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.

2nd citation. Previously cited on 12/11/24. The file of Child #1 contained the original agreement. The facility did not make a copy for the file and give the original to the parent.

Corrected Corrected by Feb 27, 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.

The emergency plan did not address continuity of operations.

Corrected Corrected by Jan 24, 2025

Category: ratio. 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.

Observed clothing racks obstructing the front door.

Corrected Corrected by Dec 26, 2024

Marked corrected in the state record.

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.

The facility did not 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.

Corrected Corrected by Jan 24, 2025

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

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.

The facility did not have an emergency plan that provides for a method for the 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.

Corrected Corrected by Jan 24, 2025

Category: physical safety. 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.

Staff #1 lacked documentation of completing mandated reporter training every 60 months (See LIS Code Sheet). Staff #1 had documentation of mandated reporter training completed on 4/16/20.

Corrected Corrected by Dec 13, 2024

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 files of Staff #1 and Household Member #2 lacked signed and dated disclosure statements. The file of Household Member #2 lacked a National Sex Offender Registry Certificate. The file of Household Member #2 contained documentation of applying for the NSOR on 11/29/24.

Corrected Corrected by Dec 24, 2024

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.

Observed Germ X Hand Sanitizer which indicated "keep out of the reach of children" on the railing of the deck at the back door which was accessible to children in the outdoor play space.

Corrected Corrected by Dec 12, 2024

Category: ratio. 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 first-aid kit did not include the following: soap, scissors, and disposable, nonporous gloves.

Corrected Corrected by Dec 23, 2024

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.

Observed rest equipment not labeled with the child's name.

Corrected Corrected by Dec 12, 2024

Category: physical safety. 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 of Child #3 lacked child service reports completed at least every 6 months. The file of Child #3 contained child service reports dated August of 2023 and 3/14/24.

Corrected Corrected by Dec 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement for Child #1 did not specify the child's arrival and departure times.

Corrected Corrected by Dec 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement for Child #1 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Dec 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6)/3290.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

The agreements of Children #1 and #2 did not specify the date of the child's admission.

Corrected Corrected by Dec 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

The files of Children #1, #2, and #3 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Corrected Corrected by Dec 24, 2024

Category: recordkeeping. 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.

Emergency contact information for Children #2 and #3 did not include the work address and work telephone numbers of the enrolling parent.

Corrected Corrected by Dec 24, 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.

Emergency contact information for Child #1 did not include the complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 24, 2024

Category: recordkeeping. 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 file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained a health report dated 5/31/24 with a previous one dated 11/10/22.

Corrected Corrected by Dec 24, 2024

Category: health medication. 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 emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact was signed on 5/3/24 with no reviews. Child #2's agreement was signed on 5/22/24 with no reviews. The agreement for Child #3 was not reviewed and updated at least once in a 6-month period. The agreement for Child #3 was reviewed on 4/6/23, 2/15/24, and 8/13/24.

Corrected Corrected by Dec 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.182(8) · 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.

It was observed that an agreement was not on file at the date of enrollment for Child #1. Child #1's admission date was 5/7/24 with an agreement dated 8/21/24.

Corrected Corrected by Dec 12, 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 was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 12/10/24, 1/10/24, 2/10/24, 3/8/24, 4/9/24, 5/9/24, 6/6/24, 7/10/24, 8/9/24, 9/10/24, 10/10/24, 11/8/24, 12/6/24.

Corrected Corrected by Dec 26, 2024

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.

Emergency drills were not conducted annually. The facility provided documentation of emergency drills being conducted on 12/7/22 and 2/15/24.

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. 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 letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 10, 2025

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 file for Staff #1 was observed not to contain the Health and Safety update.

Corrected Corrected by Feb 27, 2024

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

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 pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an (AGS, primary staff person, or 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 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Jan 10, 2023

Category: supervision. Marked corrected in the state record.

3290.113(a)/3290.113(f) · 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). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format. When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

During the inspection, the children went to the playroom while the provider was in the kitchen. During that time the provider was unable to see, hear and assess the activities of the children.

Corrected Corrected by Feb 1, 2023

Category: supervision. 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.

It was observed that the facility did not have documentation of an emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 10, 2023

Category: physical safety. 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.

The facility's fire drill log showed that the facility did not conduct fire drills every 60 days. This is evidenced by there being a gap of more that 60 days from 3/3/22 to 5/4/22 and 7/5/22.

Corrected Corrected by Jan 11, 2023

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's fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days. This is evidenced by testing on 3/3/22 and 5/4/22 and 7/5/22. There has been no other documentation since 7/5/22.

Corrected Corrected by Jan 11, 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.

It was observed that the facility did not have on file documentation of an emergency drill being conducted annually.

Corrected Corrected by Jan 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 2/10/23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Corrected Corrected by Jan 10, 2023

Category: supervision. Marked corrected in the state record.

3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The Agreement Form on file for Child #1 was observed not to contain persons designated by parents to whom the child may be released.

Corrected Corrected by Feb 14, 2022

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.

The facility fire drill log showed that the facility did not conduct fire drills every 60 days. This is evidenced by there being a gap of more than 60 days from 9/9/21 to 12/15/21.

Corrected Corrected by Feb 14, 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.

It was observed the facility did not have evacuation routes posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Feb 14, 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.

The facility fire drill log showed that the facility has not been regularly testing the facility's fire detection system every 30 days since 9/9/21.

Corrected Corrected by Feb 14, 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.

It was observed that the facility did not provide the parent of each child in the facility with information on how to access the regulation electronically.

Corrected Corrected by Feb 14, 2022

Marked corrected in the state record.

3290.24(a)(1)/3290.24(a)(5) · 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 of infants and toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan was observed not to include a lock-down procedures at eh facility nor did it list accommodations of infant and toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Feb 14, 2022

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