Patricia E Hodges

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Household Member #3's time between the Child Abuse and FBI clearances on record exceeded the permitted 60 months' timeframe between clearances. (Child Abuse 2/14/20, 4/10/25) (FBI 2/7/20, 5/8/25).

Corrected by Aug 13, 2025

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3290.65(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

It was observed that trash contaminated by human secretions was not contained in a closed, plastic-lined receptacle in the child care room.

Corrected by Aug 16, 2025

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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.

It was observed that the refrigerator used to store potentially hazardous food did not have an operating thermometer inside it. (corrected during inspection)

Corrected by Aug 13, 2025

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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 #3's most recent child service report was dated 8/19/24. See Code Sheet.

Corrected by Aug 12, 2025

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3290.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Child #2's current health assessment did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Aug 13, 2025

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3290.24(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Staff persons #1 and #2 did not review the emergency plan at least annually. (most recent review dated 9/19/23).

Corrected by Aug 13, 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 during inspection).

Corrected by Aug 28, 2024

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3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person #2 will have until 10/25/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 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/facility person #2, staff person #2 may not work in a child-care position at the facility. Until the required clearances are on record for household member #4, household member #4 cannot be in the home/facility while children are in care.

Staff person/facility person #2 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 8/2/18. Household members #3 and #4 do not have a current, completed Disclosure Statement on record. Household member #4 does not have current Child Abuse and FBI clearances on record (Child abuse 12/18/18, FBI 12/19/18).

Corrected by Oct 25, 2024

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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.

It was observed, in the backyard playspace, that a wheelbarrow containing pieces of wood with nails exposed was accessible to children.

Corrected by Sep 5, 2024

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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.

Child #2's emergency contact information did not include the enrolling parent's work telephone number.

Corrected by Sep 20, 2024

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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 time between health assessments exceeded the permitted at least every 12 months timeframe for child #3 (11/16/22, 1/31/24). See Code Sheet

Corrected by Sep 27, 2024

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3290.131(c)/3290.131(d)(7) · 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. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health reports of child #1 and #3 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Child #1's current health report was not signed by a physician, PA, or a CRNP.

Corrected by Oct 31, 2024

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3290.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Child #1's initial immunization documentation was not dated, so there is no proof that it was within the first 60 days of attendance at the facility.

Corrected by Sep 30, 2024

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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 #1's financial agreement was not reviewed and updated once within a six-month period (most current review/update 4/18/23).

Corrected by Sep 23, 2024

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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 testing of the fire detection system exceeded the permitted at least every 30 days timeframe (9/6/23, 10/17/23), (11/9/23, 12/11/23), (1/19/24, 2/23/24), (3/9/24, 4/17/24), (7/11/24, 8/28/24).

Corrected by Sep 5, 2024

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

Staff persons #1 and #2 did not obtain an annual minimum of 12 clock hours of child care training.

Corrected by Sep 30, 2024

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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 #2's file contains no record of completing the required one-hour Health and Safety update training.

Corrected by Sep 26, 2023

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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.

Staff person #1 and #2's files contain no record of annual emergency plan training.

Corrected by Sep 25, 2023

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3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #2 may not work in a child care position at the facility.

The records of staff persons #1 and #2 do not contain current PA State Police, Child Abuse, FBI clearance, and NSOR certificates. Both contain expired clearances (4/10/15, 4/21/15, 4/11/15 and no NSOR certificates, respectively). Household member #3's record does not contain a current PA State Police, FBI clearance, and NSOR certificate State Police dated 5/20/15. FBI clearance dated 4/9/15, and no NSOR certificate on file.Staff person #2's Mandated Reporter training on record is expired, dated 8/2/18.

Corrected by Aug 23, 2023

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

It was observed in the family room, which the children walk through, that 2 electrical outlet covers were missing (corrected during inspection).

Corrected by Aug 23, 2023

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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.

It was observed that three containers of Gold Bond powder (Keep out of reach of children) were accessible to children in the bathroom (corrected during inspection). It was observed that the children have access to the laundry room (from hall with bathroom) which contains toxins (insect repellent, laundry detergent, etc). The children have access to the provider's bedroom which contains accessible toxins: perfume, lotion.

Corrected by Aug 23, 2023

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3290.131(e)(4) · The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

There is no documentation on record that child #4 has received the Influenza immunization SEE CODE SHEET

Corrected by Sep 18, 2023

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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.

It was observed in the main child care space that paper clips and thumb tacks (less than one inch diameter) were accessible to children in the bin of clear plastic drawers (corrected during inspection). It was observed in the family room that finishing nails (less than one inch diameter) were accessible to children on the file cabinet (corrected during inspection).

Corrected by Aug 23, 2023

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3290.105(a) · (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 facility's rest equipment is not labeled with each individual child's name.

Corrected by Aug 24, 2023

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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.

At the time of enrollment, parents did not receive in writing the facility's general daily schedule, supervision policy, dismissal policy, and transportation & pick-up arrangements.

Corrected by Sep 27, 2023

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3290.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

Child #2's agreement does not specify the date on which the fee is to be paid.

Corrected by Sep 14, 2023

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3290.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

Child #3's agreement does not specify the services which are to be considered as extra.

Corrected by Sep 14, 2023

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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.

Child #1 and #4's emergency contact information does not include the work addresses and telephone numbers of the enrolling parent.

Corrected by Sep 18, 2023

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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.

Child #4's record does not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff.

Corrected by Sep 15, 2023

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3290.192(2) · A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Staff person #2's most recent health assessment is dated 11/25/20, which exceeds the permitted at least every 24 months' timeframe.

Corrected by Sep 22, 2023

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3290.192(3) · 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.

Staff person #1 and household member #3's files do not contain a copy of the completed disclosure statement.

Corrected by Aug 23, 2023

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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 facility's emergency plan does not provide for accommodations of infants, toddlers, and children with disabilities,

Corrected by Sep 18, 2023

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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 are not posted in a conspicuous location on each floor of the facility (none on second floor).

Corrected by Sep 25, 2023

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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 facility's fire drills were not conducted within the at least every 60 days' timeframe (12/16/22, 3/15/23), (3/15/23, 5/17/23). The testing of the facility's fire detection devices exceeded the permitted at least every 30 days' timeframe (10/4/22, 12/8/22), (12/8/22, 3/16/23), 3/16/23, 5/12/23), 5/12/23, 7/6/23).

Corrected by Sep 4, 2023

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3290.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Upon inspection of the file for child #1, it was found that the child's special needs were not addressed in the Emergency Contact information.

Corrected by Nov 8, 2022

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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.

Upon inspection of child #1 file, it was found that the health insurance coverage and policy number were not included in the Emergency Contact information.

Corrected by Nov 8, 2022

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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.

Upon inspection of child #1 file, it was found that the health assessment on file was dated 1.18.22 [expired 7.18.22].

Corrected by Nov 8, 2022

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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's records, it was found that an emergency drill had not been conducted in 2021 or 2022 [to date].

Corrected by Oct 4, 2022

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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.

Upon inspection of child #2 file, it was found that the health assessment on file was dated 9.2.21 [expired 9.2.22].

Corrected by Nov 8, 2022

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3290.131(d)(5)/3290.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Upon inspection of child #2 file, it was found that no influenza immunization was recorded on file for the child. Also, no exemption was in the child's file.

Corrected by Nov 8, 2022

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3290.151(a)(2)/3290.192(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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Upon inspection of facility person #1 file, it was found that the current health assessment on file was dated 10.25.20 [expired 10.25.22]

Corrected by Nov 8, 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's fire drill records, it was found that drills were conducted on 8.10.21, 11.10.21, 2.15.22, 5.8.22, 8.17.22, which exceeded the minimum 60 day drill threshold.

Corrected by Oct 4, 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 facility testing logs for smoke detectors, it was found that the devices were not tested for operation at all in 2021 or 2022. Also, it was found that a receipt of purchase was not retained in the facility records.

Corrected by Oct 4, 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 review of the facility emergency plan, it was found that specific accommodations for shelter of children during an emergency including lock-down were not included.

Corrected by Oct 4, 2022

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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.

It was observed during the inspection that hand sanitizer, Clorox wipes, and first-aid creams were accessible to children in the childcare space. Bottles of bug spray was observed to be accessible to children on the front porch, which is used during pick up and drop off.

Corrected by Aug 19, 2021

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3290.131(c) · 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.

The health report provided for child #1 did not include the signature of a physician, physician's assistant or a CRNP.

Corrected by Sep 17, 2021

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3290.94(a)(9) · 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 participated in the fire drill.

A fire drill log was not available during the inspection.

Corrected by Aug 19, 2021

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