3290.31(a)(1) · The operator shall be 18 years of age or older.

Stall person #2 did not have proof of age documented in their 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 # 2-- may not work in a childcare 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 childcare position at the facility.

At time of inspection, staff person # 2 did not have required child abuse clearance documented in their record.

Corrected Corrected by Aug 9, 2024

Category: supervision. Marked corrected in the state record.

3290.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

At time of inspection, the agreement for child #2 did not have fee amount documented on the agreement.

Corrected Corrected by Aug 9, 2024

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.

At time of inspection, the parents of child #3 did not have the names of release person documented on their child's emergency contact form.

Corrected Corrected by Aug 9, 2024

Category: recordkeeping. 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.

At time of inspection, the parents of child # 4 did not have a 6-month updated and signed emergency contact form documented in their record.

Corrected Corrected by Aug 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(6)/3290.124(b)(7) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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 time of inspection, children # 1, 3,4 and 5 did not have health insurance coverage and/or address of release person documented on the children's emergency contact form.

Corrected Corrected by Aug 9, 2024

Category: health medication. 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 time of inspection, child # 3 shall have updated emergency contact from and financial agreement documented on their emergency contact form.

Corrected Corrected by Aug 9, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.31(a)(2) · Have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department no later than the submission of the second renewal application.

At time of inspection, staff person #2 did not have proof of education documented in her record.

Corrected Corrected by Aug 9, 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.

In review of health and safety documentation, facility policy addressing shaken baby syndrome, abusive head trauma and child maltreatment, failed to address the prevention and identification of child maltreatment.

Corrected Corrected by Sep 1, 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. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility.

During renewal inspection on Tuesday, 08/01/23, cert rep observed staff person 1 has not completed the following required pre-service training within 90 days of their date of hire: health and safety training. Staff person 1 completed Health and Safety Basics: Requirements for Certification after 06/30/18, which is no longer counted towards the new Health and Safety Professional development requirements. Staff person 1 had not completed health and safety professional development training updates required by OCDEL within the prescribed timeframe of 12/30/22.

Corrected Corrected by Aug 2, 2023

Category: supervision. Marked corrected in the state record.

3290.18/3290.31(f)(4)(i) · Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility. 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.

During renewal inspection on Tuesday, 08/01/23, cert rep observed staff person 1, caring for children unsupervised, without current pediatric first aid/CPR. Staff person 1 pediatric first aid/CPR training included in file expired on 07/28/23.

Corrected Corrected by Aug 2, 2023

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). 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 Persons 1 and 2 may not work in a child care position at the facility.

In review of staff/facility persons' files, staff person 1 file failed to include updated PA state police clearance and child abuse clearance. PA state police contained in file was last completed on 06/18/18 and child abuse clearance was last completed on 05/03/18. Facility person 2, a volunteer, file fail to include FBI clearance, NSOR certificate, mandated reporter training and a signed disclosure statement.

Corrected Corrected by Aug 1, 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).

In review of children's files, children enrolled 6 months or more failed to have a service report providing information about the child's growth and development.

Corrected Corrected by Sep 1, 2023

Category: recordkeeping. 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.

In review of children's files, child 2's emergency contact and file failed to contain parent's signed consent for emergency medical care.

Corrected Corrected by Sep 19, 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.

In review of children's files, child 1 emergency contact and financial agreement failed to be updated within a 6-month period.

Corrected Corrected by Sep 19, 2023

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.

In review of children's files, child 1 and 2, enrolled more than 60 days, file failed to have an initial health report. Files only contained an immunization record.

Corrected Corrected by Sep 1, 2023

Category: health medication. 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.

In review of staff/facility persons' files, facility person 2 file failed to include a health assessment.

Corrected Corrected by Sep 1, 2023

Category: ratio. 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.

In review of staff/facility persons' files, facility person 2 file failed to include TB results.

Corrected Corrected by Sep 1, 2023

Category: health medication. 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.

In review of children's files, child 2 file failed to contain parent's signed written consent for administration of minor first-aid.

Corrected Corrected by Sep 19, 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.

In review of emergency plan documents, facility failed to have verification that a copy of plan was sent to the local municipality and the county's emergency management agency.

Corrected Corrected by Sep 1, 2023

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

3290.31(f)/3290.192(4) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

In review of staff files, staff person 1 failed to have completed 12 hours of annual professional development training.

Corrected Corrected by Sep 1, 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.

In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

Corrected Corrected by Sep 5, 2022

Category: ratio. 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.

In review of heath and safety documentation, facility failed to have a written policy and procedure addressing shaken baby syndrome, abusive head trauma and child maltreatment.

Corrected Corrected by Sep 5, 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). 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.

In review of staff files, staff person 2, file failed to include child abuse clearance and a signed disclosure statement.

Corrected Corrected by Aug 15, 2022

Category: background checks. 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.

In review of children's files, child 1, enrolled more than 60 days, file failed to include an inital health report. File ony included immunization record.

Corrected Corrected by Sep 5, 2022

Category: health medication. 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.

In review of staff files, staff person 2 failed to have a health assessment included in file.

Corrected Corrected by Sep 5, 2022

Category: ratio. 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.

In review of staff files, staff person 2 file failed to include TB screening by the Mantoux method.

Corrected Corrected by Sep 5, 2022

Category: health medication. 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.

In review of emergency plan documents, facility failed to have conducted an annual drill.

Corrected Corrected by Sep 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)/3290.192(4) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

In review of staff files, staff person 1 failed to have completed 12 hours of annual professional development training.

Corrected Corrected by Sep 5, 2022

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.

During renewal inspection on Friday, 11/05/21, cert rep observed toxic materials accessible to children.

Corrected Corrected by Nov 8, 2021

Category: ratio. Marked corrected in the state record.

3290.105(a) · The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

During renewal inspection on Friday, 11/05/21, cert rep observed rest equipment failed to be labeled with the names of each enrolled child.

Corrected Corrected by Nov 8, 2021

Category: physical safety. 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.

In review of children's files, child 1, enrolled 05/01/21, file failed to include an inital health assessment. File contained an incomplete health assessment.

Corrected Corrected by Nov 8, 2021

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