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.

Continued noncompliance from allocated unannounced on 4/21/25; Household member has not obtained DHS FBI Clearance.

Corrected Corrected by Jun 5, 2025

Category: supervision. 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). 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.

During the unannounced allocated monitoring provider did not obtain household member #1 clearances, NSOR, State Police, Child Abuse and FBi Clearance.

Corrected Corrected by May 6, 2025

Category: supervision. 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.

Certification rep observed tubs of Kitty Litter in the entry way accessible to children and Lysol on top of the middle room desk.

Corrected Corrected by May 6, 2025

Category: ratio. 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.

Certification rep observed entry way floors, walls and window sill unclean.

Corrected Corrected by May 6, 2025

Category: physical safety. 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.

Certification rep reviewed fire drill log and observed last fire drill log documented and conducted was 6/12/24.

Corrected Corrected by May 6, 2025

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.

Cert rep reviewed fire detection device log and observed there was no written documentation record of the fire detection device tested within 30 days in the last two years; last fire detection date in log: 6/2/23.

Corrected Corrected by May 6, 2025

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.

Certification rep reviewed emergency plan and observed emergency plan did not contain a plan for continuity of operations.

Corrected Corrected by Aug 9, 2024

Category: ratio. Marked corrected in the state record.

3290.24(c) · 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.

Certification rep reviewed staff #1 and #2 record and observed documented emergency plan training on an annual basis missing in record.

Corrected Corrected by Aug 9, 2024

Category: recordkeeping. 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). 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.

During the renewal inspection certification rep observed staff #1 and #2 record and observed, a signed copy of the disclosure statement was not in record.

Corrected Corrected by Jul 24, 2024

Category: supervision. 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.

During the renewal inspection certification rep observed cleaning supplies and hand sanitizer was accessible to children.

Corrected Corrected by Jun 11, 2024

Category: ratio. Marked corrected in the state record.

3290.64(c) · Toxic plants are not permitted in a child care space.

During the renewal inspection certification rep observed toxic plants in child care space.

Corrected Corrected by Jul 24, 2024

Category: physical safety. 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.

Certification rep reviewed child #1 record and observed signed parental consent for emergency medical care for the child prior to admission was missing on the emergency contact form.

Corrected Corrected by Jul 24, 2024

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.

Certification rep reviewed child #1 record and observed policy number for a child under a family policy or Medical Assistance benefits missing on the emergency contact form.

Corrected Corrected by Jul 24, 2024

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

3290.182(5)/3290.182(6) · 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. A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Certification rep reviewed child #1 record and observed signed parental consent for administration of minor first-aid procedures by facility staff prior to admission was missing on the emergency contact form.Certification rep reviewed child #1 record and observed signed parental consent for transportation, walking and excursions, missing on emergency contact form.

Corrected Corrected by Jul 24, 2024

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.

During the renewal inspection certification rep observed emergency plan was not sent to the county emergency management agency.

Corrected Corrected by Jun 11, 2024

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

3290.95(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)).

During the renewal inspection certification rep reviewed fire drill log and observed fire detection system testing was not documented every 30 days. During the follow up visit on 7/16/24 cert rep observed last fire detection date on record was 6/13/24.

Corrected Corrected by Jul 24, 2024

Category: recordkeeping. 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.

At the time of the inspection, emergency contact information of child #1 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jul 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(1)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

At the time of renewal inspection, file of child #2 did not include an updated health report required at least every 6 months. Child health report on file was dated 12/21/22.

Corrected Corrected by Aug 3, 2023

Category: health medication. 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, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. At the time of renewal inspection, file of staff person #1 and #2 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 Jul 27, 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 may not work in a child care position at the facility.

At the time of renewal inspection, file of staff person #1 did not include an updated child abuse clearance. Child abuse clearance on file was from 7/23/17 and was more than 60 months old.

Corrected Corrected by Jul 27, 2023

Category: background checks. 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, #3, and #4 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 Jul 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(d)(5)/3290.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

At the time of renewal inspection, immunization record of child #3 and #4 did not include influenza immunization recommended by ACIP. A letter of exemption was not observed in the file of child #3 and #4.

Corrected Corrected by Jul 27, 2023

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

3290.11(h)(2)/3290.11(h)(2)(i) · At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the child care facility at least 30 days in a calendar year if any of the following apply: The individual attained 18 years of age following the date of the previous application for a certificate of compliance.

At the time of renewal inspection, clearances were not provided for household member #3

Corrected Corrected by Aug 3, 2023

Category: background checks. 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.

Corrected Corrected by Aug 9, 2022

Category: health medication. 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. Facility Person #1 may not work in a child care position at the facility by the end of the day.

At the time of renewal inspection, file of staff person #1 did not include FBI clearance required by DHS. Staff person #1 is not a provisional hire.

Corrected Corrected by Aug 9, 2022

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

3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

At the time of renewal inspection, emergency contact information of child #3 and #4 did not include the address of the child's physician or source of medical care.

Corrected Corrected by Aug 9, 2022

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

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

At the time of renewal inspection, emergency contact form of child #3 and #4 did not include the work address and phone number of the enrolling parent.

Corrected Corrected by Aug 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

At the time of renewal inspection, emergency contact information did not include information on the child #3 and #4 special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Corrected Corrected by Aug 9, 2022

Category: health medication. 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.

At the time of renewal inspection, emergency contact information of child #3 and #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Aug 9, 2022

Category: health medication. 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.

At the time of the inspection, emergency contact information of child #1, #3 and #4 did not include the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Aug 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.182(1) · 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.A child's record must contain initial and subsequent health reports.

At the time of renewal inspection, file of child #3, #4 and #5 did not include an initial health report within 60 days of enrollment.

Corrected Corrected by Aug 9, 2022

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

3290.131(b)(2)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

At the time of renewal inspection, file of child #2 did not include an updated health report required at least every 12 months. Child health report on file was dated 6/3/21.

Corrected Corrected by Aug 9, 2022

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

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

At the time of renewal inspection, a health report of child #1 did not include immunization record.

Corrected Corrected by Aug 9, 2022

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, emergency plan did not provided for accommodations of infants, toddlers, children with disabilities and children with chronic medical condition.

Corrected Corrected by Aug 9, 2022

Category: physical safety. 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 observed that the operator did not send a copy of the emergency plan to the local municipality and to the county emergency management agency.

Corrected Corrected by Aug 9, 2022

Category: physical safety. 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 9, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(g)/3290.31(g)(10) · Staff persons shall complete professional development in the following topics within 90 days of the date of hire:Pediatric first aid and pediatric cardiopulmonary resuscitation.

At the time of renewal inspection, staff person #1 and #2 had acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Aug 9, 2022

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

3290.31(g)/3290.31(h) · Staff persons shall complete professional development in the following topics within 90 days of the date of hire:Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date the professional development was completed. Documentation of the completion of the professional development under subsection (g) taken from September 30, 2016, forward satisfies this requirement.

At the time of renewal inspection, staff person #1 did not participate in pre-service health and safety training required within 90 days of hire.

Corrected Corrected by Aug 9, 2022

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