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.

There was a cracked lid on a toy bin, creating a potential pinch point/sharp edge.

Corrected Corrected by Nov 13, 2023

Category: physical safety. 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 current health assessment on file for child #1, a preschooler, was completed more than 12 months after the previous health assessment on file,

Corrected Corrected by Nov 13, 2023

Category: health medication. 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 agreements on file for children #2 and #5 were the originals.

Corrected Corrected by Nov 8, 2022

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 provider's written policy must include, but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma. Strategies for coping with a crying, fussing, or distraught child; and Address the prevention and identification of child maltreatment.

The facility's Prevention of Shaken Baby, Syndrome, Abusive Head Trauma, and Child Maltreatment Policy did not address the prevention and identification of child maltreatment.

Corrected Corrected by Nov 10, 2022

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. Emergency evacuation plans must include a plan for continuity of operations in the event of an emergency.

There was no continuity of business operations in the event of an emergency as a part of the program's emergency evacuation plan.

Corrected Corrected by Nov 10, 2022

Category: ratio. Marked corrected in the state record.

3290.31(f)(4)(i)/3290.32(d) · 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. One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

The current pediatric first aid/CPR training on file for Facility Person #1 was not a PQAS approved curriculum or trainer. There was no other facility person present when children were in care.

Corrected Corrected by Nov 8, 2022

Category: ratio. 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.

There were matchbox cars accessible to toddlers in care. (Wheels are removable and less than 1 inch in diameter.)

Corrected Corrected by Nov 8, 2022

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).

There was no child service report form completed, and a copy given to the parents, on file from the last 6 months for children #1, #3, and #4.

Corrected Corrected by Nov 14, 2022

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.

There was no health insurance information specified on the emergency contact form on file for child #4.

Corrected Corrected by Nov 10, 2022

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 form on file for child #1 did not include the address(es) of any specified release persons(s).

Corrected Corrected by Nov 10, 2022

Category: recordkeeping. 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.

Hand sanitizer is used after diapering and toileting rather than ensuring children's hands are washed.

Corrected Corrected by Nov 8, 2022

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 operator's statement, soiled diapers are not immediately placed into a hands-free plastic-lined covered can, but rather are individually bagged prior to being discarded outdoors.

Corrected Corrected by Nov 21, 2022

Category: health medication. 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.

Fire drills were recorded as being conducted on 10/10/21, then again on 6/17/22 with no fire drill in between.

Corrected Corrected by Nov 8, 2022

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.

Evacuation routes were not posted on the second floor and basement levels of the home.

Corrected Corrected by Nov 9, 2022

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.

There was no proof of purchase on file for the smoke detectors on the main and second floors.

Corrected Corrected by Nov 9, 2022

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 documentation on file, smoke detectors were tested more than 30 days apart when tested on 12/16/21, and 1/2/022 as well as when tested on 4/21/22 and 5/26/22.

Corrected Corrected by Nov 8, 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.

According to the operator, the information on how to access the regulations in the chapter electronically were not yet shared with the parents of each enrolled child.

Corrected Corrected by Nov 9, 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.

There was no documentation on file of an emergency drill.

Corrected Corrected by Nov 10, 2022

Category: recordkeeping. 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.

There was documentation of the completion of 7 of the 12 required hours of child care training in the most recent review year(12/19/20-12/19/21) on file for Facility Person #1.

Corrected Corrected by Nov 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.32(a)/3290.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

The file for Staff #1 contained documentation of the completion of mandated reporter training; however, said training was completed more than 60 months ago.

Corrected Corrected by Feb 11, 2022

Category: recordkeeping. 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 did not include accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions.

Corrected Corrected by Dec 1, 2021

Category: physical safety. 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 did not have documentation on file that establishes that the emergency plan was sent to the local municipality.

Corrected Corrected by Dec 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(1) · 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's emergency plan did not include accommodations for a lock down location within the facility.

Corrected Corrected by Dec 1, 2021

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