3290.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for Child #2 did not specify the child's arrival and departure times.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.64(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed Murphy Oil Soap, Lysol, Pet Disinfecting Cleaner, and Bissell Wood Floor which all indicated "keep out of the reach of children" under the kitchen sink which were accessible to children. Observed Purell Hand Sanitizer which indicated "keep out of the reach of children" on the round table by the sliding door in the family room which was accessible to children.

Corrected Corrected by Jan 14, 2024

Category: ratio. Marked corrected in the state record.

3290.64(d) · Arts and crafts materials shall be nontoxic.

Observed 3 BINGO Daubers in a bin above the desk in the family room which indicated "keep out of the reach of children."

Corrected Corrected by Jan 12, 2024

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.

Emergency contact information for Child #1 did not include the address of the child's physician or source of medical care.

Corrected Corrected by Jan 12, 2024

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 Child #1 did not include the telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(a) · 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.

The file of Child #2 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #2 had an admission date of 6/5/23 with a health report dated 8/11/23.

Corrected Corrected by Feb 16, 2024

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 emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were signed on 6/1/23 and reviewed on 1/2/24.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. 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 update to the county emergency management agency.

Corrected Corrected by Feb 28, 2024

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 operator or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The operator provided documentation that fire drills were conducted on 1/9/23, 3/16/23, 5/19/23, 7/12/23, 9/1/23, 11/20/23, and 1/2/24.

Corrected Corrected by Jan 14, 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 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 address continuity of operations. Observed adult scissors on the teacher's desk in a cup which were accessible to children.

Corrected Corrected by Feb 9, 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). 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 Staff #1 lacked documentation of the National Sex Offender Registry Verification Certificate by July 1, 2020. The file of Staff #1 contained a NSOR dated 7/28/20.

Corrected Corrected by Feb 2, 2023

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 protective services).

The file of Staff #1 contained a current mandated reporter training dated 7/28/20 but the previous mandated reporter training was missing from the file.

Corrected Corrected by Feb 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.64(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Observed Repel Insect Repellent and 2 bottles of Equate Isopropyl rubbing alcohol 91 percent which indicated "keep out of the reach of children" on the shelf across from the toilet in the bathroom which were accessible to children.

Corrected Corrected by Jan 13, 2023

Category: ratio. Marked corrected in the state record.

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

Observed a first-aid kit on the bottom shelf of the top half of the 1st cabinet by the door which was accessible to children.

Corrected Corrected by Jan 13, 2023

Marked corrected in the state record.

3290.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed foam blocks with bite marks.

Corrected Corrected by Jan 13, 2023

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 file of Child #4 lacked the date of the child's admission on the agreement.

Corrected Corrected by Jan 13, 2023

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 #3 and #4 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Jan 25, 2023

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 of Child #4 lacked the complete work address of the enrolling parent on the emergency contact form.

Corrected Corrected by Jan 25, 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 of Child #2 lacked the 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 complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Jan 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

A written plan was not conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Corrected Corrected by Feb 9, 2023

Category: transportation. Marked corrected in the state record.

3290.131(a) · 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.

The file of Child #1, with an admission date of 8/24/22, lacked an initial health report no later than 60 days following the first date of attendance at the facility. The file of Child #1 contained a health report dated 1/6/23.

Corrected Corrected by Jan 13, 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.

The file of Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a current health assessment dated 1/6/23 with a previous one dated 11/5/20.

Corrected Corrected by Jan 13, 2023

Category: health medication. 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 or designated staff person did not ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Jan 15, 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 was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 2/1/22, 3/6/22, 4/13/22, 5/25/22, 6/22/22, 7/29/22, 8/31/22, 9/15/22, 10/14/22, 11/31/22, and 12/28/22.

Corrected Corrected by Jan 13, 2023

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.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents. The certificate of compliance posted expired on 4/4/22.

Corrected Corrected by Feb 2, 2023

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.

The kitchen counter top was observed having the following toxics accessible to children; Enddust spray, Woolite, Aerosol can of frosted glass, Lysol wipes, and Lysol spray.

Corrected Corrected by Jan 31, 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.

The facility lacked current rabies immunizations for the dog named "lil Dummy" and the cat named "nutkins".

Corrected Corrected by Feb 8, 2022

Category: health medication. 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 an emergency drill completed annually.

Corrected Corrected by Feb 11, 2022

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 emergency contact information and financial agreements for children #1, #2, and #3 lacked parent review ever 6 months. The last documented reviews were dated in 2019 and 2020.

Corrected Corrected by Feb 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)(4) · 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).

The file for child #1 lacked a health assessment for entrance into 6th grade, in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). The most recent health assessment observed on file was dated 11/1/18.

Corrected Corrected by Feb 15, 2022

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

3290.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

The facility was observed having Excedrin on the kitchen counter top and Rolaids on the coffee table in the main child care space both accessible to children.

Corrected Corrected by Jan 31, 2022

Category: health medication. 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 lacked fire drills completed at least once every 60 days. The last recorded fire drill was completed 1/21/21.

Corrected Corrected by Feb 9, 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 lacked a record of monthly checks of the facilities fire detection system.

Corrected Corrected by Feb 1, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The facility lacked information on how to access the regulations in this chapter electronically.

Corrected Corrected by Feb 4, 2022

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 lacked an emergency plan that included lock-down.

Corrected Corrected by Feb 10, 2022

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