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.

The fire drill log was observed to not be in compliance based off the following documented dates: 3/20/23, 5/22/23, and 7/24/23.

Corrected Corrected by Mar 21, 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.

It was observed that the providers 30-day fire alarm testing log was not in compliance due to the following dates: 3/14/23, 4/15/23, 5/15/23, 6/16/23, 7/18/23, 8/15/23, 9/18/23, 10/17/23, 11/17/23, 12/15/23, 1/15/24, 2/15/24.

Corrected Corrected by Mar 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.24(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

During the renewal inspection, staff #1 did not have emergency plan training on file and has been employed for more than 90 days. An acceptable plan of correction was received stating that the correction would be implemented by 2/17/23. A follow up visit was conducted on 2/27/23. Staff person #1 still did not have emergency plan training on file and has been employed for more than 90 days.

Corrected Corrected by Mar 27, 2023

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 was hired under Act 12 hiring requirements. Staff person #1 may not work in a child care position at the facility.

During the renewal inspection, staff person #1 did not have clearances from the state of Massachusetts and has been employed at the facility for more than 45 days. (see LIS sheet for date of hire). Staff person #1, staff person #2 and staff person #3 do not have signed disclosure statements on file. An acceptable plan of correction was received stating this violation would be implemented by 2/24/23. A follow up inspection occurred on 2/27/23. Staff person #1 still did not have clearances from the state of Massachusetts and has been employed at the facility for more than 45 days. (see LIS sheet for date of hire). Staff person #1 did not have a signed disclosure statement on file.

Corrected Corrected by Feb 27, 2023

Category: background checks. 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 was hired under Act 12 hiring requirements.

During the renewal inspection, staff person #1 did not have clearances from the state of Massachusetts and has been employed at the facility for more than 45 days. (see LIS sheet for date of hire). Staff person #1, staff person #2 and staff person #3 do not have signed disclosure statements on file. An acceptable plan of correction was received stating this violation would be implemented by 2/24/23. A follow up inspection occurred on 2/27/23. Staff person #1 still did not have clearances from the state of Massachusetts and has been employed at the facility for more than 45 days. (see LIS sheet for date of hire). Staff person #1 did not have a signed disclosure statement on file.

Corrected Corrected by Mar 27, 2023

Category: background checks. 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 sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

During the renewal inspection, the operator did not update the emergency plan to include continuity of operations, practice drills and volunteer emergency preparedness.

Corrected Corrected by Feb 2, 2023

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.

During the renewal inspection, the emergency plan on file did not include a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. It also did not include 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.

Corrected Corrected by Feb 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

During the renewal inspection, staff #1 did not have emergency plan training on file and has been employed for more than 90 days.

Corrected Corrected by Feb 17, 2023

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 person #1 was hired under Act 12 hiring requirements.

During the renewal inspection, staff person #1 did not have clearances from the state of Massachusetts and has been employed at the facility for more than 45 days. (see LIS sheet for date of hire). Staff person #1, staff person #2 and staff person #3 do not have signed disclosure statements on file.

Corrected Corrected by Feb 24, 2023

Category: background checks. 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 was hired under Act 12 hiring requirements. Staff person #1 may not work in a child care position at the facility.

During the renewal inspection, staff person #1 did not have clearances from the state of Massachusetts and has been employed at the facility for more than 45 days. (see LIS sheet for date of hire). Staff person #1, staff person #2 and staff person #3 do not have signed disclosure statements on file.

Corrected Corrected by Feb 1, 2023

Category: background checks. 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 the renewal inspection, perfumes and lotions were observed in the bedroom and bathroom located on the second floor. The doors to these rooms were open and accessible to children.

Corrected Corrected by Feb 1, 2023

Category: ratio. Marked corrected in the state record.

3290.74(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

During the renewal inspection, a hole in the wall located by the downstairs bathroom was observed. This hole was accessible to children.

Corrected Corrected by Feb 8, 2023

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

3290.124(b)(1) · Emergency contact information must include the name and birth date of the child.

During the renewal inspection, the emergency contact form for child #4 did not include the birthdate of the child.

Corrected Corrected by Feb 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During the renewal inspection, the emergency contact form for child #1 did not include the phone number of the child's physician or source of medical care.

Corrected Corrected by Feb 7, 2023

Category: health medication. 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.

During the renewal inspection, the emergency contact form for child #5 did not include the home address of the enrolling parent.

Corrected Corrected by Feb 7, 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 the renewal inspection, a written plan was not 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.

Corrected Corrected by Feb 10, 2023

Category: transportation. Marked corrected in the state record.

3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 will be removed from care by close of business on 2/1/23 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

During the renewal inspection, there was no influenza vaccination or letter of exemption from the parent for the influenza vaccine in the file of child #2.

Corrected Corrected by Feb 7, 2023

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.

During the renewal inspection, child #3's health assessment did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Feb 24, 2023

Category: health medication. 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, the manual monthly monitoring log of the testing of the smoke detectors was documented as 1/23/23. The previous testing date was 12/16/22. This span between testing dates shows more than the 30 day testing requirement.

Corrected Corrected by Feb 1, 2023

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.

During the renewal inspection, staff person #2 and staff person #3 have not completed 12 clock hours of child care training from the previous training year.

Corrected Corrected by Feb 17, 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)1-9. Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 2/17/23.

During the renewal inspection, staff 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 2, 2023

Category: health medication. 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.

During an onsite inspection on 9/16/22, the emergency contact form for child #6, child #12, child #13 and child #14 did not include the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Oct 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During an onsite inspection on 9/16/22, there was no agreement on file for child #17.

Corrected Corrected by Oct 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(4) · An agreement shall specify the child's arrival and departure times.

During an onsite inspection on 9/16/22, the agreement for child # 12 and child #13 did not have arrival and departure times listed.

Corrected Corrected by Oct 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

During an onsite inspection on 9/16/22, the agreement for child # 8, child # 10, child # 12, child #13, and child #18 did not include the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 1, 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.

During an onsite inspection on 9/16/22, the agreement for child #9, child #11, child #12, child #13, and child #17 did not include a date of admission.

Corrected Corrected by Oct 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

During an onsite inspection on 9/16/22, the emergency contact form for child #8, child #12, child #13, child #14 and child #17 did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 1, 2022

Category: health medication. 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 an onsite inspection on 9/16/22, evacuation maps were missing from the basement and second floors of the home.

Corrected Corrected by Oct 1, 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.

During an onsite inspection on 9/16/22, the emergency contact form for child # 10, child #12 and child #13 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

Corrected Corrected by Oct 1, 2022

Category: health medication. 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.

During an onsite inspection on 9/16/22, the emergency contact form for child #8, child #12 and child #13 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)(4) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

During an onsite inspection on 9/16/22, child # 8 (see code sheet for date of birth) did not have an initial health report dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Corrected Corrected by Oct 15, 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.

During the onsite inspection on 9/16/22, the operator admitted to having 18 children enrolled at the facility. She did not have files for child #1, child #2, child #3, child #4 and child #5.

Corrected Corrected by Oct 1, 2022

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 an onsite inspection on 9/16/22, the emergency contact form for child #9, child #12, child #13 and child #17 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Oct 1, 2022

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 an onsite inspection on 9/16/22, the last fire drill that was conducted was documented on 5/20/22 and not within the 60 day requirement.

Corrected Corrected by Sep 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.95(a)/3290.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

During an onsite inspection on 9/16/22, the operator's last manual monthly monitoring of the fire detection system was last documented as 5/20/22 and not within the 30 day requirement.

Corrected Corrected by Sep 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.95(a)/3290.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

In a previous inspection in May 2022, a certification representative observed an operable hard-wired smoke detector in the basement. During an onsite inspection on 9/16/22, the operator had an operable 10 year lithium ion battery smoke detector in the basement of her home. She did not have a receipt of purchase for the smoke detector and therefore was not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c).

Corrected Corrected by Oct 1, 2022

Category: recordkeeping. Marked corrected in the state record.