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 inspection, the facility did not have Child Service Reports for child #1, child #4 and child #5.

Corrected Corrected by May 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(4)/3290.182(5) · 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of inspection, the emergency contact form for child #1 did not have the parent's signature for consent of administration of minor first-aid procedures by facility staff.

Corrected Corrected by May 19, 2025

Category: ratio. Marked corrected in the state record.

3290.124(e) · 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.

At the time of inspection, the emergency contact and financial agreement form for child #4 and child #5 were not updated with the parents' signatures in the last 6 months. The financial agreement form for child #3 was not updated with the parents' signatures in the last 6 months.

Corrected Corrected by May 19, 2025

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 the inspection, the file for child #2 and child #3, both enrolled for more than 60 days; did not contain initial health assessment. Also, child #1's file did not contain an initial health assessment or immunization record dated within 60 days of enrollment. The only health assessment observed in child #1's file was dated 10 months after the date of enrollment.

Corrected Corrected by May 19, 2025

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 inspection, the file for child #4 did not contain an updated health assessment dated in the last 12 months.

Corrected Corrected by May 19, 2025

Category: health medication. 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.

At the time of inspection, when the Certification Representative arrived; household member #1 was observed supervising two enrolled children alone but wasn't qualified as a staff member. Household member #1 did not have training in pediatric first aid and pediatric cardiopulmonary resuscitation techniques. At the start of the inspection, the provider who is the only qualified staff member and the only person trained in first aid/ pediatric cardiopulmonary resuscitation techniques at the facility was not present for over an hour.

Corrected Corrected by May 29, 2024

Category: supervision. Marked corrected in the state record.

3290.105(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.

At the time of inspection, the rest equipment was observed unlabeled without each child's name identified to ensure the rest equipment is only used by the named child while enrolled.

Corrected Corrected by May 27, 2024

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

3290.105(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

At the time of inspection, an infant was observed in a Pack- N-Play used as rest equipment with toys, stuffed animals, and an oversized blanket balled up in the corner.

Corrected Corrected by May 27, 2024

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

3290.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

At the time of inspection, household member #1 was observed supervising two enrolled children alone but wasn't qualified as a staff member. At the start of the inspection, the provider who is the only qualified staff member at the facility was not present for over an hour.

Corrected Corrected by May 29, 2024

Category: supervision. Marked corrected in the state record.

3290.124(b)(4)/3290.182(5) · 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

At the time of inspection, the emergency contact form for child #1, #2, #3, #4 and #5 did not have the parent's signature for consent of emergency medical and minor first-aid.

Corrected Corrected by May 29, 2024

Category: ratio. 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 inspection, the health insurance policy number had not been included on the emergency contact form for child #4.

Corrected Corrected by May 29, 2024

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 inspection, the emergency contact form for child #2 was missing the address and phone of the release persons designated by the parent to whom the child may be released.

Corrected Corrected by May 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(a) · 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.

At the time of inspection, child #1's record did not contain an initial health assessment and the child had been enrolled more than 60 days. The file for child #2 did not contain the child's immunization record and the child had been enrolled more than 60 days.

Corrected Corrected by May 29, 2024

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

3290.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

At the time of inspection, a written statement giving the formula and feeding schedule for an enrolled infant child#5 was not obtained from the parent of the infant when the child was enrolled.

Corrected Corrected by May 29, 2024

Category: nutrition. Marked corrected in the state record.

3290.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

At the time of inspection, an infant was observed with an unlabeled bottle.

Corrected Corrected by Apr 25, 2024

Marked corrected in the state record.

3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

At the time of inspection, the emergency plan wasn't posted.

Corrected Corrected by Nov 14, 2023

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

3290.18/3290.95(a) · Conditions at the facility may not pose a threat to the health or safety of the children. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

At the time of inspection, the operator did not have proof of purchase of the fire detection system.

Corrected Corrected by Nov 22, 2023

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

3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

At the time of inspection, peeling chipped paint was observed in the hallway of the basement level.

Corrected Corrected by Nov 17, 2023

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

3290.151(c)(2)/3290.192(2) · An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department. 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 inspection, the initial health assessment for staff member #1 did not include TB screening results.

Corrected Corrected by Nov 17, 2023

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 inspection, the facility's emergency plan did include accommodations of infants and toddlers.

Corrected Corrected by Nov 21, 2023

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.

At the time of inspection, the facility's emergency plan did not include lockdown procedures.

Corrected Corrected by Nov 17, 2023

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