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

It was observed that the bathroom wall outlets did not have protective receptacle covers.

Corrected Corrected by Jun 13, 2024

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.

It was observed in the outdoor play area that a toy lawn mower had a broken wheel.

Corrected Corrected by Jun 14, 2024

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

3290.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

It was observed in the outdoor play area that the anchored equipment did not have 9 inches of loose fill or unitary proctective surface covering.

Corrected Corrected by Jun 15, 2024

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

3290.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The facility's thermometer in the operable refrigerator was reading at 51 degrees.

Corrected Corrected by Jun 15, 2024

Category: nutrition. 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.

It was observed that two cats at the facility did not have current veterinarian's certificates of current rabies immunizations.

Corrected Corrected by Jun 20, 2024

Category: health medication. 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 files for child #1, child #2, child #3, child #4, and child #5 were observed not to have documentation of a Child Service Report being done in the past 6 months.

Corrected Corrected by Jul 2, 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 form on file for child #2 was observed not to include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP.

Corrected Corrected by Jun 20, 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.

The emergency contact form on file for child #2 was observed not to have the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jun 20, 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 file for child #5 was observed not to have documentation of emergency contact information and the financial agreement reviewed and updated within the last 6-month period.

Corrected Corrected by Jun 14, 2024

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 health report on file for child #1, child #2, child #3, child #4 and child #5, were observed not to have documentation of an updated health report at least every 12 months.

Corrected Corrected by Jun 18, 2024

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

3290.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

It was observed in the bathroom cabinet three containers of sunscreen that were not labeled with the name of the child for whom the sunblock was intended.

Corrected Corrected by Jun 13, 2024

Category: health medication. 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's fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days. This is evidenced by testing being documented: 12/1/23 to 1/5/24 and 3/3/24 to 5/3/24.

Corrected Corrected by Jun 14, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.113(f) · When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

It was observed during the inspection that the provider took a child to the bathroom and was unable to be physically present the other children. The provider did not have a means of an electronic monitor, camera, mirror or other device or method to see, hear direct and assess the children at all times.

Corrected Corrected by Jun 16, 2024

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.

The operator lacked updated sections in their emergency plan that addresses volunteer emergency preparedness training and the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

Corrected Corrected by Jul 16, 2023

Category: ratio. 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.

Staff #1 completed the Pennsylvania Health and Safety Update 2022 on 5/3/2023, following the prescribed timeframe required by OCDEL to complete the training, which was by December 30, 2022, as per Announcement C-22-06.

Corrected Corrected by Aug 28, 2023

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

3290.24(c) · 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.

The operator lacked documentation of emergency plan training annually.

Corrected Corrected by Jul 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)(4)(iii)/3290.192(4) · Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard. A facility person's record shall include records of training required by the Department.

Staff file #1 lacked documentation of completion of basic water safety instruction completed by a certified lifeguard.

Corrected Corrected by Jul 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit lacked nonporous gloves in the kit.

Corrected Corrected by Jun 21, 2023

Category: health medication. 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). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Upon arrival at the facility on 6/21/23 there were 2 older school age children playing in a splash and slide outside while staff person #1 was inside in the main room with 2 older toddlers and 1 preschool child in the room with them, and 1 infant was sleeping alone in another room.

Corrected Corrected by Jul 16, 2023

Category: supervision. Marked corrected in the state record.

3290.115(a)(4)/3290.115(a)(5) · A staff person shall be physically present with a child who is wading or swimming. The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:6.

Staff person #1 was inside the facility while 2 older school age children were wading in a splash and slide without an adult present.

Corrected Corrected by Jul 16, 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 lacked documentation of testing of the fire detection system every 30 days as required by section 1016(c) of the act (62 P.S. § 1016(c)).

Corrected Corrected by Jul 16, 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 lacked instructions for contacting the appropriate regional child care office posted in the parent area.

Corrected Corrected by Jul 16, 2023

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.

Staff file #1 contained documentation of completion of 3 of the annual 12 hours of childcare training completed between 12/19/21 and 12/19/22.

Corrected Corrected by Aug 28, 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

Child file #2 lacked an updated health report at least every 6 months as required for a young toddler.

Corrected Corrected by Jun 30, 2022

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

3290.32(a)/3290.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Staff file #1 lacked the mandated reporter certificate completed in 2021 in the file.

Corrected Corrected by Jul 1, 2022

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).

Child file #1 and #2 lacked documentation of child service reports conducted every 6 months and shared with the family.

Corrected Corrected by Jul 1, 2022

Category: recordkeeping. 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.

Child file #2 lacked the child's health insurance coverage and policy number on the emergency contact form.

Corrected Corrected by Jun 30, 2022

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

3290.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The facility lacked a plastic lined, hands free covered can for use in the diapering area.

Corrected Corrected by Jun 23, 2022

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

3290.94(a)(1)/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 fire drills are conducted at least once every 60 days. 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 facility lacked documentation for conducting fire drills every 60 days as required.

Corrected Corrected by Jul 1, 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 documentation of testing of the fire detection system every 30 days as required.

Corrected Corrected by Jul 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.22(a)/3290.22(b) · 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 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 a posting or a way to provide parents with information on how or the link to access the regulations electronically.

Corrected Corrected by Jun 23, 2022

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 completion of 12 hours of child care training obtained annually.

Corrected Corrected by Jul 1, 2022

Category: recordkeeping. Marked corrected in the state record.