3280.102(a) · 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.

Observed a pack-n-play where the netting was starting to rip on one side.

Corrected Corrected by Sep 18, 2024

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

3280.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The most current fee agreement on file for child #1 lacks the amount of the fee to be charged per day or per week.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The most current fee agreement on file for child #1 lacks the date the fee is to be paid.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.123(b)/3280.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The fee agreements on file for children #1 and 2 were the originals. Therefore, the original fee agreements was not given to the parent.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact forms on file for children # 3 and 4 lack the work address of the enrolling parent.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(e)(3) · : Child #3 must be dismissed from care by close of business of POC request date and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. 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 most current immunization record on file for child #3 contains 3 of 4 DTAP, 2 of 3 HIB and 3 of 4 PCV vaccinations as in accordance with the schedule recommended by the ACIP for the age of the child.

Corrected Corrected by Sep 29, 2024

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

3280.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Observed a child's diaper being changed. The soiled diaper was discarded and placed in a plastic lined container which lacked a lid and was not hands- free.

Corrected Corrected by Sep 17, 2024

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

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility file lacked all documentation required that an emergency drill was conducted within the past 12 months.

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility's current certificate of compliance was not posted.

Corrected Corrected by Sep 17, 2024

Marked corrected in the state record.

3280.131(a)/3280.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

The initial health report for child #1 was not provided within 60 days following the first date of attendance at the facility. SEE IS CODE SHEET. There is now a current health report on file and dated 7/24/24.

Corrected Corrected by Oct 18, 2024

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

3280.26(c)/3280.192(2)(iii) · 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for staff person #1 lacked emergency plan training that was completed in the last year. The emergency plan training in the file is dated 8/30/22. The file for staff person #2 lacked emergency plan training that was completed at initial employment within 90 days for hire (See LIS Code Sheet).

Corrected Corrected by Sep 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.32(a)/3280.192(4) · 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 file for staff person #2 lacked a dated disclosure statement.

Corrected Corrected by Sep 15, 2023

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

3280.123(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 § 3280.124(f).

The file for child #1 lacked a child service report that was completed in the past 6 months.

Corrected Corrected by Sep 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.151(a)/3280.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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 file for staff person #3 lacked an initial health assessment.

Corrected Corrected by Sep 1, 2023

Category: ratio. Marked corrected in the state record.

3280.151(c)(3)/3280.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The file for staff person #2 lacked an adult health assessment that included an examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Sep 7, 2023

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

3280.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff person #3 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Sep 12, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.66(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.

Two jugs of Clorox were observed in the bathtub in the restroom that the children use. The Clorox jugs were labeled "Keep Out of Reach of Children".

Corrected Corrected by Sep 28, 2022

Category: ratio. Marked corrected in the state record.

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #2 lacked emergency contact information that included the work phone number for the enrolling parent.

Corrected Corrected by Sep 29, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The file for child #1 lacked a child health report that included an assessment of an acute or chronic health problem or special need and recommendations for treatment or services.

Corrected Corrected by Oct 3, 2022

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

3280.26(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator did not send a copy of the emergency plan to the local municipality.

Corrected Corrected by Oct 25, 2021

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

3280.151(a)/3280.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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.

There was more than 24 months between the previous and most current and updated health assessment on file for staff #1. Dates are as follows: 8/22/19 and 8/25/21.

Corrected Corrected by Oct 5, 2021

Category: ratio. Marked corrected in the state record.

3280.95(a)/3280.95(b) · (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)).(b) The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Proof of purchase of interconnected smoke detection systems/devices shall be on file at the facility. The operator shall manually check the fire detection system/detectors every 30 days.

Proof of purchase of the facility's interconnected smoke detectors was not on file at the facility. There was more than 30 days between manual checks of the interconnected smoke detectors. Checks were completed on 6/3/21 and then on 7/5/21.

Corrected Corrected by Oct 6, 2021

Category: recordkeeping. Marked corrected in the state record.

3280.24(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The operator did not provide to the parent of each child enrolled with information on how to access the regulations in this chapter electronically .

Corrected Corrected by Oct 5, 2021

Marked corrected in the state record.

3280.26(a)(1)/3280.26(a)(5) · The facility shall have an emergency plan that provides 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.The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility's emergency plan lacked a plan that provides for shelter of children during lockdown and that provides accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Oct 6, 2021

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