Susan Gianoni Family Child Car

3290.14(a)/3290.14(b) · A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)). The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

It was observed that the legal entity did not maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter. The occupancy permit expired on 3/31/25.

Corrected by Jun 20, 2025

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3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 for household member #1 lacked a State Police clearance and a Child Abuse clearance that were completed 60 months from the prior State Police clearance. The State Police clearances in the file are dated 7/9/19 and 9/30/24. The Child Abuse clearances in the file were dated 7/15/19 and 10/7/24.

Corrected by Nov 12, 2024

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3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The file for child #2 lacked an agreement that specified the persons designated by a parent to whom the child may be released.

Corrected by Nov 12, 2024

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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 file for child #1 lacked emergency contact information and a financial agreement that was updated 6 months from the previous update. The updates in the file were dated 12/1/23 and 7/30/24.

Corrected by Nov 12, 2024

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3290.182(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 for child #2 lacked parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Corrected by Nov 12, 2024

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3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The fee agreements in the files for Child #3 and #4 did not include the names of the release persons.

Corrected by Nov 6, 2023

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3290.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The file for Child #4 did not include an emergency contact form.

Corrected by Nov 6, 2023

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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 cement compound on the back porch and cleaning products in an unlocked cabinet under the sink, which were accessible to children.

Corrected by Nov 6, 2023

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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 in the outdoor play areas: three corners of aluminum siding which were missing corner moldings, which created sharp edges, a broken piece of molding on the garage, and a shovel and mop handle in the back yard. Observed exposed wires at the bottom of the washing machine in the kitchen.

Corrected by Nov 16, 2023

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3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed peeling, flaking paint on the garage door and the garage door frame in the outdoor play area.

Corrected by Nov 20, 2023

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3290.102(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 cracks in the top of one of the little tyke sliding board sets in the outdoor play area.

Corrected by Nov 20, 2023

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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.

Observed a tear in one of the cushions of the living room couch, which exposed the inner foam. This creates a potential choking hazard for children who may still be placing objects in their mouths.

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 and #2 must be dismissed from care by close of business (DATE of provider notification) and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent immunization records in the files for Child #1 and #2 did not include documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

Corrected by Nov 6, 2023

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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 fee agreements in the files for Child #1, 2, 3 and 4 were the original documents.

Corrected by Nov 6, 2023

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3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

An evacuation route was not posted in the basement or the attic.

Corrected by Nov 16, 2023

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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 current Certificate of Compliance was not posted at the facility.

Corrected by Nov 16, 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 for the two pets at the facility had expired. Cat: 1/5/21. Dog: 7/2/22.

Corrected by Mar 3, 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 for the facility did not include requirements for 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).

Corrected by Mar 3, 2023

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3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The most recent mandated reporter trainings in the file for Staff Person #1 exceeded 60 months between trainings: 5/9/15-1/17/22.

Corrected by Jan 31, 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 Child Service Report in the file for Child #1 (enrolled 3/13/22) was conducted more than 6 months after enrollment (1/23/23). The most recent Child Service Reports in the files for Child #2, #3, and #4 exceeded 6 months between reports: 1/20/22-1/23/23.

Corrected by Mar 3, 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 forms in the files for Child #2 and #3 lacked the full address of the release persons.

Corrected by Mar 3, 2023

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3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

An emergency transportation plan was not posted at the facility.

Corrected by Mar 3, 2023

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

The most recent updated health reports in the file for Child #2, a young toddler, exceeded 6 months between reports.

Corrected by Mar 3, 2023

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3290.181(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 first parental update (1/4/23) for the emergency contact form and the fee agreement in the file for Child #1 was more than 6 months after the child's enrollment (3/13/22). The most recent parental updates for the emergency contact form and fee agreements in the files for Child #2, 3 and #4 exceeded 6 months between updates: Child #3 and #4: 1/20/22-1/4/23. Child #5: 1/18/22-9/26/22.

Corrected by Mar 3, 2023

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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 Fire Drill/Fire System Check log documented four times when fire system checks exceeded 30 days between checks: 7/15-8/16, 8/16-9/16, 9/16-10/18 and 12/16-1/23.

Corrected by Mar 3, 2023

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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.

On 1/31/23 at approximately 12:45 PM, Staff Person #1 was observed in the kitchen cleaning up after lunch while four of the children were in the living room. Staff Person does not have 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.

Corrected by Mar 3, 2023

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

The facility was lacking a posted emergency plan.

Corrected by Mar 1, 2022

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3290.31(f)(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 file for Staff #1 contained Pediatric First Aid that expired 9/17/21.

Corrected by Feb 10, 2022

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3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and 2 -- may not work in a child care position at the facility.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 #1 and 2--- may not work in a child care position at the facility.

The file for Staff #1 contained a Child Abuse Clearance that was dated 6/14/16 and an FBI clearance that was dated 8/5/16, both of which are more than the 60 months required in the CPSL. The file for Household Member #2 contained a Child Abuse Clearance that was dated 6/14/16 that was more than the 60 months required in the CPSL.

Corrected by Mar 7, 2022

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3290.32(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

The file for Staff #1 contained Pediatric First Aid that expired 9/17/21, therefor no staff in the FCCH is certified in pediatric first aid and CPR.

Corrected by Feb 10, 2022

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3290.95(a) · 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 fire drill log documented testing of smoke detectors every 60 days instead of every 30 days.

Corrected by Mar 1, 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.

The old regulations were posted in the facility. The facility was lacking information on how to access the regulations electronically.

Corrected by Mar 1, 2022

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