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.

In the bathroom upstairs, there were multiple toxics, including bottles of Lysol and Clorox disinfectant cleaners, on the back of the toilet, on the floor next to the sink, and in an unlocked cabinet that were labeled "Keep out of reach of children" and were accessible to children. On the front porch, there were a bottle of Simple Green Outdoor Odor Eliminator and a Mainstays Torch Fuel Canister that were labeled "Keep out of reach of children" and were accessible to children.

Corrected Corrected by Aug 15, 2025

Category: ratio. 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.

In the play room, there was a fabric chair with multiple tears in the fabric.

Corrected Corrected by Aug 15, 2025

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

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

In the playroom, the left corner of the beam near the doorway to the kitchen had multiple areas with damaged paint/plaster.

Corrected Corrected by Feb 5, 2025

Category: physical safety. 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 exit from the playroom to the kitchen was obstructed by equipment in the playroom and dog dishes on the kitchen side of the doorway.

Corrected Corrected by Jan 22, 2025

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

3290.102(a)/3290.103 · 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. 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.

In the playroom, there was a fabric chair that had multiple tears with small pieces of fabric coming apart that were less than 1 inch in diameter and were accessible to young toddlers who are still placing objects in their mouth and are enrolled at the facility.

Corrected Corrected by Jan 22, 2025

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

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.

A veterinarian's certificate of current rabies immunization was not on file for a dog that was observed at the facility.

Corrected Corrected by Mar 31, 2025

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

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

The file for child #3 had an agreement that lacked the child's admission date.

Corrected Corrected by Feb 3, 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 file for child #1 had an emergency contact form that lacked the telephone number of the child's physician.

Corrected Corrected by Feb 3, 2025

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

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 file for child #3 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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 file for child #2, a school-ager, lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment.

Corrected Corrected by Feb 6, 2025

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

3290.131(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 file for child #1 had a health assessment that lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Feb 6, 2025

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 #4 had an emergency contact form and agreement that exceeded 6 months between updates by the parent.

Corrected Corrected by Feb 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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 file for child #1 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Feb 3, 2025

Category: ratio. 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.

According to the fire drill log, a fire drill was not conducted at least once every 60 days between 10-29-24 to 1-6-25.

Corrected Corrected by Jan 22, 2025

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.

According to the log, the operator did not manually test the interconnected smoke detectors in the facility at least once every 30 days between 10-24-24 to 11-24-24.

Corrected Corrected by Jan 22, 2025

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.

In the playroom with a 3 year old child observed in care, there was a power strip that had an outlet that lacked an outlet cover and was accessible to the 3 year old child.

Corrected Corrected by Feb 13, 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).

On 1-24-24, there was a 13 year old child that was alone in the basement without a staff person present to supervise the child.

Corrected Corrected by Jan 24, 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).

Child #4 and #5 lacked a current child service report updated within the last 6 months.

Corrected Corrected by Feb 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The file for child #1 had an agreement that lacked the child's admission date.

Corrected Corrected by Feb 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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 file for child #1 lacked an initial health assessment within 60 days following the child's first day of attendance at the facility and requires a current health assessment.

Corrected Corrected by Feb 13, 2024

Category: health medication. 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 #4, a preschooler, lacked a current health assessment updated within the last 12 months.

Corrected Corrected by Apr 2, 2024

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

3290.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was Methylphenidate prescription medication for child #5 that lacked written parental consent for administration of the medication.

Corrected Corrected by Feb 13, 2024

Category: ratio. Marked corrected in the state record.

3290.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

According to the provider, the Methylphenidate prescription medication for child #5 has been administered on multiple dates to the child without a medication log being established and maintained when administering the medication.

Corrected Corrected by Feb 13, 2024

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

3290.151(a)(2) · 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.

The file for staff person #1 had a health assessment that exceeded 24 months between assessments.

Corrected Corrected by Feb 13, 2024

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 files for child #4 and #5 lacked a current emergency contact form updated within the last 6 months. The files for child #2 and #3 had an emergency contact form and agreement that exceeded 6 months between updates.

Corrected Corrected by Feb 13, 2024

Category: recordkeeping. Marked corrected in the state record.

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 #4 and #5 lacked an agreement.

Corrected Corrected by Feb 13, 2024

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.

According to the fire drill log, a fire drill was not conducted at least once every 60 days on multiple occasions within the last year.

Corrected Corrected by Feb 13, 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.

The proof of purchase for the interconnected smoke alarms that are approved by a testing laboratory recognized by OSHA to test and certify smoke alarms was dated after the required compliance date of 9-6-23. According to the log, the operator did not manually test the interconnected smoke alarms in the facility at least once every 30 days on multiple occasions within the last year.

Corrected Corrected by Feb 14, 2024

Category: recordkeeping. Marked corrected in the state record.

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 lacked a letter to provide to the parent of each enrolled child explaining the emergency procedures.

Corrected Corrected by Feb 24, 2024

Category: physical safety. 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 file for child #3 had an emergency contact form that lacked the address of the child's physician.

Corrected Corrected by Feb 20, 2023

Category: health medication. 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.

Staff person #1, with a start date prior to 10-4-22, lacked the Pennsylvania Health and Safety Update 2022 Training required by 12-30-22 and requires current training.

Corrected Corrected by Feb 20, 2023

Category: health medication. 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 policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment to comply with 45 CFR 98.41(a)(1)(vi). The emergency plan lacked requirements for volunteer emergency preparedness training and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Feb 24, 2023

Category: ratio. Marked corrected in the state record.

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. Household Member #2 may not work at the facility.

The file for household member #2 lacked a disclosure statement and a state police clearance.

Corrected Corrected by Feb 20, 2023

Category: background checks. Marked corrected in the state record.

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.

In the front room on the table, there was a bottle of hand sanitizer labeled "Keep out of reach of children" that was accessible to children.

Corrected Corrected by Feb 20, 2023

Category: ratio. Marked corrected in the state record.

3290.73(b) · A first-aid kit shall be inaccessible to children.

In the front room, there was a first-aid kit on the table that was accessible to children.

Corrected Corrected by Feb 20, 2023

Marked corrected in the state record.

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

The rest equipment was not labeled with each child's name that uses the equipment, including a pack 'n play and rest mats.

Corrected Corrected by Feb 20, 2023

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

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.

A veterinarian's certificate of current rabies immunization was not on file for a dog at the facility.

Corrected Corrected by Mar 7, 2023

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

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

The files for child #2 and #3 had an agreement that lacked the fee amount.

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for child #2 and #3 had an agreement that lacked the date on which the fee is to be paid.

Corrected Corrected by Feb 20, 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 and #3 lacked a current child service report completed within the last 6 months.

Corrected Corrected by Feb 20, 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 files for child #1 and #3 had an agreement that lacked the child's departure time. The file for child #2 had an agreement that lacked the child's arrival and departure times.

Corrected Corrected by Feb 20, 2023

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

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The files for child #2 and #3 had an agreement that lacked the child's admission date.

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. 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 file for child #1 had an emergency contact form that lacked the work address and home telephone number of the enrolling parent. The file for child #3 had an emergency contact form that lacked the work address and telephone number of the enrolling parent.

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The file for child #1 had an emergency contact form that lacked the health insurance policy number. The file for child #3 had an emergency contact form that lacked the name of the health insurance and the policy number.

Corrected Corrected by Feb 20, 2023

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

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 file for child #1 had an emergency contact form that lacked the telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. 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 file for child #1 lacked an initial health assessment within 60 days of the child's first day of attendance at the facility and requires a current health assessment.

Corrected Corrected by Feb 20, 2023

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

3290.131(a)(4)/3290.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record must contain initial and subsequent health reports.

The file for child #4, a school-age child, lacked an initial health assessment for a school-age child dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Corrected Corrected by Feb 20, 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). Child #1 must be dismissed from care by close of business on 1-31-23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for child #1, a 2 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #1, a 2 year old, had an immunization record that lacked documentation of the 4th dose of the Pneumococcal vaccination by age 15 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected Corrected by Feb 20, 2023

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

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.

According to the provider, the provider was throwing away a soiled diaper in the outside trash can and not immediately discarding the soiled diaper by placing it into a plastic-lined, hands-free covered can.

Corrected Corrected by Feb 20, 2023

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

3290.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

The operator lacked an infant feeding schedule obtained from the parent for an infant enrolled at the facility.

Corrected Corrected by Feb 20, 2023

Category: nutrition. 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 facility's emergency plan lacked a plan that provides for accommodations of infants.

Corrected Corrected by Feb 20, 2023

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.

According to the fire drill log, a fire drill was not conducted at least once every 60 days on multiple occasions within the last year.

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

The evacuation routes were not posted in the basement and on the 2nd floor of the facility.

Corrected Corrected by Feb 20, 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.

According to the log, the operator did not manually test the smoke detectors in the facility at least once every 30 days on multiple occasions within the last year.

Corrected Corrected by Feb 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Proof of rabies immunization was missing for dog Riley.

Corrected Corrected by Feb 25, 2022

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

3290.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for Child #1 contained a health assessment that was obtained more than 12 months ago.

Corrected Corrected by Mar 16, 2022

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 facility's emergency plan is lacking accommodations for infants, toddlers, children with disabilities, and children with chronic health conditions.

Corrected Corrected by Feb 25, 2022

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

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

The file for Staff #1 contained a volunteer state police clearance, then making the two state police clearances more than 60 months apart They are dated 10/19/15 and 1/31/22 The file for Staff #1 contained two mandated reporter trainings that were more than 60 months apart. They are dated 6/9/15 and 4/6/21

Corrected Corrected by Jan 31, 2022

Category: background checks. 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 facility had the old regulations posted and was lacking instructions for the parents on how to access the new regulations electronically.

Corrected Corrected by Feb 22, 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 did not conduct an emergency drill.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. Marked corrected in the state record.