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

The file for staff person #1 lacked 5 of the 12 required hours of annual child care training.

Corrected Corrected by May 1, 2025

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. Staff person #1 must complete PA Required Health and Safety for Family Child Care Parts 1 and 2.

Staff person #1 has completed the health and safety course titled Health and Safety Basics: Requirements for Certification (6 hours) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by May 1, 2025

Category: health medication. 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. Staff Person #1 may not work in a child care position at the facility.

The file for staff person #1 lacked a current state police clearance updated within the last 60 months. The file for staff person #1 had child abuse clearances, FBI clearances, and NSOR verification certificates that exceeded 60 months between clearances/certificates.

Corrected Corrected by Apr 17, 2025

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 kitchen in an unlocked cabinet under the sink, there were multiple toxics including Windex that were labeled "Keep out of reach of children" and were accessible to children.

Corrected Corrected by May 5, 2025

Category: ratio. Marked corrected in the state record.

3290.69 · 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.

In the kitchen that is used for children to eat meals, there was a stove observed with knobs that were accessible to children.

Corrected Corrected by Apr 16, 2025

Category: nutrition. Marked corrected in the state record.

3290.118 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

According to staff, an infant has slept in a swing on multiple occasions and was not placed in the sleeping position recommended by the American Academy of Pediatrics.

Corrected Corrected by May 5, 2025

Category: health medication. 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 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Corrected Corrected by May 5, 2025

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 a written statement from the parent giving the formula and feeding schedule for an infant observed in care.

Corrected Corrected by May 5, 2025

Category: nutrition. Marked corrected in the state record.

3290.94(a)(4) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

According to the fire drill log, the hypothetical location of the fire was the same for consecutive fire drills.

Corrected Corrected by May 5, 2025

Category: recordkeeping. 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 #1 may not work in a child care position at the facility.

The file for household member #1 lacked an FBI clearance and a disclosure statement.

Corrected Corrected by Jun 24, 2024

Category: background checks. 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.

The facility's first-aid kit lacked scissors and tweezers.

Corrected Corrected by May 31, 2024

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 file for child #1 lacked a current child service report dated within the last 6 months.

Corrected Corrected by May 13, 2024

Category: recordkeeping. 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 files for child #1, #2, #3, #4, and #5 had the original agreement in the file. According to staff, the parent of each enrolled child did not receive the original agreement.

Corrected Corrected by May 31, 2024

Category: recordkeeping. 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 #1, #2, and #5 lacked a current agreement updated by the parent within the last 6 months.

Corrected Corrected by May 30, 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 current fire drill has not been conducted within the last 60 days as of 5-6-24, with the last fire drill being conducted on 2-19-24.

Corrected Corrected by May 7, 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 facility lacked verification that the interconnected smoke alarms are approved by a testing laboratory recognized by OSHA to test and certify smoke alarms by the required compliance date of 9-6-23 and requires current verification. According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 3-22-24 to 5-6-24.

Corrected Corrected by Jul 5, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The facility's emergency plan was not posted in a conspicuous location in the facility.

Corrected Corrected by May 6, 2024

Category: physical safety. 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 Jun 6, 2024

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 emergency plan lacked requirements for practice drills and continuity of operations according to federal requirements at 45 CFR § 98.41(a)(1)(vii).

Corrected Corrected by Jun 3, 2023

Category: ratio. Marked corrected in the state record.

3290.115(a)(2) · An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

The pedestrian access gate to the aboveground pool was not equipped with a locking device. The gate opened inward, not outward away from the pool, and the gate did not completely self-close to secure to the self-latching device in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Corrected Corrected by May 17, 2023

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 had an initial health assessment that was dated over 60 days after the child's first day of attendance at the facility.

Corrected Corrected by Apr 27, 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 4-27-23 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 5 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.

Corrected Corrected by Apr 28, 2023

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 Apr 28, 2023

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.

According to the fire drill log, a fire drill was not conducted within the last 60 days.

Corrected Corrected by Apr 28, 2023

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.

The facility lacked documentation on file of an emergency drill being conducted within the last year.

Corrected Corrected by May 17, 2023

Category: recordkeeping. 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 #1 and #2 lacked a current emergency contact form updated within the last 6 months.

Corrected Corrected by Jun 28, 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.

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

Corrected Corrected by Jun 28, 2022

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 bathroom upstairs, there was an open box of kitchen plastic bags in an unlocked cabinet under the sink that was accessible to children who are still placing objects in their mouths.

Corrected Corrected by Jun 28, 2022

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.

A pack 'n play used by a child in care at the facility during naptime was not labeled with the child's name.

Corrected Corrected by Jun 28, 2022

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

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 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.

According to the fire drill log, a fire drill was not conducted every 60 days between 7-7-21 to 9-12-21 and 1-5-22 to 3-9-22.

Corrected Corrected by Jun 28, 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 smoke detector log, the operator did not manually test the smoke detectors in the facility at least once every 30 days between 7-1-21 to 8-1-21, 8-1-21 to 9-1-21, 10-1-21 to 11-1-21, 12-1-21 to 1-1-22, 1-1-22 to 2-1-22, and 3-1-22 to 4-1-22.

Corrected Corrected by Jun 28, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Corrected Corrected by Jun 28, 2022

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 parent of each enrolled child was not provided with information on how to access the DHS child care regulations electronically.

Corrected Corrected by Jun 28, 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 lacked documentation on file of an emergency drill being conducted within the last year.

Corrected Corrected by Jun 28, 2022

Category: recordkeeping. Marked corrected in the state record.