Grannys Keeping Us Together Llc

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

Staff person #1 did not obtain an annual minimum of 12 clock hours of childcare training.

Corrected by Sep 30, 2025

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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.

It was observed that the kitchen ceiling was partially removed. Operator stated the ceiling was being repaired from water damage (a citation from the annual renewal inspection 8/2024.)

Corrected by Apr 28, 2025

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3290.94(a)(1)/3290.94(a)(9) · 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. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

It was observed that the last fire drill conducted was on 1/5/2025. Fire drills have not been conducted at least once every 60 days.

Corrected by Apr 16, 2025

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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.

It was observed that the fire detection devices were not tested at least once in 30 days. Device testing was conducted on 11/15/24, and 12/15/24, which lapsed 30 days. There have not been any device testing's since 12/15/24.

Corrected by Apr 16, 2025

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3290.22(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

It was observed that the current certificate of compliance is not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office.

Corrected by May 15, 2025

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3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

It was observed that the emergency plan is not posted in a conspicuous location used by parents.

Corrected by Apr 15, 2025

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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.

During the time of inspection, it was observed that cleaning supplies were within reach of children. The cleaning supplies were placed out of reach of children during the inspection.

Corrected by Aug 23, 2024

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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.

During the time of inspection, it was observed that the ceiling in the kitchen had water damage, and the drywall was detached from the ceiling.

Corrected by Nov 2, 2024

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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.

During the time of inspection, it was observed that the refrigerator did not have an operable thermometer.

Corrected by Aug 23, 2024

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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). Children must be supervised at all times.

During the time of inspection, it was observed that the children in care were left alone and unsupervised multiple times so the owner could locate paperwork for the inspection.

Corrected by Aug 23, 2024

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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.

Documentation of the original agreement was on file for child 1, child 2, child 3, child 4, and child 5.

Corrected by Aug 23, 2024

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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.

Documentation of the initial health reports on file for child 1, child 3, child 4 and child 5 were obtained more than 60 days of the first day in attendance at the facility.

Corrected by Aug 23, 2024

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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.

Documentation of sending the emergency evacuation plan to the local municipality and county emergency management agency was not on file.

Corrected by Aug 23, 2024

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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.

Documentation of the fire drills on file showed that fire drills were being conducted more than 60 days. A fire drill was conducted on 7/19/23 and again on 9/19/23 which is 62 days; 11/17/23 and again on 1/17/24 which is 61 days; 3/15/24 and again on 5/17/24 which is 63 days; 5/17/24 and again on 7/17/24 which is 61 days.

Corrected by Aug 23, 2024

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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.

During the time of inspection, it was observed that evacuation routes were not posted in a conspicuous location on each floor.

Corrected by Aug 23, 2024

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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 smoke alarms in family child care homes must be interconnected, via hardwire, bluetooth connectivity or any other means that allow for communication between smoke alarms. To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs. Family child care homes must have a portable fire extinguisher rated for class B fires in the kitchen and other cooking areas.

During the time of inspection, it was observed that the smoke detectors in the facility were not interconnected. The facility did not have an operable fire extinguisher rated for class B fires in the kitchen. Documentation of the alarm testing on file showed that the alarms were being tested more than 30 days apart. That alarms were tested on 10/21/23 and again on 11/21/23, which is 31 days. 1/19/24 and again on 2/19/24, which is 31 days. 3/19/24 and again on 4/19/24, which is 31 days and 5/17/24 and again on 6/17/24 which is 31 days.

Corrected by Aug 23, 2024

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3290.22(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

During the time of inspection, it was observed that the current certificate of compliance wasn't posted in a conspicuous location used by the parents.

Corrected by Aug 23, 2024

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3290.18 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #1-- must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training online only portion completed on 8/10/2023. Staff person #1 did not complete the mandatory in-person skills session to completed CPR training. Staff Person #1 has not completed the required one hour Pennsylvania health and safety update 2022 by December 30, 2022.

Corrected by Sep 17, 2023

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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.

It was observed in the child care room off of the kitchen that the doors were removed from the laundry area making bleach and laundry detergent accessible to children.

Corrected by Sep 15, 2023

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3290.115(a)(1) · An in-ground swimming pool accessible to children shall be fenced with a locked gate.

It was observed that there was an uncovered in-ground swimming pool that did not have a fence with a locked gate.

Corrected by Sep 22, 2023

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

Upon inspection of the facility's required policies on file, it was found that a policy and procedure for the prevention of and responses to Shaken Baby/Head Trauma was not created.

Corrected by Sep 23, 2022

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3290.24(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Upon inspection of the facility emergency plan, it was found that a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises was not specified.

Corrected by Sep 20, 2022

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3290.24(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Upon inspection of the facility's emergency plan, it was found that a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children was not specified.

Corrected by Sep 20, 2022

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

Upon inspection of the the physical site of childcare operation, it was found that [3] electrical outlets did not have protective covers in place and children 5 years and younger were in care.

Corrected by Sep 20, 2022

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3290.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Upon inspection of the physical childcare space, it was found that a written plan of daily activities and routines was not posted in a traffic area used by parents

Corrected by Sep 20, 2022

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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.

Upon inspection of the children's files, it was found that written consent signed by a parent for emergency medical care was missing from the Emergency Contact information for child #5.

Corrected by Sep 20, 2022

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3290.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Upon inspection of the children's files, it was found that information for special needs/disabilities was left blank on the Emergency Contact information for child #1, #2 and #4.

Corrected by Sep 20, 2022

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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.

Upon inspection of the children's files, it was found that the Emergency Contact information for health insurance coverage and policy number was left blank for child #1 - #4.

Corrected by Sep 20, 2022

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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.

Upon inspection of the children's files, it was found that the Emergency Contact information did not specify an address for the individual designated by the parent to whom the child may be released for child #1, #2, #4 and #5.

Corrected by Sep 20, 2022

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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.

Upon inspection of the physical childcare space, it was found that a written plan was not conspicuously posted which identified the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Corrected by Sep 23, 2022

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3290.131(d)(5)/3290.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Upon inspection of the children's files, it was found that child #1 had an influenza vaccination last recorded in 2020. It was also found that child #2 had no record of an influenza vaccination or Rotavirus vaccination on file. There was no exemption on file at the time of inspection.

Corrected by Sep 23, 2022

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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.

Upon inspection of the children's files, it was found that the copies of health reports on file did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease for child #1 and #2.

Corrected by Sep 23, 2022

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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.

Upon inspection of the children's files, it was found that signed parental consent for administration of minor first-aid procedures by facility staff was missing from the Emergency Contact information for child #5.

Corrected by Sep 20, 2022

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3290.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))

Upon completion of a fire safety inspection of the facility, it was found that a receipt of purchase was not on file for the fire detection system. Further, it was found upon inspection of the testing logs that tests were done on the following dates: 8.1.21, 9.3.21, 10.1.21, 11.5.21, 12.3.21, 1.7.22, 2.4.22, 3.4.22, 4.1.22, 5.6.22, 6.3.22, 7.1.22, 8.8.22 and therefore the minimum required 30 day threshold was exceeded on five occasions.

Corrected by Sep 20, 2022

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