Sanders Family Daycare

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.

Staff file #1 lacked 9 of the 12 hours of annual child care training required from 12/2024 to 12/2025. Staff file #2 lacked 10 of the 12 hours of annual child care training required from 12/2024 to 12/2025. Staff file #3 lacked 7 of the 12 hours of annual child care training required from 12/2024 to 12/2025.

Corrected by Aug 4, 2026

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3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff #1's two most recent mandated are dated 9/18/20 and 5/7/26 which is more than 60 months apart. Staff #2's two most recent mandated are dated 10/5/20 and 5/7/26 which is more than 60 months apart.

Corrected by May 19, 2026

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff #1's two most recent NSOR certificates are dated 6/29/20 and 5/1/26 which is more than 60 months apart. Staff #2's two most recent NSOR certificates are dated 6/29/20 and 5/1/26 which is more than 60 months apart. Staff #3's two most recent NSOR certificates are dated 6/29/20 and 5/1/26 which is more than 60 months apart.

Corrected by May 19, 2026

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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.

In the middle room on a low stand accessible to children was Trueliving furniture polish and Vicks VapoCool sore Throat Spray, both stated keep out of reach of children.

Corrected by May 19, 2026

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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.

At the back of the outside play area was one broken slat of wooden fence that was sharp and splintered accessible to children.

Corrected by May 28, 2026

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

Child #1's financial agreement did not contain the parent's signature.

Corrected by Jun 12, 2026

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3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

Child #1's financial agreement did not contain the amount of fee to be charged.

Corrected by Jun 12, 2026

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

Child #1 and 2's financial agreement did not contain the date on which the fee is to be paid.

Corrected by Jun 12, 2026

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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).

Child #1 and 2's financial agreement did not contain the services to be provided to the family and child. Child #2 and 4's file did not contain a child service report.

Corrected by Jul 31, 2026

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3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child #1's financial agreement did not contain the child's arrival and departure times.

Corrected by Jul 31, 2026

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3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child #1's financial agreement did not contain individuals designated by the parent to whom the child may be released.

Corrected by Jun 19, 2026

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3280.123(a)(6)/3280.182(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.

Child #1 and 2's financial agreement did not contain the date of the child's admission.

Corrected by Jun 19, 2026

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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.

Child #1's file did not contain the address and phone number of the child's physician or source of medical care.

Corrected by Jun 19, 2026

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

Child #1's file did not contain the enrolling parent's work address or work phone number. Child #2's file did not contain the enrolling parent's work phone number. Child #4's file did not contain the enrolling parent's work address.

Corrected by Jun 12, 2026

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3280.124(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.

Child #1's file did not contain health insurance policy number for the child under a family policy or Medical Assistance benefits.

Corrected by Jun 12, 2026

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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.

Child #1's file did not contain the addresses of the individuals designated by the parent to whom the child may be released. Child #2's file did not contain the addresses of 2 and one of the phone numbers of the individuals designated by the parent to whom the child may be released.

Corrected by Jun 26, 2026

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3280.124(f)/3280.181(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.

Child #3's two most recent review signatures for the emergency contact form are dated 4/22/25 and 5/6/26 which is more than 6 months apart. Child #5's two most recent review signatures for the emergency contact form are dated 4/14/23 and 5/6/26 which is more than 6 months apart.

Corrected by Jun 26, 2026

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3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Child #4, a preschool age child(See LIS Code Sheet), most recent health assessment is dated 6/20/24 which is more than 12 months ago.

Corrected by May 29, 2026

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3280.131(d)(5)/3280.131(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.

The immunization record on file for Child #2, who is an infant age child(See LIS Code Sheet), includes 1 of 2 Hepatitis B vaccines recommended by the ACIP for a child this age; 0 of 3 DTAP vaccines recommended by the ACIP for a child this age; 0 of 2 HIB vaccines recommended by the ACIP for a child this age; 0 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age; and 0 of 2 Polio vaccines recommended by the ACIP for a child this age.

Corrected by Jun 26, 2026

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3280.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health assessment on file for child #1 did not include that the child is able to participate in child and is free from communicable illness.

Corrected by May 29, 2026

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3280.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for Child #1, that was enrolled more than 60 days ago(See LIS Code Sheet), does not include an immunization record.

Corrected by Jun 26, 2026

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3280.181(c) · 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.

Child #3's two most recent review signatures for the financial agreement are dated 4/22/25 and 5/6/26 which is more than 6 months apart. Child #5's two most recent review signatures for the financial agreement form are dated 4/14/23 and 5/6/26 which is more than 6 months apart.

Corrected by Jun 26, 2026

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3280.94(a)(1) · Fire drills are conducted at least once every 60 days.

The fire drill logs contained the following dates 10/7/25-12/8/25 which is more than 60 days apart.

Corrected by May 21, 2026

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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 fire alarm testing log contained the following dates 8/29/25-9/29/25 and 11/28/25-12/29/25 which are more than 30 days apart.

Corrected by May 21, 2026

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3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child #5's file did not contain the individuals designated by the parent to whom the child may be released on the financial agreement.

Corrected by Jul 11, 2025

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3280.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

Child #2 file did not contain a phone number for the emergency contact.

Corrected by Jul 11, 2025

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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 facility's emergency plan did not address the continuity of operations.

Corrected by Jun 30, 2025

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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.

Staff file #1 lacked 2 of the 12 hours of annual child care training required from 12/2023 to 12/2024. Staff file #2 lacked 2 of the 12 hours of annual child care training required from 12/2023 to 12/2024.

Corrected by Aug 11, 2025

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3280.34(b)(5)/3280.192(2)(ii) · A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for staff person #3 did not contain proof of education.

Corrected by Aug 11, 2025

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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.

One first aid kit in the back room was missing Band aids, soap, gloves, and tweezers.

Corrected by Jun 18, 2025

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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.

At the back of the outside play area was one broken slat of wooden fence that was sharp and splintered accessible to children.

Corrected by Jun 30, 2025

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

On the white garage door was peeling paint accessible to children.

Corrected by Jun 30, 2025

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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.

At approximately 11am a sleeping infant was placed in a bouncy seat to sleep which is not the sleeping position recommended by the American Academy of Pediatrics.

Corrected by May 29, 2025

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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.

Child #2's file did not contain the name, address and telephone number of the child's physician or source of medical care.

Corrected by Jul 11, 2025

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

The enrolling parents work address was missing from the files of Child #1, 2, 3, 4, and 5. The enrolling parents work phone number was missing from the files of Child #2, 4, and 5.

Corrected by Jul 11, 2025

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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.

Child #4 and 5 were missing 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.

Corrected by May 30, 2025

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3280.124(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.

Child #2's file did not contain the health insurance policy number for the child under a family policy or Medical Assistance benefits, if applicable. Child #4's file did not contain the health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits.

Corrected by Jun 30, 2025

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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.

Child #2's file did not contain the address and telephone number of 3 individuals designated by the parent to whom the child may be released.

Corrected by Jun 30, 2025

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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.

In the middle and back room there was no emergency contact information present in the child care space for children receiving care in that space.

Corrected by Jun 30, 2025

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3280.182(4) · A child's record must contain signed parental consent for administration of medications or special dietary needs.

Child #4 and 5 did not contain signed parental consent for administration of medications or special dietary needs.

Corrected by Jun 30, 2025

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3280.124(f)/3280.181(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 most recent 6 month review signature for the emergency contact form on file for Child #1, #4, and #5 is dated more than 6 months after the previous 6 month review signature. Child #1 6/20/24-4/17/25, Child #4 5/20/24-5/20/25, Child #5 6/1/24-6/1/25

Corrected by Jul 11, 2025

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3280.131(d)(5)/3280.131(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.

The immunization record on file for Child #2, a preschool age child(See LIS Code Sheet),did not include any vaccines recommended by the ACIP for a child this age.

Corrected by Jun 30, 2025

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3280.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Child #2's file did not contain a letter of exemption from immunization for religious belief or strong personal objection equated to a religious belief must be documented by a written, signed and dated statement from the child's parent or guardian.

Corrected by Jun 30, 2025

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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.

At approximately 12pm Staff #1 changed an infant's diaper in the front room and placed the soiled diaper in a can in which that lid was on the floor next to it.

Corrected by Jun 30, 2025

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3280.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

At approximately 12pm Staff #1 changed an infant's diaper in the front room and did not wash their hands. They did use hand sanitizer which is not acceptable after changing a diaper.

Corrected by Jun 30, 2025

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3280.181(c) · 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 most recent 6-month review signature for the financial agreement on file for Child #1, #4, and #5 is dated more than 6 months after the previous 6 month review signature. Child #1 6/20/24-4/17/25, Child #4 5/8/24-6/1/25, Child #5 6/1/24-5/1/25

Corrected by Jun 30, 2025

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3280.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Child #2 and 3's file did not contain signed parental consent for transportation, walking excursions, swimming and wading.

Corrected by Jun 30, 2025

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3280.131(a)/3280.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, 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.

Child #2's file contains an initial health report dated 4/25/25 which is more than 60 days following enrollment(See LIS Code Sheet).

Corrected by Jun 30, 2025

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3280.31(e) · A staff person shall obtain an annual 12 clock hours of child care training.

The files for Staff #1, Staff #2, and Staff #3 contained documentation of three (3) hours of Professional Development, with an additional nine (9) hours needed for each staff.

Corrected by Jul 31, 2024

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3280.31(e)(4)(i)/3280.192(2)(iii) · 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. 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 for Staff #1 contained documentation of Pediatric First-Aid/CPR which expired on 5.10.22, and has not been renewed. The file for Staff #2 contained documentation of Pediatric First-Aid/CPR which expired on 5.9.22, and has not been renewed.

Corrected by Jul 31, 2024

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

In the Middle Room, two (2) protective covers were missing from the black surge protector, which were accessible to children 5 years of age or younger.

Corrected by May 22, 2024

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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.

In the unlocked, bathroom cabinet under the sink, were eight (8) pounds of Epsom Salt and two (2), 19 oz. Sprayway Glass Clearner containers, each of which stated, "Keep out of reach of children," and they were accessible to children in care.

Corrected by May 22, 2024

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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.

In the outside, fenced, play area, six (6) wooden fence slats were cracked/broken, which created a scraping/cutting hazard for children in care.

Corrected by Jul 31, 2024

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

The Agreement, in the file for Child #4, was not signed by the operator or the parent.

Corrected by May 22, 2024

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3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The Agreement, in the files for Child #3 and Child #4, did not contain the fee amount.

Corrected by May 22, 2024

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

The Agreement, in the files for Child #3 and Child #4, did not specify the date on which the fee is to be paid.

Corrected by May 22, 2024

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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 for Child #4 and Child #5 did not contain a Service Report within the last 6 months.

Corrected by May 12, 2024

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3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The Agreement in the files for Child #3 and Child #4 did not specify the arrival and departure times.

Corrected by May 22, 2024

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3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The Agreement in the files for Child #3 and Child #4, did not contain the name(s) of the person(s) to whom the child may be released.

Corrected by May 22, 2024

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3280.123(a)(6)/3280.182(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.

The Agreement, in the files for Child #3 and Child #4, did not contain the date of admission.

Corrected by May 22, 2024

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3280.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

The Agreement in the file for Child #4, did not specify the services which are to be considered as extra.

Corrected by May 22, 2024

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3280.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The Agreement, in the files for Child #1, Child #2, Child #3, Child #4, and Child #5, were the originals, which were not provided to the parents.

Corrected by May 22, 2024

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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 Emergency Contact form, in the files for Child #1, Child #2, Child #3, and Child #5, did not contain the address of the physician or source of medical care.

Corrected by Jul 12, 2024

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3280.124(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 #1, Child #4, and Child #5, did not contain the enrolling parent's home address. The Emergency Contact form, in the file for Child #1, Child #2, Child #3, and Child #5, did not contain the enrolling parent's work address. The Emergency Contact form, in the file for Child #2, did not contain the enrolling parent's work phone number.

Corrected by Jul 12, 2024

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3280.124(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, in the files for Child #1, Child #2, and Child #3, did not contain the Health Insurance Policy Number.

Corrected by Jul 12, 2024

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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 Emergency Contact form, in the files for Child #2, Child #4, and Child #5, did not contain the release person's address. The Emergency Contact form, in the files for Child #1 and Child #3, did not contain the release person's phone number.

Corrected by Jul 12, 2024

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3280.124(f)/3280.181(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, in the file for Child #1, Child #2, Child #4, and Child #5 were not updated within a 6-month period.

Corrected by Jul 12, 2024

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3280.151(a)/3280.192(3) · 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. 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.

The two most recent Health Assessments in the files for Staff #1 and Staff #2 exceeded the 24-month renewal requirement.

Corrected by May 22, 2024

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3280.182(4) · A child's record must contain signed parental consent for administration of medications or special dietary needs.

The Emergency Contact form, in the file for Child #4, did not contain consent for administration of medications or special dietary needs.

Corrected by Jul 12, 2024

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3280.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

The Emergency Contact form, in the files for Child #3 and Child #4, did not contain signed parental consent for transportation, walking excursions, swimming, and wading.

Corrected by May 22, 2024

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3280.26(c)/3280.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the 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 files for Staff #1, Staff #2, and Staff #3 contained documentation of Emergency Plan training on 2.7.22 and 5.10.23, which exceeded the 12-month requirement.

Corrected by May 16, 2023

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3280.123(a)(6)/3280.182(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.

The Agreement, in the file for Child #2, did not contain the date of admission.

Corrected by May 16, 2023

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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 Emergency Contact forms, in the file for Child #1 and Child #2 did not contain the release person's address.

Corrected by Jun 23, 2023

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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 Health Assessment, in the file for Child #2, was not updated since 2.28.22, which exceeded 12 months.

Corrected by Jun 30, 2023

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3280.131(d)(5)/3280.131(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.

The Immunization Record, in the file for Child #2, did not contain any documentation of an influenza vaccination.

Corrected by Jun 23, 2023

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3280.151(a)/3280.192(3) · 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. 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.

The file for Staff #1 contained a Health Assessment dated 9.15.20, which exceeded the 24-month renewal requirement.

Corrected by Jun 30, 2023

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3280.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #3 will have until June 7, 2023, to complete the required training. Until such time as the required training has been completed, Staff #3 must be supervised, when interacting with children, by a primary staff who has completed the required training related to this citation. If there are not staff available to supervise Staff #3, Staff #3 may not work in a child care position at the facility.

The file for Staff #3 did not contain documentation of Pediatric First-Aid/CPR.

Corrected by Jul 31, 2023

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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.

Parents of enrolled children, were not provided with information on how to access the regulations electronically and how to contact the regional child care office.

Corrected by May 16, 2023

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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.

A copy of the emergency plan was not sent to the local municipality or the county emergency management agency, as confirmed by the owner.

Corrected by Jul 26, 2022

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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 files for Staff #1, Staff #2, Staff #3, and Staff #4 did not contain any of the required 12 hours of annual child care training.

Corrected by Jul 29, 2022

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3280.31(e)(4)(i)/3280.192(2)(iii) · 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. 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 for Staff #2 contained documentation of training in pediatric first-aid and pediatric CPR on 7.18.17 and 5.8.22, which exceeded the expiration date.

Corrected by Jul 19, 2022

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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 file for Staff #4, did not contain documentation of completion of the Health & Safety training prior to being alone with children or within 90 days of hire.

Corrected by Jul 29, 2022

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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.

Based on a conversation with the operator, there was not a Shaken Baby Policy created nor implemented.

Corrected by Jul 29, 2022

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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.

The file for Staff #4 (see IS Code Sheet) did not contain any documentation of Mandated Reporter training prior to being unsupervised with children in care or within 90 days of hire.

Corrected by Jul 19, 2022

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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 files of Staff #1, Staff #2, Staff #3, and Staff #4 did not contain signed and dated Disclosure Statements.

Corrected by Jul 29, 2022

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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.

There were no scissors located in the first-aid kit in the back room.

Corrected by Jul 7, 2022

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

Peeling paint was located in the back room on the front wall, where the hanging tabs were located.

Corrected by Jul 29, 2022

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3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The Agreement, in the file for Child #5, did not specify the amount of the fee to be charged.

Corrected by Jul 29, 2022

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3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The Agreement, in the file for Child #2, did not specify the child's arrival and departure times.

Corrected by Jul 29, 2022

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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 Emergency Contact form, in the file for Child #5, did not contain the phone number of the child's physician or source of medical care.

Corrected by Jul 29, 2022

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3280.124(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 files for Child #3 and Child #5, did not contain the enrolling parent's work address. The Emergency Contact form, in the file for Child #5, did not contain the enrolling parent's work phone number.

Corrected by Jul 29, 2022

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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.

Emergency Contact forms, in the file for Child #1 and Child #3, did not contain written consent signed by a parent for emergency medical care.

Corrected by Jul 29, 2022

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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 Emergency Contact form, in the files for Child #1 and Child #3, did not contain the release person's address. The Emergency Contact form, in the file for Child #1, did not contain the release person's phone number.

Corrected by Jul 29, 2022

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3280.124(f)/3280.181(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 #1, Child #2, Child #3, and Child #4 did not contain documentation that the parents of the children reviewed and updated the emergency contact information and the financial agreement every 6 months.

Corrected by Jul 29, 2022

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3280.131(b)(2)/3280.131(e)(1) · 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 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 #5, a preschool aged child, did not contain a current health assessment or updated vaccination record, as the most recent one was dated 6.20.19.

Corrected by Jul 29, 2022

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3280.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The outdated Health Assessment, in the file for Child #5, did not contain a written or digital signature/date of the physician, physician's assistant, or a CRNP.

Corrected by Jul 29, 2022

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3280.131(e)(1)/3280.182(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. A child's record must contain initial and subsequent health reports.

The Immunization record, in the files for Child #3 and Child #5, did not contain documentation of specific required immunizations according to the ACIP.

Corrected by Jul 29, 2022

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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 Emergency Contact form, in the files for Child #1 and Child #3, did not contain signed parental consent for administration of minor first-aid.

Corrected by Jul 29, 2022

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3280.31(f)(10)/3280.192(2)(iii) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for Staff #3 (see IS Code Sheet) and Staff #4 (see IS Code Sheet) did not contain any documentation of training in pediatric first-aid and pediatric CPR, within 90 days of hire.

Corrected by Jul 25, 2022

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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 evacuation route was posted on the main level, but there were no evacuation routes on the second floor or basement.

Corrected by Jul 29, 2022

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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.

A proof of purchase was not produced for the interconnected fire detection system.

Corrected by Jul 7, 2022

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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.

Based on a conversation with the operator, notice was not provided to parents on how to access the regulations electronically.

Corrected by Jul 29, 2022

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