3290.73(b) · A first-aid kit shall be inaccessible to children.

Observed the first-aid kit was accessible to children in a box on the floor in the living room.

Corrected Corrected by Aug 8, 2025

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.

Observed power cords and extension cords dangling down from the TV mounted in the living room and loose power cords next to the recliner in the living room which were accessible to a young toddler in care.

Corrected Corrected by Jun 15, 2025

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

3290.191 · An individual record is required for each facility person.

On 06/05/2025, staff person #1 and #2 do not have a file which includes a health assessment with the results of a tuberculosis screening, clearances, and the required pre-service training. The operator did not follow their plan of correction submitted on 05/01/2025 which stated, "Staff members #3 and #4 will each have their own file and health assessment with the results of a tuberculosis screening, clearances, and the required pre-service training."

Corrected Corrected by Jul 29, 2025

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

3290.22(c) · The operator shall post a copy of each inspection summary issued by the Department next to the facility's certificate of compliance in a conspicuous location used by parents. The inspection summary must remain posted until an agent of the Department verifies that each noncompliance item noted on the inspection summary has been corrected.

A copy of inspection summary issued in April for an allocated unannounced monitoring inspection was not posted in a conspicuous location used by parents.

Corrected Corrected by Jun 20, 2025

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. 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.

At 11:30 am, observed staff person #1 caring for children after staff person #1 was informed on 03/27/2025, that staff person #1 and #2 may not work in a child care position at the facility until a current NSOR clearance was received and a copy sent to the Certification Representative for verification. At the time of the inspection, staff person #1 did not have a copy of the NSOR clearance and was caring for 1 young toddler, 2 young school age and 3 older school age children. According to staff person #1, 1 child arrived at 8:30 am and the other 5 children arrived around 9:30 am.

Corrected Corrected by Apr 2, 2025

Category: background checks. 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. Until such time as the required pre- service trainings are completed, staff person #3 & #4 must be supervised, when interacting with children at a minimum by, an family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3 & #4, staff person #3 & #4 may not work in a child-care position at the facility.

Staff person #3 & #4 were observed to be caring for children unsupervised. Staff person #3 & #4 have not completed the following pre- service training required prior to caring for children unsupervised: PA Required Health and Safety for Family Child Care Part 1, Pediatric First Aid & CPR, Mandated Reporter Training. Staff person #1 and #2 were not present at the facility and left the children in care of staff person #3 and #4 while they left the premises.

Corrected Corrected by Mar 27, 2025

Category: supervision. Marked corrected in the state record.

3290.21(a) · A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Upon arrival to the facility at approximately 11:50 am, Certification Representative knocked on the door. Certification Representative was able to hear children inside. Observed an individual attempt to look out the window of the door and walk away without opening the door. Certification Representative knocked a second time and staff person #3 came to the door and permitted entry.

Corrected Corrected by Apr 30, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #2, #3 and #4 may not work in a child care position at the facility. 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 person #1 and #2 included an NSOR clearance which was not updated within 60 months of the previous clearance. The NSOR on file was dated 01/14/2020 with no current NSOR on file. Observed staff person #3 and #4 caring for children at the facility without clearances, disclosure statement or mandated reporter training on file.

Corrected Corrected by Mar 27, 2025

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

3290.32(d) · 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.

A facility person competent in Pediatric First Aid & CPR was not present at the facility when one or more children were in care. Staff person #1 and #2 were not present at the facility and left the children in care of staff person #3 and #4 while they left the premises. Staff person #3 and #4 did not have Pediatric First Aid and CPR training.

Corrected Corrected by Mar 27, 2025

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.

Observed a variety of cleaning products (Shout spray cleaner, Carpet cleaner, aerosol disinfectant spray) on kitchen counter and table which were being stored in an area which was accessible to children and stored near food and food preparation areas. Observed a container of Odoban on the floor next to the toilet and a container of leak seal on top of the toilet tank which was accessible to children in the bathroom.

Corrected Corrected by Mar 27, 2025

Category: ratio. 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.

Observed the roll top desk with an open top in the area a young toddler was receiving care. A variety of earrings under 1" in size were on the desk which were accessible to the young toddler. Observed several small stones on an end table next to a chair in the living room which were under 1" in size and were accessible to a young toddler.

Corrected Corrected by Mar 30, 2025

Marked corrected in the state record.

3290.113(a) · 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.

Upon arrival to the facility, observed staff person #1 and #2 were not present at the facility and staff person #3 and #4 were caring for the children. During that time, staff person #3 and #4 were both in the kitchen with an older school age child and a young toddler. 2 older school age children and 2 younger school age children were in the living room unsupervised.

Corrected Corrected by Apr 30, 2025

Category: supervision. Marked corrected in the state record.

3290.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Observed a variety of prescription and nonprescription medications on the kitchen counter and table which were accessible to children while in the kitchen.

Corrected Corrected by Mar 27, 2025

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

3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Staff person #1 did not ensure the children washed their hands before lunch. The children began preparing their own lunches and handling food items without washing their hands. Observed staff person #1 place a young toddler into their high chair for lunch without washing the child's hands; staff person #1 was going to wipe the child's hands with a wet washcloth in lieu of washing their hands.

Corrected Corrected by Mar 28, 2025

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

3290.191 · An individual record is required for each facility person.

An individual record was not established for staff person #3 and #4, who were observed caring for children. Staff person #3 and #4 did not have a health assessment with the results of a Tuberculosis screening, clearances, or the required pre-service trainings.

Corrected Corrected by Mar 28, 2025

Category: background checks. 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 did not have a copy of the current certificate of compliance posted in a conspicuous location at the facility; the certificate posted was dated 11/07/2023 - 11/07/2024.

Corrected Corrected by Mar 27, 2025

Marked corrected in the state record.

3290.18/3290.61 · Conditions at the facility may not pose a threat to the health or safety of the children. If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Observed trash being burned in a fire pit in the backyard during program hours which was within close proximity of the outdoor play space, the family child care home and other structures on the property. In addition to the fire being burned during program hours, the fire was unattended during this time.

Corrected Corrected by Aug 14, 2024

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

3290.31(f)(4)(i) · 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.

The pediatric first aid & CPR training on file for staff person #1 and #2 was not updated prior to the expiration date of the previous certification. The current training was completed on 11/17/2023 the previous training expired on 09/2023.

Corrected Corrected by Aug 14, 2024

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 a plastic play kitchen and cases of bottled water in front of the side door of the screened porch leading to the driveway.

Corrected Corrected by Aug 15, 2024

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

3290.114 · Weather permitting, children shall be taken out doors daily.

The children were not taken outdoors on the date of the inspection due to trash being burned on the property in a fire pit near the outdoor play space which was accessible to the children.

Corrected Corrected by Aug 14, 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 for child #2 and #3 included child service reports with information about the child's growth and development which were not completed at least once every 6 months. The most recent child service report was completed on 07/27/2024 with the previous one completed on 09/30/2023.

Corrected Corrected by Aug 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)(4)/3290.182(1) · The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record must contain initial and subsequent health reports.

The file for child #1 did not include a health report for a school-age child (see LIS code sheet) that was dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2. The most recent health report was completed on 11/20/2021 and a subsequent health report was not provided when child #1 entered 6th grade.. The file for child #2 did not include a health report for a school-age child (see LIS code sheet) that was dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2. The most recent health report was completed on 11/22/2021 and a subsequent health report was not provided when child #2entered Kindergarten. Previously cited on 08/21/2023, the operator suspended child #2 from care effective 12/01/2023 until the health report was received; the health report for the child to return to care was not in the child's file.

Corrected Corrected by Sep 30, 2024

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

3290.95(b) · 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 ensure that a manual test of the fire detection system was performed at least once every 30 days between December 2023 - January 2024. The tests were completed on 12/22/2023 and 01/29/2024, which exceeded 30 days.

Corrected Corrected by Aug 14, 2024

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 operator was unable to provide documentation of an annual minimum of 12 clock hours of child care training between 12/2022 - 12/2023 for staff person #1 and #2.

Corrected Corrected by Sep 30, 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 include the last name of the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 25, 2023

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 include a Continuity of Operation plan.

Corrected Corrected by Oct 31, 2023

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.

Observed the fence surrounding the outdoor play space had a missing attachment for the top rail on the far-right corner of the fence. A cap was missing from one of the bolts. Observed broken connector wires along the top of the fence. Observed the wires, at the bottom of the chain link fence, were separated.

Corrected Corrected by Oct 25, 2023

Category: physical safety. 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.

Observed a 4 seat bouncer/see saw in the outdoor play space with a cracked seat and a missing handle.

Corrected Corrected by Oct 25, 2023

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

3290.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement for child #1 did not include the amount of the fee to be charged.

Corrected Corrected by Oct 25, 2023

Category: recordkeeping. 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).

A child service report, providing information to the family about the child's growth and development was not completed at least once every 6 months for child #2 and #3. Ages & Stages was completed in lieu of a Child Service Report.

Corrected Corrected by Oct 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact information for child #1 did not include the complete address of the child's physician or source of medical care.

Corrected Corrected by Oct 25, 2023

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

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 emergency contact information for child #1 did not include the health insurance coverage and policy number.

Corrected Corrected by Oct 25, 2023

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 emergency contact information for child #1 did not include the last name of the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 25, 2023

Category: recordkeeping. 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 initial health report for child #1 was not received within 60 days of enrollment (see LIS code sheet); the health report on file was not dated and the immunization record on file was printed on 08/09/2023.

Corrected Corrected by Oct 25, 2023

Category: health medication. 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 files for child #2 and #3 included a health report that was not updated at least once every 12 months. The health reports on file were dated 11/22/2021 with no subsequent health reports on file.

Corrected Corrected by Oct 25, 2023

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

3290.161(c) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

At 10:00 am, observed a plastic container of Chicken and Rice sitting on the stove in the kitchen. According to staff person #1, the food was made the night before and the container was taken out of the refrigerator at 9:30 am to prepare lunch. The container was kept out of the refrigerator until 12:15 pm when it was served to the children for lunch.

Corrected Corrected by Oct 13, 2023

Category: nutrition. Marked corrected in the state record.

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 and #2 did not include an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Nov 4, 2023

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.

Observed a bottle of Odoban spray cleaner on the coffee table in the living room directly in front of child #1 who was sitting on the couch. Observed a bottle of shampoo labeled "Keep out of Reach of children" on the toilet tank in the bathroom used by children in care that was accessible.

Corrected Corrected by Aug 25, 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 did not contain scissors and soap.

Corrected Corrected by Aug 27, 2022

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.

Observed bolts on the corner of the fence protruding into the play space which were not capped or cut. Observed rust on the top fence rail on the fence in the outdoor play space. Observed a hole at the bottom of the fencing on the left side of the outdoor play space. Observed a missing bolt in the back, right corner of the fence. Observed loose fence connectors t the the top of the fence rail, the wires were hanging creating sharp points. Observed a hole in the door leading out of the office area/child care space with sharp edges. Observed extension cords plugged into the wall which were laying on the living room floor, creating a trip hazard. The gate leading into the kitchen was broken and lying on the floor near the kitchen doorway, creating a trip hazard. Observed the baseboards in the living room had visible dirt and needs to be cleaned.

Corrected Corrected by Sep 7, 2022

Category: physical safety. 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 a Ride on Toy Train blocking the exit door from the sun porch to the area under the deck,. Observed boxes, totes, boots and shoes blocking the door

Corrected Corrected by Sep 22, 2022

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.

Observed cracked steps on the large Little Tykes play equipment in the outdoor play space, which created rough edges. Observed a crack on the platform of the Little Tykes slide, which created pinch points.

Corrected Corrected by Aug 27, 2022

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

3290.123(a) · An agreement shall be signed by the operator and the parent.

The agreement form was not signed by the parent.

Corrected Corrected by Aug 27, 2022

Category: recordkeeping. Marked corrected in the state record.

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 emergency contact information for child #1 did not include health insurance coverage information and the policy number.

Corrected Corrected by Aug 27, 2022

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 initial health report for child #1 was not provided within 60 days following the first day of attendance at the facility; the initial health report on file was dated 08/15/2022.

Corrected Corrected by Aug 27, 2022

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

3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Staff person #1 did not ensure that child #1 washed their hands before lunch.

Corrected Corrected by Aug 27, 2022

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

3290.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Observed staff person #1 did not wash their hands after using the bathroom before starting to prepare lunch. Observed staff person #2 did not wash their hands prior to helping prepare lunch.

Corrected Corrected by Sep 1, 2022

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

3290.182(3) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The file for child #1 did not contain signed parental consent for emergency medical care prior to admission.

Corrected Corrected by Aug 25, 2022

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 file for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.

Corrected Corrected by Aug 25, 2022

Category: ratio. 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 operator was unable to find the updated emergency plan that included accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Sep 27, 2022

Category: physical safety. 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 updated emergency plan to the local municipality.

Corrected Corrected by Sep 27, 2022

Category: physical safety. 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.

Fire evacuation routes were not posted in a conspicuous location in the basement or second & third floor of the home.

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 operator did not document the annual emergency drill which was completed in September 2021.

Corrected Corrected by Sep 30, 2022

Category: recordkeeping. 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.

The operator did not maintain a written record of the fire drills conducted after 11/24/2021. The operator was unable to find the current fire drill log.

Corrected Corrected by Aug 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.95(b) · 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 maintain a written record of a test of the fire detection system every 30 days. The operator was unable to find the current fire drill log with the documentation showing the tests were completed after 09/28/2021.

Corrected Corrected by Sep 4, 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, the certificate of compliance that was posted was dated 11/07/2020 - 11/07/2021. *Corrected at the time of the inspection.

Corrected Corrected by Aug 27, 2022

Marked corrected in the state record.

3290.24(a)(1) · 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 operator was unable to find the updated emergency plan that included a lock-down procedure.

Corrected Corrected by Sep 1, 2022

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

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

The files for staff person #1 and #2 did not include an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Oct 15, 2022

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.

On 10/06/2021, the file for staff person #1 included clearances which were not updated within 60 months. The file contained a current State Police Clearance dated 03/24/2021 and the previous clearance dated 01/04/2016, a current Child Abuse Clearance dated 07/29/2021 and the previous clearance dated 01/04/2016, and a current FBI clearance dated 08/25/2021 and the previous clearance dated 01/04/2016. On 10/14/2021, the file for staff person #2 included clearances which were not updated within 60 months. The file contained a current State Police Clearance dated 03/24/2021and the previous clearance dated 01/12/2016, a current Child Abuse Clearance dated 08/24/2021 and the previous clearance dated 01/04/2016, and a current FBI clearance dated 08/25/2021 and the previous clearance dated 03/28/2016.

Corrected Corrected by Nov 15, 2021

Category: background checks. 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.

On 10/14/2021, the file for staff person #2 included Mandated Reporter training which was not updated at least once every 60 months. The most recent Mandated Reporter training on file was completed on 10/12/2016.

Corrected Corrected by Nov 30, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.32(d) · 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.

On 10/21/2021, staff person #1 and #2 did not have current Pediatric first-aid and CPR when children were in care. The first aid/CPR certificates for staff person #1 and #2 was valid from 10/20/2018 - 10/2020.

Corrected Corrected by Sep 19, 2021

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

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

On 10/21/2021, observed an electrical outlet in the living room which did not have a protective receptacle cover and were accessible to children 5 years of age and younger. *Corrected at the time of the inspection.

Corrected Corrected by Oct 21, 2021

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.

On 10/21/2021, observed Glade air freshener on the desk in the living room labeled keep out of reach of children. Observed Microban Disinfectant, Comet cleaner, toilet bowl cleaner, shampoo, and WD-40 labeled keep out of reach, which were accessible to children in the bathroom. *Corrected at the time of the inspection.

Corrected Corrected by Oct 21, 2021

Category: ratio. Marked corrected in the state record.

3290.66(b) · Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

On 10/21/2021, observed a cigarette butt on the ground next to the main entrance used by children.

Corrected Corrected by Nov 19, 2021

Category: ratio. 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.

On 10/21/2021, observed 2 dogs present at the facility ("Ace" and "Mooch") while children were in care. A certificate of current rabies immunizations was not on file at the facility.

Corrected Corrected by Oct 21, 2021

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.

On 10/06/2021, the emergency contact information for child #1, #2, #3, #4 and #5 did not include a complete address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 7, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.131(c) · 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 health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

On 10/06/2021, the file for child #1, #2, #3, #4 and #5 (enrollment date 08/07/2019) did not include an initial health report within 60 days following the first date of attendance at the facility. The initial health reports were not completed and signed by a physician, physician's assistant or a CRNP.

Corrected Corrected by Nov 30, 2021

Category: health medication. 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.

On 10/14/2021, the file for child #4, a 4 year old, included a record of the child's immunization status which lacked an influenza immunization. The file for child #3, a 3 year old, included a record of the child's immunization status which lacked a 4th dose of DTap, a 1st and 2nd does of Hep A, and an influenza immunization.

Corrected Corrected by Nov 30, 2021

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

3290.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

On 10/21/2021, observed Tylenol and a variety of prescription medications on top of the microwave in the kitchen which were assessible to the preschool and school-age children in care. *Corrected at the time of the inspection.

Corrected Corrected by Oct 21, 2021

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.

On 10/06/2021, the staff health assessment on file for staff person #1 and #2 were not updated at least once every 24 months. The current staff health assessment on file for staff person #1 was completed on 08/23/2021 and the previous health assessment was dated 11/01/2018. The current staff health assessment on file for staff person #2 was completed on 08/26/2021 and the previous health assessment was dated 10/02/2018.

Corrected Corrected by Aug 26, 2021

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.

On 10/21/2021, fire drills documented on the fire drill log were not completed at least once every 60 days. Fire drills were documented on 05/14/2021, 07/21/2021 and 09/28/2021.

Corrected Corrected by Nov 24, 2021

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.

On 08/31/2021, evacuation routes were not posted in a conspicuous location of each floor of the facility.

Corrected Corrected by Aug 31, 2021

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.

On 08/31/2021, during the virtual inspection, smoke detectors were tested on all levels of the home. At the time of the inspection, the smoke detector located in the basement was not operable. The provider will install an operable smoke detector in the basement prior to accepting children in care. On 10/21/2021, the smoke detectors documented on the fire drill log were not completed at least once every 30 days. Tests were completed on : 01/29/2021 - 02/28/2021 - 03/30/2021 - 04/30/2021 - 05/30/2021 -06/29/2021 - 07/29/2021 - 08/31/2021 - 09/28/2021. The operator did not maintain records with the fire drill log of the proof of purchase of the smoke detectors installed at the home.

Corrected Corrected by Nov 17, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(1) · 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.

On 10/21/2021, the emergency plan did not include accommodations for a lock-down proceedure.

Corrected Corrected by Nov 30, 2021

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

3290.31(g) · Staff persons shall complete professional development in the following topics within 90 days of the date of hire:

On 10/14/2021, the file for staff person #2 lacked documentation of completing the Health & Safety training topics. Staff person #2 has been working at the facility since 2015.

Corrected Corrected by Nov 30, 2021

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