Shirley A Hollack

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

In the kitchen, there was a sharp knife observed on the kitchen counter that was accessible to preschoolers in the room.

Corrected by Feb 24, 2026

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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 #1 had an emergency contact form that lacked the telephone number of the child's physician. The file for child #2 had an emergency contact form that lacked the address of the child's physician.

Corrected by Feb 24, 2026

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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 #3 had health assessments that exceeded 12 months between assessments.

Corrected by Feb 24, 2026

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3290.131(e)/3290.131(e)(2)(i) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record. Child #1 must be dismissed from care by close of business on 2-24-26 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 lacked an immunization record or exemption documentation within 60 days of the child's first day of attendance at the facility and requires a current immunization record.

Corrected by Feb 26, 2026

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3290.94(a)(1) · 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 every 60 days between 1-28-25 to 3-31-25 and 9-2-25 to 11-11-25.

Corrected by Feb 24, 2026

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

The file for child #1 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Mar 31, 2025

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3290.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The file for child #1 had a health assessment that lacked a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health assessment.

Corrected by Mar 31, 2025

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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 in an unlocked drawer, there was Roux 'Tween Time Concealer that was labeled "Keep out of reach of children" and was accessible to children.

Corrected by Feb 7, 2024

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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 Staff Person #2 may not work in a child care position at the facility.

The file for staff person #1 had a state police clearance dated 11-7-18 and lacked a state police clearance updated within the last 60 months. The file for staff person #2 lacked a disclosure statement and FBI clearance at their start date and requires a current FBI clearance and disclosure statement. (See LIS CODE SHEET)

Corrected by Feb 23, 2024

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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.

A veterinarian's certificate of current rabies immunization was not on file for a dog that was observed at the facility.

Corrected by Feb 8, 2024

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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 person #2 lacked a Tuberculosis screening by the Mantoux method at initial employment and requires a current Tuberculosis screening by the Mantoux method.

Corrected by Feb 20, 2024

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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 every 60 days between 6-20-23 to 8-21-23 and 8-21-23 to 10-23-23.

Corrected by Feb 8, 2024

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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 volunteer emergency preparedness training and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected by Mar 9, 2023

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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 in an unlocked drawer and cabinet, there were multiple toxics including Kendra Hairspray, CeraVe lotion, and CeraVe Acne Control Cleanser that were labeled "Keep out of reach of children" and were accessible to children.

Corrected by Feb 3, 2023

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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 #1 had an emergency contact form that lacked the telephone number of the child's physician.

Corrected by Mar 1, 2023

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3290.124(c) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

An emergency contact form was not present in the operator's vehicle for child #2. The operator stated that the child has been transported in the vehicle multiple times without the emergency contact form present in the vehicle.

Corrected by Mar 1, 2023

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

The file for child #2 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Mar 1, 2023

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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 person #1 had a health assessment that exceeded 24 months between assessments.

Corrected by Mar 9, 2023

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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 every 60 days between 9-6-22 to 11-8-22 and 11-8-22 to 1-9-23.

Corrected by Mar 9, 2023

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3290.94(a)(4) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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.

According to the fire drill log, the hypothetical location of the fire was the same for two consecutive drills.

Corrected by Mar 9, 2023

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3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation routes were not posted in the basement of the facility.

Corrected by Mar 9, 2023

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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 documentation of the fire drills conducted indicated the fire drills were not conducted at least every 60 days when tested on 10/6/21 and then again on 12/14/21.

Corrected by Mar 22, 2022

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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 documentation of the operator's testing of the smoke detectors indicated the smoke detectors were not tested at least every 30 days when tested on 6/20/21 and the again on 7/28/21.

Corrected by Jan 30, 2022

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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 operator indicated that the parents of the children enrolled had not yet been provided with information on how to access the regulations in this chapter electronically

Corrected by Mar 21, 2022

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

The first emergency drill was recorded as conducted on 1/5/22, more than 12 months after the regulation requiring an emergency drill became effective (12/19/20.)

Corrected by Mar 21, 2022

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