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

It was observed a plug protector was not covered on the day of inspection.

Corrected Corrected by Feb 11, 2025

Marked corrected in the state record.

3290.72 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

It was observed that emergency telephone numbers were not posted on the day of inspection.

Corrected Corrected by Mar 3, 2025

Category: physical safety. 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. Facility Person #--- may not work in a child care position at the facility.

The NSOR clearance on file for staff person #1 was observed to be greater than 60 months as evidenced by the date of 2/07/2020.

Corrected Corrected by May 2, 2025

Category: background checks. 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.

Plastic bags were observed under the diaper changing table accessible to children.

Corrected Corrected by Feb 11, 2025

Category: health medication. 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.

It was observed that evacuation routes were not posted in the upstairs level of the facility.

Corrected Corrected by Mar 3, 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.

The file of staff #1 had documentation of completing mandated reporter training late due to the fact they were dated 4-14-15 and 8-25-20, more than 60 months apart.

Corrected Corrected by Mar 8, 2024

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

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file of child #1 lacked an emergency contact form with the parents' work phone numbers. The file of child #3 lacked an emergency contact form with the parent's full work address.

Corrected Corrected by Mar 8, 2024

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 file of children #2 and #3 lacked emergency contact forms with the full addresses of the individuals designated by the parents to whom the children may be released.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. 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.

There was no documentation the emergency plan was delivered to the local municipality and to the county emergency management agency.

Corrected Corrected by Apr 22, 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.

The documentation for testing the smoke detector was on a monthly basis, rather than every 30 days.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(1)/3290.24(a)(2) · 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 for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §  3290.94 (relating to fire drills).

The emergency plan lacked a plan for relocation and maps to get there.

Corrected Corrected by Mar 8, 2024

Category: physical safety. 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.

At the time of the inspection, there was no documentation an emergency plan drill was conducted in 2023. Therefore, emergency plan drills were not held annually.

Corrected Corrected by Mar 8, 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.

The facility's emergency plan lacked a plan for continuity of operations in the aftermath of a disaster.

Corrected Corrected by Mar 17, 2023

Category: ratio. 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 required one-hour health and safety update for staff #1 was to be completed by 12/30/22 was not completed until 1/28/23.

Corrected Corrected by Mar 17, 2023

Category: health medication. 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 living room, where children were present, observed toxic batteries on the bottom of an end table which were accessible to the children in care.

Corrected Corrected by Feb 23, 2023

Category: ratio. Marked corrected in the state record.

3290.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The outdoor embedded play equipment which consists of a rock wall and fort, contained 5 inches and not the required 9 inches of wooden mulch.

Corrected Corrected by Mar 17, 2023

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

3290.131(a)(2)/3290.182(1) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

The initial health report on file for child #3, who is a young toddler, was dated more than 6 months prior to the first day of attendance at the facility.

Corrected Corrected by Mar 17, 2023

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

3290.131(b)(1)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

The most current health report on file for child #3, who is a young toddler, was not completed within the past 6 months.

Corrected Corrected by Mar 17, 2023

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

3290.131(b)(2)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The most current health report on file for child #4 was not completed within the past 12 moths.

Corrected Corrected by Mar 17, 2023

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

3290.131(d)(5)/3290.131(e)(3) · Children #1 and 2 must be dismissed from care by close of business day by 3/7/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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).

The files for children #1 and 2 lack verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Mar 7, 2023

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

3290.131(d)(7)/3290.182(1) · 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. A child's record must contain initial and subsequent health reports.

The most current health report on file for child #2 lacks a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Mar 21, 2023

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

3290.134(b) · Cloth towels and washcloths shall be labeled with the child's name, used by only the named child and laundered weekly. The operator shall arrange a laundry schedule with the parent.

Observed the children washing their hands in the bathroom and the same purple towel was used by all of the children to dry off their hands. Towels were not labeled with the children's names and were not used by only the named child.

Corrected Corrected by Feb 24, 2023

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.

There was more than six months between reviews of the fee agreement on file for child #2, Dates are as follows: 7/7/22 and 2/1/23.

Corrected Corrected by Mar 17, 2023

Category: recordkeeping. 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 most current emergency contact information on file for child #2 lacks signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Mar 17, 2023

Category: ratio. 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 operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Mar 7, 2023

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 Emergency Plan did not have a plan for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 25, 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.

At the time of the inspection, there was not documentation of reviewing the emergency plan at least annually.

Corrected Corrected by Feb 25, 2022

Category: recordkeeping. Marked corrected in the state record.