3290.69 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

The facility stove does not have a stove guard, and the children eat at a small table in the kitchen where the stove is located.

Corrected Corrected by May 13, 2025

Category: physical safety. 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.

Facility staff person had Pediatric First Aid and CPR on file that expired 1/7/23 and did not get recertified and the training until 1/25/25.

Corrected Corrected by May 13, 2025

Category: ratio. Marked corrected in the state record.

3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There is chipped paint on the left wall of the living room near the pack n play used for childcare.

Corrected Corrected by May 13, 2025

Category: physical safety. 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.

There is no cot chart assigning cots to the children for the facility napping cots used by the children.

Corrected Corrected by May 13, 2025

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

3290.121(b)/3290.123(a) · 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. An agreement shall be signed by the operator and the parent.

Child # 1 did not have their emergency contact form or fee agreement completed at the time of their enrollment. The forms were completed and on file 3/8/25. Child # 2 & # 3 enrolled and attending facility do not have emergency contact forms or fee agreements completed fully or dated on file.

Corrected Corrected by Apr 25, 2025

Category: supervision. Marked corrected in the state record.

3290.123(a)(2)/3290.123(a)(3) · An agreement shall specify the date on which the fee is to be paid. 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 # 1 does not list the day the fee is to be paid on the agreement. Child # 1 does not list the services to be provided while in care.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(4)/3290.123(a)(5) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Child # 1 & # 3 do not have arrival times or departure times on file nor do they have release persons listed in their files.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The following children do not have dates of admission listed in their files: child # 1,2, & 3.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The original fee agreement is on file for child # 1 & # 2. Child # 3 does not have a fee agreement on file.

Corrected Corrected by Apr 25, 2025

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 # 1 & # 3 fo not have the enrolling parents' home or work addresses or phone numbers listed in the file. Child # 2 does not have the name of the physician, address or the number listed in the child's file.

Corrected Corrected by Apr 25, 2025

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 # 1 & # 3 do not have medical policy coverage or numbers on file.

Corrected Corrected by Apr 25, 2025

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

3290.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The diapering can is not lined.

Corrected Corrected by Apr 24, 2025

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

3290.161(a)/3290.165 · Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

There is expired milk in the refrigerator that expired on 4/22/25 and rotten, uncovered and cut bell peppers. Operator provides meals and does not have a menu.

Corrected Corrected by Apr 24, 2025

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.

Child # 1 does not have signed consent for emergency medical care and minor first aid.

Corrected Corrected by Apr 25, 2025

Category: ratio. Marked corrected in the state record.

3290.192(3) · 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 staff # 1 and HH member # 2 do not have signed disclosure statements on file.

Corrected Corrected by Apr 25, 2025

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

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

The facility emergency plan does not list accommodations for infants and toddlers.

Corrected Corrected by May 13, 2025

Category: physical safety. 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.

Fire drill log does not list the hypothetical location of the fire, name of staff persons and specific time of the drill.

Corrected Corrected by Apr 25, 2025

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.

Facility operator has no documentation of the fire alarms being tested every 30 days.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.