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. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3290 regulations.

3290.24(b) · Corrected Jun 15, 2025

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(eComplete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation).

Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, and #4).

3290.123(a)(3) · Corrected Jun 15, 2025

The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Three children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2, #3, and #5)

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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually.

Several facility person's records did not include written verification of annual emergency plan training. (#1, #2, and #3)

3290.24(c) · Corrected Apr 20, 2025

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). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, and #4).

3290.123(a)(3) · Corrected Apr 20, 2025

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreement.

Several children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released.

3290.123(a)(5) · Corrected Jun 29, 2024

Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Conduct an emergency drill and ensure that an emergency drill is conducted annually. Submit a copy of the completed emergency drill form to verify compliance.

There was no written record verifying that emergency drills were being conducted annually.

3290.24(d) · Corrected Jun 29, 2024

A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

One staff person's record did not contain written verification of annual minimum 12 hours of childcare training. (#2)

3290.31(f) · Corrected Jun 29, 2024

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 and #3 cannot work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

During renewal inspection, cert rep observed all CPSL clearances and mandated reporter training certificates were out of date in the file of Staff 3.

3290.32(a) · Corrected May 26, 2022