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.

Cleaning chemicals and a magic eraser were observed in an unlocked cabinet under the sink accessible to children.

Corrected Corrected by Oct 9, 2024

Category: ratio. Marked corrected in the state record.

3290.78(b) · A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Three training chairs were observed to be used with urine sitting in them. The training chair was not emptied and sanitized after the use with a sanitizing solution.

Corrected Corrected by Oct 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.114 · Weather permitting, children shall be taken out doors daily.

Children are not taken outside daily, weather permitting. A child was observed sitting on a tablet for the duration of the inspection.

Corrected Corrected by Oct 9, 2024

Category: ratio. Marked corrected in the state record.

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 #1, #2, and #3 did not have documentation of updated/signed child service reports every 6 months on file.

Corrected Corrected by Oct 9, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Child #1 hands were not washed after being diapered.

Corrected Corrected by Oct 9, 2024

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

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, #2, and #3 did not have documentation of updated/signed emergency contact information and the financial agreement once in a 6-month period.

Corrected Corrected by Oct 9, 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.

Upon inspection of the facility emergency plan, it was found that 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 was not included.

Corrected Corrected by Oct 30, 2023

Category: physical safety. 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.

Upon inspection of the facility emergency plan, it was found that a plan for the continuity of operations was not included. It was also found that staff person #1 was working unsupervised with children without having completed the required 2022 Health and Safety training update.

Corrected Corrected by Oct 30, 2023

Category: supervision. 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.

Upon inspection of the facility emergency plan, it was found that a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises was not included.

Corrected Corrected by Oct 30, 2023

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

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.

Upon inspection of the physical site area, it was found that a toxic laundry cleaning product was accessible to children in care in the dining room area.

Corrected Corrected by Oct 30, 2023

Category: ratio. Marked corrected in the state record.

3290.123(a)(6)/3290.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Upon inspection of the children's records, it was found that an admission date was not specified in the agreement for child #2 and #3.

Corrected Corrected by Oct 30, 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.

Upon inspection of children's records, it was found that the health insurance/MA coverage was missing for child #2 AND Health insurance/MA policy number was missing for child #1-#3 and child #5.

Corrected Corrected by Oct 30, 2023

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

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.

Upon inspection of the facility posted documents, it was found that 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 was not present.

Corrected Corrected by Oct 30, 2023

Category: transportation. 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.

Upon inspection of the children's records, it was found that the emergency contact information for child #1 was last reviewed on 2.1.22; for child #3 on 1.23.23 AND the Financial agreement was last reviewed on 2.12.22 for child #1.

Corrected Corrected by Oct 30, 2023

Category: recordkeeping. 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.

Upon inspection of children's records, it was found that there was no health assessment on record for child #2 and #3.

Corrected Corrected by Oct 20, 2023

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

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.

Upon inspection of the children's records, it was found that the health assessment on file for child #5 was dated 3.18.21 and would have expired on 9.18.21. No further health assessments were on file for this child.

Corrected Corrected by Nov 28, 2023

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

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

Upon inspection of children's records, it was found that the immunization record for child #2 was missing 1 DTAP immunization; 1 HIB immunization; 1 Pneumococcal immunization and contained no influenza immunization or valid exemptions. Further, it was found that the immunization record for child #4 was missing 1 Pneumococcal immunization and 2 Hepatitis A immunizations.

Corrected Corrected by Oct 20, 2023

Category: health medication. 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.

Upon inspection of the facility emergency plan, it was found that accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions was not included.

Corrected Corrected by Oct 30, 2023

Category: physical safety. 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.

Upon inspection of the facility fire safety logs, it was found that tests were completed on the following dates, which exceeded the maximum of 30 days between tests: 1.3.23; 2.9.23; 3.16.23; 4.19.23; 5.5.23; 6.8.23; 7.12.23; 8.4.23; 9.15.23.

Corrected Corrected by Oct 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 11.3.23 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children by a family childcare home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 2022 Health and Safety training update.

Corrected Corrected by Oct 30, 2023

Category: supervision. Marked corrected in the state record.