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.

There were toxics were the sink in the kitchen. Children would have access to the kitchen when going outside to the play area.

Corrected Corrected by Dec 9, 2024

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.

The first aid kit was missing medical tape.

Corrected Corrected by Dec 9, 2024

Category: health medication. 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.

The pack and play that was in the childcare is used by children, as per provider. The pack and play was not labeled with a name.

Corrected Corrected by Dec 9, 2024

Category: physical safety. 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, the facility's fire detection testing log reflected that smoke alarms were tested past 30 days on 10/17/2023-11/17/2023. An acceptable plan of correction was received with a correction date of 1/14/2024. When certification representative returned for unannounced monitoring on 2/20/2024, the facility's fire detection testing log reflected that smoke alarms were tested past 30 days on 12/11/2023-1/11/2024.

Corrected Corrected by Feb 20, 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. The operator shall update the section of their emergency plan that must address continuity of operations.

During renewal inspection, facility's emergency plan did not include continuity of operations..

Corrected Corrected by Jan 14, 2024

Category: ratio. Marked corrected in the state record.

3290.105(a) · (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.

During renewal inspection, child #6 was asleep in an infant seat. Child #6 is a young toddler (see LIS code sheet for date of birth).

Corrected Corrected by Jan 14, 2024

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

3290.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During renewal inspection, thermometer in facility's refrigerator reflected that temperature of refrigerator was 46°.

Corrected Corrected by Jan 14, 2024

Category: nutrition. Marked corrected in the state record.

3290.123(a)/3290.123(a)(4) · An agreement shall be signed by the operator and the parent. An agreement shall specify the child's arrival and departure times.

During renewal inspection, the following information was missing from children's fee agreements: Child #2: Signed/dated by operator. Child #4: Departure time. Child #5: Departure time.

Corrected Corrected by Jan 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(2)/3290.123(a)(6) · An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the date of the child's admission.

During renewal inspection, the following information was missing from children's fee agreements: Child #1: Date of admission. Child #2: Date of admission. Child #3: Date of admission. Date fee to be paid. Child #4: Date of admission. Date fee to be paid. Child #5: Date of admission. Date fee to be paid.

Corrected Corrected by Jan 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2)/3290.124(b)(6) · 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 health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

During renewal inspection, the following was missing from children's emergency contact forms: Child #1: Name and address of doctor. Health insurance coverage information and policy number. Child #2: Name and address of doctor. Health insurance coverage information and policy number.

Corrected Corrected by Jan 14, 2024

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, the following was missing from children's emergency contact forms: Child #1: Mother's work address and work phone number. Release person(s) address(es) and phone number(s). Child #2: Mother's work address and work phone number. Release person(s) address(es) and phone number(s). Child #3: Both parents' work addresses and work phone numbers. Release persons' last names and addresses. Child #4: Father's address. Both parents' work addresses and work phone numbers. Addresses of release persons. Child #5: Father's address. Both parents' work addresses and work phone numbers. Addresses of release persons.

Corrected Corrected by Jan 14, 2024

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, the following information was missing from children's emergency contact forms: Child #1: Signed parental consent for minor first-aid and emergency medical care. Child #2: Signed parental consent for minor first-aid and emergency medical care. Child #3: Signed parental consent for minor first-aid and emergency medical care. Child #4: Signed parental consent for minor first-aid and emergency medical care. Child #5: Signed parental consent for minor first-aid and emergency medical care.

Corrected Corrected by Jan 14, 2024

Category: ratio. 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, the facility's fire detection testing log reflected that smoke alarms were tested past 30 days on 10/17/2023-11/17/2023.

Corrected Corrected by Jan 14, 2024

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 initial inspection conducted 9/5/2023, facility did not have evacuation routes posted in the basement, first or second floors of the facility. An acceptable plan of correction was received with a correction date of 9/9/2023. When certification representative returned for unannounced monitoring on 9/18/2023, facility did not have evacuation route posted on the second floor of the facility.

Corrected Corrected by Sep 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 initial inspection conducted 9/5/2023, smoke alarm on the first floor is not an OSHA-approved interconnected smoke alarm. An acceptable plan of correction was received with a correction date of 9/9/2023. When certification representative returned for unannounced monitoring on 9/18/2023, interconnected smoke alarms throughout the facility were not OSHA-approved.

Corrected Corrected by Sep 18, 2023

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 initial inspection conducted 9/5/2023, facility's first-aid kit did not contain tweezers or soap.

Corrected Corrected by Sep 5, 2023

Marked corrected in the state record.

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.

During initial inspection conducted 9/5/2023, an air freshener and hand wipes labeled "keep out of reach of children" were observed in the bathroom indicated by provider that will be used for children.

Corrected Corrected by Sep 5, 2023

Category: ratio. Marked corrected in the state record.

3290.135(a)(3)/3290.135(b) · 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. 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 initial inspection conducted 9/5/2023, facility's diapering pad was ripped, exposing the foam and rendering it unable to be properly sanitized after use. Trash can that facility is using for disposing diapers is not hands-free.

Corrected Corrected by Sep 5, 2023

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

3290.24(a)(5)/3290.24(g) · 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 operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

During initial inspection conducted 9/5/2023, facility's emergency plan did not provide for accommodations of infants and toddlers. Operator admitted that emergency plan was not sent to local or county EMAs.

Corrected Corrected by Sep 5, 2023

Category: physical safety. 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 initial inspection conducted 9/5/2023, facility did not have evacuation routes posted in the basement, first or second floors of the facility.

Corrected Corrected by Sep 9, 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 initial inspection conducted 9/5/2023, smoke alarm on the first floor is not an OSHA-approved interconnected smoke alarm.

Corrected Corrected by Sep 9, 2023

Category: ratio. Marked corrected in the state record.