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 for Staff #1 was observed not to have a disclosure statement.

Corrected Corrected by Jan 31, 2025

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

3290.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The Emergency contact form on file for Child #1 was observed not to have the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(2)/3290.181(b) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Information in a child's record shall be kept current by the operator.

The file for Child #1did not have documentation of an updated health assessment.

Corrected Corrected by Jan 31, 2025

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 operator lacked a policy and procedure to identify the prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

Corrected Corrected by Jan 26, 2024

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

3290.24(a) · The facility shall have an emergency plan.

The provider lacked documentation of an emergency plan on site.

Corrected Corrected by Jan 26, 2024

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.

It was observed in the bathroom toxics such as medicated ointments, personal hygiene products that are labeled "Keep out of reach of children".

Corrected Corrected by Dec 13, 2023

Category: ratio. Marked corrected in the state record.

3290.73(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3290.73(c).

It was observed that the first-aid kit used in excursions was lacking a bottle of water.

Corrected Corrected by Dec 13, 2023

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

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

The file for Child #3 did not have documentation of an agreement.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

The file for Child #1, #2, and Child #3 did not have documentation of a Child Service Report.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Agreement on file for Child #1 and Child #2 did not specify the child's arrival and departure times.

Corrected Corrected by Jan 26, 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 agreement on file for Child #1 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Jan 12, 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 agreement on file for Child #1 did not specify the date of the child's admission.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The agreement on file for Child #1 and Child #2 did not specify if extra services were considered.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The emergency contact form on file for Child #3 did not have information of the name, address and telephone number 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)(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 form on file for Child #1 and Child #3 did not have written parental consent for emergency medical care for the child.

Corrected Corrected by Jan 12, 2024

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.

The Emergency contact on file for Child #3 did not contain 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.

Corrected Corrected by Jan 12, 2024

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

3290.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The Emergency contact on file for Child #3 did not have documentation of health insurance/MA policy coverage. The Emergency contact form on file for Child #1, Child #2, and Child #3 did not have documentation of health insurance/MA policy number.

Corrected Corrected by Jan 12, 2024

Category: health medication. 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.

It was observed that the file for Child #1 did not have documentation of an update for 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.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.131(e) · 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 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.

The file for Child #3 did not contain a health report.

Corrected Corrected by Jan 30, 2024

Category: health medication. 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 Emergency Contact form on file for Child #1 and Child #3 did not have written parental consent for administration of medications or special dietary needs.

Corrected Corrected by Jan 26, 2024

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 Emergency Contact form on file for Child #1 and Child #3 did not have written parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jan 12, 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 Emergency Contact form on file for Child #1 and Child #3 did not have written parental consent for transportation, walking excursions, swimming and wading.

Corrected Corrected by Jan 12, 2024

Category: transportation. Marked corrected in the state record.

3290.94(a)(9) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The operator lacked documentation of fire drills being conducted every 60 days.

Corrected Corrected by Dec 14, 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 provider will have an operable interconnected fire detection system within 30 days of this report.

**On 12/15/23, the family child care home lacked operable, properly maintained smoke alarms. Per staff statements the home has hardwired interconnected smoke alarms that were malfunctioning due to dust and had been turned off.

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.95(a)/3290.95(b) · *Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met. The provider will not provide childcare until there are operable smoke detectors in the facility.

*On 12/15/23, the family child care home lacked operable, properly maintained smoke alarms. Per staff statements the home has hardwired interconnected smoke alarms that were malfunctioning due to dust and had been turned off.

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Child files #1 and #2 lacked the operator's signature on the agreement form.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child file #1 lacked the designated release persons on the agreement form.

Corrected Corrected by Jan 20, 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 operator lacked a policy and procedure to identify the prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

Corrected Corrected by Jan 25, 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 operator lacked the required pre-service training on the health and safety training topics by 4/29/22 as required by the regulation update on 12/19/20. The required pre-service training was obtained on 1/11/23.

Corrected Corrected by Jan 23, 2023

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

3290.24(a) · The facility shall have an emergency plan.

The operator lacked an emergency plan detailing shelter in place, lockdown, evacuation route off premises including a means for accommodation of infants, toddlers, children with special needs and medical conditions, a method to notify parents of an emergency and when that emergency is over.

Corrected Corrected by Jan 23, 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.

Child filles #1 and #2 lacked the child's admission date on the agreement form.

Corrected Corrected by Jan 23, 2023

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.

Child file #1 lacked an emergency contact form that included who shall be contacted in an emergency.

Corrected Corrected by Jan 20, 2023

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.

Child file #1 lacked signed parental consent by a parent for emergency medical care on the emergency contact form prior to admission to the facility.

Corrected Corrected by Jan 23, 2023

Category: recordkeeping. 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.

Child file #2 contained an initial health report dated 7/15/21 which was more than 60 days after the admission date.

Corrected Corrected by Jan 23, 2023

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.

Child file #1 emergency contact form lacked the signed written parental consent for administration of minor first-aid procedures prior to admission.

Corrected Corrected by Jan 23, 2023

Category: ratio. 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 operator lacked a means for which the families could access the regulations in this Chapter electronically and with the instructions on how to contact the Western Region office.

Corrected Corrected by Jan 21, 2023

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.

Staff file #1 lacked documentation of 12 hours of completed child care training between 12/19/21 and 12/19/22.

Corrected Corrected by Jan 23, 2023

Category: recordkeeping. 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.

The file for staff person #1 lacked competence in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques when one or more children are in care.

Corrected Corrected by Feb 1, 2022

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.

The file for child #2 lacked emergency contact information.

Corrected Corrected by Jan 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #1 lacked emergency contact information that included the work address and work telephone number of the enrolling parent.

Corrected Corrected by Jan 4, 2022

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.

The file for child #1 lacked emergency contact information that included 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.

Corrected Corrected by Jan 4, 2022

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