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

During the renewal inspection, it was observed that there was no emergency plan drill documented.

Corrected Corrected by Jan 14, 2025

Category: recordkeeping. 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 the renewal inspection, it was observed that there was no soap in the first aid kit.

Corrected Corrected by Jan 6, 2025

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.

During the renewal inspection, it was observed that the pack n' plays were not labeled. One was actively being used during the renewal inspection.

Corrected Corrected by Jan 6, 2025

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).

Children 2, 3 4 and 5 did not have the services provided section filled out on the fee agreement. Child 5 also did not have an updated child service report filled out. There was one on file dated for 07/2024. However, it was blank.

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. 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 3 did not have the health care policy number documented on his fee agreement.

Corrected Corrected by Jan 6, 2025

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

3290.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Child 1's health assessment did not have a statement on file stating that he is able to participate in child care and is free from contagious or communicable disease.

Corrected Corrected by Feb 7, 2025

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

3290.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Child 3 did not have an infant feeding schedule on file.

Corrected Corrected by Jan 21, 2025

Category: nutrition. 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.

Child 5 did not have an updated fee agreement on file. The last fee agreement on file was dated 1/21/2024, making it more than 6 months past due.

Corrected Corrected by Jan 7, 2025

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.

Child 3 did not have permission for emergency medical care or minor first aid on file.

Corrected Corrected by Jan 6, 2025

Category: ratio. 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.

During the renewal inspection on 1/6/2025, it was observed that there was no fire drills documented throughout the year. As per operator's daughter, the log is missing.

Corrected Corrected by Jan 14, 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.

During the renewal inspection on 1/6/2025, it was observed that there was no fire alarm testing documented throughout the year. As per operator's daughter, the log is missing.

Corrected Corrected by Jan 14, 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.

The facility was not able to demonstrate the smoke detectors were all interconnected on each floor, including the basement, first, second and third floor.

Corrected Corrected by Jan 21, 2025

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 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 on 1/9/2024, facility's emergency plan did not include a continuity plan for operations in times of an emergency. An acceptable plan of correction was received with a correction date of 3/30/2024. When certification representative returned for unannounced monitoring on 4/3/2024, facility's emergency plan did not include a continuity plan for operations in times of an emergency.

Corrected Corrected by Apr 9, 2024

Category: ratio. Marked corrected in the state record.

3290.121(a) · 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.

During renewal inspection conducted 1/9/2024, operator admitted that facility does not have a parent handbook containing 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 acceptable plan of correction was received with a correction date of 1/31/2024. When certification representative returned for unannounced monitoring on 4/3/2024, facility did not have a parent handbook containing 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.

Corrected Corrected by Apr 12, 2024

Category: supervision. 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).

During renewal inspection conducted 1/9/2024, there were no Child Service Reports (CSRs) on file for child #1 or child #2. All previously mentioned children have been enrolled and attending the facility for over 6 months (see LIS code sheet for dates of admission). An acceptable plan of correction was received with a correction date of 1/31/2024. When certification representative returned on 4/3/2024, there were no Child Service Reports (CSRs) on file for child #1 or child #2. All previously mentioned children have been enrolled and attending the facility for over 6 months (see LIS code sheet for dates of admission).

Corrected Corrected by Apr 8, 2024

Category: recordkeeping. 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.

During unannounced monitoring conducted 4/3/2024, facility's fire drill log indicated that last fire drill was conducted on 1/3/2024, which is past 60 days.

Corrected Corrected by Apr 9, 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 1/9/2024, facility's fire detection testing log indicated that smoke alarms were tested past 30 days on the following occasions: 5/3/2023-6/3/2023, 6/3/2023-7/4/2023, 9/1/2023-10/3/2023, 12/1/2023-1/2/2024. An acceptable plan of correction was received with a correction date of 1/9/2024. When certification representative returned for unannounced monitoring on 4/3/2024, facility's fire detection testing log indicated that smoke alarms were last tested on 1/21/2024. Smoke alarms were tested during inspection and were operable.

Corrected Corrected by Apr 3, 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 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 on 1/9/2024, facility's emergency plan did not include a continuity plan for operations in times of an emergency.

Corrected Corrected by Mar 30, 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.

During renewal inspection conducted 1/9/2024, facility's first-aid kit was missing soap.

Corrected Corrected by Jan 31, 2024

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.

During renewal inspection conducted 1/9/2024, an older toddler was put to sleep in a high chair and was not moved to a cot until after certification representative advised that children cannot sleep in chairs.

Corrected Corrected by Jan 31, 2024

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

3290.121(a) · 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.

During renewal inspection conducted 1/9/2024, operator admitted that facility does not have a parent handbook containing 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.

Corrected Corrected by Jan 31, 2024

Category: supervision. Marked corrected in the state record.

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

During renewal inspection conducted 1/9/2024, the following information was missing from children's fee agreements: Child #1: Release person(s). Signed by operator.

Corrected Corrected by Mar 30, 2024

Category: recordkeeping. 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.

During renewal inspection conducted 1/9/2024, the following information was missing from children's fee agreements: Child #1: Fee amount. Date fee to be paid. Child #2: Date fee to be paid.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. 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).

During renewal inspection conducted 1/9/2024, there were no Child Service Reports (CSRs) on file for child #1, child #2, or child #4. All previously mentioned children have been enrolled and attending the facility for over 6 months (see LIS code sheet for dates of admission).

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(4)/3290.123(a)(6) · An agreement shall specify the child's arrival and departure times. An agreement shall specify the date of the child's admission.

During renewal inspection conducted 1/9/2024, the following information was missing from children's fee agreements: Child #1: Arrival and departure times. Date of admission. Child #2: Date of admission. Child #3: Date of admission.

Corrected Corrected by Mar 30, 2024

Category: recordkeeping. 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 conducted 1/9/2024, the following information was missing from children's emergency contact forms: Child #1: Father's home and work addresses and telephone numbers. Mother's work address and work telephone number. Child #2: Father's home and work addresses and telephone numbers. Mother's work address and work telephone number. Release persons' addresses. Child #3: Father's home and work addresses and telephone numbers. Mother's work telephone number. Release persons' addresses. Child #4: Father's work address and work telephone number. Mother's work telephone number.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. 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.

During renewal inspection conducted 1/9/2024, the following information was missing from children's emergency contact forms: Child #1: Health insurance information and policy number.

Corrected Corrected by Jan 31, 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 1/9/2024, facility's fire drill log does not include the names of the facility persons who participated in fire drills.

Corrected Corrected by Jan 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.131(e) · The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

During renewal inspection conducted 1/9/2024, there was no initial health assessment or immunization record on file for child #1 or child #2. Both children have been attending facility for over 60 days (see LIS code sheet for date of admission).

Corrected Corrected by Jan 31, 2024

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 #5 must be dismissed from care by close of business 1/9/2024 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 1/9/2024, child #5 did not receive Hep A vaccine. Child #5 is an older toddler (see LIS code sheet for date of birth). There is no exemption on file.

Corrected Corrected by Jan 17, 2024

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

3290.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

During renewal inspection conducted 1/9/2024, facility had unlabeled diaper cream.

Corrected Corrected by Jan 31, 2024

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

3290.135(b) · 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 renewal inspection conducted 1/9/2024, diaper surfacing area was covered with a cloth cover which cannot be cleaned after each use by wiping the surface. Cloth is not changed with each use.

Corrected Corrected by Jan 31, 2024

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 1/9/2024, the following fee agreements were not updated within the past 6 months: Child #1: Fee agreement last updated 5/1/2023. Child #4: Fee agreement last updated 11/10/2022.

Corrected Corrected by Feb 19, 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 conducted 1/9/2024, consent for emergency medical care and consent for minor first-aid was not signed by parent of child #2.

Corrected Corrected by Jan 31, 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 conducted 1/9/2024, facility's fire detection testing log indicated that smoke alarms were tested past 30 days on the following occasions: 5/3/2023-6/3/2023, 6/3/2023-7/4/2023, 9/1/2023-10/3/2023, 12/1/2023-1/2/2024.

Corrected Corrected by Jan 9, 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 1/9/2024, facility did have OSHA-approved smoke detectors installed in the home; however, could not demonstrate that they operate in an interconnected fashion.

Corrected Corrected by Jan 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.18 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, facility person #2 must be supervised, when interacting with children, by a 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 facility person #2, facility person #2 may not work in a child-care position at the facility.

During unannounced monitoring conducted 2/27/2023, facility person #2 was observed to be caring for children unsupervised. Facility person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter training.

Corrected Corrected by Feb 28, 2023

Category: supervision. 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 conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: signed by parent and operator. Arrival and departure times. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's fee agreement.

Corrected Corrected by Feb 27, 2023

Category: recordkeeping. 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.

During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: fee amount and date fee is to be paid. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's fee agreement.

Corrected Corrected by Feb 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(5)/3290.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: Date of admission. Release persons. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's fee agreement.

Corrected Corrected by Mar 14, 2023

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 conducted 2/1/2023, the following was missing from emergency contact form: Child #1: name, address, and phone number of child's physician/medical care. Health insurance coverage and policy number. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's emergency contact form.

Corrected Corrected by Mar 14, 2023

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 conducted 2/1/2023, the following was missing from emergency contact form: Child #1: work address and work phone number of child's mother. Address of child's father. Child's father is also listed as a release person. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's emergency contact form.

Corrected Corrected by Feb 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

During renewal inspection conducted 2/1/2023, facility did not have a written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted in a conspicuous location. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, emergency transportation plan was not posted in a conspicuous location in the facility.

Corrected Corrected by Feb 27, 2023

Category: transportation. 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 2/1/23, Child #1's emergency contact form was last updated 5/9/2022. An acceptable plan of correction was received with correction date of 2/23/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's emergency contact form.

Corrected Corrected by Feb 27, 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 2/1/2023, Child #1's record did not contain signed parental consent for emergency medical care or minor first-aid procedures by facility persons. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's emergency contact form.

Corrected Corrected by Mar 14, 2023

Category: ratio. Marked corrected in the state record.

3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Per OCDEL Announcement C-22-06, all current child care staff who completed the previous health and safety pre-service training modules, listed below, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 Versión en español: Actualización de Salud y Seguridad de Pennsylvania 2022) by December 30, 2022. Facility person #1 shall complete the required one-hour 2022 update to the health and safety training by March 14, 2023.

Corrected Corrected by Feb 28, 2023

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

3290.123(a)(5)/3290.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: Date of admission. Release persons.

Corrected Corrected by Feb 17, 2023

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 conducted 2/1/2023, the following was missing from emergency contact form: Child #1: name, address, and phone number of child's physician/medical care. Health insurance coverage and policy number.

Corrected Corrected by Feb 17, 2023

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 conducted 2/1/2023, the following was missing from emergency contact form: Child #1: work address and work phone number of child's mother. Address of child's father. Child's father is also listed as a release person.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

During renewal inspection conducted 2/1/2023, facility did not have a written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted in a conspicuous location.

Corrected Corrected by Feb 3, 2023

Category: transportation. 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 renewal inspection conducted 2/1/2023, facility's first-aid kit was missing tweezers.

Corrected Corrected by Feb 17, 2023

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. Facility person #1 may not work in a child care position or be present while child care is occurring at the facility until appropriate PSP clearance results are on file.

During renewal inspection conducted 2/1/2023, facility person #1 had PSP clearance request dated 3/7/2019 on file. There were no results for PSP clearance on file in the facility. Facility person #1 obtained appropriate PSP clearance during inspection dated 2/1/2023.

Corrected Corrected by Feb 1, 2023

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

3290.92(a) · Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions.

During renewal inspection conducted on 2/1/23, a portable space heater was being used in the facility. The City of Allentown does not allow portable heaters in any type of daycare.

Corrected Corrected by Feb 1, 2023

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 conducted 2/1/2023, thermometer in the refrigerator was inoperable.

Corrected Corrected by Feb 17, 2023

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 conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: signed by parent and operator. Arrival and departure times.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. 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.

During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: fee amount and date fee is to be paid.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. 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).

During renewal inspection conducted 2/1/2023, the following children did not have Child Service Reports (CSRs) completed within the past 6 months. Children have attended for longer than 6 months (see LIS code sheet): Child #1: no CSRs on file. Child #2: no CSRs on file. Child #3: no CSRs on file. Child #4: last CSR on file is dated 2/10/2021. Child #5: last CSR on file is dated 2/13/2018.

Corrected Corrected by Feb 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(1)/3290.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

During renewal inspection conducted 2/1/2023, the following children need updated health assessments on file: Child #1: last health assessment on file is dated 7/7/2022. Child #1 is a young toddler (see LIS code sheet). Child #2: last health assessment on file is dated 4/22/2021. Child #2 is a preschool aged child (see LIS code sheet).

Corrected Corrected by Feb 13, 2023

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

3290.131(e)(1)/3290.131(e)(3) · 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. 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 must be removed from care by close of business on 2/1/2023 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

During renewal inspection conducted 2/1/2023, the following children did not have proof of immunizations in accordance with the schedule recommended by the ACIP: Child #2 does not have proof of influenza vaccine on file. There is no exemption on file.

Corrected Corrected by Feb 17, 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 2/1/23, Child #1's emergency contact form was last updated 5/9/2022.

Corrected Corrected by Feb 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 2/1/2023, Child #1's record did not contain signed parental consent for emergency medical care or minor first-aid procedures by facility persons.

Corrected Corrected by Feb 17, 2023

Category: ratio. 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 renewal inspection conducted 2/1/2023, facility did not have evacuation routes posted in the attic or basement.

Corrected Corrected by Feb 17, 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.

During renewal inspection conducted 2/1/2023, there was no emergency drill log on file at the facility.

Corrected Corrected by Feb 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Per OCDEL Announcement C-22-06, all current child care staff who completed the previous health and safety pre-service training modules, listed below, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 Versión en español: Actualización de Salud y Seguridad de Pennsylvania 2022) by December 30, 2022. Facility person #1 shall complete the required one-hour 2022 update to the health and safety training by February 23, 2023.

During renewal inspection conducted 2/1/2023, facility person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Feb 17, 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 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 #1 has an expired state police and child abuse on file. State police clearance dated 3/28/16. Household member #2 turned 18 on 1/24/22 and does not have all 4 required clearances on file.

Corrected Corrected by Mar 31, 2022

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

3290.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Child #1, 2 & 3 are missing the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 11, 2022

Category: recordkeeping. 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 #5 does not have an updated immunization record to reflect Hep B #3 and MMR #2.

Corrected Corrected by Mar 31, 2022

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

3290.151(a)/3290.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Household member #2 does not have a health assessment or tuberculosis screening on file. Household member is in the childcare space while children are in care.

Corrected Corrected by Mar 31, 2022

Category: ratio. Marked corrected in the state record.

3290.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

Child #6 & 7 do not have an individual record on file.

Corrected Corrected by Mar 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.181(c)/3290.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Child #1 does not have an updated emergency contact. Child #2 & 3 does not have an updated financial agreement.

Corrected Corrected by Mar 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.192(4) · A facility person's record shall include records of training required by the Department.

Primary staff #1 does not have proof of 12 hours of annual professional development training on file.

Corrected Corrected by Mar 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.

Child #3 is missing written consent signed by a parent for emergency medical care.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. 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 & 4 are missing the health insurance policy number.

Corrected Corrected by Feb 28, 2022

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 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 #3 can not be in the home when children are in care.

Household member #2 has an expired state police and child abuse on file; state police clearance dated 3/28/16 and child abuse dated 4/15/16. Household member #3 turned 18 on 1/24/22 and does not have all 4 required clearances on file, or proof of mandated reporter training. Household member #3 is home and in the childcare space when children are in care. Primary staff #1 has an expired mandated reporter training on file dated 7/4/15, mandated reporter is required to be updated every 5 years.

Corrected Corrected by Mar 31, 2022

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

3290.182(8) · A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Child #3 does not have an initial agreement on file.

Corrected Corrected by Feb 28, 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.

Household member #2 has an expired state police and child abuse on file; state police clearance dated 3/28/16 and child abuse dated 4/15/16. Household member #3 turned 18 on 1/24/22 and does not have all 4 required clearances on file, or proof of mandated reporter training. Household member #3 is home and in the childcare space when children are in care. Primary staff #1 has an expired mandated reporter training on file dated 7/4/15, mandated reporter is required to be updated every 5 years.

Corrected Corrected by Mar 31, 2022

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

3290.73(b) · A first-aid kit shall be inaccessible to children.

Cert Rep observed the first aid kit in a desk drawer in the child care space accessible to the children.

Corrected Corrected by Feb 25, 2022

Category: health medication. 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.

The cots are not labeled for individual use.

Corrected Corrected by Feb 25, 2022

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 #1 is missing the services to be provided to the family and the child.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6)/3290.182(2) · An agreement shall specify the date of the child's admission.A child's record must contain the dates of application, admission and withdrawal of the child.

Child #1 is missing the date of the child's admission.

Corrected Corrected by Feb 28, 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.

Child #1 & 3 are missing the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Feb 28, 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 #2, 3 & 4 are missing the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(e) · 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

Child #3 does not have an updated emergency contact on file.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. 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 #5 does not have an updated immunization record to reflect Hep B #3 and MMR #2.

Corrected Corrected by Feb 28, 2022

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

3290.151(c)(1)/3290.151(c)(2) · An adult health assessment must include a physical examination. An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Household member #3 does not have a health assessment or Tuberculosis screening on file. Household member is in the childcare space while children are in care.

Corrected Corrected by Mar 4, 2022

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

3290.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

Child #6 & 7 do not have an individual record on file.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. 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.

Child #2 & 4 do not have an updated agreement on file.

Corrected Corrected by Feb 28, 2022

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 & 3 are missing signed parental consent for administration of minor first-aid.

Corrected Corrected by Feb 28, 2022

Category: ratio. 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.

The 2nd floor does not have an evacuation route posted in a conspicuous location.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.95(b) · 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 system testing has not been completed every 30 days, date of last test was on 1/9/22 and the system was not tested again until 2/17/22 this is a span of 38 days.

Corrected Corrected by Feb 25, 2022

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 facility does not have posted instructions for contacting the regional child care office or information on how to obtain the child care regulations.

Corrected Corrected by Feb 25, 2022

Marked corrected in the state record.

3290.24(a)(1) · 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 does not have a plan that provides for accommodations for shelter of children during an emergency including lock-down.

Corrected Corrected by Feb 25, 2022

Category: physical safety. 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 operator admitted that she has not conducted an annual emergency drill.

Corrected Corrected by Feb 25, 2022

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.

Facility person #1 does not have proof of 12 annual clock hours of child care training.

Corrected Corrected by Mar 18, 2022

Category: recordkeeping. Marked corrected in the state record.