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.

The files for staff #1 and household member #2 contained clearances which were not updated within 60 months. The clearances were dated as follows for staff #1; previous state police dated 2/25/20 was renewed on 10/28/25, previous child abuse dated 3/09/20 was renewed on 10/31/25, previous FBI dated 3/08/25 was renewed on 10/31/25, previous NSOR dated 3/10/20 was renewed on 11/04/25. The clearances were dated as follows for household member #2; previous state police clearance dated 2/25/20 was renewed on 10/28/25, previous child abuse dated 3/09/20 was renewed on 11/03/25, previous FBI dated 7/21/20 was renewed on 11/10/25, previous NSOR dated 3/11/20 was renewed on 11/04/25. Clearances for both individuals are now current.

Corrected Corrected by Nov 23, 2025

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.

Staff #1 did not renew the mandated reporter training within 60 months. This is evidenced by the previous training certificate being dated 2/26/20 and the most recent certificate being dated 10/25/25.

Corrected Corrected by Nov 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.102(a)/3290.103 · 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. 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.

Split seams, exposing the inner foam filling, were observed on 2 nap mats and 1 changing pad.

Corrected Corrected by Nov 23, 2025

Category: physical safety. 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.

The rabies vaccination for the cat observed on the premises expired 11/05/25.

Corrected Corrected by Nov 23, 2025

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

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 participate in the fire drill.

The last 5 documented fire drills did not include the specific time of day of the drills.

Corrected Corrected by Nov 23, 2025

Category: recordkeeping. 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.

A broken floor tile with cracks and sharp pieces was observed in the kitchen. A detached piece of wooden wall trim with exposed nails was observed near the broken tile. Both are on the route children use when accessing the restroom.

Corrected Corrected by Nov 25, 2024

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

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

A written plan of daily activities and routines was not posted.

Corrected Corrected by Nov 25, 2024

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 forms for children #1, #2, and #3 did not include the addresses of the individuals designated by the parent to whom the child may be released. The phone number was also missing for one of these individuals on the form for child #1.

Corrected Corrected by Nov 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)(2)/3290.182(1) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

The file for child #3, a young toddler, did not contain a health report conducted in the past 6 months. The most recent health report on file was dated 10/31/23.

Corrected Corrected by Dec 31, 2024

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

3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The immunization record for child #3, who is 22 months old, lacked documentation of the first doses of MMR and varicella vaccines. A written exemption was not on file.

Corrected Corrected by Nov 25, 2024

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

3290.94(a)(4) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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.

The two most recent fire drills were conducted with the same hypothetical location, the playroom.

Corrected Corrected by Nov 25, 2024

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 operator lacked updated sections in their emergency plan that addresses the operators plans for continuity of operations in response to an emergency to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

Corrected Corrected by Dec 13, 2023

Category: ratio. 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.

Child file #1 lacked the designated release persons on the agreement form.

Corrected Corrected by Dec 13, 2023

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.

Child file #2 lacked the health insurance policy number on the emergency contact form.

Corrected Corrected by Dec 13, 2023

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.

Child file #2 contained an initial health report that dated 10/31/23 which was more than 60 days after child's first day at the facility.

Corrected Corrected by Dec 13, 2023

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

3290.123(a)(4) · An agreement shall specify the child's arrival and departure times.

Child file #1, lacked the arrival and departure times on the agreement form.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. 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.

Staff file #1 contained a valid health assessment dated 10/31/22 which was conducted more than 24 months after the previous health assessment dated 6/23/20.

Corrected Corrected by Jan 12, 2023

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 record for staff #1 included current certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) which was renewed on 9/25/2021, following the expiration of their previous certification on 9/15/2019.

Corrected Corrected by Nov 22, 2021

Category: ratio. Marked corrected in the state record.

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 record for child #1 and #2 did not contain signed parental consent for emergency medical care for the child.

Corrected Corrected by Nov 22, 2021

Category: recordkeeping. Marked corrected in the state record.

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.

The record for staff #1 included a current health assessment dated more than 24 months following the date of their previous health assessment.

Corrected Corrected by Nov 22, 2021

Category: health medication. 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 record for child #1 and #2 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Nov 22, 2021

Category: ratio. 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.

The operator did not conduct fire drills at least once every 60 days from 1/1/2021 to 3/3/2021 and from 9/1/2021 to 11/15/2021.

Corrected Corrected by Nov 22, 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.

The operator did not have the proof of purchase for the fire detection devices installed at the facility. The operator did not test the fire detection devices at least once very 30 days and document the test from 7/1/2021 to 8/25/2021 and from 9/10/2021 to 11/11/2021 to 11/20/2021.

Corrected Corrected by Nov 22, 2021

Category: recordkeeping. Marked corrected in the state record.