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

In the main child care room, observed 3 outlets located on the wall between the two television sets, which lacked protective receptable covers.

Corrected Corrected by Aug 9, 2024

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 for staff #1 lacks 7.5 hours of child care training from 12/19/22 through 12/19/23.

Corrected Corrected by Aug 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.64(a)/3290.64(c) · 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. Toxic plants are not permitted in a child care space.

On the back deck area, which is used as part of outdoor play space for the children, observed toxic Madagascar Periwinkle plants which were accessible to the children. In the bathroom, which is used by the children in care, observed bleach under the sink which was accessible to the children in care.

Corrected Corrected by Aug 19, 2024

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.

On the side deck, which is used by the children in care, observed a five foot step ladder which was leaning against the wall and could fall over on the children, a rusted rake leaning against the back wall, a wooden frame with rusted nails, a sharp weed wacker and a tomato stake with sharp points.

Corrected Corrected by Aug 19, 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 fee agreement on file for child #1 was not signed by the parent.

Corrected Corrected by Aug 19, 2024

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 fee agreement on file for child #1 lacks the names of the persons to whom the child may be released.

Corrected Corrected by Aug 10, 2024

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.

The fee agreement on file for child #1 lacks the date of the child's admission.

Corrected Corrected by Sep 19, 2024

Category: recordkeeping. 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.

There was no emergency contact information on file for child #1.

Corrected Corrected by Aug 19, 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 information on file for children #1, 2, 3 and 5 lack the work address and work telephone number of the enrolling parent.

Corrected Corrected by Aug 19, 2024

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.

The file for child #1 lacks written consent signed by a parent for emergency medical care.

Corrected Corrected by Aug 19, 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.

The files for children #4 and 5 lack an update/review of the emergency contact and fee agreement within the past six months. This is evidenced by the last updates of - Staff #4 - 9/18/23 and staff #5 - 9/1/23.

Corrected Corrected by Aug 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)(4)/3290.182(1) · 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). A child's record must contain initial and subsequent health reports.

The file for child #4, who is of school age, lacks a health report dated in accordance with the requirements for medical examinations for school attendance. Child #4 will be starting 8th grade in fall of 2024 and the last physical on file is from 2019.

Corrected Corrected by Aug 19, 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 for staff #1 lacks a health assessment within the past 24 months. This is evidenced by the most current health assessment on file with date of 8/17/21.

Corrected Corrected by Aug 19, 2024

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

3290.182(5) · A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The file for child #1 lacks signed parental consent for administration of minor first aid procedures by facility staff.

Corrected Corrected by Aug 10, 2024

Category: ratio. Marked corrected in the state record.

3290.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

The file for child #1 lacks signed parental consent for transportation.

Corrected Corrected by Aug 20, 2024

Category: transportation. 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.

There was more than 30 days between manual checks of the smoke detectors which were completed on 1/5/24 and 2/10/24.

Corrected Corrected by Aug 19, 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.

Previously cited under SIN-00228045. The emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

Corrected Corrected by Oct 24, 2023

Category: ratio. Marked corrected in the state record.

3290.133(6)/3290.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Previously cited under SIN-00228045. Observed child #1 have prescription medication administered by provider. Parental written consent for administration was not on file and a medication log was not established and maintained at the facility for child #1.

Corrected Corrected by Oct 1, 2023

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.

The facility does not have interconnected smoke detectors which are approved by a testing laboratory recognized by OSHA to test and certify smoke alarms.

Corrected Corrected by Oct 19, 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.

Previously cited under SIN-00228045. The facility file lacked documentation that an emergency drill was completed within the past 12 months.

Corrected Corrected by Oct 19, 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.

The file for staff person #1 lacks the one-hour health and safety training required by 12/30/22.

Corrected Corrected by Aug 28, 2023

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.

There was standing water accessible to children on the porch which is used as an entrance to the family child care home.

Corrected Corrected by Aug 2, 2023

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 emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

Corrected Corrected by Aug 3, 2023

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). Facility Person # 1-- may not work at the facility. 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 #1 lacks an FBI clearance within the past 60 months. This is evidenced by the current FBI clearance on file dated 4/12/18.

Corrected Corrected by Aug 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.

On the side porch, which is used by the children, observed toxic power steering fluid on a shelf and in reach of the children. In the kitchen, observed two cans of paint on an accessible countertop, weed killer on the floor, and in a kitchen drawer which was accessible to the children in care, toxic furniture polish, disinfectant spray and talcum powder labeled as, "Keep out of reach of children."

Corrected Corrected by Aug 2, 2023

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.

The protective guard on the far-right knob of the stove was broken and was accessible to the children in care.

Corrected Corrected by Aug 2, 2023

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

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

The first aid kit was sitting on a counter in the kitchen and accessible to the children in care.

Corrected Corrected by Aug 2, 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 side porch, which is used by the children, observed hedge clippers in reach of children which create a visible hazard to the children in care. In the bathroom, used by the children in care, observed that the cabinet under the sink was missing one of two doors and was not in good repair.

Corrected Corrected by Aug 2, 2023

Category: physical safety. 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.

Two cats at the facility, Jinx and Jack had expired rabies vaccinations. Expiration date is 3/23/23 for both.

Corrected Corrected by Sep 7, 2023

Category: ratio. 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.

The emergency contact and fee agreements on file for children #1, 2, 3, 4 and 5 lack a review/update within the past six months.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.133(6)/3290.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Observed child #2 have prescription medication administered by provider. Parental written consent for administration was not on file and a medication log was not established and maintained at the facility for child #2.

Corrected Corrected by Aug 2, 2023

Category: ratio. 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 did not send a copy of subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Aug 29, 2023

Category: physical safety. 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.

The facility file lacked documentation that a fire drill was completed within the past 60 days.

Corrected Corrected by Aug 29, 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.

The facility file lacked documentation that a check of the fire detection system was completed within the past 30 days.

Corrected Corrected by Aug 2, 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.

The facility file lacked documentation that an emergency drill was completed within the past 12 months.

Corrected Corrected by Aug 28, 2023

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 for staff #1 lacks 12 hours of childcare training from 12/19/21- 12/19/22

Corrected Corrected by Sep 2, 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.

The provider did not develop and implement policy to identify/prevent shaken baby, abusive head trauma, child maltreatment which includes but is not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

Corrected Corrected by Oct 1, 2022

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

3290.24(c)/3290.192(4) · 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. A facility person's record shall include records of training required by the Department.

The file for staff #2 lacked initial emergency plan training.

Corrected Corrected by Aug 11, 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 at the facility. 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.

There was more than 60 months between State Police clearances for staff #1 - Dates are as follows: 3/28/17 and 4/4/22. The file for staff #2 lacks an FBI clearance which was completed within the past 60 months and a National Sex Offender clearance a disclosure statement at initial start date along and there was more than 60 months between the previous and most current Child Abuse clearances on file. Dates are as follows: 3/28/17 and 4/4/22.

Corrected Corrected by Aug 11, 2022

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

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 8/4/22 to complete the mandated reporter 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 person(s) 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 mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Aug 11, 2022

Category: supervision. Marked corrected in the state record.

3290.61 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

On the outside covered back deck area, there is an entrance which leads out and is very close to a very busy road. The gate to this entrance was left open multiple times throughout the course of the inspection.

Corrected Corrected by Sep 22, 2022

Category: physical safety. 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.

On the day of inspection, there was a 5 year old child in care. Observed 1 uncovered electrical outlet on the front porch, 2 uncovered outlets in the kitchen, 2 uncovered outlets in main play area behind the child's chair near the tv, 2 uncovered outlets in the room to the right of the main child care space on the right wall when you walk in and 6 uncovered outlets on the covered back porch.

Corrected Corrected by Jul 31, 2022

Category: physical safety. 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, used by the children in care, observed a bucket full of toxic cleaners was sitting on the floor beside the sink and accessible to the children in care.

Corrected Corrected by Jul 29, 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.

The kitchen stove lacked 2 of 5 protective knob guards as 2 of them were broken.

Corrected Corrected by Aug 10, 2022

Category: physical safety. 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 outside covered back porch, observed a six foot and a four foot ladder which were setting against the side of the wall and could be pulled over on the children. On the floor of the desk area which leads directly to the main child care space, observed a fan with a protective cover. However, the cord to the fan was long and was sprawled out on the floor and was a tripping hazard to the children in care.

Corrected Corrected by Jul 29, 2022

Category: physical safety. 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.

Observed that the cat, Dabbers, had a rabies immunization which expired 5/26/22.

Corrected Corrected by Oct 14, 2022

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

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

The fee agreements on file for child #1, 4 and 5 were not signed by the operator and the signature of the parent was not dated.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(2)/3290.123(a)(4) · An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the child's arrival and departure times.

The fee agreement on file for child #3 lacked the date on which the fee is to be paid. The fee agreement on file for child #1 lacked the arrival time. The fee agreement on file for children #4 and 5 lack the arrival and departure times.

Corrected Corrected by Oct 1, 2022

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.

The fee agreement on file for children #1, 4 and 5 lack the persons designated by a parent to whom the child may be released and the date of admission.

Corrected Corrected by Sep 22, 2022

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 fee agreements on file for children #1, 2, 3, 4, and 5 were the originals. Therefore, the original was not given to the parent and a copy was not on file.

Corrected Corrected by Oct 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(a)/3290.124(b)(2) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact information on file for child #1 lacked information on who shall be contacted in an emergency and the address of the child's physician or source of medical care.

Corrected Corrected by Sep 22, 2022

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.

The emergency contact information on file for child #1 lacked the parents work phone and work address.

Corrected Corrected by Sep 22, 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.

The emergency contact information on file for child #1 lacked written parental consent for emergency medical care.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(6)/3290.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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 information on file for child #1 lacked health insurance coverage and policy number and the name address and phone number of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Sep 22, 2022

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

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

The file for child #1, who has been enrolled longer than 60 days, lacks an initial health assessment. See IS Code Sheet.

Corrected Corrected by Jul 27, 2022

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 for staff #2 lacks an initial health assessment which was conducted 12 months prior to providing initial service in a child care setting

Corrected Corrected by Aug 11, 2022

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

3290.151(c)(2)/3290.192(2) · 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.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 #2 lacks a TB test and the results of that screening within 12 months prior to providing initial service in a child care setting.

Corrected Corrected by Aug 11, 2022

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 fee agreements and emergency contact information on file for children #3, 4 and 5 were not reviewed/updated within the past 6 months. Dates are as follows: Child #3 and 4 - 7/1/20 and child #5 - 7/20/20.

Corrected Corrected by Sep 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.182(4) · A child's record must contain signed parental consent for administration of medications or special dietary needs.

The file for children #4 and 5 lacked signed parental consent for administration of medications or special dietary needs and these needs were not indicated on the emergency contact form.

Corrected Corrected by Sep 22, 2022

Category: ratio. 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.

The fee agreement on file for child #1 lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Sep 22, 2022

Category: ratio. Marked corrected in the state record.

3290.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

The file for child #1, who has been transported by the facility, lacked signed parental consent for transportation.

Corrected Corrected by Sep 22, 2022

Category: transportation. 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.

There was more than 60 days between fire drills. Dates are as follows: 4/30/21 and then 11/9/21 and 11/9/21 and then 4/30/22.

Corrected Corrected by Aug 31, 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. Proof of purchase of the fire detection system/devices shall be on file at the facility. Manual checks of the fire detection system/devices shall be conducted every 30 days.

The facility file lacked proof of purchase of the three 10 year lithium battery operated smoke detectors. The last manual 30 day check of the fire devices was dated more than 30 days ago - Date- 9/28/21.

Corrected Corrected by Sep 6, 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 file lacked documentation that an emergency drill was conducted within the past 12 months.

Corrected Corrected by Oct 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person # 2 will have until 8/4/22 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): 3290.(g) (1-10). CPR/FA with approved curriculum and PQUA approved instructor and Getting Started with Family Based Care: Building Blocks for Quality (Health and Safety training 10 hour course).

Corrected Corrected by Aug 11, 2022

Category: supervision. 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).

During the unannounced correction visit on 10/06/21 which began about 3:50 p.m., child #1 was observed moving from the playroom through the kitchen onto the back porch area, where the operator could not see, hear, direct, and assess child #1. Child #1 continued to move between room, creating an on-going gap in supervision. The operator frequently called child #1 to come back into the room when the operator realized the child was not able to be supervised.

Corrected Corrected by Oct 19, 2021

Category: supervision. 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.

On the facility's side porch, which is adjacent to the playroom, making them accessible to the 10-year-olds playing unsupervised in the back playroom, the following items were observed: Large adult scissors and approximately 20-25 straight pins, approximately 16 thumb tacks and a small package of small tacks on a table; a rusty garden trowel and a bag of approximately 25-30 small white nails in the bottom drawer of a desk. Observed a large outdoor extension cord on side porch which has a break in the cord, exposing the wires inside. The cord was in use.

Corrected Corrected by Jul 28, 2021

Category: supervision. 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 pediatric first aid and CPR on file for staff person #1 is expired.

Corrected Corrected by Oct 8, 2021

Category: ratio. Marked corrected in the state record.

3290.32(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

At the time of inspection, the facility lacks a person competent in pediatric first-aid and pediatric CPR. Children were observed in care during the inspection.

Corrected Corrected by Oct 8, 2021

Category: health medication. 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.

The following electrical outlets were observed uncovered in the facility: 4 outlets near the television in the back playroom; 3 outlets on a power strip behind the television and 7 outlets on the power strip on the desk under the television in the spare bedroom, which is adjacent to the playroom; 4 outlets on the side porch, also adjacent to the playroom.

Corrected Corrected by Jul 28, 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 unlocked white cabinet in the back playroom, Zep carpet and upholstery spot remover and DAP patching plaster was observed on a shelf at approximately eye level, making them accessible to the 10 year-olds in care at the time. Multiple toxic items were observed in the facility's bathroom, which is off the back playroom, making them accessible to the 10 year-olds playing unsupervised in the playroom, including: Glade air freshener, Lysol toilet bowl cleaner, Zep foaming tub and tile cleaner, Hemorrhoidal cream, and Germa Clean disinfecting wipes underneath the bathroom sink, on which the safety lock was disengaged; Claire's ear solution, Neutrogena oil free acne moisturizer, Pronamel intensive enamel repair whitening toothpaste and Equate deep cleaning facial cleanser in the unlocked medicine cabinet above the sink and Dove and Mitchum deodorants and multiple hair products and perfumed body sprays in the unlocked cabinet above the toilet. Multiple toxic items were observed on the side porch, which is adjacent to the playroom, making them accessible to the 10-year olds playing unsupervised in the back playroom, including: approximately 16 packs of RediWipes disinfectant wipes and several bottles of dish detergent in boxes on the floor under a table and a tube of liquid stitch on the table; Hot Shot wasp and hornet spray, Coppertone sunscreen, Deep Woods Off insect repellant and Fast Orange Hand Cleaner on a lower shelf in a cabinet. On the back porch, two bottles of de-icer were on a shelf that was in reach of the two 10-year-olds in care at the time. All items included instructions to keep out of the reach of children.

Corrected Corrected by Jul 28, 2021

Category: supervision. Marked corrected in the state record.

3290.69 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

During the inspection, a pot of water was observed on an ignited burner on the gas stove, with no barrier between it and the 10 year-old children in care at the time of the inspection, who were repeatedly left unsupervised.

Corrected Corrected by Sep 21, 2021

Category: supervision. Marked corrected in the state record.

3290.70(b) · Windows or doors used for ventilation shall be screened when open.

During the length of the inspection, the door leading from the kitchen to the back porch was ajar for ventilation and there was no screen in place.

Corrected Corrected by Sep 27, 2021

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.

There was a large crack in the lid of a bin containing blankets in the spare bedroom. The lid of the garbage can on the side porch was cracked. Observed an office chair in the playroom with a torn seat.

Corrected Corrected by Aug 16, 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).

At approximately 10:36 am, child #1 was observed walking down the back porch steps while staff Person #1 was observed in the kitchen. Staff person #1 walked onto the back porch and the staff person and the child both sat on the porch. A minute later, child #1 went back into the house and at this time, child #2 and #3, both young school-agers, were observed in the back playroom of the house playing video games unsupervised, as staff person #1 could not see, hear, direct or assess the children. During the entire inspection, staff person #1, the operator repeatedly left the two children unsupervised in different areas of the facility.

Corrected Corrected by Sep 28, 2021

Category: supervision. 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 #6 contains emergency contact information that lacks the complete address of the child's physician.

Corrected Corrected by Sep 1, 2021

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.

The file for child #6 contains emergency contact information that lacks the enrolling parent's work address and work phone number.

Corrected Corrected by Sep 1, 2021

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 #6 contains emergency contact information which lacks the address of the parent-designated release person.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.133(1)/3290.133(2) · A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Several different pills were observed in two plastic bags at the facility. Based on conversation with the operator, the pills belonged to child #4 and child #5 and the operator had no idea what the medication was and the medication lacked written instructions from the individual who prescribed the medicine.

Corrected Corrected by Sep 27, 2021

Category: ratio. Marked corrected in the state record.

3290.151(a)(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.

The most recent health assessment on file for staff person #1 is dated more than 24 months ago.

Corrected Corrected by Aug 20, 2021

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

3290.176 · A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

There was no water in the first-aid kit in the operator's vehicle. Based on conversation with the operator, the vehicle is used to transport children in care.

Corrected Corrected by Jul 28, 2021

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

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

A fire drill was not held between 12/19/20 and 05/02/21. Regulation changes on 12/19/20 require fire drills to be held every 60 days. Fire drills were held on 05/02/21 and 07/12/21, an interval greater than 60 days.

Corrected Corrected by Aug 27, 2021

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

3290.94(a)(4) · The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The two most recent fire drills identified the same hypothetical location of the fire.

Corrected Corrected by Aug 27, 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.

The second floor lacks a posted evacuation route.

Corrected Corrected by Sep 21, 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.

At the time of the inspection, the facility's second floor lacked an installed, operable 10-year lithium-ion smoke detector. Additionally, based on conversation with the operator, they had not been testing the facility's fire detection system every 30 days and had no documented testing of the smoke detectors.

Corrected Corrected by Jul 28, 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 facility lacks an emergency plan which provides for accommodations for shelter of children during a lock-down and accommodations for children with disabilities and children with chronic medical conditions.

Corrected Corrected by Sep 24, 2021

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