3290.115(a)(2) · An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

The padlock for the gate leading to the swimming pool was sitting on top of the gate's post making the pool accessible to children since it was not locked.

Corrected Corrected by Apr 3, 2025

Marked corrected in the state record.

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 financial agreements of child #1 and #2 did specify the services to be provided to the child and family.

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The original financial agreements were on file for child #1 and #2.

Corrected Corrected by May 1, 2025

Category: recordkeeping. Marked corrected in the state record.

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 form of child # 1 did not contain the address of the child's physician.

Corrected Corrected by Apr 7, 2025

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

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 of child #2 did not contain the work address or work telephone number of the enrolling parent.

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

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 form of child #1 did not contain 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 or documentation this is not applicable to the child.

Corrected Corrected by Apr 7, 2025

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

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.

The initial health assessment of child #1 was dated 12/3/2024, and child #2 was dated 11/2/2024, both were dated more than 60 days from their start date at the facility (see LIS code sheet).

Corrected Corrected by Apr 2, 2025

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

3290.94(a)(4) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The toy room was used as the hypothetical location of the fire for three consecutive drills.

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)/3290.192(4) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

The file of staff #1 did not contain 12 annual hours of training between 12/2023 and 12/2024.

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

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

In the basement there was a cable wire that was hanging down the wall creating a choking hazard for the children in care.

Corrected Corrected by May 19, 2024

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

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.

Although the file for Staff #1 contained Pediatric First Aid and CPR at the time of Renewal Inspection, it was observed that Staff #1 did not obtain Pediatric First Aid and CPR prior to expiration of the previous certification.

Corrected Corrected by Feb 15, 2024

Category: ratio. Marked corrected in the state record.

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

In the Upstairs Living Room there was an electrical outlet by the front door that was missing a protective receptable cover. In the Basement there was a surge protector next to the television that was missing 2 protective receptacle covers. Both of these outlets were accessible to children 5 years of age and younger.

Corrected Corrected by Apr 25, 2024

Marked corrected in the state record.

3290.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Upon conversation with the operator, it was determined that the two enrolled children are sleeping in separate bedrooms during nap time and the operator is sitting in a separate space from both children, therefore, preventing the operator from being able to see, hear, direct, and assess the children during this time. Therefore, ratio during this time is 0:2.

Corrected Corrected by Apr 25, 2024

Category: supervision. Marked corrected in the state record.

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 file for Child # 1 contained child service reports dated more than 6 months apart.

Corrected Corrected by Apr 1, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(2)/3290.182(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.

The file for Child #2, a preschooler, lacked an updated health report within the last 12 months.

Corrected Corrected by May 21, 2024

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

3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

The facilities emergency parent letter lacked information on providing accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Apr 25, 2024

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

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.

Based on documentation at the facility, fire drills are not being held at least every 60 days. The last documented fire drill took place on 1/5/24. Upon further review of the facility's 60-day fire drill log, the following tests were observed to have been conducted more than 60 days apart: 7/5/23-9/23/23 (80 days).

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Upon review of the facility's 30-day fire testing documentation log, it was unable to be determined if tests were conducted within the 30-day timeframe due to the smoke detection log not containing the exact dates that the testing occurred.

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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 last documented review of the emergency plan occurred on 3/30/23.

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The last documented Emergency Drill occurred on 3-31-23.

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The Agreement for Child #4 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility lacked a written Shaken Baby Policy as described in Announcement C-22-03. The facilities Emergency Plan lacked continuity of operations as described in Accountment C-22-04. Observed multiple sharp knives in an unlocked drawer in the kitchen that were accessible to the children in care.

Corrected Corrected by Apr 4, 2023

Category: ratio. Marked corrected in the state record.

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

In the Basement there were two electrical outlets on a surge protector that lacked protective receptacle covers. The outlets were accessible to children 5 years of age and younger.

Corrected Corrected by Apr 4, 2023

Marked corrected in the state record.

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.

A broken leg on the outdoor wooden swing set ladder was observed, creating splinters and a climbing hazard for the children in care.

Corrected Corrected by Apr 16, 2023

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

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

The Agreement in the file for Child #4 lacked the operator's signature.

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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 files for Child #1, Child #2, and Child #3 contained child service reports dated more than 6 months apart.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The file for Child #4 contained an agreement which did not specify the child's arrival and departure times.

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6)/3290.182(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 for Child #4 lacked the date of the child's admission.

Corrected Corrected by Apr 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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, Child #2, and Child #3 contained an Emergency Contact Form that was not updated within 6 months of the previous update.

Corrected Corrected by Apr 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(2)/3290.181(c) · 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 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 #2, a preschooler, did not contain a health report completed in the previous 12 months.

Corrected Corrected by Apr 12, 2023

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

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). The operator shall obtain a letter from the parent excluding the child from immunizations, to be maintained in the file, or obtain documentation that the child has come into compliance with the ACIP vaccination schedule. If neither of the above are obtained, the child must be excluded.

The Health Report for Child #1, Child #2, and Child #3 lacked verification of an influenza vaccinations in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Apr 12, 2023

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

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 file for Child #1, Child #2, and Child #3 contained a financial agreement form that was not updated within 6 months of the previous update.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Based on Fire Drill documentation, fire drills are not being held at least every 60 days; 6/1/22and 8/33/22, 12/1/22 and 2/3/22.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. Marked corrected in the state record.

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 facility lacked a 30-day Smoke Detection Log attesting to the operability of the smoke detectors.

Corrected Corrected by Apr 18, 2023

Category: recordkeeping. Marked corrected in the state record.

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 facility did not have a current certificate of compliance posted in a conspicuous location used by parents.

Corrected Corrected by Apr 16, 2023

Marked corrected in the state record.

3290.31(f) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

The file for Staff #1, lacked documentation of the annual 12 clock hours of child care training.

Corrected Corrected by Apr 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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 file for Child #1 and Child #2 contained a Financial Agreement form that was not updated within 6 months of the previous update.

Corrected Corrected by Apr 6, 2022

Category: recordkeeping. Marked corrected in the state record.

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 operator did not provide the parents of each child enrolled with information on how to electronically access the regulations.

Corrected Corrected by Apr 6, 2022

Marked corrected in the state record.

3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility lacked documentation of conducting an annual emergency drill.

Corrected Corrected by Apr 11, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The family room had two outlets that were lacking protective receptacle covers. These outlets were accessible to children 5 years of age or younger.

Corrected Corrected by Apr 6, 2022

Marked corrected in the state record.

3290.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The basement door next to the bathroom leading to the laundry room was unable to be opened due to a treadmill being placed behind the door.

Corrected Corrected by Apr 18, 2022

Marked corrected in the state record.

3290.123(a)(6)/3290.182(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 for Child #1 and Child #2 lacked the date of the child's admission.

Corrected Corrected by Apr 6, 2022

Category: recordkeeping. Marked corrected in the state record.

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 informationA 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 and Child #2 contained an Emergency Contact Form that was not updated within 6 months of the previous update.

Corrected Corrected by Apr 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)/3290.192(4) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

The file for Staff #1 contained only 6 hours of child care training for the anniversary year 12/19/20 through 12/19/21.

Corrected Corrected by Apr 18, 2022

Category: recordkeeping. Marked corrected in the state record.