3280.52(b) · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15.

Operator self-reported that Staff Person #1 was responsible for Child #1 when Child #1 left the classroom without Staff Person #1's knowledge. Child #1 was found by the Operator in the upstairs area of the Operator's home hiding in an open closet area. The whereabouts of Child #1 were unknown for approximately 10-15 minutes. During this time the child would not have been present with a staff person to be in compliance with the staff:child ratio requirements.

Corrected Corrected by Aug 6, 2025

Category: ratio. Marked corrected in the state record.

3280.113(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.

Operator self-reported that Staff Person #1 was responsible for Child #1 when Child #1 left the classroom without Staff Person #1's knowledge. Child #1 was found by the Operator in the upstairs area of the Operator's home hiding in an open closet area. The whereabouts of Child #1 were unknown for approximately 10-15 minutes.

Corrected Corrected by Aug 6, 2025

Category: supervision. Marked corrected in the state record.

3280.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Operator self-reported that Staff Person #1 was responsible for Child #1, when Child #1 left the classroom without Staff Person #1's knowledge. Child #1 was found by the Operator in the upstairs area of the Operator's home hiding in an open closet area. The whereabouts of Child #1 were unknown for approximately 10-15 minutes. During this time Child #1 was not physically present with Staff Person #1 who was assigned responsibility for the child.

Corrected Corrected by Aug 6, 2025

Category: supervision. Marked corrected in the state record.

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

The updates to the mandated reporter trainings on file for Staff Person #1 exceeded 60 months between trainings completed on 4.4.20 and 6.22.25.

Corrected Corrected by Aug 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(2) · The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at different times of the day or night, or both, if applicable.

The fire drill log on file indicated that all of the fire drills were conducted at 10am. Fire drills have not been conducted at different times of the day.

Corrected Corrected by Aug 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3280.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Upon arrival at the facility at 11:05AM there was a lit candle on the kitchen counter within reach of the children.

Corrected Corrected by Jun 4, 2025

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

3280.31(e)(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 current Pediatric First Aid/CPR Certification in the file for Staff Person #1 was conducted on 11/12/24, which was after the previous certification had expired (10/31/24).

Corrected Corrected by Nov 12, 2024

Category: ratio. Marked corrected in the state record.

3280.52(c) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b).

On 11/20/24 at 10:00 AM, Staff Person #1 was observed supervising six children (1 Infant, 1 Young Toddler, 2 Older Toddlers and 2 Preschool Children).

Corrected Corrected by Dec 2, 2024

Category: supervision. Marked corrected in the state record.

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.

Observed a nail protruding from the floor, which creates a potential hazard, in front of the glass doors in the PSSA Activity Room. Observed two thorny vines growing along the fence in the outdoor play space.

Corrected Corrected by Dec 7, 2024

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

3280.102(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 a broken gas lid, which creates a sharp edge, on a Little Tykes car in the outdoor play space.

Corrected Corrected by Nov 20, 2024

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

3280.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

A sticky substance was observed on the floor and shelves of the refrigerator.

Corrected Corrected by Dec 6, 2024

Category: nutrition. Marked corrected in the state record.

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

The fee agreements in the files for Child #3 and #4 were not signed by the operator.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The fee agreement in the file for Child #4 did not include the date for which the fee is to be paid.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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 fee agreement in the file for Child #4 did not include the services provided.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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

An emergency contact form was not on site for Child #4.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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 #3 did not include the enrolling parent's work address or work phone number.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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 file for Child #1 did not include the release person's address.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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 Person #1 did not include a health assessment conducted within the past 24 months.

Corrected Corrected by Dec 31, 2024

Category: ratio. Marked corrected in the state record.

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 emergency contact form in the file for Child #1, who has been enrolled for more than 6 months, has not been updated by the parent. The emergency contact form and fee agreement in the file for Child #2, who has been enrolled for more than 6 months, have not been updated by the parent.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff Person #1 contained only one letter of reference.

Corrected Corrected by Dec 6, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person 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.

On the day of the inspection (11/20/24), a fire drill had not been documented in the past 60 days. The last documented fire drill was conducted on 6/3/24.

Corrected Corrected by Dec 15, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

On the day of the inspection (11/20/24), a fire system test had not been documented in the past 30 days. The most recent documented fire system test was conducted on 8/15/24.

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

The files for Child #3 and #4, who have been enrolled for more than 60 days, did not include an initial health report.

Corrected Corrected by Jan 24, 2025

Category: health medication. 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 entrance from the kitchen to the School Age Room was blocked as a board was nailed to the entrance.

Corrected Corrected by Apr 6, 2024

Marked corrected in the state record.

3290.124(b)(4)/3290.182(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.

Previously cited under SIN- 00240595. The emergency contact information on file for children #2, 3 and 4 did not include the written consent signed by a parent for emergency medical care for the child.

Corrected Corrected by May 15, 2024

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.

Previously cited under SIN- 00240595.The emergency contact information on file for children #1 and 2, who have been enrolled for more than six months, lacks a review/update within the past six months

Corrected Corrected by May 15, 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.

Previously cited under SIN- 00240595. The files for children #1 and 5 lack an initial health report.

Corrected Corrected by May 15, 2024

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

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 files for children #3, 4 and 5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by May 15, 2024

Category: ratio. 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 fee agreements on file for children #1 and 4 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 9, 2024

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.

Observed a Bright Star walker on the back porch of the facility. The back porch did not have a gate and the walker could potentially roll off the porch and down the stairs with a child in the walker causing a threat to the health and safety of the child.

Corrected Corrected by Mar 24, 2024

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

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.

In the School Age Room located beside the kitchen, where children were observed playing, observed that the wallpaper was peeling up from the bottom and starting to come off.

Corrected Corrected by Apr 6, 2024

Category: physical safety. 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 fenced in back yard of the facility, observed that the Step 2 play set had two exposed bolts on the left side, a blue kitchen set with a cracked sink located beside the Step 2 play set, a blue basketball hoop and pink basketball hoop which did not have the basin filled and could be pulled over by the children, and a pack n play on the back porch (not used for nap) which had leaves and dirt at the bottom of it and was soiled on the top rails,

Corrected Corrected by Mar 25, 2024

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

3290.123(a)(3)/3290.123(a)(4) · 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). An agreement shall specify the child's arrival and departure times.

The fee agreements on file for children #1 and 4 did not specify the services to be provided to the family and the child. The fee agreement on file for child #4 did not specify the arrival and departure times.

Corrected Corrected by Mar 10, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

In the Infant/Toddler Room, where young and older toddlers were observed playing, observed 4 latex balloons, one on the floor by the bathroom and three on the floor by the gate entrance, in the school age room, observed accessible foam letters and numbers, and in the buffet in the school age room, observed 9 accessible latex ballons. In the School Age Room, where young and older toddlers were observed playing, observed small wooden letters in the desk in the corner with a diameter of less than an inch. In the unlocked and accessible top drawer of the buffet table, observed six pieces of earrings and small splinters of wood with a diameter of less than an inch. In the unlocked and accessible bottom drawer of the buffet table, observed egg sun catchers, pom poms, a bunny face kit and a seven kit craft kit all with a diameter of less than an inch. In the unlocked and accessible plastic white drawers in the room, observed push pins, google eyes, brass fasteners, plastic bunny and cats, and green pipe cleaners with a diameter of less than an inch. In the unlocked and accessible white corner cabinet, observed lacing shapes and strings with a diameter of less than an inch. On the floor of the room, observed a Magna tile which was cracked and there was a small, exposed part with a diameter of less than an inch and baby doll house toys on the ground of the toy house with a diameter of less than an inch. On the window seat, and accessible to the children, observed a green sensory bottle with dry white beans in it and the top was not secured and the beans had a diameter of less than an inch. In the unlocked and accessible buffet drawer by the white doors, observed marbles and three small screws with a diameter of less than an inch. On the children's table of the room, observed a bag which contained small play kitchen items, dinosaurs that had a diameter of less than an inch. In the kitchen area, where young and older toddlers were present, observed accessible ink stampers, a sensory bin which contained uncooked split peas and on the kitchen table were grapes with a diameter of less than an inch. In the room located beside the School Age Room, where young and older toddlers were observed playing, observed a Littlest Pet Shop bin with small toys less than an inch.

Corrected Corrected by Mar 9, 2024

Marked corrected in the state record.

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

Observed that the cots at the facility were labeled but the blankets/sleeping bags used by the children were not labeled.

Corrected Corrected by Mar 20, 2024

Category: physical safety. 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 3/8/24, at approximately 12:45PM, observed child #2 and staff #1 in the kitchen, Child #2 walked from the kitchen and through the hallway by the gate of the infant toddler room where staff #1 could not see the child. On 3/8/24, at approximately 1:00 and 1:15 PM, observed child #2 and staff #1 in the kitchen. Child #2 walked from the kitchen into the school age room and then to the room beside the school age room. Staff #1 could not see the child. On 3/8/24, at approximately 1:30 PM, observed children #1 and 2 with staff #1 in the kitchen. Children #1 and 2 ran into the school age room and to the room beside the school age room. Staff #1 could not see the children in the room beside the school age room.

Corrected Corrected by Mar 9, 2024

Category: supervision. Marked corrected in the state record.

3290.114 · Weather permitting, children shall be taken out doors daily.

Based on a conversation with the operator, the children were not taken out doors for most of the winter.

Corrected Corrected by Mar 9, 2024

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

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

The fee agreements on file for children #4 and 5 were not signed by the operator.

Corrected Corrected by Mar 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(1)/3290.123(a)(2) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

The fee agreement on file for child #4 did not specify the fee to be charged per day or per week. The fee agreements on file for children #1 and 4 did not specify the date on which the fee is to be paid.

Corrected Corrected by Mar 9, 2024

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 fee agreements on file for children ##1, 3 and 4 lacked the child's date of admission.

Corrected Corrected by Mar 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(b)/3290.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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 on file for children #1,2, 3, 4 and 5 were the originals. Therefore, the parent did not receive the original agreement.

Corrected Corrected by Mar 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2)/3290.124(b)(3) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information on file for child #1 lacks the name, address and phone number of the child's physician and lacks the enrolling parents work address and work phone.

Corrected Corrected by Mar 12, 2024

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

3290.124(b)(4)/3290.182(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.

The emergency contact information on file for children #3, 4 and 5 did not include the written consent signed by a parent for emergency medical care for the child.

Corrected Corrected by Mar 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(5)/3290.124(b)(6) · 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. 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 information on file for children #1, 2, 4 and 5 lack information on the child's special needs which is needed in an emergency situation. The emergency contact information on file for children #4 and 5 lack the health insurance name and policy number. The emergency contact information on file for child #1 lacks a health insurance policy number.

Corrected Corrected by Mar 27, 2024

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 emergency contact information on file for children #1, 2, 4 and 5 lack the address of all individuals designated by the parent to whom the child may be released.

Corrected Corrected by Mar 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(c) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Observed that the facility's excursion bag with first aid kit did not contain all information required on the emergency contact forms.

Corrected Corrected by Mar 24, 2024

Category: health medication. 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 emergency contact information on file for children #1 and 2, who have been enrolled for more than six months, lacks a review/update within the past six months.

Corrected Corrected by Mar 29, 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 files for children #1 and 5 lack an initial health report.

Corrected Corrected by Mar 29, 2024

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

3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Observed child #2 eating snack. Staff did not ensure that the child's hands were washed before eating.

Corrected Corrected by Apr 2, 2024

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

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 files for children #3, 4 and 5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Mar 20, 2024

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.

There were more than 60 days between fire drills which were conducted on 11/21/23 and 1/25/24.

Corrected Corrected by Mar 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.95(a)/3290.95(a) · * The children will not return to care until operable detectors are on each floor. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

* On 3/8/24, observed that the fire detector in the basement did not go off when the other two interconnected smoke detectors on the main floor went off and there was no smoke detector on the 2nd floor of the family child care home.

Corrected Corrected by Mar 11, 2024

Category: physical safety. 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.

There were more than 30 days between manual checks of the smoke detectors which were conducted on 8/20/23 and 9/20/23, 10/20/23 and 11/20/23, 12/20/23, 1/25/24 and 2/25/24.

Corrected Corrected by Mar 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.95(b)/3290.95(b) · 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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

On 3/8/24, observed that the fire detector in the basement did not go off when the other two interconnected smoke detectors on the main floor went off and there was no smoke detector on the 2nd floor of the family child care home.

Corrected Corrected by Mar 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Based on a conversation with the operator, the operator was not using a monitor when using the restroom and therefore, could not see, assess, or direct the children in care.

Corrected Corrected by Mar 9, 2024

Category: supervision. 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 fee agreement on file for child #1 was the original. Therefore, the original was not given to the parent.

Corrected Corrected by Apr 23, 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 file for staff #1 lacked the one hour health and safety update which was required by 12/30/22.

Corrected Corrected by Apr 22, 2023

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

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.

The facilities fenced in back yard play space has a back porch which leads down to the back yard. The lattice which surrounds the bottom area of the porch was coming loose. Therefore, the children have access to the area underneath the porch which is filled with dirt, rocks and leaves and is approximately two feet tall and the children may hit their heads on the beams located under the porch.

Corrected Corrected by Apr 23, 2023

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.

On the back porch steps which lead to the outdoor play space, observed that the steps had gray peeling paint.

Corrected Corrected by Apr 24, 2023

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 toddler play room door was obstructed by a felt board which was approximately 3 feet tall and wide enough to cover the entrance to the bathroom. The bathroom exits to a laundry room.

Corrected Corrected by Apr 20, 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.

On the back porch, observed a child's blue chair which was cracked on one of the arms causing a pinch point and sharp corners.

Corrected Corrected by Apr 20, 2023

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

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.

In the room which leads to the back porch, observed child's play kitchen utensils which included small spoons and forks with a diameter of less than an inch, a craft drawer which contained small fuzzy balls with a diameter of less than an inch, a container on the table with small fuzzy balls with a diameter of less than an inch and a sensory table with small fuzzy balls with a diameter of less than an inch. In the backyard play space, observed small white rocks by the bottom of the porch steps with a diameter of less than an inch. All were accessible to the young toddler in care who is still placing objects in their mouth.

Corrected Corrected by Apr 20, 2023

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

3290.124(b)(4)/3290.182(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.

The emergency contact information on file for child #1 lacked consent by a parent for emergency medical care.

Corrected Corrected by Apr 24, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

In the facilities excursion bag which contains the first aid kit, observed zinc ointment and sting relief medication which lacked a label with the child's name.

Corrected Corrected by Apr 21, 2023

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

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 #1 lacks signed parental consent for minor first-aid procedures by facility staff.

Corrected Corrected by Apr 23, 2023

Category: ratio. Marked corrected in the state record.

3290.24(g) · 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.

The facility file lacked verification that the operator sent a copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Apr 20, 2023

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 operator did not provide to the parent of each child enrolled a letter explaining the emergency procedures.

Corrected Corrected by Apr 20, 2023

Category: physical safety. 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's emergency plan lacked a plan for continuity of operations during the aftermath of a disaster. The facility lacked a policy to identify and prevent Shaken Baby/Abusive Head trauma/Child Maltreatment.

Corrected Corrected by Dec 16, 2022

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.

The disclosure statement on file for staff #1 lacked a date of signature.

Corrected Corrected by Dec 16, 2022

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

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.

In the blue room, school age room and science room, observed a book/toy shelf in each room that was not secured to the wall and could cause a hazard to the children should they pull it over or it was to fall on the children.

Corrected Corrected by Dec 16, 2022

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 science room to the laundry room was obstructed by a refrigerator in the science room and a shelving unit in the laundry room. The exit from the school age room to the doll room (doll room is not used by the children) was obstructed by toys and a bean bag in the school age room and various toys in the doll room.

Corrected Corrected by Dec 16, 2022

Marked corrected in the state record.

3290.111(a)/3290.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

A written plan of daily activities and routines was not established and was not posted in a traffic area used by parents.

Corrected Corrected by Dec 16, 2022

Marked corrected in the state record.

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

The facility lacked a conspicuously posted plan which identifies the means of transporting a child to emergency care and facility staffing provisions in the event of an emergency.

Corrected Corrected by Dec 16, 2022

Category: transportation. 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.

The diapering can observed in the bathroom was not hands free.

Corrected Corrected by Dec 17, 2022

Category: health medication. 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 proof of purchase of the interconnected fire detection system.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.22(a)/3290.22(b) · 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 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 lacked a posted sign in a conspicuous location to be used by parents with instructions for contacting the appropriate regional child car office and lacked a means to provide the parent with information on how to access the regulations electronically.

Corrected Corrected by Dec 16, 2022

Marked corrected in the state record.

3290.24(a)(1)/3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. 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 lacks a plan that includes the word lock-down. The facility's emergency plan lacks a plan that provides accommodations for children with chronic medical conditions.

Corrected Corrected by Dec 16, 2022

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