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.

Child #1 was enrolled on 10/14/24. Child does not have a copy of her health assessment on record. Chil #1 has beenin care for over 60 days.

Corrected Corrected by Feb 28, 2025

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 smoke alarms located in family child care home were observed not to be interconnected via hardwire, Bluetooth, or any other means that allow for communication between smoke detectors.

Corrected Corrected by Mar 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.21(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Upon arrival at 1:30 pm, Certification Representative knocked on the back door leading into the lower level of the home where child care is provided. After knocking 2 times, Cert Rep walked around to the front door and knocked twice on the door. Cert Rep then walked back around to the back of the house where staff person #1 was observed walking out the back door onto the patio. Once inside, Cert Rep requested the child files that needed to be reviewed but they were unavailable due to being upstairs and staff person #1 was unable to go upstairs to retrieve the documents.

Corrected Corrected by Mar 31, 2023

Category: recordkeeping. 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).

Continued Non-Compliance: Upon arrival at 1:30 pm, Certification Representative knocked on the back door leading into the lower level of the home where child care is provided. Cert Rep observed a child walk toward the door and then head to the bottom of the stairs leading to the upper level of the home; there did not appear to be an adult in the room with the child. After knocking 2 more times, Cert Rep walked around to the front door and knocked twice on the door. Cert Rep then walked back around to the back of the house where staff person #1 was observed walking out the back door onto the patio. Upon entering the child care space, Cert Rep observed 2 children (a 5-year-old and a 2-year-old) in the room. Cert Rep observed the small room on the right with the door open, the room was dark due to the lights being off with a 3-year-old child napping in the room. The door was closed to the small room on the left. Upon opening the door, the room was dark due to the lights being off and 3 children (two 3-year-olds and a 4-year-old) were napping in the room. Previously cited on 01/26/2023.

Corrected Corrected by Mar 31, 2023

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.

Staff person #1 has not completed the following health and safety professional development training update by 12/30/2022: Pennsylvania Health and Safety Update 2022.

Corrected Corrected by Mar 24, 2023

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

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

Observed an electrical outlet which lacked a protective receptacle cover in the small room where preschool age children were napping. *Corrected at the time of the inspection.

Corrected Corrected by Jan 30, 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.

Observed Lysol wipes and diaper cream on the small changing table in the child care space which was accessible to children. *Corrected at the time of the inspection.

Corrected Corrected by Jan 27, 2023

Category: ratio. 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).

On 01/26/2023, staff person #1 was observed on the main level of the home while 4 nonrelated children and 1 related child were napping downstairs in the basement level. 3 preschool age children were sleeping in a small room with the door closed and the lights off and 2 toddlers were sleeping in the main child care space. Upon arrival to the facility, the Certification Representative knocked on the basement level door leading into the child care space multiple times before walking to the front door of the home where Staff person #1 answered the door. Staff person #1 stated she was upstairs working on her computer while the children were napping.

Corrected Corrected by Jan 27, 2023

Category: supervision. 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 operator did not have a completed Child Service Report with information about the child's growth and development for child #1, #3 and #5, who have been enrolled at the facility for greater than 6 months (see LIS code sheet).

Corrected Corrected by Mar 24, 2023

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 form for child #5 did not include the child's arrival and departure times.

Corrected Corrected by Feb 27, 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.

The agreement form for child #3 did not include the persons designated by a parent to whom the child may be released.

Corrected Corrected by Feb 27, 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 emergency contact information for child #2 did not include the address of the child's physician or source of medical care.

Corrected Corrected by Mar 20, 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 emergency contact information for child #2 did not include the work address and telephone number of the enrolling parent. The emergency contact information for child #4 did not include the home address and the work address and telephone number of the enrolling parent.

Corrected Corrected by Mar 20, 2023

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.

The emergency contact information for child #5 did not include health insurance coverage and policy number.

Corrected Corrected by Mar 20, 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.

The emergency contact information for child #1 did not include the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Mar 6, 2023

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 for child #2 did not include an initial health report within 60 days of enrollment (see LIS code sheet), a health assessment is not on file.

Corrected Corrected by Mar 20, 2023

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 for child #1 and #2 (see LIS code sheet) included a record of the child's immunization status which lacked an influenza immunization. The file for child # 4 and #5 (see LIS code sheet) included a record of the child's immunization status which lacked a current influenza immunization.

Corrected Corrected by Mar 20, 2023

Category: health medication. 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.

The file for child #2 and #4 did not contain a copy of the initial agreement at the time of enrollment (see LIS code sheet).

Corrected Corrected by Mar 20, 2023

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.

Observed a fire drill was conducted at least once every 60 days; documented fire drills exceeded 60 days on the following dates: 07/15/2022 -09/16/2022, 10/18/2022 - 12/18/2022.

Corrected Corrected by Feb 17, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.95(b) · The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Observed a manual test of the fire detection system was not tested at least once every 30 days; documented tests exceeded 30 days on the following dates: 06/10/2022 - 07/15/2022, 08/12/2022 - 09/16/2022 - 10/18/2022 - 11/18/2022 - 12/19/2022.

Corrected Corrected by Jan 26, 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.

Instructions for contacting the central regional child care office was not posted in a conspicuous location used by parents.

Corrected Corrected by Mar 17, 2023

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 does not provide information to the parent with information on how to access the regulations in chapter 3290 electronically with instructions for contacting the central regional child care office.

Corrected Corrected by Mar 24, 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.

The file for staff person #1 lacked documentation of an annual minimum of 12 clock hours of child care training between 12/12/2021 - 12/19/2022.

Corrected Corrected by Mar 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)(4)(i)/3290.31(g)(10) · 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. Pediatric first aid and pediatric cardiopulmonary resuscitation.

Upon inspection of the file for facility person #1, it was found that the last first-aid/CPR training was completed on 3.18.17 and has since expired in 2020.

Corrected Corrected by Mar 18, 2022

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). Facility person #1 must be removed from a child care position by the close of business on 3.15.22.

The file of facility person #1 contains a completed child abuse [expired 5.17.21] , DHS required FBI clearance [expired 5.21.21], PA criminal clearance [expired 4.20.20 and renewed on 3.13.22] and no NSOR verification and no signed disclosure statement. The file does not contain copies of request(s) for the clearances/verification.

Corrected Corrected by Mar 21, 2022

Category: background checks. 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.

Upon inspection of the facility first aid kit, it was found to be missing soap and scissors.

Corrected Corrected by Mar 18, 2022

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

3290.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Upon inspection of the physical site areas of the facility, it was found that one of the exits from the facility was blocked with some boxes/toys such that safe exit if needed would have been compromised.

Corrected Corrected by Mar 18, 2022

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.

Upon inspection of the files for child #1, #2 and #3, it was found that a person[s] designated by a parent to whom the child may be released was not specified on the agreement.

Corrected Corrected by Mar 22, 2022

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.

Upon inspection of the files for child #1, #2 and #3, it was found that the date of admission was not specified on the agreement document.

Corrected Corrected by Mar 22, 2022

Category: recordkeeping. 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.

Upon inspection of the files for child #1, #2 and #3, it was found that the original agreement document was on file for each child.

Corrected Corrected by Mar 23, 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.

Upon inspection of the files for child #1 [2 years] and #3 [2 years], it was found that the last health assessment was performed on 11.16.20 for child #1 and 11.2.20 for child #3.

Corrected Corrected by Mar 22, 2022

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

3290.131(d)(5)/3290.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Upon inspection of the files for children, it was found that child #1 had no record of receiving an influenza vaccination and child #3 last was vaccinated in 2020.

Corrected Corrected by Mar 23, 2022

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

3290.151(a)(2)/3290.192(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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Upon inspection of the file for facility person #1, it was found that the last health assessment was completed on 4.11.18.

Corrected Corrected by Mar 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.

Upon inspection of the facility emergency plan, it was found that accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions were not included.

Corrected Corrected by Mar 18, 2022

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.

Upon inspection of the facility fire drill log, it was found that drills were conducted on 10.20.21, 12.20.21 only.

Corrected Corrected by Mar 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))

Upon inspection of the facility fire safety logs, it was found that testing was done on 8.21, 9.21, 10.20.21 and 11.21 and therefore exceeding the required testing every 30 days.

Corrected Corrected by Mar 22, 2022

Category: physical safety. 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.

Upon inspection of the facility emergency plan, it was found that accommodations for shelter of children during an emergency lock-down were not included.

Corrected Corrected by Mar 18, 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.

Upon inspection of the facility records, it was found that an emergency drill was not conducted during the 2021 calendar year.

Corrected Corrected by Apr 6, 2022

Category: recordkeeping. Marked corrected in the state record.