3290.106 · 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.

There was no thermometer in the refrigerator.

Corrected Corrected by Aug 10, 2022

Category: nutrition. Marked corrected in the state record.

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

There was no completed agreement on file for child #1, signed by both the operator and the parent..

Corrected Corrected by Aug 29, 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.

There were sharp knives in an unlocked kitchen drawer. There was a razor on the bathroom counter.

Corrected Corrected by Aug 29, 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.

The facility's emergency plan does not include a plan for continuity of operations in an emergency.

Corrected Corrected by Aug 8, 2022

Category: ratio. 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.

The following toxics were accessible: hand sanitizer, disinfectant wipes, Febreze spray in an unlocked cabinet in a storage area behind the kitchen; glass cleaner on the the kitchen counter; disinfectant, WD 40, other cleaning supplies in the kitchen in an unlocked cabinet under the sink; antiperspirant on the counter in the bathroom; Lysol, Fantastick cleaners under the bathroom sink in an unlocked cabinet; hair dye on the counter in the bathroom

Corrected Corrected by Aug 8, 2022

Category: ratio. Marked corrected in the state record.

3290.70(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Windows on the landing leading from the first to second floor were not restricted to opening 6 or fewer inches.

Corrected Corrected by Aug 8, 2022

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

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

The first aid kit was accessible to children in an unlocked closet, within their reach.

Corrected Corrected by Aug 8, 2022

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

3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

There was no soap or scissors in the first aid kit.

Corrected Corrected by Aug 8, 2022

Category: health medication. 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.

There was peeling paint on the ceiling in hallway on the second floor.

Corrected Corrected by Aug 9, 2022

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

3290.76(b) · If the facility is located in a residence, ammunition shall be contained in a locked area separate from weapons and firearms.

There were boxes of ammunition on the floor in a second floor bedroom, next to the locked cabinet where firearms were stored.

Corrected Corrected by Aug 9, 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.

There was an exit from the home, a side door exiting from the storage area behind the kitchen. that was blocked with boxes and crates.

Corrected Corrected by Aug 9, 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).

The agreements on file for children #4 and #5 did not specify the services provided.

Corrected Corrected by Aug 22, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The agreement on file for child #3 did not specify the admission date.

Corrected Corrected by Aug 22, 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.

The emergency contact form on file for child #3 did not specify the health insurance information.

Corrected Corrected by Aug 24, 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 #4 did not specify the release person's address.

Corrected Corrected by Aug 23, 2022

Category: recordkeeping. 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 medical emergency transportation plan posted in the facility does not address the facility staffing provisions in the event of an emergency.

Corrected Corrected by Aug 9, 2022

Category: transportation. 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 emergency contact form for child #1 and the emergency contact forms and agreements on file for children #1-#4 were not reviewed and updated by a parent in writing in the previous 6 months.

Corrected Corrected by Aug 23, 2022

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.

There was no health assessment on file for child #1, enrolled at the facility more than 60 days.

Corrected Corrected by Aug 23, 2022

Category: health medication. 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.

There was ibuprofen and allergy medication in the first aid kit not individually labeled with the names of the child for whom each medication was intended.

Corrected Corrected by Aug 24, 2022

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

3290.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

The following mediation was accessible to children:: ibuprofen and allergy medicine in a first aid kit in an unlocked closet in reach of children; ibuprofen and an albuterol inhaler in an unlocked lower kitchen drawer; multiple medications in an unlocked kitchen cabinet in reach of children in care, earwax drops in the medicine cabinet in the bathroom, in reach of children

Corrected Corrected by Aug 24, 2022

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 current health assessment on file for Facility Person #1 was completed more than 24 months after the previous health assessment.

Corrected Corrected by Aug 24, 2022

Category: health medication. 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 documentation the emergency plan was shared with the county emergency management agency and the local municipality did not include all required components.

Corrected Corrected by Aug 30, 2022

Category: physical safety. 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 or second floor levels of the home.

Corrected Corrected by Aug 24, 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.

Documentation of smoke alarm testing indicates smoke alarms were tested on 2/8/22 and then again on 3/14/22 as well as on 6/8/22 and then again on 7/13/22. Act 62 requires smoke alarms to be tested at least every 30 days. There was no proof of purchase for the smoke alarms installed in the home on file.

Corrected Corrected by Aug 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 parents had not yet been provided with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Aug 24, 2022

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 emergency plan does not specify the plan for a "lockdown:situation.

Corrected Corrected by Aug 9, 2022

Category: physical safety. 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 most recent documented review of the emergency plan was dated January 2021.

Corrected Corrected by Aug 9, 2022

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.

There was no documentation of an emergency drill.

Corrected Corrected by Aug 24, 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 no documentation of any training hours completed in the previous review year on file for Facility Person #1.

Corrected Corrected by Aug 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.24(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

The file for Staff #2 contained documentation of emergency plan training completed in the past 12 months; however, the previous emergency plan training was completed more than 12 months prior. The file for Staff #3 contained documentation of initial emergency plan training; however, said training was completed more than seven days after her first date in a child care position. The file for Staff #4, who has been employed in a child care position for more than seven days, did not contain documentation of the completion of emergency plan training.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. 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 files for Child #1 and #2 contained emergency contact forms that included persons to whom each child can be released; however, said document did not include the home addresses of those listed.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.

The file for Staff #3, who has been employed in a child care position for approximately 90 days, did not contain documentation of a health assessment.

Corrected Corrected by Sep 1, 2021

Category: ratio. 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.

Although the file for Staff #1 contained a current health assessment, the previously completed health assessment was conducted more than 24 months prior.

Corrected Corrected by Sep 1, 2021

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

3290.151(c)(2) · An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

The file for Staff #3 did not contain documented results of Tuberculosis screening.

Corrected Corrected by Sep 7, 2021

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

3290.31(a)(2) · Have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department no later than the submission of the second renewal application.

The file for Staff #4 did not contain documentation of a High School diploma or a GED.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.