Laurie Bishop Family Child Care Home

3290.104 · High chairs shall have a wide base and a T-shaped safety strap.

Observed the child safety strap was not being used when a child was placed in the high chair.

Corrected by Nov 17, 2025

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3290.134(a)/3290.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Observed that staff and child hands were not washed after diapering.

Corrected by Nov 17, 2025

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3290.134(e) · Toothbrushes shall be stored with the bristles up and exposed to circulating air.

Observed toothbrushes are stored in closed plastic baggies.

Corrected by Nov 17, 2025

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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.

There was no written feeding schedule from the parent of an enrolled infant.

Corrected by Nov 15, 2022

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3290.103 · 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.

There was a tear in a child-size sofa, exposing foam to toddlers when in care.

Corrected by Nov 14, 2023

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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.

The rabies vaccine documentation present and on file for a cat in the home was not current as of 12/7/21.

Corrected by Dec 21, 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).

The current child service reports completed and on file for children #1, #4 and #5 were completed more than 6 months after previous child service report on file or the child's enrollment date. There was no child service report completed and a copy given to parents on file for child #3.

Corrected by Nov 22, 2023

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3290.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The files for children #1-#5 all contained original agreements.

Corrected by Nov 14, 2023

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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 form on file for child #2 did not include the health insurance policy number.

Corrected by Nov 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.

The emergency contact form on file for child #1 did not include the addresses of all release persons listed.

Corrected by Nov 16, 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 must be dismissed from care by close of business on 11/13/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

There was no documentation of a current flu vaccine on file for child #1.

Corrected by Nov 14, 2023

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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.

The current health assessment on file for Facility Person #1 was completed more than 24 months after the prior health assessment.

Corrected by Nov 13, 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 emergency plan must include a plan for the continuity of operations in the event of an emergency.

There was no plan for continuity of operations in the event of an emergency included in the program's emergency plan.

Corrected by Jan 4, 2023

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. Providers must have a 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.

There was no written policy regarding the prevention of Shaken Baby, Syndrome, abusive head trauma, and child maltreatment .

Corrected by Dec 2, 2022

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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.

There was tube of caulking, labeled "keep out of reach of children" in an unlocked cabinet under the sink, accessible to children.

Corrected by Nov 16, 2022

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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 facility's first aid kit did not include scissors or tweezers.

Corrected by Nov 16, 2022

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3290.105(a) · (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

There is no dedicated, labeled rest equipment for enrolled children. An enrolled older toddler and preschool use the living room furniture when napping, as per the operator.

Corrected by Nov 16, 2022

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3290.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

There was no daily schedule posted.

Corrected by Nov 19, 2022

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3290.123(a) · An agreement shall be signed by the operator and the parent.

The agreement on file for child #1 was not signed by the operator.

Corrected by Nov 16, 2022

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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).

There were no child service reports - or other approved form - completed, a copy given to parent and on file the for children #2 and #3.

Corrected by Nov 25, 2022

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3290.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreements on file for children #1, #2, and #3 did not specify the admission dates.

Corrected by Nov 19, 2022

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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 form on file for children #1, #2, and #3 did not include the health insurance policy number.

Corrected by Nov 25, 2022

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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.

The emergency contact forms on file for children #2 and #3 did not include the addresses of all release persons.

Corrected by Nov 19, 2022

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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.

The emergency contact forms and agreements on file for children #2 and #3 were not reviewed an updated by a parent in writing in the last 6 months.

Corrected by Nov 25, 2022

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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.

The health assessments on file for children #2 (an older toddler) and #3 (a preschooler) were each completed more than 12 months prior.

Corrected by Dec 16, 2022

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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.

Fire drills were recorded as occurring on 3/19/22, 6/3/22, and 9/25/22 - more than 60 days apart.

Corrected by Dec 1, 2022

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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.

Evacuation routes were not posted on the second floor or the basement of the home.

Corrected by Nov 19, 2022

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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 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 fire drill log on file at the facility did not specify the hypothetical locations of the fire and the times of the fire drills.

Corrected by Dec 1, 2022

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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.

There was no proof of purchase for the smoke detectors installed in the home on file.

Corrected by Dec 1, 2022

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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.

There was no documentation the smoke detectors were tested at least every 30 days.

Corrected by Dec 1, 2022

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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.

There was no monitoring device to be used by the operator when the operator is unable to be physically present with the children to use the restroom.

Corrected by Nov 16, 2022

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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.

Information on how to access the regulations in this chapter electronically were not posted or shared with parents, as per the operator's statement.

Corrected by Dec 1, 2022

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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.

There was no documentation of an emergency drill conducted.

Corrected by Dec 1, 2022

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3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10.

The documentation of health and safety training on file for Facility Person #1, employed in a child care position as of 12/19/20, indicates the training was completed more than 180 days after the 12/19/20 effective date of the regulation (training date - 4/29/22).

Corrected by Nov 16, 2022

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3290.24(a) · The facility shall have an emergency plan.

An emergency plan was not available on file at the facility.

Corrected by Dec 10, 2021

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