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.

The file for Child #1 contained an emergency contact form that was lacking the child's health insurance name and policy number.

Corrected Corrected by Nov 15, 2024

Category: health medication. 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 for Child #2 contained an emergency contact form that was lacking the addresses of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Nov 15, 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 following documented dates of testing of the smoke detection system: 3.1.24-4.1.24, 5.1.24-6.3.24, 7.1.24-8.5.24, and 10.1.24-11.4.24 were all more than the 30 days required.

Corrected Corrected by Nov 15, 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 lacks the one hour health and safety training which was to be completed by 12/30/22.

Corrected Corrected by Nov 29, 2023

Category: health medication. 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 living room, observed a wax warmer which was plugged in and working. The wax warmer was located on a stand which was accessible to the children in care.

Corrected Corrected by Nov 29, 2023

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

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.

The thermometer in the kitchen refrigerator was not operable as it was broken.

Corrected Corrected by Nov 30, 2023

Category: nutrition. Marked corrected in the state record.

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

The facility file lacked documentation that the family dog, Bentley, has a current rabies vaccination.

Corrected Corrected by Dec 2, 2023

Category: health medication. 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 #4, who has been enrolled for more than six months, lacks a child service report which has been completed within the past six months.

Corrected Corrected by Nov 30, 2023

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 emergency contact information on file for child #1 lacks the address of one of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. 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 file for child #1, who is of preschool age, lacks a health assessment which has been completed within the past 12 months. This is evidenced by the current health assessment on file which is dated 7/1/22.

Corrected Corrected by Dec 4, 2023

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

3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 file for child #3 lacks signed parental consent for emergency medical care and administration of minor first-aid procedures by facility staff.

Corrected Corrected by Nov 30, 2022

Category: ratio. 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.

The operator did not send a copy of the most recent update to the emergency plan to the local municipality and the county emergency management agency.

Corrected Corrected by Dec 4, 2023

Category: physical safety. 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 to the parent of each child enrolled information on how to access the regulations in this chapter electronically.

Corrected Corrected by Nov 29, 2022

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 operator did not provide to the parent of each enrolled child a letter explaining the following emergency procedures: Shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Evacuation of children from the facility building and evacuation of children to a location away from the facility premises. A method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. 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. Accommodations of infants and toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Nov 30, 2023

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 facility's emergency plan lacked a continuity of operation plan for the aftermath of a disaster.

Corrected Corrected by Dec 29, 2022

Category: ratio. 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 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 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/7/17.

Corrected Corrected by Nov 29, 2022

Category: supervision. Marked corrected in the state record.

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 15 days from POC requested date) to complete the mandated reporter training. Until such time as the required training has been 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 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 6/7/17.

Corrected Corrected by Nov 29, 2022

Category: supervision. 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 for household member #2 lacks a State Police clearance.

Corrected Corrected by Nov 30, 2022

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

3290.51 · The number of children in care may not exceed six children at any one time who are unrelated to either the legal entity or the staff person. At any one time, the related children of either the legal entity or the staff person, but not both, may be excluded in determining compliance with this section.

On 11/28/22, staff #1 was observed alone and providing children to 14 unrelated children. There were 2 Toddlers, 5 Preschool Age children and 7 School age children present.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. 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 bathroom and in reach of children, observed toxic Epsom Salts, Oxi Clean, and Hair Spray.

Corrected Corrected by Nov 28, 2022

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 at the facility lacked tweezers, scissors, gloves, tape and soap.

Corrected Corrected by Nov 29, 2022

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

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

The facility file lacked documentation of current rabies immunization for the one dog at the facility.

Corrected Corrected by Nov 30, 2022

Category: health medication. 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 fee agreements on file for children #1, 3 and 4 did not specify the services to be provided to the family and the child. The files for children #1, 3, 4 and 5 lack a child service report within the past six months.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(5)/3290.123(a)(6) · An agreement shall specify the persons designated by a parent to whom the child may be released. An agreement shall specify the date of the child's admission.

The fee agreement on file for child #2 lacks the persons designated by a parent to whom the child may be released and the date of the child's admission.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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.

The facility lacked a medical emergency transportation plan that was conspicuously posted.

Corrected Corrected by Nov 30, 2022

Category: transportation. Marked corrected in the state record.

3290.124(e)/3290.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 most current reviews/updates of the emergency contact information and fee agreement on file for child #3 were not completed within the past six months and dated 11/1/21.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

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

The immunization records on file for children #1 and 4 lack verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Nov 30, 2022

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

3290.94(a)(1)/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 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 evacuation routes are posted in a conspicuous location on each floor of the facility.

There was more than 60 days between fire drills which were conducted on 5/12/22 and then on 8/17/22. There is no documentation of a fire drill on file that has been conducted within the past 60 days. Evacuation routes were not posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Nov 30, 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 file lacked documentation that the smoke detectors were checked every 30 days.

Corrected Corrected by Nov 30, 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 Nov 29, 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 file lacked verification that an emergency drill was conducted within the past 12 months.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)/3290.192(4) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

The file for staff person #1 lacked documentation of 12 hours of childcare training from 12/19/20 - 12/19/21.

Corrected Corrected by Nov 30, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10.

The file for staff #1 lacked CPR/FA from an approved curriculum and trainer by 4/29/22. There is now verification of current CPR/FA from an approved curriculum and trainer and dated 11/5/22.

Corrected Corrected by Nov 5, 2022

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.

The file for Staff #2, an 18-year-old household member, did not contain FBI, PA State Police, or DHS Child Abuse clearances; nor did said file contain a National Sex Offender Registry verification.

Corrected Corrected by Jan 28, 2022

Category: background checks. 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 for Child #1 contained an emergency contact form that did not include the address of a person listed as to whom the child can be released.

Corrected Corrected by Nov 12, 2021

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 files for Child #1 and #2 contained immunizations records that did not include flu vaccines administered since January 1, 2020. The immunization record for Child #1 also lacked a second Hepatitis A vaccine per the recommendations of the ACIP.

Corrected Corrected by Jan 28, 2022

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 #1 contained a health assessment that was completed more than 24 months ago.

Corrected Corrected by Jan 28, 2022

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