3290.32(a)/3290.192(3) · 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. 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 #--- may not work in a child care position at the facility.

Certification rep reviewed household member clearances and observed State Police Criminal clearance in record was expired, date in record 8/16/18. Child Abuse clearance was observed to be expired in record, date of in record 8/16/18.

Corrected Corrected by Jul 26, 2024

Category: supervision. 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.

During the renewal inspection certification rep observed last fire drill recorded on record was conducted on 10/4//23.

Corrected Corrected by Jul 11, 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.

During the renewal inspection certification rep observed fire detection devices are not interconnected on each floor. During the renewal inspection operator did not have documentation of fire detection devices tested every 30 days.

Corrected Corrected by Jul 11, 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.

At the time of renewal inspection, file of staff person #1 did not include Pennsylvania Health and Safety Update 2022 one hour professional development training required by OCDEL within the prescribed timeframe which is by December 30, 2022.

Corrected Corrected by Aug 10, 2023

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

3290.31(f)(4)(i)/3290.32(d) · 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. One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

At the time of renewal inspection, file of staff person #1 included pediatric first aid and CPR training from 3/20/21 that was not renewed timely. No one at the facility was trained in pediatric first aid and CPR.

Corrected Corrected by Aug 10, 2023

Category: ratio. 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. Staff Person #1 must be removed from child care position by close of business. PA child abuse and PA State police clearances must be obtained before staff person #1 may resume a child care position.

At the time of renewal inspection, file of staff person #1did not contain current PA state police and PA Child Abuse clearances. PA State police on file was from 7/19/18, PA Child Abuse on file was from 7/25/18. Both clearances were more than 60 months old and are not acceptable. At the time of renewal inspection, file of household member #2 did not include PA state police clearance and NSOR.

Corrected Corrected by Aug 10, 2023

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

3290.76(b) · If the facility is located in a residence, ammunition shall be contained in a locked area separate from weapons and firearms.

At the time of renewal inspection, ammunition was contained in a locked area together with weapon.

Corrected Corrected by Jul 27, 2023

Category: physical safety. 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).

At the time of the inspection, file of child #1, #2 and #5 did not include child service report on the Department's approved form that provides information to the family about the child's growth and development.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(a)/3290.181(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. An operator shall establish and maintain an individual record for each child enrolled in the facility.

At the time of renewal inspection, emergency contact form and agreement was not observed for child #5, who was receiving care in the facility.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. 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.

At the time of renewal inspection, emergency contact information and agreement of child #1, #2, #3, and #4 have not been updated every 6 months as required. Last update was in July 2022.

Corrected Corrected by Jul 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(d)(5)/3290.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

At the time of renewal inspection, immunization record of child #1 and #2 did not include current influenza immunization recommended by ACIP. A letter of exemption was not observed in the file of child #1 and #2.

Corrected Corrected by Aug 3, 2023

Category: health medication. 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.

At the time of renewal inspection, file of staff person #1 included a health assessment dated 3/30/21 that was conducted more than 24 months ago.

Corrected Corrected by Aug 10, 2023

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

3290.94(a)(9) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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.

At the time of renewal inspection observed that the last fire drill was conducted on 8/29/22.

Corrected Corrected by Jul 27, 2023

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.

At the time of renewal inspection documentation of smoke detector testing every 30 days was not observed. Tag on fire extinguisher located in the kitchen expired on 11/2022.

Corrected Corrected by Aug 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

Corrected Corrected by Jul 31, 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.

At the time of renewal inspection, a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma and child maltreatment was not observed. In addition, the emergency plan did not contain a statement regarding continuity of operations in the event of an emergency.

Corrected Corrected by Aug 11, 2022

Category: ratio. Marked corrected in the state record.

3290.24(g) · 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.

At the time of renewal inspection provider did not provide verification a copy of the emergency plan was sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Aug 11, 2022

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.

At the time of renewal inspection, verification that smoke detectors are tested every 30 days were not observed.

Corrected Corrected by Aug 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

Corrected Corrected by Aug 11, 2022

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.

At the time of renewal inspection observed that a tag on the fire extinguisher located in the kitchen was serviced on 3/2020 and is already expired.

Corrected Corrected by Aug 23, 2021

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.

At the time of renewal inspection, an emergency plan did not include provision for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Aug 9, 2021

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.

At the time of renewal inspection observed that a smoke detector on the first floor, where day care children were present, was missing. An operator did not provide documentation of proof of purchase and date of purchase of smoke detectors.

Corrected Corrected by Aug 10, 2021

Category: recordkeeping. Marked corrected in the state record.