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, facility 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 facility person(s) available to supervise facility person #1, facility person #1 may not work in a child-care position at the facility.

During renewal inspection conducted 1/15/2025, facility person #1 was observed to be caring for children unsupervised. Facility person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR by PQAS instructor, or CCDBG Health and Safety training.

Corrected Corrected by Jan 15, 2025

Category: supervision. Marked corrected in the state record.

3290.31(f)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

During renewal inspection conducted on 1/15/2025, previous first-aid/CPR certificate on file for facility person #2 expired on 11/30/2024 and was not renewed until 12/27/2024.

Corrected Corrected by Jan 15, 2025

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. Facility Person #1 may not work in or be present in the child care facility until all required clearances are on file.

During renewal inspection conducted 1/15/2025, there was no disclosure statement or NSOR clearance on file for facility person #1. FBI clearance on file for facility person #1 is PDE FBI, not DHS FBI which is not accepted by OCDEL. Facility person #1 is listed as a household member but was also observed to be caring for children during renewal inspection.

Corrected Corrected by Jan 21, 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.

During renewal inspection conducted 1/15/2025, release persons' addresses were missing from the emergency contact form of child #2.

Corrected Corrected by Jan 15, 2025

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.

During renewal inspection conducted 1/15/2025, last health assessment on file for child #1 is dated 11/13/2023, which is past 12 months. Child #1 is preschool-aged (see LIS code sheet for date of birth).

Corrected Corrected by Jan 16, 2025

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

3290.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.

During renewal inspection conducted on 1/15/2025, there was no health assessment on file for facility person #1. Facility person #1 was observed to be providing direct care to children throughout inspection.

Corrected Corrected by Jan 22, 2025

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.

As of the renewal inspection on 1/24/24, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

Corrected Corrected by Jan 31, 2024

Category: ratio. 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.

As of the renewal inspection on 1/24/24, there was no written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted conspicuously. .

Corrected Corrected by Jan 31, 2024

Category: transportation. 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.

As of the renewal inspection on 1/24/24, there was no initial health assessment on file for child #1, #2, #3, and #4.

Corrected Corrected by Jan 31, 2024

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

3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

During the renewal inspection on 1/24/24, children's hands were not washed prior to eating lunch.

Corrected Corrected by Jan 31, 2024

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.

As of the renewal inspection on 1/23/23, there was no policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required by 45 CFR 98.41(a)(1)(vi).

Corrected Corrected by Feb 6, 2023

Category: health medication. 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.

During the renewal inspection on 1/23/23, the health assessment for child #1 was not dated.

Corrected Corrected by Jan 24, 2023

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

3290.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

During the renewal inspection on 1/23/23, the diaper changing surface was cloth and unable to be effectively disinfected after each use. The provider did not disinfect after changing a diaper.

Corrected Corrected by Jan 24, 2023

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.

As of the renewal inspection on 1/23/23, there was no documentation showing that the fire alarm system is tested every 30 days.

Corrected Corrected by Feb 6, 2023

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.

As of the renewal inspection on 1/23/23, the operator had no documentation that the parent of each child enrolled in the facility was provided information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Feb 6, 2023

Marked corrected in the state record.

3290.131(e) · 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.

On 1/13/22 during the renewal inspection, the most recent influenza vaccine for child #1 was dated 12/12/19. The only vaccine for child #2 was Hep B. The most recent influenza vaccine for child #3 was 2/28/20, and there were no influenza vaccines for child #4 and #5. There were no exemption letters on file for any of the children.

Corrected Corrected by Jan 23, 2022

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

3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

On 1/13/22 during the renewal inspection, the emergency plan did not provide for accommodations of toddlers, which the provider has enrolled at the facility.

Corrected Corrected by Jan 23, 2022

Category: physical safety. 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.

On 1/13/22 during the renewal inspection, staff #1 did not have 12 hours of child care training in the previous year.

Corrected Corrected by Jan 23, 2022

Category: recordkeeping. Marked corrected in the state record.