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

The financial agreements of child #2 and #5 did not contain their dates of admission.

Corrected Corrected by Oct 18, 2024

Category: recordkeeping. 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.

The file of child #2 contained the original financial agreement.

Corrected Corrected by Oct 18, 2024

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.

The emergency contact form of child #3 did not contain the work address of the enrolling parent.

Corrected Corrected by Oct 18, 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 emergency plan did not include a continuity of operations plan which may include, 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.

Corrected Corrected by Nov 29, 2024

Category: ratio. 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.

A & D Ointment labeled "keep out of the reach of children" was on a desk in the family room accessible to children.

Corrected Corrected by Sep 17, 2024

Category: ratio. 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.

A pack 'n play was not labeled with the name of the child for whom it was intended.

Corrected Corrected by Sep 17, 2024

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

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

The financial agreement of child #2 was not signed by the operator.

Corrected Corrected by Oct 7, 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).

Documentation of the last completed child service report of #1 was dated 9/22/2022 and child #4 was dated 9/21/2022, lacking documentation of child service reports completed every 6 months since. Child #5 enrolled for more than 6 months (see LIS code sheet) did not contain documentation of a child service report.

Corrected Corrected by Nov 29, 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.

The emergency contact form of child #2 did not contain a telephone number of a person designated by the parent to whom the child may be released.

Corrected Corrected by Oct 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(2)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The file of child #1 and #2, both identified as preschool age children (see coded LIS sheet), contained documentation of health assessments which were updated more than 12 months apart.

Corrected Corrected by Sep 17, 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.

The changing mat used to change a child's diapers was not sanitized prior to changing another child.

Corrected Corrected by Sep 17, 2024

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

3290.151(a)(2)/3290.192(2) · A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file of staff #1 did not contain a current health assessment within the past 24 months with the last being dated 12/13/2021.

Corrected Corrected by Nov 29, 2024

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

3290.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

In the refrigerator, 3 bags of infant breast milk were in the kitchen refrigerator and not labeld with the name of the child for which they are intended.

Corrected Corrected by Sep 18, 2024

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.

Based on the signed and dated forms, the emergency contact forms and financial agreements of child #4 and #5 were updated more than 6 months apart.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. 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.

The file of child #3 did not contain a financial agreement.

Corrected Corrected by Oct 18, 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.

Based on documentation on the fire drill log, the testing of the fire detection system exceeded 30 days on the following occasions: 12/30/2023 to 1/30/2024 to 3/1/2024 to 4/1/2024 and 6/28/2024 to 8/25/2024.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. 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 last documentation of a review and/or update to the facilities emergency plan was dated 9/2021, lacking documentation of a review and/or update in the past 12 months.

Corrected Corrected by Oct 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The facility did not have documentation of an emergency drill conducted in the last 12 months.

Corrected Corrected by Oct 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)/3290.192(4) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

The file of staff #1 contained documentation of 1 hour of professional development during their annual training period between 12/2022 and 12/2023, lacking 11 hours.

Corrected Corrected by Nov 29, 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.

Staff person #1, with health and safety training completed prior to 10-4-22, had the Pennsylvania Health and Safety Update 2022 Training dated 1-21-23 that was not completed by 12-30-22 as required.

Corrected Corrected by Sep 28, 2023

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.

On the back porch, there were multiple poles on the ground for an awning that had sharp edges and metal pieces protruding out from the poles that were a visible hazard.

Corrected Corrected by Sep 29, 2023

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

3290.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the basement child care space, there was a small circular trampoline that was on the back of the couch with the legs sticking out from the wall on the top of the couch that was a visible hazard.

Corrected Corrected by Sep 28, 2023

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

3290.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

At approximately 9:50 a.m. upon entry to the facility on the 1st floor, staff person #1 was observed walking up from the basement and stated that there was one child, an infant, that was sleeping alone in a pack 'n play without staff supervision in the dining room on the 1st floor. When the staff person walked upstairs to get the infant that was sleeping in the dining room, there were three children, two young toddlers and an older toddler, that were left alone for approximately 30 seconds in the basement until staff person #1 returned with the infant.

Corrected Corrected by Sep 28, 2023

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).

Child #1 and #2 lacked current child service reports updated within the last 6 months.

Corrected Corrected by Oct 20, 2023

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.

The files for child #3 and #4 had an agreement that lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for child #1, #2, #3, #4, and #5 had an agreement that lacked the date of the child's admission.

Corrected Corrected by Oct 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #2 had an emergency contact form that lacked the child's birthdate.

Corrected Corrected by Oct 20, 2023

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.

The file for child #2 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(2)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The file for child #2, a preschooler, had a health assessment that exceeded 12 months between assessments.

Corrected Corrected by Sep 28, 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 #1 must be dismissed from care by close of business on 9-28-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #1, a 22 month old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #1, a 22 month old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Oct 6, 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.

The files for child #1 and #2 lacked a current emergency contact form and agreement updated within the last 6 months.

Corrected Corrected by Oct 20, 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.

The file for child #4 had an emergency contact form that lacked 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 20, 2023

Category: ratio. Marked corrected in the state record.

3290.192(3) · 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.

The file for staff person #1 lacked a copy of the current state police and child abuse clearances.

Corrected Corrected by Oct 20, 2023

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.

According to the fire drill log, a fire drill was not conducted at least once within the last 60 days with the last fire drill being conducted on 7-6-23.

Corrected Corrected by Oct 6, 2023

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection on 9-28-23, there were three smoke detectors that the operator identified as interconnected smoke detectors, with one detector each on the 2nd floor, 1st floor, and basement. The smoke detectors were not functioning as an interconnected fire detection system as required. The smoke detectors on the 1st and 2nd floors were observed to be operating as interconnected detectors, however the smoke detector in the basement was not sounding and operating as interconnected with the other two detectors. The smoke detector in the basement was observed to audibly sound and operate as a stand-alone detector. The operator stated that the basement detector had previously been interconnected with the other two detectors. According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once within the last 30 days with the last test being conducted on 8-2-23.

Corrected Corrected by Sep 28, 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.

The file for staff person #1 had 10 of the 12 required child care training hours that were not completed within the last year.

Corrected Corrected by Sep 28, 2023

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.

In the kitchen in an unlocked drawer, there was an Exacto knife with sharp edges that was accessible to children.

Corrected Corrected by Sep 30, 2022

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

3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.

The facility lacked a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment to comply with 45 CFR 98.41(a)(1)(vi). The emergency plan lacked requirements for practice drills and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Nov 30, 2022

Category: ratio. Marked corrected in the state record.

3290.31(f)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The file for staff person #1 had current pediatric first-aid and CPR training with a completion date of 9-5-22 that was after the November 2021 expiration of the prior training.

Corrected Corrected by Sep 23, 2022

Category: ratio. 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 and Household Member #2 may not work at the facility.

The files for staff person #1 and household member #2 lacked current state police, child abuse, and FBI clearances updated within the last 60 months.

Corrected Corrected by Oct 21, 2022

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.

In the kitchen, there was Gorilla glue labeled "Keep out of reach of children" and was in an unlocked drawer that was accessible to children.

Corrected Corrected by Sep 23, 2022

Category: ratio. 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.

The file for child #3 had an emergency contact form that lacked the telephone number of the child's physician.

Corrected Corrected by Oct 12, 2022

Category: health medication. 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.

The file for child #3 had an emergency contact form that lacked the name of the health insurance and the policy number.

Corrected Corrected by Oct 12, 2022

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

3290.131(e)(1)/3290.182(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.A child's record must contain initial and subsequent health reports.

The file for child #1, a 3 year old, and child #2, a 3 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Nov 18, 2022

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

3290.134(b)/3290.134(c) · Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The operator shall arrange a laundry schedule with the parent. Paper towels may be used as towels and washcloths. Paper towels shall be discarded after each use.

In the downstairs bathroom, according to the provider, after washing their hands the children were using the same cloth towels to dry their hands. There were no paper towels observed in the bathroom.

Corrected Corrected by Sep 23, 2022

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 #4, an infant, lacked an infant feeding schedule obtained from the parent.

Corrected Corrected by Sep 30, 2022

Category: nutrition. Marked corrected in the state record.

3290.192(2) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff person #1 lacked documentation of a current health assessment updated within the last 24 months.

Corrected Corrected by Nov 30, 2022

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

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

The file for staff person #1 lacked documentation of current mandated reporter training completed within the last 5 years.

Corrected Corrected by Sep 23, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility's emergency plan lacked a plan that provides for accommodations of infants and toddlers.

Corrected Corrected by Nov 30, 2022

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

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

The operator lacked documentation of sending a copy of the updated emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Nov 30, 2022

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

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

The facility lacked proof of purchase of the interconnected fire detection system in accordance with 62 P.S. 1016(c)(3).

Corrected Corrected by Oct 13, 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 lacked documentation on file of an emergency drill being conducted within the last year.

Corrected Corrected by Oct 5, 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.

The emergency contact form for child #5 lacked the enrolling parent's work address.

Corrected Corrected by Sep 1, 2021

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.

The first-aid kit lacked soap and gloves.

Corrected Corrected by Sep 1, 2021

Marked corrected in the state record.

3290.32(a)/3290.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Facility person #1 completed mandated reporter training on 12/21/15, which is more than 60 months ago.

Corrected Corrected by Dec 3, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.63 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

It was observed in the living room, behind the pack n play, there was an outlet that was missing a protective receptacle cover that was accessible to the children in care

Corrected Corrected by Sep 1, 2021

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.

In the bathroom, it was observed that Advances White toothpaste was on the counter, that stated "keep out of reach of children."

Corrected Corrected by Sep 1, 2021

Category: ratio. Marked corrected in the state record.

3290.70(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

The window in the family room, which is above ground level, did not an adaptor to limit the opening to less than 6 inches.

Corrected Corrected by Sep 1, 2021

Category: physical safety. 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 and pack n plays were not labeled.

Corrected Corrected by Sep 1, 2021

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

3290.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Upon arrival, facility person #1 was in the basement with 4 children, another child was asleep in a pack n play in the living room unsupervised.

Corrected Corrected by Sep 1, 2021

Category: supervision. Marked corrected in the state record.

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

The dog at the facility had a rabies immunization that expired on 1/17/21.

Corrected Corrected by Dec 3, 2021

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

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

The agreement for child #2 lacked the operator's signature.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The agreement for child #5 lacked the admission date.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.123(b)/3290.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.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.

The file for child #1, #2, #3, #4, and #5 contained the original agreement form.

Corrected Corrected by Sep 1, 2021

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.

The emergency contact form for child #1 lacked the physician's phone number. The emergency contact form for child #5 lacked the physician's address.

Corrected Corrected by Sep 13, 2021

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.

The emergency contact form for child #2 and child #5 lacked the release person's address.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The immunization record for child #4 lacked the influenza vaccination and varicella vaccination in accordance with the ACIP.

Corrected Corrected by Dec 3, 2021

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

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

It was observed that the children did not wash their hands before lunch.

Corrected Corrected by Sep 1, 2021

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

3290.151(a)(2)/3290.192(2) · A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Facility person #1, had a health assessment completed on 12/22/17, which is more than 24 months ago.

Corrected Corrected by Dec 3, 2021

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

3290.163(a)(1) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

It was observed during lunch that dairy was not offered.

Corrected Corrected by Sep 2, 2021

Marked corrected in the state record.

3290.182(2) · A child's record must contain the dates of application, admission and withdrawal of the child.

The agreement for child #5 lacked the admission date.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The facility lacked an emergency plan that provides accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Dec 3, 2021

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

3290.31(i) · All staff persons shall complete the professional development under subsection (g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department.

Facility person #1 lacked documentation of completion of Health and Safety training.

Corrected Corrected by Dec 3, 2021

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

3290.94(a)(1) · Fire drills are conducted at least once every 60 days.

Facility lacked a fire drill log.

Corrected Corrected by Sep 1, 2021

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

3290.94(a)(5) · Evacuation routes are posted in a conspicuous location on each floor of the facility.

Evacuation routes were missing from the main floor and second floor.

Corrected Corrected by Dec 3, 2021

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.

Facility lacked proof of purchase of the inter-connected smoke alarms. Facility lacked a 30 testing log of the inter-connected smoke alarms.

Corrected Corrected by Dec 3, 2021

Category: recordkeeping. Marked corrected in the state record.

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

Facility lacked the current certificate of compliance posted.

Corrected Corrected by Sep 12, 2021

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 emergency plan lacked accommodations for shelter of children during an emergency lock-down and shelter in place at the facility.

Corrected Corrected by Dec 3, 2021

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

3290.24(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §  3290.94 (relating to fire drills).

The facility lacked an emergency plan that contained directions to the evacuation location.

Corrected Corrected by Dec 3, 2021

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.

Emergency plan lacked documentation of being reviewed.

Corrected Corrected by Dec 3, 2021

Category: recordkeeping. Marked corrected in the state record.