Ranges Helping Hands

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 most recent Child Service Report for Child #1 was not completed within six months of the previous report (6/30/2025 - 1/5/2026). (SEE LIS CODE SHEET)

Corrected by Mar 16, 2026

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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.

The Emergency Contact form for Child #2 did not include the work address and work telephone number of the enrolling parent. (SEE LIS CODE SHEET)

Corrected by Mar 16, 2026

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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 files for Child #2 and Child #3 contained emergency contact forms and financial agreements that had not been updated within 6 months of the previous update. (SEE LIS CODE SHEET)

Corrected by Mar 16, 2026

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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 subsection (a) are met.

The facility's fire detection testing log included the following testing periods that were greater than 30 days: 8/1/2025 - 9/15/2025, 9/15/2025 - 10/22/2025 and 1/12/2026 - 2/16/2026.

Corrected by Mar 16, 2026

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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.

The Certificate of Compliance posted in the facility was expired as of 6/6/2025.

Corrected by Mar 16, 2026

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3290.24(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

The most recent documented emergency plan review date was 2/2024.

Corrected by Apr 4, 2025

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3290.105(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.

The rest equipment used by the children in care was not labeled with their names, or a number corresponding to their name on a chart.

Corrected by Apr 1, 2025

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3290.105(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

There was a cot in use without 2 feet of space on at least 3 sides, due to the placement of equipment next to the cot, and playpen barriers to section off a rest area.

Corrected by Apr 1, 2025

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3290.106 · 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.

There was no thermometer in the refrigerator.

Corrected by Apr 1, 2025

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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.

The daily schedule was not posted in the traffic area used by parents.

Corrected by Apr 1, 2025

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

The agreement on file for child #3 was not signed by the operator.

Corrected by Mar 18, 2025

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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 #2, #3, and #4 did not specify the admission dates.

Corrected by Mar 17, 2025

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

The original agreement was on file for child #3.

Corrected by Mar 17, 2025

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3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

The emergency plan was not posted at the facility.

Corrected by Apr 4, 2025

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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 and agreement forms on file for child #1 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected by Apr 7, 2025

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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.

There was no complete health assessment on file for child #2, enrolled at the facility for more than 60 days.

Corrected by Apr 1, 2025

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3290.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The current health assessment on file for Facility Person #1 did not include an examination for communicable diseases and the results of that examination.

Corrected by Apr 4, 2025

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3290.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The current health assessment on file for Facility Person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected by Apr 1, 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 the infant in care.

Corrected by Apr 1, 2025

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3290.94(a)(1)/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 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 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 most recent recorded fire drill was documented as occurring on 12/31/24.

Corrected by Mar 31, 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.

The most recent recorded smoke detector test was documented as occurring 12/31/24.

Corrected by Apr 1, 2025

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3290.24(f) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the parents regarding the facility's emergency plan did not include information regarding the plans for accommodations in the event of an emergency.

Corrected by Apr 11, 2025

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3290.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The fee agreement in the file for Child #5 did not specify the date on which the fee is to be paid.

Corrected by May 21, 2024

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

Observed one electrical outlet under the dining room window which lacked a protective receptacle cover.

Corrected by May 14, 2024

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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.

Observed a can of Lysol disinfectant on the bathroom sink and personal hygiene items in an unlocked drawer under the bathroom sink, which were accessible to children.

Corrected by May 14, 2024

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3290.72 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Emergency phone numbers were not posted at the facility.

Corrected by May 15, 2024

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

The fee agreements in the file for Child #1, 2 and 5 were not signed by the operator.

Corrected by May 20, 2024

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3290.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The fee agreement in the file for Child #5 did not include the fee amount.

Corrected by May 20, 2024

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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 fee agreement in the file for Child #5 did not specify the services provided.

Corrected by May 21, 2024

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

The fee agreements in the files for Child #2 and #5 did not specify the date of the child's admission.

Corrected by May 21, 2024

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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.

The emergency contact forms in the files for Child #3 and 4 did not include the physician's address.

Corrected by May 21, 2024

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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.

The emergency contact form in the file for Child #2 did not include the enrolling parent's work address and phone number.

Corrected by May 21, 2024

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3290.124(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 of CRNP, which is needed in an emergency situation.

The emergency contact forms in the files for Child #3 and 4 did not include information on the child's special needs.

Corrected by May 21, 2024

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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 in the file for Child #2 did not include the address for one of the release persons.

Corrected by May 21, 2024

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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.

The emergency transportation plan was not posted at the facility.

Corrected by May 21, 2024

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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.

The files for Child #1 and #2, who have been enrolled for more than 60 days, did not include an initial health report. The initial health report in the file for Child #1 could not be considered valid for the following reasons: Printed name, address and phone number of physician was not on the form and signature was illegible. Information on the child's special needs, medications and allergies stated "none," which is different from what parent had included on emergency contact form.

Corrected by Jun 4, 2024

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3290.135(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.

Diapers were disposed of in a Diaper Genie, which is not an approved hands-free can.

Corrected by May 18, 2024

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3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 emergency contact forms in the files for Child #3 and 4 did not include signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by May 21, 2024

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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 files for Child #3 and 4 did not include a fee agreement.

Corrected by May 21, 2024

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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 Chapter 3290 electronically and instructions for contacting the appropriate regional child care office were not posted at the facility.

Corrected by May 15, 2024

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3290.24(f) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility did not have a parent letter explaining the emergency procedures described in subsection (a) on file.

Corrected by May 18, 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 facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster) to maintain compliance with 45 CFR § 98.41(a)(1)(vii).

Corrected by Feb 19, 2024

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3290.74(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Observed a hole in the fence in the outdoor play area, which creates a sharp edge. Observed a loose cable cord on the side of the house in the outdoor play area.

Corrected by Feb 19, 2024

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