Ninas Daycare

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.124b3 on SIN-00280194 had not been fully implemented. On 12/17/25, the emergency contact information on file for child #5 did not include the enrolling parent's work address and work telephone number. On 2/17/26, the emergency contact information on file for child #5 still did not include the enrolling parent's work address and work telephone number.

Corrected by Feb 17, 2026

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3290.113(e) · A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

A child was placed into a highchair to stop a behavior from happening. (CORRECTED ON SITE)

Corrected by Feb 17, 2026

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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).

At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.123a3 on SIN-00280194 had not been fully implemented. On 12/17/25, child service reports were not on file for children #2, #3, #4, #5, and #6. All children had been enrolled for more than 6 months. On 2/17/26, child service reports were still not on file for children #2, #3, #4, #5, and #6.

Corrected by Feb 23, 2026

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

At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.123a5 on SIN-00280194 had not been fully implemented. On 12/17/25, the agreement on file for child #5 did not specify the persons designated by a parent to whom the child may be released. On 2/17/26, the agreement on file for child #5 still did not specify the persons designated by a parent to whom the child may be released.

Corrected by Feb 17, 2026

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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.

At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.124b2 on SIN-00280194 had not been fully implemented. On 12/17/25, the emergency contact information on file for child #5 did not include a complete address for the child's source of medical care. On 2/17/26, he emergency contact information on file for child #5 still did not include a complete address for the child's source of medical care.

Corrected by Feb 17, 2026

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3290.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

A bottle was not labeled with the child's name. (CORRECTED ON SITE)

Corrected by Feb 17, 2026

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3290.181(c)/3290.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.181c on SIN-00280194 had not been fully implemented. On 12/17/25, the agreement on file for child # 6 was signed in January of 2024 and subsequently more than 6 months later in December of 2025. The emergency contact information was most recently signed in January of 2024. On 2/17/26, parent signatures were on the forms, but they were not dated.

Corrected by Feb 17, 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.

At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.24d on SIN-00280194 had not been fully implemented. On 12/17/25, the most recent emergency drill took place more than 12 months ago (3/2024). On 2/17/26, an emergency drill still had not been updated/completed.

Corrected by Feb 17, 2026

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3290.24(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

The operator was unable to provide documentation showing that staff person #2 has been trained on the emergency plan.

Corrected by Jan 2, 2026

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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. Facility Person #2 may not work in a child care position at the facility.

Staff person #1's child abuse clearance expired 12/10/2025, and an updated child abuse clearance was not obtained until 12/16/25. The clearance was not in the file at the time of inspection. The staff person worked with children during the time the clearance was expired. Staff person #2 did not have a valid PA state police clearance on file. Staff person #2's state police clearance expired 12/23/2020. Staff person #2 worked with children at the facility on 12/16/25. Facility person #3 did not have a PA state police clearance on file.

Corrected by Jan 2, 2026

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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.

A container of anti-bacterial wipes was observed sitting on the counter in the kitchen area. The wipes were within reach of the children using the space. A container of Lysol toilet cleaner was observed under the sink in the bathroom that the children use. There was a child safety latch on the cabinet, but it was not working.

Corrected by Jan 2, 2026

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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.

Loose cords were observed underneath the upstairs TV in an area accessible to the child who is cared for in that space in the evenings.

Corrected by Jan 2, 2026

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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).

Child service reports were not on file for children #2, #3, #4, #5, and #6. All five children have been enrolled for more than 6 months.

Corrected by Dec 28, 2025

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

The agreement on file for child #5 did not specify the persons designated by a parent to whom the child may be released.

Corrected by Jan 2, 2026

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3290.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement on file for child #5 did not specify the date of the child's admission.

Corrected by Jan 2, 2026

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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 on file for child #5 did not include a complete address for the child's source of medical care. The emergency contact information on file for child #6 did not include an address and phone number for the child's source of medical care.

Corrected by Jan 2, 2026

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3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information on file for children #2, #5, and #6 did not include complete contact information for the enrolling parent. Child #2 - The emergency contact information did not include the enrolling parent's work address, and both the work and home telephone numbers. Child #5 - The emergency contact information did not include the enrolling parent's work address and work telephone number. Child #6 - The emergency contact information did not include the enrolling parent's work address.

Corrected by Jan 2, 2026

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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 on file for child #2 did not include the child's health insurance coverage and policy number.

Corrected by Jan 2, 2026

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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 children #2 and #5 did not include addresses for listed release persons.

Corrected by Jan 2, 2026

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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 on file for child #5 was dated 202 days after the child's first day of attendance at the facility.

Corrected by Jan 2, 2026

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3290.131(b)(1)/3290.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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 most recent health assessment on file for child #2 (infant) was more than 6 months old (dated 5/2025). The most recent health assessment on file for child #3 (preschooler) was more than 12 months old (dated 9/2024). The health assessments on file for child #4 were dated in August of 2024 and subsequently more than 6 months later in December of 2025. The child was a young toddler at the time the health assessment was due to be updated. The most recent health assessment on file for child #6 (preschooler) is more than 12 months old (dated 3/2024).

Corrected by Jan 2, 2026

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3290.133(3)/3290.133(4) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A container of children's Tylenol was stored low in the fridge in an area within reach of the children. The bottle was not labeled with the child's name for whom the medication was intended for.

Corrected by Dec 18, 2025

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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.

Child #6 - The agreement was signed in January of 2024 and subsequently more than 6 months later in December of 2025. The emergency contact information was most recently signed in January of 2024.

Corrected by Jan 2, 2026

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3290.133(6)/3290.133(7) · A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

The operator reported giving Tylenol that was observed in the refrigerator to child #1 "last week." The operator did not have a medication log on file for the medication and did not have written parental consent for the administration of the medication.

Corrected by Jan 2, 2026

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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 wash the children's hands after diaper changes. A wipe was used to clean off their hands.

Corrected by Jan 2, 2026

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3290.135(e) · A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

At the time of inspection, diapers were not changed or checked at least every 2 hour. Certification staff arrived at the facility at 10:25 and diapers were not changed until 12:45.

Corrected by Jan 2, 2026

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

Staff person #1 did not wash their hands in between diapering children.

Corrected by Jan 2, 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.

The operator was unable to provide documentation of a written statement (obtained from the parent) giving the formula and feeding schedule for the enrolled infant, child #2.

Corrected by Jan 2, 2026

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3290.31(g)(10) · Staff persons shall complete professional development in pediatric first aid and CPR within 90 days of hire. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, a family child care 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 #2, staff person #2 may not work in a child-care position at the facility.

There was no documentation on file showing that staff person #2 has completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR

Corrected by Jan 6, 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.

According to the documentation on file at the time of inspection, the most recent emergency drill took place more than 12 months ago (3/2024).

Corrected by Jan 6, 2026

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #1 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2).

Staff person #1 has completed the health and safety course titled "Get Started with Home-Based Care: Building Blocks for Quality", but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected by Jul 20, 2025

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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)). To verify operability, a family child care home shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

A written log of manual tests of the fire detection system from 2025 was not on file at the facility. The most recent documentation was from 12/10/24.

Corrected by Jul 20, 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 facility's emergency plan did not address continuity of operations.

Corrected by Dec 18, 2024

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

An uncovered outlet was observed on the main floor of the house, in an area accessible to children that were receiving care in the space.

Corrected by Dec 18, 2024

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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.

The pack-and-plays were not labeled for individual use. (CORRECTED ON SITE)

Corrected by Dec 10, 2024

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3290.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

The information given to parents at the time of enrollment does not include information about meals, supervision policies, and pick-up arrangements.

Corrected by Dec 24, 2024

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3290.123(a)/3290.123(a)(3) · An agreement shall be signed by the operator and the parent. 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 agreements on file for children #1 and #2 did not include the services to be provided, and were not signed by the operator. The agreement on file for child #3 was not signed by the operator.

Corrected by Dec 18, 2024

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3290.123(a)(6) · An agreement shall specify the date of the child's admission.

The agreement on file for child #1 did not specify the date of the child's admission.

Corrected by Dec 18, 2024

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3290.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The originals of agreements were on file for children #1, #2, and #3.

Corrected by Dec 20, 2024

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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 on file for child #1 did not include the name, address, and telephone number of the child's physician or source of medical care.

Corrected by Dec 18, 2024

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3290.124(b)(3)/3290.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 #2 did not include a home address for the enrolling parent, and did not include the enrolling parent's work address and phone number. The form also did not include name, addresses and phone numbers of persons designated by the parent to whom the child may be released.

Corrected by Dec 20, 2024

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3290.124(b)(4)/3290.182(5) · Emergency contact information must include the written consent signed by a parent for emergency medical care. 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 emergency contact information on file for children #1 and #3 did not include written consent signed by a parent for emergency medical care. The files also did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Dec 20, 2024

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

At the time of inspection, the record for child #1 did not include an initial health report. The child has been enrolled for more than 60 days.

Corrected by Dec 18, 2024

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3290.64(c) · Toxic plants are not permitted in a child care space.

Boxwoods and Japanese Holly Shrubs were observed in the outdoor child care space.

Corrected by Sep 24, 2024

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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.

At the time of inspection, the operator was unable to provide a fire drill log.

Corrected by Sep 24, 2024

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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)). To verify operability, a family child care home shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

At the time of inspection, the operator did not have documentation on file showing that the fire detection system is being tested at least once every 30 days.

Corrected by Sep 24, 2024

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3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

An emergency plan was not posted in the facility at a conspicuous location.

Corrected by Feb 15, 2024

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: -Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; -Strategies for coping with a crying, fussing, or distraught child; and -Address the prevention and identification of child maltreatment.

The facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected by Feb 15, 2024

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

The facility did not have an emergency plan available at the time of inspection.

Corrected by Feb 15, 2024

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3290.72 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted at the facility.

Corrected by Feb 15, 2024

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3290.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

The written plan of daily activities and routines was not posted in a traffic area used by parents. (CORRECTED ON SITE)

Corrected by Feb 15, 2024

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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).

Staff person 1 was observed walking out of the room the child was present in, leaving the child unsupervised.

Corrected by Feb 15, 2024

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3290.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The emergency contact information on file for child 1 did not list emergency contact persons.

Corrected by Feb 15, 2024

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3290.124(b)(4)/3290.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact information on file for child 1 did not include written consent signed by a parent for emergency medical care.

Corrected by Feb 15, 2024

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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 on file for child 1 did not include the health insurance policy number.

Corrected by Feb 15, 2024

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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 did not include a complete address for a listed release person.

Corrected by Feb 15, 2024

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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.

A written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency was not conspicuously posted at the facility. (CORRECTED ON SITE)

Corrected by Feb 15, 2024

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3290.151(c)(2) · An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

The initial health assessment for staff person 1 did not include results of a Tuberculosis screening.

Corrected by Feb 15, 2024

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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 record for child 1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Feb 15, 2024

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

A record was not available for staff person 1.

Corrected by Feb 15, 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.

The operator had not sent an emergency plan to the local municipality and to the county emergency management agency.

Corrected by Feb 15, 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 in a conspicuous location on each floor of the facility.

Corrected by Feb 15, 2024

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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 § 3290.95(a) are met. Family child care homes must have smoke alarms that are operable and properly maintained at all times. 62 P.S. § 1016(c). Smoke alarms in family child care homes must be interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms. 35 P.S. § 1223.6(f.1)(1.1). A family child care home shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs.

The smoke detectors at the facility were not functioning as interconnected smoke detector. Testing one smoke detector did not cause the others to sound. The facility was unable to provide proof of purchase of an interconnected smoke detector system.

Corrected by Feb 15, 2024

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