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 for household member #1 was lacking a State Police Clearance.

Corrected Corrected by Sep 9, 2024

Category: background checks. 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 fee agreement on fille for Child #1 appeared to be the original agreement.

Corrected Corrected by Aug 8, 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.

The two most recent emergency drill logs on file are dated 5/31/23 and 6/3/24 which are more than 12 months apart.

Corrected Corrected by Jul 3, 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 file for Staff #1 did not contain the PA Health and Safety update 2022, which was required to be completed by 12/30/22.

Corrected Corrected by Sep 5, 2023

Category: health medication. 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 all contain the original fee agreement.

Corrected Corrected by Sep 6, 2023

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.

The emergency contact form for Child #1 do not include the work phone number for the enrolling parent.

Corrected Corrected by Sep 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The immunization record on file for Child #4 does not include verification of an annual influenza vaccination.

Corrected Corrected by Sep 6, 2023

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 emergency plan lacks the following updates which were required by 7/01/22: Volunteer training, a plan for practice drills, and a plan for continuity of operations.

Corrected Corrected by Oct 14, 2022

Category: ratio. 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 for child #1, child #2, and child #3 contain emergency contact information which lacks the complete name and/or work address of the enrolling parent's place of employment.

Corrected Corrected by Sep 8, 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.

The facility lacks documentation of an emergency drill conducted in calendar year 2021.

Corrected Corrected by Aug 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.24(a) · The facility shall have an emergency plan.

The facility did not have a current emergency plan posted in the facility.

Corrected Corrected by Sep 17, 2021

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

3290.31(f)(4)(i)/3290.32(d) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

The Pediatric first aid and CPR was not renewed on or before the current date of the most recent certification

Corrected Corrected by Sep 8, 2021

Category: ratio. Marked corrected in the state record.

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.

The exterior basement stairs that start at the outdoor ground level and descend below ground level to the basement entrance, lack a barrier to prevent children from falling into the stairwell. Also, the wooden treads of the stairs were splintered and damaged.. A thin dog run cable was observed around a tree in the outdoor play space. The cable poses a tripping and strangulation hazard.. The aluminum siding on the back of the family day care had three areas which were sharp and splitting. A large gray stone which was located at the base of the house was damaged.

Corrected Corrected by Oct 1, 2021

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

3290.78(b) · A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Observed a training chair in the bathroom that had not been emptied after use. Per the operator: "The chair is emptied after each use and sprayed with a sanitizer. It is not sanitized with the required sanitizing solution."

Corrected Corrected by Sep 9, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the outdoor play space, a Red Cozy Coupe ride-on car had standing water in the back of it. The Winnie the Pooh ride-on car had standing water under the seat. The pink tricycle had standing water in the back compartment of the seat.

Corrected Corrected by Sep 17, 2021

Category: physical safety. 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.

On the kitchen floor, a bowl of dry dog food pellets which were less than 1 inch in diameter were accessible to children still placing objects in their mouths. On the outside porch, located on the right side of the house, an open bag of Weber Smoke Fire Wood Pellets which were less than 1 inch in diameter were accessible to children still placing objects in their mouths.

Corrected Corrected by Sep 10, 2021

Category: nutrition. Marked corrected in the state record.

3290.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #1 and child #2 did not contain an updated influenza vaccine.

Corrected Corrected by Sep 29, 2021

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

3290.94(a)(1) · Fire drills are conducted at least once every 60 days.

A fire drill was not conducted every sixty days.

Corrected Corrected by Sep 9, 2021

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 operator did not test the smoke detector within 30 days of the implementation of the regulation.

Corrected Corrected by Sep 9, 2021

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.

The operator did not provide the parent of each child enrolled in the facility with information on how to access the regulations in 55 PA CODE Chapter 3290 electronically.

Corrected Corrected by Sep 18, 2021

Marked corrected in the state record.