Corrected by Aug 2, 2023

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).

Child 3 did not have a child service report on file.

Corrected Corrected by Jul 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(e)/3290.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Children 2 and 3 had outdated emergency contact forms and fee agreements. Child 2's emergency contact form and fee agreement was last updated 3/1/2022. Child 3's emergency contact form and fee agreement was last updated 9/29/2022.

Corrected Corrected by Jul 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(2)/3290.131(e)(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. 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. Children 1, 2 and 3 will not be in childcare until exemption letters are obtained or updated immunizations are obtained.

Children 1, 2 and 3 did not have updated flu shots or exemption letters on file. Child 3 did not have an updated health assessment. The last health assessment on file for child 3, who is a preschool age child, was dated 11/5/2021.

Corrected Corrected by Jul 28, 2023

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.

The facility did not have proof of conducting fire drills since 8/4/2022.

Corrected Corrected by Jul 30, 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.

The facility did not have proof of conducting fire alarm testing since 8/4/2022.

Corrected Corrected by Jul 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The facility did not have an updated emergency plan on file. The emergency plan was last reviewed on 7/21/2021.

Corrected Corrected by Jul 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility did not have an emergency drill on file.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. 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 and 2 did not have 12 hours of annual training. Staff 1 and 2 had approximately 5 1/2 hours on file.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff person #1,2 and 3 shall complete the required one-hour 2022 update to the health and safety training by 8/10/2023.

Staff person #1, 2 and 3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022

Corrected Corrected by Aug 10, 2023

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

3290.18/3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff persons 1 and 2 will have until 7/26/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons 1 and 2 must be supervised, when interacting with children, by an (AGS, primary staff person, or 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 persons 1 and 2, staff persons 1 and 2 may not work in a child-care position at the facility.

Staff persons 1 and 2 was observed to be caring for children unsupervised. Staff persons #1 and 2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/21/2016 for staff 1 and 9/17/2016 for staff 2. The facility also did not have a shaken baby syndrome policy on file.

Corrected Corrected by Jul 25, 2022

Category: supervision. Marked corrected in the state record.

3290.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Children 2 and 3 did not have a fee amount documented on the fee agreement. Child three also did not have the date to be paid on file.

Corrected Corrected by Jul 11, 2022

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.

The physician information for children 1 and 2 was missing. Child 1 did not have the address documented for the physician. Child 2 did not have the physician phone number documented.

Corrected Corrected by Jul 11, 2022

Category: health medication. 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.

Child 1 was missing the business number and address for the enrolling parent.

Corrected Corrected by Jul 11, 2022

Category: recordkeeping. 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.

Child 3 did not have the release person's address on file.

Corrected Corrected by Jul 11, 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.

The annual inspection occurred on 7/11/2022. According the fire alarm testing records, the fire alarm was last tested on June 4th of 2022. That makes it more than 30 days since the last test.

Corrected Corrected by Jul 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.24(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The emergency plan that was on file was last dated from 2018.

Corrected Corrected by Jul 11, 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 a complaint investigation on 8/11/2021, it was observed that fire alarm testing was last completed on 6/28/2021. As a result, testing was completed more then 30 days ago.

Corrected Corrected by Aug 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 may not be on the premises during child care hours until all updated 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 and 2 may not be on the premises during child care hours until all updated clearances are obtained.

During the annual inspection on 7/12/2021, staff 1 and 2 had outdated child abuse clearances dated 11/23/2015.

Corrected Corrected by Jul 27, 2021

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

3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 may not be on the premises during child care hours until all updated 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 and 2 may not be on the premises during child care hours until all updated clearances are obtained.

During the annual inspection on 7/12/2021, staff 1 and 2 had outdated child abuse clearances dated 11/23/2015.

Corrected Corrected by Jul 12, 2021

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

3290.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The facility's basement garage door was blocked by a gaming table, various tools and bags. This posed a fire safety hazard due to the garage door being an exit from the facility.

Corrected Corrected by Jul 20, 2021

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

3290.102(a) · 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.

In the outdoor play area, there was a loose picket on the fence. Behind the loose picket, there were rusty nails.

Corrected Corrected by Jul 12, 2021

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

3290.111(c) · Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

The provider did not have a daily schedule posted.

Corrected Corrected by Jul 12, 2021

Category: background checks. 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.

Child 1 and 2 did not have updated immunizations on file. Child 1 did not have updated DTAP, HiB, Pneumoccal or influenza immunizations. Child 2 did not have an updated influenza shot on file. There were no letters of exemption on file.

Corrected Corrected by Aug 13, 2021

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

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

There was no evacuation route in the basement.

Corrected Corrected by Jul 12, 2021

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.

In the beginning of the annual inspection on 7/12/2021, the facility did not have a 10 year lithium ion smoke detector in the basement. The facility also did not have a class B fire extinguisher in the kitchen.

Corrected Corrected by Jul 20, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(1)/3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.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 the annual inspection on 7/12/2021, the emergency plan did not have a lockdown section or provide for accommodations of infants and toddler, children with disabilities and chronic medical conditions.

Corrected Corrected by Jul 12, 2021

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