3280.52(c) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b).

At approximately 2:55 PM on 12/2/24 observed Staff #1 caring for a group of 5 mixed-age children which included 1 infant, 2 older toddlers, 1 preschooler, and 1 young school-age child in the living room.

Corrected Corrected by Dec 2, 2024

Category: ratio. Marked corrected in the state record.

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

2nd citation. Previously cited on 10/21/24. Staff #1 did not ensure a child's hands were washed after being diapered.

Corrected Corrected by Dec 2, 2024

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

3280.94(a)(5) · The primary staff person 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.

2nd citation. Previously cited on 10/21/24. The primary staff person or designated staff person who is responsible for compliance with this chapter did not ensure that an evacuation route was posted in a conspicuous location on the 2nd floor of the facility.

Corrected Corrected by Dec 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.26(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 1, 2024

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

3280.32(a)/3280.192(4) · 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 of Staff #1 lacked a State Police Clearance and DHS FBI Clearance updated every 60 months. The file of Staff #1 contained a State Police Clearance dated 9/12/24 with a previous one dated 7/17/19. The file of Staff #1 contained a DHS FBI Clearance dated 9/11/24 with a previous one dated 7/19/19. The file of Staff #2 lacked a State Police Clearance and Child Abuse Clearance updated every 60 months. The file of Staff #2 contained a State Police Clearance dated 10/16/23 with a previous one dated 6/22/18. The file of Staff #2 contained a Child Abuse Clearance dated 6/18/24 with a previous one dated 6/17/19. The file of Staff #4 lacked a State Police Clearance and Child Abuse Clearance updated every 60 months. The file of Staff #4 contained a State Police Clearance dated 10/9/23 with a previous one dated 8/31/18. The file of Staff #4 contained a Child Abuse Clearance dated 10/11/23 with a previous one dated 9/11/18. The file of Staff #4 lacked application for the National Sex Offender Registry Certificate prior to or on the date of initial hire (SEE LIS Code Sheet). The file of Staff #4 contained a NSOR dated 1/11/22.

Corrected Corrected by Oct 21, 2024

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

3280.65 · 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 to the right of the child's tool table in the large room in the basement.

Corrected Corrected by Oct 21, 2024

Marked corrected in the state record.

3280.66(a)/3280.66(c) · 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. Toxic plants are not permitted in a child care space.

Observed a peace lily in the kitchen connected to the living room and a peace lily in the entranceway of the facility which were accessible to children.

Corrected Corrected by Oct 21, 2024

Category: ratio. Marked corrected in the state record.

3280.66(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 Crest Pro Health Mouthwash which indicated "keep out of the reach of children" in the top drawer of the cabinet which was accessible to children in the Sitting Room.

Corrected Corrected by Oct 21, 2024

Category: ratio. Marked corrected in the state record.

3280.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Observed a heat register with a loose cover and accessible coils behind the chair in the large room in the basement.

Corrected Corrected by Oct 21, 2024

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed approximately a 1-nch hole in the drywall to the right of the storage room door in the small room in the basement.

Corrected Corrected by Oct 27, 2024

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

3280.102(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.

Observed approximately a 1-hole to the right of the slide of the Little Tykes slide/climber in the outdoor play space. Observed a Tonka dump truck with approximately a 3-inch crack in the bed creating pinch points in the outdoor play space. Observed a white crate with a piece missing from the corner creating rough edges in the outdoor play space. Observed approximately a 1-inch hole in the bin containing LEGOS creating pinch points in the basement.

Corrected Corrected by Oct 21, 2024

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

3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed AA batteries in the 3rd drawer of the dresser located on the left side in the large room in the basement which were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Oct 21, 2024

Marked corrected in the state record.

3280.123(a) · An agreement shall be signed by the operator and the parent.

The agreement for Child #2 was not signed by the operator.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(b)/3280.182(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.

The files of Children #1, #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Oct 31, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(4)/3280.182(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 for Child #1 did not include written consent signed by a parent for emergency medical care. The file of Child #4 lacked signed parental consent for emergency medical care prior to admission on the emergency contact form. Child #4 had an admission date of 9/26/24 with an emergency contact form signed on 10/2/24.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Emergency contact information for Children #1 and #2 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(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 file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a health report dated 9/25/23. The file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained health reports dated 11/14/22 and 9/19/24.

Corrected Corrected by Oct 24, 2024

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Staff #2 did not ensure children's hands were washed after being diapered when they awoke from nap.

Corrected Corrected by Oct 22, 2024

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

3280.151(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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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.

The file of Staff #3 lacked a health assessment conducted every 24 months. The file of Staff #3 contained a current health assessment dated 10/16/23 with a previous one dated 3/30/21.

Corrected Corrected by Oct 21, 2024

Category: ratio. Marked corrected in the state record.

3280.182(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 file of Child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form. The file of Child #4 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #4 had an admission date of 9/26/24 with an emergency contact form signed on 10/2/24.

Corrected Corrected by Oct 21, 2024

Category: ratio. Marked corrected in the state record.

3280.94(a)(5) · The primary staff person 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.

The primary staff person or designated staff person who is responsible for compliance with this chapter did not ensure that an evacuation route was posted in a conspicuous location on the 2nd floor of the facility.

Corrected Corrected by Oct 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.14/3280.20 · 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.

The Emergency Plan lacked the Continuity of Operations.

Corrected Corrected by Oct 16, 2023

Category: ratio. Marked corrected in the state record.

3280.31(e)/3280.192(2)(iii) · A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of staff #3 lacked documentation of completing the annual 12 clock hours of childcare training due to the fact there were only 7 hours completed by 12-19-22.

Corrected Corrected by Oct 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of childcare experience, education and training following the outset of service at the facility.

The files of staff #2 and #4 had late Mandated Reporter training due to the fact they were dated more than 60 months apart. Staff #2 had trainings dated 6-23-18 and 10-7-23. Staff #4 had trainings dated 9-20-18 and 10-7-23. Staff #5 has not completed Mandated Reporter training within the last 60 months. This is evidenced by the previously documented Mandated Reporter training on file being dated 8-8-18. None of the staff were observed supervising children on their own.

Corrected Corrected by Oct 16, 2023

Category: supervision. Marked corrected in the state record.

3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Observed downstairs in the small room, an electrical outlet lacking a protective receptacle cover.

Corrected Corrected by Oct 16, 2023

Marked corrected in the state record.

3280.102(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.

Observed in the living room, accessible to children in care a wicker basket with a damaged lid due to the fact many wooden parts were snapped off creating a sharp hazard. Observed the Pack and Play labeled for child #2 had holes in the netting.

Corrected Corrected by Oct 16, 2023

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

3280.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Observed downstairs in the small room used by children in care plastic grocery bags stored in the corner accessible to children.

Corrected Corrected by Oct 16, 2023

Marked corrected in the state record.

3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Observed rest mats stored in a bin in the room left from the front door that were not labeled for the use of a specific child.

Corrected Corrected by Oct 16, 2023

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

3280.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Observed a Pack and Play labeled for child #2, an infant with 3 loose fitted sheets and a blanket folded under the layers of sheets as a form of padding in the base of the Pack and Play. Therefore, the altered surface was unable to provide a sleep position recommended by the American Academy of Pediatrics.

Corrected Corrected by Oct 16, 2023

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

3280.124(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 file of child #1 lacked an emergency contact form with the release person's full address.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.31(f)(10) · Staff person(s) #1, #2, #3, #4, #5, and #6 must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR instructor card from the PQAS approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive Pediatric First-Aid/CPR training in an approved curriculum by a PQAS-certified trainer.

The files of staff #1, #2, #3, #4, #5, and #6 had acceptable Pediatric First-Aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that topic.

Corrected Corrected by Oct 20, 2023

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

3280.20 · Conditions at the facility may not pose a threat to the health or safety of the children.

At the time of the inspection, the facility's policy for shaken baby syndrome, abusive head trauma, and child maltreatment lacked the prevention of child maltreatment.

Corrected Corrected by Nov 6, 2022

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

3280.135(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.

There was no hands free, lidded garbage can at the diaper changing area.

Corrected Corrected by Nov 6, 2022

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

3280.26(f) · 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.

At the time of the inspection, staff #1 reported that the emergency plan had not been sent to the local municipality. Therefore, no documentation was on file.

Corrected Corrected by Nov 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #3 may not work in a child care position at the facility.

At the time of the inspection, the file of staff #3 lacked clearances requested timely due to the fact the receipt for the FBI fingerprinting on file was dated 10-4-22. (see LIS sheet)

Corrected Corrected by Nov 6, 2022

Category: supervision. Marked corrected in the state record.

3280.66(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.

At the time of the inspection, observed the laundry door open making the cleaning products observed on the floor and/or accessible to children present in the child care space. The cleaning products were labeled "keep out of the reach of children and as follow: Oxi Clean, Awesome, Dollar General brand fabric softener, professional grade laundry detergent, and Lysol detergent. Observed in the small room in the downstairs childcare space, in a drawer accessible to children in care, 8 cans of shaving cream labeled "keep out of the reach of children."

Corrected Corrected by Oct 19, 2022

Category: ratio. Marked corrected in the state record.

3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

At the time of the inspection, observed 2 pack and plays not labeled for the use of a specific child and used only by the specified child.

Corrected Corrected by Nov 6, 2022

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

3280.106 · 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.

At the time of the inspection, there was not an operable thermometer in the refrigerator.

Corrected Corrected by Nov 6, 2022

Category: nutrition. Marked corrected in the state record.

3280.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Observed a diaper bag on a bench in the child care space on the first floor. The zipper to the diaper bag was opened and observed Calmoseptine diaper cream. Therefore, the diaper cream was accessible to children in care.

Corrected Corrected by Oct 19, 2022

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

3280.151(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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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.

The file of staff #1 lacked health assessments no more than 24 months apart due to the fact they were dated: 6-29-20 and 8-23-22. The file of staff #2 lacked health assessments no more than 24 months apart due to the fact they were dated: 6-26-20 and 8-29-22.

Corrected Corrected by Nov 6, 2022

Category: ratio. Marked corrected in the state record.

3280.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file of staff #3 lacked documentation of education and experience.

Corrected Corrected by Nov 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file of staff #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Nov 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

At the time of the inspection, information on how to access the regulations in this chapter electronically was not available for the parents.

Corrected Corrected by Oct 19, 2022

Marked corrected in the state record.

3280.171(a) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

At the time of the inspection, there was no documentation of a notifying local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility. In addition, staff #2 reported never sending such notification.

Corrected Corrected by Nov 6, 2022

Marked corrected in the state record.

3280.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Staff #1 was assigned the responsibility to supervise 2 preschoolers and 2 older toddlers. At approximately 10:15 AM Certification Staff observed Staff #1 being physically present with 1 preschooler and 2 older toddlers while another preschooler was jumping on a trampoline in the adjacent classroom without Staff #1 being physically present with the child.

Corrected Corrected by Jan 5, 2022

Category: supervision. Marked corrected in the state record.

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The file of Child #4 lacked the date on which the fee is to be paid on the agreement.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.20/3280.66(a) · Conditions at the facility may not pose a threat to the health or safety of the children. 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.

On 10/25/21 observed a long reach lighter which indicated "keep out of the reach of children" in the drawer under the microwave in the kitchen which was accessible to children.

Corrected Corrected by Oct 25, 2021

Category: ratio. Marked corrected in the state record.

3280.31(e)(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.

The files of Staff #1, #2, and #4 lacked documentation of valid pediatric first-aid and pediatric cardiopulmonary resuscitation. The file of Staff #3 lacked documentation of renewing certification in pediatric first-aid and pediatric cardiopulmonary resuscitation on or before the expiration of the most current certification. The file of Staff #3 contained documentation of first-aid and CPR training completed on 3/2/19.

Corrected Corrected by Dec 10, 2021

Category: ratio. Marked corrected in the state record.

3280.32(a)/3280.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #3 lacked documentation of mandated reporter training within 90 days of start. Staff #3 had a start date of 8/10/20.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.66(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.

On 10/25/21 observed Apollo Hand Sanitizer and 2 Eon Sanitizing Mists which indicated "keep out of the reach of children" in a Highmark Box located in the chest in the Sitting Room which was accessible to children.

Corrected Corrected by Nov 18, 2021

Category: ratio. Marked corrected in the state record.

3280.75(b) · A first-aid kit shall be inaccessible to children.

On 10/25/21 the first-aid kit located in a cabinet under the microwave in the kitchen was accessible to children.

Corrected Corrected by Oct 25, 2021

Marked corrected in the state record.

3280.75(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.

On 10/25/21 the first-aid kit located in the cabinet under the microwave in the kitchen lacked soap and tape.

Corrected Corrected by Nov 18, 2021

Marked corrected in the state record.

3280.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

On 10/25/21 observed the plate to the heat register was loose in the large room in the basement.

Corrected Corrected by Oct 25, 2021

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

3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

On 10/25/21 observed approximately a 1 inch hole in the dry wall beside the door leading to the garage in the large room in the basement.

Corrected Corrected by Nov 18, 2021

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

3280.123(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 § 3280.124(f).

The files of Children #3 and #5 lacked the services to be provided to the family and the child on agreement.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The file of Child #2 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

Corrected Corrected by Nov 18, 2021

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

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file of Child #2 lacked the work address of the enrolling parent on the emergency contact form. The file of Child #4 lacked the work address and work telephone number of the enrolling parent on the emergency contact form.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.124(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 or CRNP, which is needed in an emergency situation.

The file of Child #3 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation on the emergency contact form.

Corrected Corrected by Nov 18, 2021

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

3280.124(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 files of Children #1 and #2 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Emergency contact forms were not present in the living room for children receiving care in the space.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

The dining room and living room lacked a written plan identifying the means of transporting a child to emergency care and staff provisions in the event of an emergency displayed conspicuously.

Corrected Corrected by Nov 18, 2021

Category: transportation. Marked corrected in the state record.

3280.131(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 of Child #2, a 4 year old, lacked documentation of the influenza immunization in accordance with the schedule recommended by the ACIP. The file of Child #4, a 16 month old, lacked documentation of the MMR immunization in accordance with the schedule recommended by the ACIP. The file of Child #4 contained no documentation of the MMR immunization.

Corrected Corrected by Nov 18, 2021

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

3280.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

On 10/25/21 observed staff give some children snacks before washing their hands.

Corrected Corrected by Nov 18, 2021

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

3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

On 10/25/21 written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Nov 18, 2021

Marked corrected in the state record.

3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility did not have an emergency plan that provided for accommodations for infants, toddlers, and children with chronic medical conditions.

Corrected Corrected by Nov 23, 2021

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

3280.94(a)(5) · The primary staff person 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.

On 10/25/21 the facility lacked evacuation route posted in a conspicuous location on each floor. The facility had evacuation routes posted in the basement and 1st floor but not on the 2nd floor.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days by 12/11/20. The facility provided a written record that the fire detection system was manually tested on 12/30/20.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.