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.

According to staff 1, the upstairs bathroom is utilized at times by daycare children. The upstairs bathroom had toxics, such as cleaning supplies, accessible to the children. The toxics were in an unlocked cabinet under the sink.

Corrected Corrected by Mar 24, 2025

Category: ratio. 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.

According to staff 1 and 2, the basement bathroom is the main bathroom utilized by daycare children. In the basement, the exit that leads to the outside is obstructed by various objects, making it difficult to utilize the exit.

Corrected Corrected by Mar 21, 2025

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 OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

During renewal inspection conducted 3/12/2024, facility's emergency plan did not address continuity of operations.

Corrected Corrected by Mar 12, 2024

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 3/12/2024, facility person #1 was last trained in emergency plan on 2/22/2022.

Corrected Corrected by Mar 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During renewal inspection conducted 3/12/2024, fee agreement for child #2 did not include release person(s).

Corrected Corrected by Mar 12, 2024

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 must be dismissed from care by close of business 3/12/2024 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 3/12/2024, immunization record for child #1 reflects that child #1 received 1 of 2 doses of Hepatitis A vaccine. Last dose was administered 3/23/2023. There is no exemption on file. Child #1 is an older toddler (see LIS code sheet for date of birth.

Corrected Corrected by Mar 12, 2024

Category: health medication. 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 3/12/2024, facility's fire drill log does not list names of facility persons who participated in the drills.

Corrected Corrected by Mar 12, 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 3/12/2024, facility's fire detection testing log indicated that smoke alarms were tested past 30 days on the following occasions: 3/3/2023-4/6/2023, 4/6/2023-5/18/2023, 8/14/2023-9/14/2023, 10/13/2023-11/13/2023.

Corrected Corrected by Mar 12, 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 3/12/2024, facility's interconnected smoke alarms were not OSHA-approved.

Corrected Corrected by Mar 12, 2024

Category: ratio. 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 3/22/2023, last health assessment on file for Child #2 is dated 8/19/2022. Child #2 is a young toddler (see LIS code sheet).

Corrected Corrected by Mar 23, 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 #2 will be dismissed from care by close of business on 3/22/2023 until either the immunization record is updated or a parent provides a written, signed exemption letter.

During renewal inspection conducted 3/22/2023, Child #2 received 3 of 4 doses of HIB and Polio vaccines. No record of Hep A vaccine. Child #2 is a young toddler (see LIS code sheet). There is no exemption on file.

Corrected Corrected by Mar 23, 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 3/22/2023, emergency contact forms and fee agreements have not been reviewed/updated within the past 6 months: Child #1: last updated 7/6/2022. Child #2: last updated 7/11/2022. Child #3: last updated 7/11/2022. Child #4: last updated 7/6/2022. Child #5: last updated 7/6/2022.

Corrected Corrected by Mar 23, 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 3/22/2023, the following was missing from children's emergency contact forms: Child #1: consent for minor first-aid. Child #2: consent for emergency medical care and minor first-aid. Child #3: consent for emergency medical care and minor first-aid. Child #5: consent for emergency medical care.

Corrected Corrected by Mar 23, 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. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

During unannounced monitoring conducted on 12/19/2022, facility did not have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Dec 20, 2022

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

3290.31(f)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

On renewal inspection completed on 3/17/2022, Staff #1 received Adult, Child First-aid and CPR in online format only from a curriculum not approved by the Department.

Corrected Corrected by Mar 26, 2022

Category: ratio. 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.

On renewal inspection conducted 3/17/2022, fire drill log reflected that fire drill was conducted 10/16/2021 and next documented drill was 1/22/2022. Operator reports that a fire drill was conducted in December 2021; however, was not documented.

Corrected Corrected by Mar 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.

On renewal inspection conducted 3/17/2022, fire detection testing log indicated that systems were tested on 11/16/2021 and not again until 1/22/2022, which is past 30 days. Operator reports that fire detection systems were tested in December 2021, but were not documented.

Corrected Corrected by Mar 17, 2022

Category: recordkeeping. Marked corrected in the state record.