3290.124(b)(4)/3290.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child #1 did not have signed parental consent for emergency medical care.

Corrected Corrected by Dec 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.182(5) · 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 did not have signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Dec 18, 2024

Category: ratio. Marked corrected in the state record.

3290.24(a)(3)/3290.24(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The provider did not have a method to contact parents and method to contact parents after an emergency has ended in the parent letter.

Corrected Corrected by Feb 8, 2024

Category: physical safety. 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. Household member #2 will not be at the home while children are in care until clearance has been obtained.

Household member #2, who is over eighteen years of age, did not obtain the required FBI clearance within 60 months. The previous clearance was dated 12-13-2017. The current FBI clearance is dated for 12-14-2023. Staff #1 and household member #2 did not have a disclosure statement on file.

Corrected Corrected by Feb 9, 2024

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

3290.24(g) · 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.

The provider did not have documentation of the facility's emergency plan being sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 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.

Provider had documentation of fire alarm testing done from 8-9-23 to 9-20-23 and 9-20-23 to 10-24-23. These dates indicate that the provider was 12 days late and 4 days late as testing is required every 30 days.

Corrected Corrected by Feb 7, 2024

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 provider did not have documentation of an annual emergency drill log.

Corrected Corrected by Feb 6, 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 facility did not have a Shaken Baby Syndrome policy on file.

Corrected Corrected by Dec 5, 2022

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

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person 1 will have until 12/17/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person/volunteer #1 must be supervised when interacting with children, by a primary 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.

Staff 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 3/10/2016.

Corrected Corrected by Dec 17, 2022

Category: supervision. Marked corrected in the state record.

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.

During the renewal inspection on 12/2/2022, there was an uncovered radiator in the downstairs bathroom with the heat on. The bathroom is utilized by the children. Certification representative took the temperature of the radiator and it measured at 116 degrees.

Corrected Corrected by Dec 2, 2022

Category: physical safety. 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.

Child 1 had a health assessment that was dated 2/5/2021 making it more than 12 months since the last update.

Corrected Corrected by Jan 2, 2023

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

3290.94(a)(1)/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 fire drills are conducted at least once every 60 days. 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 the renewal inspection on 12/2/2022, it was observed that the last fire drill occurred on 9/27/2022, making it more than 60 days since the last fire drill. There was no evacuation maps in the basement, 2nd floor or attic.

Corrected Corrected by Dec 6, 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 the renewal inspection on 12/2/2022, it was found that the alarms were last tested on 9/27/2022, making it more than 30 days since the last test.

Corrected Corrected by Dec 2, 2022

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). 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.

Staff 1 did not update mandated reporter training within 60 months. Staff 1 has mandated reporter training dated 8.20.15 and 11.23.20.

Corrected Corrected by Dec 27, 2021

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

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.

Inspector observed hot water pipes in the living room by the same wall where the provider hangs information for child care is not be equipped with protective guards or shall be insulated to prevent direct contact, is 112° F and is accessible to children. The water temperature is 113° F and is accessible to children.

Corrected Corrected by Jan 18, 2022

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

3290.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Inspector observed several plastic bags (approx. 7) in the unlocked draws. All plastic bags are accessible to children who are still placing objects in their mouths. On day of renewal, inspector observed 2 OT that have access to the draws that contained the plastic bags.

Corrected Corrected by Dec 28, 2021

Marked corrected in the state record.

3290.121(a)/3290.121(b) · The operator shall review with the parent, at the time of application, 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. 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.

Provider does not have hours for which care is provided, fees, responsibilities for meals, clothing, supervision policies, night care policies and dismissal policies to review with the parent nor in writing for the parent to receive.

Corrected Corrected by Jan 18, 2022

Category: supervision. Marked corrected in the state record.

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.

The fee agreement for child 4 does not specify the amount of the fee to be charged per day or per week. The fee agreement for child 2 does not specify the date on which the fee is to be paid.

Corrected Corrected by Jan 18, 2022

Category: recordkeeping. 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.

Emergency contact information for children 1, 3 and 4 does not include the work addressees of the enrolling parent. Emergency contact information child 1 does not include the home addresses of the enrolling parent. Emergency contact information for children 4 does not include the home telephone numbers of the enrolling parent. Emergency contact information for child 1 does not include the work telephone numbers of the enrolling parent.

Corrected Corrected by Jan 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(4)/3290.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Emergency contact information for child 1 does not include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Jan 18, 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.

Emergency contact information for children 1, 2, and 4 do not include the address of the individual designated by the parent to whom the child may be released. Emergency contact information for child 3 does not include the telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 18, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

While conducting the renewal inspection, inspector observed child given a snack but child was not taken to wash hands.

Corrected Corrected by Jan 18, 2022

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

3290.182(5) · 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.

Emergency contact form for child 1 does not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jan 18, 2022

Category: ratio. 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 does not have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 18, 2022

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

3290.94(a)(4) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Hypothetical locations of the fire are not rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Hypothetical location listed on fire drill is K door and front door. Both hypothetical locations are the same for consecutive drills.

Corrected Corrected by Dec 23, 2021

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.

Fire drill devices are not being checked every 30 days. Last fire alarm check that is documented occurred 10.1.21.

Corrected Corrected by Dec 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.22(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

The conspicuous location used by parents does not have instructions for contacting the Northeast regional child care office posted.

Corrected Corrected by Jan 18, 2022

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.

Emergency drills are not conducted annually and they are not documented and on file at the facility.

Corrected Corrected by Dec 27, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.31(g)/3290.31(i) · Staff persons shall complete professional development in the following topics within 90 days of the date of hire:All staff persons shall complete the professional development under subsection (g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department.

Staff 2 does not have proof of completion for the CCDBG health and safety professional development on file and works as a cook in the facility.

Corrected Corrected by Jan 20, 2022

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