Thomas Family Day Care

3290.131(b)(1)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

A renewal inspection occurred at the facility on 3/30/26. A review of children's files was conducted. See the code sheet for the child's date of birth. Child #1 is an infant and had a health assessment dated for 9/10/25. The file did not contain an updated health assessment every 6 months as required by regulation. Child #1 was in care at the time of this inspection.

Corrected by Apr 13, 2026

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3290.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A renewal inspection occurred at the facility on 3/30/26. A review of children's files was conducted. See the code sheet for the child's date of birth. Child #1 is an infant and the operator did not have a written statement giving the formula and feeding schedule for this child provided by the parent for this child as required by regulation. Child #1 was in care at the time of this inspection.

Corrected by Apr 13, 2026

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3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

A renewal inspection occurred at the facility on 3/30/26. A review the facility's emergency drill documents was conducted. Regulation requires a facility to conduct an emergency drill annually. The facility was only able to provide documentation that the last emergency drill was conducted on 3/15/24.

Corrected by Apr 13, 2026

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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.

A renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Regulation requires fire drills to be conducted at least every 60 days. The following drills did not occur at least every 60 days: 5/22/24-7/22/24 7/22/24-9/22/24 9/22/24-11/22/24 11/22/24-1/22/25 1/22/25-3/22/25.

Corrected by Mar 11, 2025

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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.

A renewal inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. Regulation requires fire safety systems to be tested at least every 30 days. The following test did not occur at least every 30 days: 7/24/24-8/24/24 8/24/24-9/24/24 10/24/24-11/24/24 12/24/24-1/25/25 1/25/25-2/25/25.

Corrected by Mar 11, 2025

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3290.94(a)(1)/3290.94(a)(4) · 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 the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Fire drills were not conducted at least once every 60 days as evidenced by the following fire drill logs that were on file: 2/22/23 to 5/22/23, 5/22/23 to 7/22/23, 7/22/23 to 9/22/23, 9/22/23 to 11/22/23, and 11/22/23 to 1/22/24. There was no documentation which showed that the hypothetical locations of the fire were rotated around the facility for each consecutive fire drill. Instead, the "front lawn" was the only hypothetical location of the fire that was documented for fire drills conducted on 2/22/23, 5/22/23, 7/22/23, 9/22/23, 11/22/23, 1/22/24, and 3/22/24.

Corrected by May 21, 2024

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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.

An evacuation route was not observed on the second floor of the facility.

Corrected by Mar 22, 2024

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

During the renewal inspection, the operator did not have a section in their emergency plan to address volunteer emergency preparedness training, practice drills, and continuity of operations.

Corrected by Mar 21, 2023

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. The provider's written policy must include, but is not limited to: recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

During the renewal inspection, the operator admitted to not having a written policy which includes but is not limited to: recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

Corrected by Mar 21, 2023

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3290.32(a)/3290.192(3) · 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 operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). S Staff person#1 will have until 4/4/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff 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 staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

During the renewal inspection, staff person #1 who has been a family child care provider since prior to 2008 could not locate documentation of mandated reporter training or a signed disclosure statement.

Corrected by Mar 20, 2023

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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).

During the renewal inspection, there was no documentation of a child service report ever being conducted for child #1, child #2 and child #3.

Corrected by Apr 20, 2023

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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.

During the renewal inspection, the address and/or phone number of the child's physician was missing from the emergency contact form for child #2, child #3, child #4 and child #5.

Corrected by Apr 20, 2023

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

During the renewal inspection, the emergency contact form for child #1, child #2, child #3 and child #5 did not include the work address of the enrolling parent.

Corrected by Apr 20, 2023

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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 the renewal inspection, on the emergency contact form for child #1, child #2 and child #4 the address of the individual designated by the parent to whom the child may be released was missing.

Corrected by Apr 20, 2023

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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.

During the renewal inspection, the emergency plan on file did not include accommodations for toddlers and children with disabilities, and children with chronic medical conditions.

Corrected by Mar 21, 2023

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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.

During the renewal inspection, a written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency was not posted in the family child care home.

Corrected by Apr 20, 2023

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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.

During the renewal inspection, the emergency contact form for child #1, child #2 and child #3 has not been updated within the past 6 months.

Corrected by Apr 20, 2023

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3290.131(a)(2) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

During the renewal inspection, the initial health assessment for child #3 was dated as 6/29/21 and not within 6 months of the child's enrollment date (see LIS code sheet for date of enrollment).

Corrected by Mar 20, 2023

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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.

During the renewal inspection, child #3, a young toddler at enrollment, did not have an updated health assessment within 6 months of the previous health assessment on file.

Corrected by Apr 20, 2023

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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, child #1 did not have an updated health report 12 months after the initial health report dated 6/29/21.

Corrected by Apr 20, 2023

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3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, #2 and #3 will be removed from care by close of business on 3/20/23 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

During the renewal inspection, child #1 did not have an influenza vaccine on file and is not in compliance with immunized status according to recommendations of the ACIP. Child #2 did not have DTAP #2, DTAP #3, HIB#2, HIB#3, HIB#4, Pneumococcal #3, Pneumococcal #4, IPV#2, influenza vaccine and is not in compliance with immunized status according to recommendations of the ACIP. Child #3 did not have DTAP #3, DTAP#4, HIB#3, HIB#4, Pneumococcal #2, Pneumococcal #3, Pneumococcal #4, IPV#4, influenza vaccine, Hepatitis A#1 and Hepatitis A#2 and is not in compliance with immunized status according to recommendations of the ACIP.

Corrected by Mar 20, 2023

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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.

During the renewal inspection, the operator did not have verification that the emergency plan was sent to the local and county emergency management agency for review.

Corrected by Mar 21, 2023

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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.

During the renewal inspection, the operator did not have evacuation routes posted in the basement and on the second floor of the home.

Corrected by Apr 20, 2023

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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.

During the renewal inspection, the operator admitted to not sending the Chapter 3290 regulations electronically to parents.

Corrected by Apr 20, 2023

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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.

During the renewal inspection, the operator did not include lock-down procedures in the emergency plan.

Corrected by Mar 21, 2023

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3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

During the renewal inspection, the operator did not have documentation that emergency drills are being conducted annually.

Corrected by Apr 20, 2023

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3290.31(g) · Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 4/4/23.

During the renewal inspection, staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected by Apr 4, 2023

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3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1 may not work in a childcare position at the facility until all valid clearances are obtained on file and less than 60 months old. 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.

Inspection on 3/24/22 revealed that facility person 1 has a child abuse clearance, state police clearance and a FBI clearance that is more then 60 months old.

Corrected by Mar 24, 2022

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3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person 1 may not work in a childcare position at the facility until all valid clearances are obtained on file and less than 60 months old. A facility person's record shall include a copy of requests for the criminal history record and child. Provide a plan including a time frame when clearances will be received.

Inspection on 3/24/22 revealed that facility person 1 has a child abuse clearance, state police clearance and a FBI clearance that is more then 60 months old.

Corrected by Apr 7, 2022

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