3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Child #1 & 2 are missing the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by May 28, 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.

Operator does not have a policy to address continuity of operations.

Corrected Corrected by May 28, 2024

Category: ratio. Marked corrected in the state record.

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

Child #1 & 2 are missing a financial agreement.

Corrected Corrected by May 28, 2024

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 #1 & 2 are missing the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by May 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(e)/3290.181(c) · 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. 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 #1 & 2 are missing updated emergency contact information.

Corrected Corrected by May 28, 2024

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.

During a renewal inspection on 8/18/2023, household member 2 did not have the NSOR, state police clearance, child abuse and the DHS FBI clearance on file. On 9/26/2023, household member 1 continued to not have the NSOR clearance on file.

Corrected Corrected by Oct 25, 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). Household member 1 will not be at the facility during childcare hours until the NSOR is on file. 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 will not be at the facility during childcare hours until the NSOR is on file.

During a renewal inspection on 8/18/2023, household member 1 did not have the NSOR, state police clearance, child abuse and the DHS FBI clearance on file. On 9/26/2023, household member 1 continued to not have the NSOR clearance on file.

Corrected Corrected by Sep 26, 2023

Category: background checks. 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 2 did not have the work address or phone number on file for the enrolling parent.

Corrected Corrected by Aug 18, 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.

Household member 2 did not have the NSOR, state police clearance, child abuse and the DHS FBI clearance on file. See LIS for staff 2's date of birth.

Corrected Corrected by Aug 18, 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). Household member 2 will not be at the facility during child care hours until the NSOR, child abuse, state police and the DHS FBI clearance is on file. 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 facility during child care hours until the NSOR, child abuse, state police and the DHS FBI clearance is on file.

Household member 2 did not have the NSOR, state police clearance, child abuse and the DHS FBI clearance on file. See LIS for staff 2's date of birth.

Corrected Corrected by Sep 25, 2023

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

3290.124(e)/3290.181(c) · 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. 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 1 did not have an emergency form that was updated within the last 6 months. The emergency form was last updated 4/5/2022.

Corrected Corrected by Aug 18, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the annual inspection on 8/18/2023, child 2, who is a young toddler, had an outdated health assessment dated 11/11/2022.

Corrected Corrected by Sep 1, 2023

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 2 had outdated immunizations on file. Child 1 did not have a flu shot on record. See LIS for DOB.

Corrected Corrected by Aug 18, 2023

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

3290.22(b) · The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility did not have electronic access to the regulations available to parents.

Corrected Corrected by Aug 21, 2023

Marked corrected in the state record.

3290.31(g) · Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 9/2/2023.

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 Sep 2, 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). Facility Person # 1 may not be in the facility without an up to date FBI clearance. 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 be in the facility until an updated FBI clearance is obtained.

During a complaint investigation on 8/15/2022, it was found that Staff 1 had an FBI clearance that expired on 3/29/2022. . On 10/25/2022, staff 1 still did not have an updated FBI clearance on file. It was also noted through multiple phone conversations, including on 10/13/2022 and 10/18/2022, that staff 1 was still in the child care facility without her FBI clearance.

Corrected Corrected by Oct 27, 2022

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). Facility Person #1 may not work in a child care position at the facility until all appropriate clearances are obtained. 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 at the facility until all appropriate clearances are obtained.

During a complaint investigation on 8/15/2022, it was found that Staff 1 had an FBI clearance that expired on 3/29/2022 and a child abuse clearance that expired on 2/13/2022. On 9/29/2022, staff 1 still did not have an updated FBI or child abuse clearance on file.

Corrected Corrected by Sep 29, 2022

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.

During a complaint investigation on 8/15/2022, it was found that Staff 1 had an FBI clearance that expired on 3/29/2022 and a child abuse clearance that expired on 2/13/2022. On 9/29/2022, staff 1 still did not have an updated FBI or child abuse clearance on file.

Corrected Corrected by Nov 16, 2022

Category: background checks. 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.

A fire drill was last conducted on 6/2/2022, which makes it more than 60 days since one was last completed.

Corrected Corrected by Aug 16, 2022

Category: recordkeeping. 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.

Toxics under the kitchen sink were accessible due to a broken lock.

Corrected Corrected by Aug 15, 2022

Category: ratio. 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 8/15/2022, it was observed that the stove was in operation with no stove guard in place to prevent direct contact.

Corrected Corrected by Aug 15, 2022

Category: ratio. Marked corrected in the state record.

3290.105(a) · (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

The pack n' play, cot and bed, all used for napping, were not labeled with the children's names.

Corrected Corrected by Aug 15, 2022

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

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

During the renewal inspection, the garbage used for diapering was broken, making it not hands free.

Corrected Corrected by Aug 15, 2022

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

3290.22(b) · The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility did not have the current Certificate of Compliance posted.

Corrected Corrected by Aug 18, 2022

Marked corrected in the state record.

3290.24(a)(1)/3290.24(a)(5) · 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 shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not have a section that included accommodations for shelter of children during a lockdown or accommodations of infants and toddlers, children with disabilities or with chronic medical conditions.

Corrected Corrected by Aug 16, 2022

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

3290.24(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The facility had documented that the last emergency plan update occurred on 8/5/2020.

Corrected Corrected by Aug 15, 2022

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 facility did not have an emergency plan drill documented throughout the year.

Corrected Corrected by Aug 16, 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.

Staff 1 did not have 12 hours of annual training documented.

Corrected Corrected by Sep 16, 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). Facility Person #2 may not work in a child care position at the facility until all appropriate clearances are obtained. 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 #2 may not work in a child care position at the facility until all appropriate clearances are obtained.

Staff 1 had an FBI clearance that expired on 3/13/2022. It was not updated until 7/27/2022. Staff 2 had an FBI clearance that expired on 3/29/2022 and a child abuse clearance that expired on 2/13/2022.

Corrected Corrected by Aug 15, 2022

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 had an FBI clearance that expired on 3/13/2022. It was not updated until 7/27/2022. Staff 2 had an FBI clearance that expired on 3/29/2022 and a child abuse clearance that expired on 2/13/2022.

Corrected Corrected by Sep 16, 2022

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

3290.131(a)(2)/3290.131(e)(1) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.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 1, who is past 60 days since the first day of admission (see LIS code sheet), did not have a physical on file. The immunizations that were on file were out of date. The child did not have an updated Rotovirus vaccine on file.

Corrected Corrected by Sep 16, 2022

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

3290.182(3) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child 2 did not have previous consent for emergency medical care on file.

Corrected Corrected by Aug 8, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(g)(10) · Staff person(s) shall complete professional development in the topics of 3290.31(g) (10) within 90 days of hire. Staff person #2 will have until 9/6/2022 to complete the required training. Until such time as the required training has been completed, staff 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 available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and cpr.

Corrected Corrected by Aug 17, 2022

Category: supervision. 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 unannounced inspection, the facility did not have fire alarm testing documented within the last 30 days.

Corrected Corrected by Feb 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

During an unannounced inspection on 2/24/2022, the emergency plan was not posted in a conspicuous location.

Corrected Corrected by Feb 25, 2022

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

3290.121(b) · 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.

During a verification visit on 9/30/2021, the facility still did not have a parent handbook on file.

Corrected Corrected by Oct 29, 2021

Category: supervision. 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.

During a verification visit on 9/30/2021 from the inspection that occurred on 8/19/2021, the facility continued to not have a section in the emergency plan accommodating infants, toddlers and children with special needs.

Corrected Corrected by Oct 29, 2021

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.

In the bathroom that the children utilize, plastic bags were accessible to them in an unlocked drawer to the left of the entrance.

Corrected Corrected by Aug 19, 2021

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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Household member 1 had a volunteer state police clearance on file.

Corrected Corrected by Aug 20, 2021

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

3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit was missing soap.

Corrected Corrected by Aug 19, 2021

Category: health medication. 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.

In the downstairs child care area, ceiling tiles were missing due to a previous water leak on the first floor and construction.

Corrected Corrected by Sep 19, 2021

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

3290.121(b) · 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.

During the annual inspection on 8/19/2021, facility admitted to not having a handbook for parents which has in writing all the required policies.

Corrected Corrected by Sep 19, 2021

Category: supervision. Marked corrected in the state record.

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

Child 1's file did not have a section for a date of admission.

Corrected Corrected by Aug 19, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(1)/3290.24(a)(5) · 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 shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

The emergency plan that was on file did not have a lockdown section or section for how to accommodate infants, toddlers and children with disabilities in cases of emergency.

Corrected Corrected by Aug 19, 2021

Category: recordkeeping. Marked corrected in the state record.