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

During renewal inspection on 7/3/24, while doing a walkthrough of the facility, Cert Rep observed the following -The facility did not have a shaken baby syndrome policy

Corrected Corrected by Jul 10, 2024

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -4- 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 #--- 4 may not work in a child care position at the facility.

During renewal inspection on 7/3/24, while reviewing household members file, Cert Rep observed the following Household member # 4 did not have any clearances in file-(state police child abuse, FBI, and NSOR)

Corrected Corrected by Jul 17, 2024

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

3290.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

During renewal inspection on 7/3/24, while doing a walkthrough of the facility Cert Rep observed the following The facility had a swing set in the backyard that was not embedded and not mounted over a loose fill or unitary playground protective surface.

Corrected Corrected by Jul 17, 2024

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

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

During renewal inspection on 7/3/24, while doing a walkthrough of the facility, Cert Rep observed the following - the facility's certificate of rabies immunization for the cat was dated 6/20/23 and was due 6/20/24.

Corrected Corrected by Jul 17, 2024

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

3290.123(a)/3290.181(c) · An agreement shall be signed by the operator and the parent. 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 renewal inspection on 7/3/24, while reviewing children's file, Cert Rep observed the following Child # 1 and child # 3 did not have an agreement in file

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. 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).

During renewal inspection on 7/3/24, while reviewing children's file, Cert Rep observed the following Child # 1's file did not have documentation of child service report in file.

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. 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).

During renewal inspection on 7/3/24, while reviewing children's file, Cert Rep observed the following Child # 2's agreement did not specify the services that will be provided by the facility.

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.151(a)/3290.192(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility. 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 renewal inspection on 7/3/24, while reviewing staff files, Cert Rep observed the following Staff # 2's health assessment was dated 6/4/22.

Corrected Corrected by Jul 17, 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 renewal inspection on 7/3/24, while doing a walkthrough of the facility, Cert Rep observed the following The facility did not have documentation that their emergency plan was sent to the local municipality and the county emergency management agency

Corrected Corrected by Jul 10, 2024

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 renewal inspection on 7/3/24, while doing a walkthrough of the facility, Cert Rep observed the following The facility was not conducting fire drills every 60 days.

Corrected Corrected by Jul 3, 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 renewal inspection on 7/3/24, while doing a walkthrough of the facility, Cert Rep observed the following -The facility's fire detection system was not operable and was not OSHA approved.

Corrected Corrected by Jul 3, 2024

Category: recordkeeping. 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 renewal inspection on 7/3/24, while doing a walkthrough of the facility, Cert Rep observed the following The facility did not have documentation in writing that the facility's emergency plan was reviewed and updated annually.

Corrected Corrected by Jul 10, 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.

On 06/29/2023, during the renewal inspection, the facility's emergency plan did not address continuity of operations in the event of an emergency. On 08/23/2023, continued non-compliance was observed, facility's emergency plan did not address the continuity of operations at time of an emergency.

Corrected Corrected by Sep 29, 2023

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.

On 06/29/2023, during the renewal inspection, there was no evidence on file that staff person #2 received annual training on the facility's emergency plan. On 08/23/2023, continued non compliance was observed, Staff person #2 did not have annual training on the facility's emergency plan.

Corrected Corrected by Sep 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)(4)(i) · 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.

On 06/29/2023, during the renewal inspection, the first aid/ CPR training on file for staff person #1 is not one of the approved curriculum for child care providers. There is no evidence on file that staff person #2 has completed a training in pediatric first aid and pediatric CPR. On 08/23/2023, continued non compliance. Staff person #1 and #2 still had not obtained pediatric first aid/CPR.

Corrected Corrected by Sep 29, 2023

Category: ratio. Marked corrected in the state record.

3290.32(a)/3290.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

On 06/29/2023, during the renewal inspection, the file of staff person #2 did not contain verification that mandated reporter training was completed. On 08/23/2023, continued non compliance, there was no evidence that Staff person #2 completed mandated reporter training.

Corrected Corrected by Sep 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.52(1) · The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If no infants are in care, five toddlers are permitted.

On 08/23/2023, during an unannounced visit to the facility a total of six toddlers were observed in care.

Corrected Corrected by Aug 23, 2023

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.

On 06/29/2023, during the renewal inspection, a small nail was present in the corner of the bathroom door; ceiling tile in the bathroom in disrepair; window shelf in the bathroom is dirty and dusty; a shelving unit located behind the highchairs is not durable; broken pieces of cement (large and small) are present along the side of the house within the space designated as the outside play yard for the children; broken water spout is laying within the designated play yard and accessible to the children. On 08/23/2023 continued non compliance , the ceiling in the bathroom was still in disrepair.

Corrected Corrected by Sep 29, 2023

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

3290.151(a)/3290.192(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility. 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.

On 06/29/2023, during the renewal inspection, the file of staff person #1 did not contain an updated health assessment. The last health assessment on file was dated 05/09/2021. On 08/23/2023, continued non compliance, the file of staff person #1 did not contain an updated health assessment.

Corrected Corrected by Sep 29, 2023

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.

On 06/29/2023, during the renewal inspection, there was no evidence on file that the facility's emergency plan was sent to the local municipality and county emergency management agency. On 08/23/2023, continued non compliance was observed. There was no proof that the facility's emergency plan was sent to the local municipality.

Corrected Corrected by Sep 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10.

On 06/29/2023, during the renewal inspection, there is no evidence on file that staff person #2 has completed Health and Safety training (pre-service) training within 90 days of hire.

Corrected Corrected by Aug 3, 2023

Category: health medication. 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.

On 06/29/2023, during the renewal inspection, the facility's emergency plan did not include "lock-down" procedures.

Corrected Corrected by Jul 31, 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.

On 06/29/2023, during the renewal inspection, the facility's emergency plan did not address continuity of operations in the event of an emergency.

Corrected Corrected by Aug 3, 2023

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.

On 06/29/2023, during the renewal inspection, there was no evidence on file that staff person #2 received annual training on the facility's emergency plan.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)(4)(i) · 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.

On 06/29/2023, during the renewal inspection, the first aid/ CPR training on file for staff person #1 is not one of the approved curriculum for child care providers. There is no evidence on file that staff person #2 has completed a training in pediatric first aid and pediatric CPR.

Corrected Corrected by Aug 15, 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).

On 06/29/2023, during the renewal inspection, the file of staff person #2 did not contain verification that mandated reporter training was completed.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. 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.

On 06/29/2023, during the renewal inspection, Lyson, surface cleaner and hand sanitizer were present on the edge of the large table in the child care space and accessible to the children.

Corrected Corrected by Jul 31, 2023

Category: ratio. Marked corrected in the state record.

3290.72 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

On 06/29/2023, during the renewal inspection, emergency telephone numbers of the nearest hospital, police department, fire department, ambulance, and poison control center were not posted by each telephone in the facility.

Corrected Corrected by Jul 31, 2023

Category: physical safety. 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.

On 06/29/2023, during the renewal inspection, a small nail was present in the corner of the bathroom door; ceiling tile in the bathroom in disrepair; window shelf in the bathroom is dirty and dusty; a shelving unit located behind the highchairs is not durable; broken pieces of cement (large and small) are present along the side of the house within the space designated as the outside play yard for the children; broken water spout is laying within the designated play yard and accessible to the children.

Corrected Corrected by Aug 3, 2023

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

3290.31(f) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

On 06/29/2023, during the renewal inspection, staff person #1 did not obtain 12 hours of annual child care training. Only 7 hours were obtained.

Corrected Corrected by Aug 1, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

On 06/29/2023, during the renewal inspection, plastic bags were present under the changing table and accessible to the children; a small young toddler was playing with a small toy hot wheel car with small wheels that were less than 1 inch in diameter.

Corrected Corrected by Jul 31, 2023

Marked corrected in the state record.

3290.105(a) · (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

On 06/29/2023, during the renewal inspection, rest equipment was labeled with children's name for their specific use.

Corrected Corrected by Jul 31, 2023

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

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

On 06/29/2023, during the renewal inspection, the financial agreement for Child #1 and Child #2 were not signed by the parents.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

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

On 06/29/2023, during the renewal inspection, the financial agreement for Child #1 did not contain that admission date for the child.

Corrected Corrected by Jun 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

On 06/29/2023, during the renewal inspection, a black bag with Benadryl in it was sitting low by the table and accessible to the children.

Corrected Corrected by Jun 29, 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.

On 06/29/2023, during the renewal inspection, the file of staff person #1 did not contain an updated health assessment. The last health assessment on file was dated 05/09/2021.

Corrected Corrected by Jul 31, 2023

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.

On 06/29/2023, during the renewal inspection, the financial agreement for Child #1 and Child #2 did not contain a date to in order to determine if a 6 month review of the form was needed.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

On 06/29/2023, during the renewal inspection, the emergency contact form for Child #2 did not include parental consent for emergency medical care for child and parental consent for administration of minor first aid procedures by facility staff.

Corrected Corrected by Jul 31, 2023

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.

On 06/29/2023, during the renewal inspection, there was no evidence on file that the facility's emergency plan was sent to the local municipality and county emergency management agency.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. 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.

On 06/29/2023, during the renewal inspection, a fire drill was not conducted within the last 60 days. The last fire drill was documented to have occurred on 03/30/2023.

Corrected Corrected by Jul 3, 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.

On 06/29/2023, during the renewal inspection, Staff person #1 acknowledged that evacuation routes are not posted on each floor of facility.

Corrected Corrected by Jul 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.95(b) · The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

On 06/29/2023, during the renewal inspection, there was no documentation on file that the fire detection system (smoke detectors) was being tested every 30 days. There was no evidence on file of proof of purchase for the fire detection system.

Corrected Corrected by Jul 25, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.22(b) · The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

On 06/29/2023, during the renewal inspection, there was no evidence that parents were provided instructions on how to access the regulations and instructions for contacting the appropriate Regional Child Care office.

Corrected Corrected by Jul 31, 2023

Marked corrected in the state record.

3290.92(b) · Fixed and portable space heaters shall be insulated or equipped with protective guards.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THERE WAS AN UNINSULATED SPACE HEATER BEING USED. (CORRECTED ON SITE)

Corrected Corrected by May 12, 2022

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

3290.102(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.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE OUTDOOR PLAY EQUIPTMENT WAS DIRTY AND NEEDED TO BE CLEANED.

Corrected Corrected by Jun 24, 2022

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

3290.32(d) · 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.

ON MAY 12, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 DID NOT INCLUDE UPDATED PEDIATRIC FIRST-AID TRAINING.

Corrected Corrected by Jun 24, 2022

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.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE WATER PIPES LOCATED IN THE CHILDRENS BATHROOM HAD A TEMPERATURE OF 150.8° F.

Corrected Corrected by Jun 24, 2022

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

3290.73(d) · One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3290.73(c).

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE FIRST AID KIT USED TO ACCOMPANY STAFF AND CHILDREN ON EXCURSIONS DID NOT CONTAIN A BOTTLE OF WATER.

Corrected Corrected by Jun 24, 2022

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

3290.78(a) · A facility shall have at least one indoor flushing toilet and one sink. Running water shall be available at the sink.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE SINK USED IN THE CHILDRENS BATHROOM WAS CLOGGED AND IN POOR REPAIR. THERE WAS A BUCKET BEING USED TO DUMP WATER WHENEVER THE SINK WAS USED.

Corrected Corrected by Jun 24, 2022

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

3290.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE BACK DOOR EXIT WAS BLOCKED WITH SEVERAL ITEMS. (CORRECTED ON SITE).

Corrected Corrected by May 12, 2022

Marked corrected in the state record.

3290.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE REFRIGERATOR THERMOMETER HAD A TEMPERATURE ABOVE 45° F.

Corrected Corrected by Jun 24, 2022

Category: nutrition. Marked corrected in the state record.

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE CAT VACCINATION DOCUMENTS WERE OUTDATED WITH NO CURRENT CERTIFICATE ON FILE.

Corrected Corrected by Jun 24, 2022

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

3290.121(a)/3290.121(b) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A RENEWAL INSPECTION. THE PROVIDER DID NOT HAVE A PARENT HANDBOOK OR ENROLLMENT APPLICATION TO REVIEW FACILITY POLICIES AND ARRANGEMENTS WITH PARETNS AT ENROLLMENT.

Corrected Corrected by Jun 24, 2022

Category: supervision. 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).

ON MAY 12, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR CHILD #1, #3, #4 AND #5 DID NOT INCLUDE AN UPDATED CHILD SERVICE REPORT (CSR).

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. 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.

ON MAY 12, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF #2 DID NOT INCLUDE AN UPDATED HEALTH ASSESSMENT.

Corrected Corrected by Jun 24, 2022

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.

ON MAY 12, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR CHILD #3, #4 AND #5 DID NOT INCLUDE UPDATED EMERGENCY CONATCT SIGNATURES OR FEE AGREEMENTS.

Corrected Corrected by Jun 24, 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.

ON MAY 12, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR CHILD #2 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST-AID.

Corrected Corrected by Jun 24, 2022

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.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE EMERGENCY PLAN POSTED DID NOT PROVIDE ACCOMMODATIONS FOR INFANTS, TODDLERS, CHILDREN WITH DISABILITIES OR CHILDREN WITH CHRONIC MEDICAL CONDITIONS.

Corrected Corrected by Jun 24, 2022

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))

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FIRE EXTINGUISHER AVAILIBLE HAS NOT BEEN SERVICED.

Corrected Corrected by Jun 24, 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.

ON MAY 12, 2022, DURING THE RENEWAL INSPECTION CERTIFICATION REPRESENTATIVE REVIEWED ALL FACILITY DOCUMENTS. THE EMERGENCY PLAN DID NOT PROVIDE A LOCKDOWN PLAN.

Corrected Corrected by Jun 24, 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.

ON MAY 12, 2022, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH. THE FACILITY DID NOT HAVE AN EMERGENCY DRILL LOG AVAILIBLE.

Corrected Corrected by Jun 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(g)/3290.31(g)(2) · Staff persons shall complete professional development in the following topics within 90 days of the date of hire: Shaking Baby Syndrome/Prevention of Sudden Infant Death Syndrome and use of safe sleep practices.

ON MAY 12, 2022, DURING THE RENEWAL INSPECTION, THE RECORD FOR STAFF PERSON #1 AND #2 DID NOT INCLUDE SHAKING BABY SYNDROME OR SUDDEN INFANT DEATH SLEEP PRACTICES.

Corrected Corrected by Jun 24, 2022

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