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: 1. Children must be supervised at all times. 2. 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.

During the visit, the operator was asked how many children were in care and did not account for all children in care. Operator reported that 8 children were in care with 2 being related. The certification representative then counted the children and counted 9 children. When asked about this, the operator then stated they had 9 children in care and 3 were related.

Corrected Corrected by Nov 11, 2025

Category: supervision. Marked corrected in the state record.

3290.118 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Child #1, an infant, was observed to be sleeping in a car seat outside next to the operator. When the operator was asked how long the child had been sleeping, the operator reported that the child had been sleeping for about 10 minutes in the car seat.

Corrected Corrected by Jul 21, 2025

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

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

During a visit, 14 children were observed in care ranging from infant to school age. Five children were identified as related to the operator, resulting in 9 children unrelated to the operator in care at one time. Facility had 3 more unrelated children in care than allowed per the regulations.

Corrected Corrected by Jun 19, 2025

Category: recordkeeping. 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.

Fire drills were documented as completed on 3/13/25 and have not been documented as completed since 3/13/25.

Corrected Corrected by Jun 16, 2025

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.

Fire detection testing was documented as completed on 3/13/25 and has not been documented as completed since 3/13/25.

Corrected Corrected by Jun 16, 2025

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.

A vape device labeled "NJOY" was observed to be sitting on a table accessible to children in the main child care space.

Corrected Corrected by Oct 31, 2024

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

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.

Facilities parent letter lists a method to contact families regarding an emergency, however the written emergency plan on file did not address how parents would be notified when an emergency situation arises.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Facilities parent letter lists a method to contact families regarding an emergency, however the written emergency plan on file did not address how parents would be notified when an emergency situation has ended.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. 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.

In the kitchen, child #2 was observed sitting on the kitchen floor next to a bowl of dog food. The dog food was observed to be less than an inch in diameter. In the toy area, multiple toys were observed to be less than an inch in diameter, including Barbie Doll clothing, a small person, and a toy cat

Corrected Corrected by Sep 24, 2024

Category: nutrition. 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).

Staff #1 was observed to place child #2 on the kitchen floor and walk outside for approximately 2 minutes. During this time, 2 additional children were in the next room unsupervised.

Corrected Corrected by Sep 24, 2024

Category: supervision. Marked corrected in the state record.

3290.113(a)/3290.117(b) · 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). Contact with pets by the children is permitted only when a staff person is physically present.

Staff #1 was observed to go outside for approximately 2 minutes. During this time, two dogs were observed to be in the area of the children while staff #1 was not physically present.

Corrected Corrected by Sep 24, 2024

Category: supervision. 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.

Written emergency plan on file and the parent letter did not include accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.95(a)/3290.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Fire detection testing was observed to be completed greater than 30 days on the following occasions: 12/2/23-2/16/23, 5/1/24-6/1/24, 7/1/24-8/1/24, and 8/1/24-9/1/24.

Corrected Corrected by Sep 24, 2024

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.

Written emergency plan on file contained procedures for shelter in place but was missing procedures for lock-down at the facility.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §  3290.94 (relating to fire drills).

Written emergency plan on file had evacuation routes listed but did not discuss the procedures that would take place in the event of an evacuation.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. 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.

Record for Staff #1 reflected 4 hours of training for the inspection year.

Corrected Corrected by Nov 30, 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.

Record for Staff #1 did not contain the one-hour update to the Health and Safety training required to be completed by 12/30/2022.

Corrected Corrected by Oct 31, 2023

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

3290.124(e)/3290.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Records for Child #1 and Child #2 did not contain parent signatures within 6 month intervals as required, showing most recent dates of 9/2022 and 10/2022, respectively.

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. 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.

Fire drill record did not reflect fire drills conducted in the required interval of every 60 days. There was a recorded date gap of 03/05/2023 with the next being 06/07/2023.

Corrected Corrected by Oct 31, 2023

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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #1 may not work in a child care position at the facility.

Staff Person #1 file contained an FBI clearance dated 01/12/2021 but was from the Department of Education, as the employee is a school teacher at the local elementary school. The clearance must be obtained for Child Care.

Corrected Corrected by Nov 30, 2022

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

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.

File for Child #3 did not contain signatures reflecting permission for emergency medical care, or administration of minor first aid.

Corrected Corrected by Oct 14, 2022

Category: ratio. Marked corrected in the state record.

3290.124(e)/3290.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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.

Files for Children #1 and #2 did not contain updated parent signatures within the required 6 month period. (#1 was 8/2019, 10/2020, and 9/2022, and #2 was 8/2018, 9/2020, and 9/2022)

Corrected Corrected by Oct 14, 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 9/3/21, the file of facility person #2 contained an FBI clearance dated 2/5/16. An updated clearance within the past 60 months was not on file. A clearance dated 2/25/17 was later provided.

Corrected Corrected by Oct 4, 2021

Category: background checks. 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 9/3/21, electrical outlets accessible to children 5 years of age and younger were observed not to have protective receptacle covers. Corrected on site.

Corrected Corrected by Sep 3, 2021

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).

On 9/3/21, a child was observed to go inside the facility to use the restroom, out of sight of facility person #1, while facility person #1 remained outside with the rest of the children. The child returned from the restroom within a few minutes.

Corrected Corrected by Sep 3, 2021

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.

Albuterol was observed to be stored in the bathroom in a space that was accessible to children. Corrected on site.

Corrected Corrected by Sep 3, 2021

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

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

The file of child #1 did not contain signed parental consent for emergency medical care or administration of minor first-aid procedures by facility staff. Corrected as of 10/20/21.

Corrected Corrected by Oct 21, 2021

Category: ratio. Marked corrected in the state record.

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))

On 9/3/21, it was observed that there was not a smoke detector in the basement.

Corrected Corrected by Sep 3, 2021

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

3290.31(g)/3290.31(i) · All staff persons shall complete the professional development under subsection (g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department. Staff persons shall complete professional development in the following topics within 90 days of the date of hire: (1) Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices. (3) Administration of medication, consistent with standards for parental consent. (4) Prevention of and response to emergencies due to food and allergic reactions. (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic. (6) Prevention of shaken baby syndrome and abusive head trauma. (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility) within the meaning of those terms under section 602(a)(1) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C.A. § 5195a(a)(1)). (8) Handling and storage of hazardous materials and appropriate disposal of biocontaminants. (9) Precautions when transporting children. (10) Pediatric first aid and pediatric cardiopulmonary resuscitation.

The file of facility person #2 did not contain documentation of the facility person having completed the professional development as required under 3290.31(g)(1) - 3290.31(g)(9) until 10/31/21.

Corrected Corrected by Nov 2, 2021

Category: ratio. Marked corrected in the state record.