3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.

During the renewal inspection conducted on 3/25/24 Provider did not written policy addressing potential signs /symptoms of shaken baby syndrome and abusive head trauma; Strategies for coping with a crying, fussing children; and prevention and identification of child maltreatment.

Corrected Corrected by Apr 8, 2024

Category: health medication. 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.

During the renewal inspection conducted on 3/25/24 staff person# 1 and 2 files did not include verification of completed emergency plan training.

Corrected Corrected by Apr 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.69 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

During the renewal inspection conducted on 3/25/24 the water in the child care space measured at 123° F

Corrected Corrected by Apr 8, 2024

Category: physical safety. 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.

During the renewal inspection conducted on 3/25/24 child#1 emergency contact form did not include physician medical address pr phone number.

Corrected Corrected by Apr 8, 2024

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.

During the renewal inspection conducted on 3/25/24 child #1 emergency contact form did not include health insurance coverage.

Corrected Corrected by Apr 8, 2024

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

3290.151(a)(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.

During the renewal inspection conducted on 3/25/24 staff person#2 health assessment expired.

Corrected Corrected by Apr 8, 2024

Category: health medication. 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 conducted on 3/25/24 the program did not have the required operable inner connected fire detection devices/system on each floor including the basemen.

Corrected Corrected by Apr 8, 2024

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

3290.24(b) · 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.

During the renewal inspection conducted on 3/25/24 the program did not have verification of the annual review of the emergency plan.

Corrected Corrected by Apr 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.192(3) · 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.

While conducting an unannounced inspection it was observed staff person#1 file did not include a completed disclosure statement.

Corrected Corrected by Oct 11, 2023

Category: background checks. 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.

While conducting an unannounced inspection it was observed the program emergency plan did not provide accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 11, 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.

During the inspection on 3/24/2023 the facility had an emergency plan that did not address volunteer emergency preparedness training, practice drills, and continuity of operations.

Corrected Corrected by Mar 31, 2023

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.

During the inspection on 3/24/2023 the child care space was moved to the basement from previous years. The basement was observed having unleveled flooring posing a tripping hazard to the children. This poses a threat to the health and safety of the children.

Corrected Corrected by Apr 12, 2023

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

3290.182(3) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the inspection on 3/24/2023 the file records for child # 1 and 2 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.182(5) · 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.

During the inspection 3/24/2023 the file record2 child # 1 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Mar 27, 2023

Category: ratio. Marked corrected in the state record.

3290.192(2) · 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.

During the inspection on 3/24/2023 the file records for staff person #1 did not include a current health assessment.

Corrected Corrected by Apr 24, 2023

Category: health medication. 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 inspection on 3/24/2023 the facility did not have record of nor did the operator send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Mar 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

During the inspection on 3/24/2023 the evacuation routes were not posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Mar 24, 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.

During the inspection on 5/27/2022 staff person #2 was observed providing direct child care and did not have mandated reporter training and health and safety training. This poses a threat to the health and safety of the children.

Corrected Corrected by Jun 3, 2022

Category: health medication. 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.

During the inspection on 5/27/2022 the file record for staff person #2 did not include emergency plan training.

Corrected Corrected by May 31, 2022

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person 2# -- may not work in a child care position at the facility. 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 #2--- may not work in a child care position at the facility.

During the inspection on 5/27/2022 the file record for staff person #2 did not include a disclosure statement.

Corrected Corrected by May 31, 2022

Category: background checks. 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.

During the inspection on 5/27/2022 the file record for child#1 did not include a 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.

Corrected Corrected by Jun 3, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.182(5) · 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.

During the inspection 5/27/2022 the file records child #1 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by May 31, 2022

Category: ratio. Marked corrected in the state record.

3290.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

During the inspection on 5/27/2022 the file record for individual #1 did not include the name, address and telephone number of the facility person.

Corrected Corrected by May 31, 2022

Category: recordkeeping. 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.

During the inspection on 5/27/2022 the facility did not have an emergency plan that provided accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jun 3, 2022

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.

During the inspection on 5/27/2022 the last fire drill observed on file was 3/14/2022

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

During the inspection on 5/27/2022 the facility did not have a evacuation route posted on the 2nd floor of the facility.

Corrected Corrected by May 27, 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.

During the inspection on 5/27/2022 the emergency drill log was observed and there were no emergency drills recorded.

Corrected Corrected by Jun 10, 2022

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- 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.

During the inspection on 11/29/2021 staff #1 was observed providing direct child care to children and did not have any clearances, disclosure statement and mandated reporter training. Facility Person #1--- may not work in a child care position at the facility.

Corrected Corrected by Dec 29, 2021

Category: supervision. Marked corrected in the state record.

3290.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Ongoing noncompliance- During the electronic inspection on 10/22/2021 the file record for child # 3 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Jan 21, 2022

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

3290.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Ongoing noncompliance- During the electronic inspection on 10/22/2021 the file record for child #3 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Jan 21, 2022

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

3290.182(3) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Ongoing noncompliance- During the electronic inspection on 10/22/2021 the file record for child #2 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Jan 4, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.191 · An individual record is required for each facility person.

During the inspection on 11/29/2021 staff person #1 was observed providing direct child care and did not have a file at the facility.

Corrected Corrected by Dec 6, 2021

Category: recordkeeping. 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.

Ongoing noncompliance- During the inspection on 11/5/2021 the facility had an emergency plan that did not provide for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 4, 2022

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

3290.24(a)(1) · The facility shall have an emergency plan that provides for accommodations 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.

Ongoing non-compliance-During the inspection on 11/5/2021 the emergency plan training did not include procedures for lock-down.

Corrected Corrected by Jan 4, 2022

Category: recordkeeping. 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.

During the inspection on 11/5/2021 the file record for staff person #1 did not include emergency plan training.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.61 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

During the physical site inspection on 11/5/2021 bricks were observed in the outdoor play space. This condition poses a threat to the health and safety of the children.

Corrected Corrected by Nov 5, 2021

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

3290.123(a) · An agreement shall be signed by the operator and the parent.

During the electronic inspection on 10/22/2021 the file record for child #2 did not include a financial agreement form signed by the operator and parent.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

During the electronic inspection on 10/22/2021 the file record for child # 2 did not include an agreement that specified the persons designated by a parent to whom the child may be released.

Corrected Corrected by Nov 18, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6) · An agreement shall specify the date of the child's admission.

During the electronic inspection on 10/22/2021 the file record for child # 1 did not include an agreement that specified the date of the child's admission.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. 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.

During the electronic inspection on 10/22/2021 the file record for child #2 did not include the home and work addresses and telephone numbers of the enrolling parent. on the emergency contact form.

Corrected Corrected by Nov 12, 2021

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.

During the electronic inspection on 10/22/2021 the file record for child # 3 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released on emergency contact form.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

During the electronic inspection on 10/22/2021 the file record child #2 did not include a health assessment with a signature by a physician, physician's assistant or a CRNP.

Corrected Corrected by Nov 22, 2021

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

3290.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the electronic inspection on 10/22/2021 the file record for child # 3 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected Corrected by Nov 22, 2021

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

3290.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During the electronic inspection on 10/22/2021 the file record for child #3 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Corrected Corrected by Nov 22, 2021

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

3290.182(3) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

During the electronic inspection on 10/22/2021 the file record for child #2 did not include signed parental consent for emergency medical care for the child.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.182(5) · 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.

During the electronic inspection 10/22/2021 the file record child #2 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Nov 12, 2021

Category: ratio. 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.

During the inspection on 11/5/2021 the facility had an emergency plan that did not provide for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 12, 2021

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

3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

During the remote inspection on 11/3/2021 the evacuation routes were not posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Nov 3, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(1) · The facility shall have an emergency plan that provides for accommodations 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.

During the inspection on 11/5/2021 the emergency plan training did not include procedures for lock-down.

Corrected Corrected by Nov 12, 2021

Category: recordkeeping. Marked corrected in the state record.