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.

Based on documentation a fire drill was not done every 60 days due to the fact the last one held was 3-7-25. On the day of the unannounced inspection 5-14-25 was 68 days since the last documented fire drill.

Corrected Corrected by May 14, 2025

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 the documentation of testing the smoke detection system they were tested more than 30 days apart due to the fact the last testing date was 4-4-25. At the time of the unannounced inspection, 5-14-25 it was 40 days since last tested.

Corrected Corrected by May 14, 2025

Category: recordkeeping. 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).

2nd citation. Previously cited 9/12/23. Child #1, a 1-year-old, lacked an influenza immunization according to the recommendations of the ACIP.

Corrected Corrected by Nov 16, 2023

Category: health medication. 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.

Observed a cracked bin labeled "balls" in the playroom. Observed a cracked tricycle with rough edges in the outdoor play space.

Corrected Corrected by Sep 12, 2023

Category: physical safety. 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 agreements for Children #1 and #2 lacked the date of the child's admission.

Corrected Corrected by Sep 12, 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.

Observed adult scissors in the 1st cabinet of the dining hutch located in the dining room which were accessible to children.

Corrected Corrected by Sep 12, 2023

Category: health medication. 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.

Observed 3 tubes of Crest toothpaste which indicated "keep out of the reach of children under 6" on the bathroom sink counter which were accessible to children.

Corrected Corrected by Sep 12, 2023

Category: ratio. 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 files of Children #1 and #2 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Sep 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Emergency contact information for Child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Corrected Corrected by Oct 1, 2023

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.

Emergency contact information for Child #3 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Oct 1, 2023

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.

Emergency contact information for Children #1 and #2 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 12, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained a health report dated 10/20/22.

Corrected Corrected by Nov 1, 2023

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

3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Child #3, a 1-year-old, lacked Hepatitis B, Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations according to the recommendations of the ACIP. Child #3 had documentation of 1 Hepatitis B, 1 Rotavirus, 1 DTAP/DTP/TD, 1 HIB, 1 Pneumococcal, 1 Polio, and no influenza immunizations.

Corrected Corrected by Sep 13, 2023

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

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

The file of Child #3 contained a health report which indicated the child was not able to participate in child care and did not appear to be free from contagious or communicable disease.

Corrected Corrected by Nov 1, 2023

Category: health medication. 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.

Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a health assessment conducted on 11/6/20.

Corrected Corrected by Nov 6, 2023

Category: health medication. 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 emergency plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Nov 1, 2023

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 interconnected smoke alarms on each floor and in the basement. The facility did not have an interconnected smoke alarm on the 2nd floor but did have on the 1st floor and in the basement. The operator lacked documentation of the proof and date of purchase of the interconnected smoke alarms.

Corrected Corrected by Sep 17, 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.

2nd citation. Previously cited on 9/27/22. The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 9/28/21, 10/29/21, 11/22/21, 12/20/21, 1/31/22, 2/25/22, 3/31/22, 4/27/22, 5/27/22, 6/24/22, 7/27/22, 8/19/22, and 10/27/22.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. 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.

Observed a Little Tykes riding toy with an exposed screw behind the seat in the outdoor play space. Observed a metal riding toy with rust on the seat and steering wheel in the outdoor play space.

Corrected Corrected by Nov 20, 2022

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.

Observed rest equipment not labeled with the child's name.

Corrected Corrected by Nov 20, 2022

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

3290.18 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-aid and CPR. The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment. The emergency plan did not include requirements for continuity of operations.

Corrected Corrected by Nov 18, 2022

Category: supervision. 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.

The file of Household Member #2 lacked a Child Abuse Clearance updated every 60 months. Household Member #2 had a Child Abuse Clearance dated 9/9/21 with a previous one dated 11/30/15.

Corrected Corrected by Nov 20, 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.

Observed Quick Drying Epoxy which indicated "keep out of the reach of children" in the 1st drawer beside the refrigerator in the kitchen which was accessible to children.

Corrected Corrected by Nov 20, 2022

Category: ratio. 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.

A veterinarian's certificate of current rabies immunization was not on file for a cat who was present at the facility.

Corrected Corrected by Nov 20, 2022

Category: health medication. 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 files of Children #1, #2, #3, #4, and #5 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Nov 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The files of Children #1, #2, and #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Nov 20, 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 files of Children #1, #2, and #3 lacked the complete work address of the enrolling parent on the emergency contact form. The file of Child #4 lacked the work telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Nov 20, 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 file of Child #5 lacked written consent signed by a parent for emergency medical care prior to admission on the emergency contact form. Child #5 had an admission date of 9/1/22 with an emergency contact form signed on 9/26/22.

Corrected Corrected by Nov 20, 2022

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 files of Children #1, #2, and #3 lacked the complete address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #4 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Nov 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file of Child #4 lacked an updated health report at least every 12 months for an older toddler or preschool child with the reinstating of this regulation on 1/6/22. The most recent health report in the file of Child #4 is dated 8/9/21.

Corrected Corrected by Nov 20, 2022

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

3290.131(e)(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.

The file of Child #5, a 2 year old, lacked DTAP/DTP/TD immunizations, Pneumococcal immunizations, a current influenza immunization, and Hepatis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #5 contained documentation of 3 DTAP/DTP/TD immunizations, 2 Pneumococcal immunizations, and 1 Hepatis A immunization.

Corrected Corrected by Nov 20, 2022

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 of Child #5 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #5 had an admission date of 9/1/22 with an emergency contact form signed on 9/26/22.

Corrected Corrected by Nov 20, 2022

Category: ratio. 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.

It was observed that an agreement was not on file at the date of enrollment for Child #5. Child #5's admission date was 9/1/22. The agreement was dated on 9/26/22.

Corrected Corrected by Nov 20, 2022

Category: recordkeeping. 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 operator or designated staff person did not ensure that fire drills are conducted at least once every 60 days. The operator provided documentation that fire drills were conducted on 9/28/21, 11/22/21, 1/31/22, 3/31/22, 5/27/22, 7/27/22.

Corrected Corrected by Nov 20, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The operator did not ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Evacuation routes are posted on the first floor but not the basement or 2nd floor.

Corrected Corrected by Nov 20, 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.

The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 9/28/21, 10/29/21, 11/22/21, 12/20/21, 1/31/22, 2/25/22, 3/31/22, 4/27/22, 5/27/22, 6/24/22, 7/27/22, and 8/19/22.

Corrected Corrected by Nov 20, 2022

Category: recordkeeping. 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 facility did not have an emergency plan that provides for accommodations for shelter of children during an emergency including shelter in place at the facility.

Corrected Corrected by Nov 20, 2022

Category: physical safety. 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.

An emergency drill was not conducted annually.

Corrected Corrected by Nov 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(f) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file of Staff #1 lacked documentation of an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Nov 20, 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) (10) within 90 days of hire. Staff person #1 will have until November 2, 2022, to complete the required training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid and CPR.

Corrected Corrected by Oct 26, 2022

Category: supervision. 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 may not work in a child care position at the facility until all clearances are obtained.

The files for staff #1 and household member #2 were observed having FBI clearances dated 12/2/15, exceeding 60 months between renewals. Receipts for a new FBI clearances were observed on file dated 9/24/21. Household member #2 lacked a disclosure statement on file.

Corrected Corrected by Oct 15, 2021

Category: background checks. 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 emergency contact information for child #1 lacked the health insurance coverage and policy number.

Corrected Corrected by Oct 15, 2021

Category: health medication. 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 a copy of the updated emergency plan sent to the local municipality and to the county emergency management agency,

Corrected Corrected by Oct 15, 2021

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 operator lacked documentation showing the fire detection system was checked on a monthly basis beginning in November of 2020.

Corrected Corrected by Oct 15, 2021

Category: recordkeeping. Marked corrected in the state record.