Katerine Tellez

3290.94(a)(2)/3290.94(a)(3) · Fire drills are conducted at different times of the day or night, or both, if applicable. Fire drills are conducted during various program activity times.

Upon inspection of the facility fire drill logs, it was found that all the drills during the past year have been conducted at the same time of day/same program activity times.

Corrected by Jan 21, 2026

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3290.94(a)(4) · The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Upon inspection of the facility fire drill log, it was found that all the drills conducted during the last year utilized the same hypothetical location of the fire.

Corrected by Jan 21, 2026

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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 subsection (a) are met.

Upon inspection of the fire detection device test log, it was found that the following tests exceeded the maximum of 30-days between required testing: 4.1.25 - 5.29.25 [58 days].

Corrected by Jan 21, 2026

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3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Upon inspection of the facility emergency drill log, it was found that the last emergency drill [intruder] was conducted in January 2024.

Corrected by Jan 21, 2026

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3290.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Upon completion of the inspection of the facility documents on file and posted, it was found that a written statement giving the formula and feeding schedule for the infant in care was not present.

Corrected by Jan 31, 2025

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.

The Emergency Plan and Parent Letter about the Emergency Plan did not include a plan for Continuity of Care.

Corrected by Jan 12, 2024

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3290.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The file for Child 1 did not include an updated health report, as required at least every 6 months for a young toddler. The last physical in the file was dated: 3/7/23.

Corrected by Jan 12, 2024

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3290.24(g) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

There was no documentation at the facility showing that the updated Emergency Plan had been delivered to the local municipal office and the county emergency management office.

Corrected by Feb 8, 2024

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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.

Evacuation Routes were not posted on each floor of the facility. Only the basement childcare area had evacuation routes posted.

Corrected by Jan 12, 2024

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3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

There was no Emergency Drill Log at the facility documenting that an annual emergency drill had been conducted in the past 12 months.

Corrected by Jan 12, 2024

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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.

Upon inspection of the children's files, it was found that the admission date of the child was missing from the agreement for child #1 and #3.

Corrected by Dec 15, 2022

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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.

Upon inspection of the children's files, it was found that a copy of the original signed agreement was present in the file of child #1.

Corrected by Dec 15, 2022

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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.

Upon inspection of facility person #1's file, it was found that the required annual minimum of 12 clock hours of child care training was not completed.

Corrected by Jan 3, 2022

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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.

Upon inspection of the facility's emergency plan on file, it was found that a specific method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises was not included.

Corrected by Jan 3, 2022

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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.

Upon inspection of the facility's emergency plan on file, it was found that a specific 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 was not included.

Corrected by Jan 3, 2022

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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.

Upon inspection of the facility fire drill records, it was found that a drill was conducted on March 15, 2021, May 28, 2021, July 30, 2021, and hence greater than 60 elapsed between required drills.

Corrected by Jan 3, 2022

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3290.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))

Upon inspection of the fire safety records of the facility, it was found that there was no purchase receipt on file for the fire detection devices AND that greater than 30 days elapsed between required tests of the system.

Corrected by Jan 3, 2022

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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.

Upon inspection of the facility's emergency plan on file, it was found that specific accommodations for shelter of children during a lock-down emergency were not specified.

Corrected by Jan 3, 2022

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