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

The backdoor was blocked by mop and bucket. The backyard stairway and outdoor area was obstructed by hazards such as bicycles and other hazards.

Corrected Corrected by Nov 12, 2024

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.

Provider did not have Shaken Baby policy or training on file at residence during the Renewal Inspection.

Corrected Corrected by Nov 12, 2024

Category: health medication. 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.

The thermometer in the refrigerator read 60 degrees Fahrenheit.

Corrected Corrected by Nov 12, 2024

Category: nutrition. 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.

The operator did not provide the local municipality with a copy of the emergency plan.

Corrected Corrected by Nov 12, 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)).

The Fire Extinguisher near the kitchen was last serviced on July 18, 2023, which is now expired.

Corrected Corrected by Nov 12, 2024

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

3290.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Observed 12/27/2023 child #1, and 3 were missing an updated health report on file, the current health report on file dated 8/17/2022 (child #1), & 11/2/2022 (child#3). An updated health report is to be provided at least every 12 months for an older toddler or preschool child.

Corrected Corrected by Jan 16, 2024

Category: health medication. 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.

Observed 12/27/2023 Child #2 health assessment was not signed by a physician, physician's assistant or a CRNP. The signature did not include the individual's professional title.

Corrected Corrected by Jan 16, 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.

Observed 1/17/2023 Child #1, 2 and 3 were missing a review and update on the emergency contact and agreement form for information at least once in a 6-month period or as soon as there is a change in the information.

Corrected Corrected by Jan 16, 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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 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 #2 may not work in a child care position at the facility.

Observed 12/27/2023 staff #2 has not completed the mandated reporter training within 90 days of their date of hire.

Corrected Corrected by Jan 16, 2024

Category: supervision. 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.

Observed 12/27/2023 the bathroom toilet was peeling paint, not free from visible hazard and in good repair.

Corrected Corrected by Jan 22, 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.

Observed 12/27/2023 there was not current rabies immunization on file for the pet at the facility during the inspection.

Corrected Corrected by Jan 22, 2024

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

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

Observed 12/27/2023 child # 1,2 and 3 were missing the child's admission dates located on the agreement form.

Corrected Corrected by Jan 22, 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.

Observed 12/27/2023 child file #1, and 2 emergency contact form were missing the addresses of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Jan 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(e)(1)/3290.131(e)(2)(i) · 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Observed On 12/27/2023 observed child # 2 file did not contain an exemption letter for the vaccination (influenza) not completed in accordance with the schedule recommended by the ACIP.

Corrected Corrected by Jan 16, 2024

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

3290.151(a) · 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.

Observed 12/27/2023 staff#2 were missing a health assessment in their file. A health assessment conducted within 12 months prior to providing initial service in a childcare setting and every 24 months thereafter.

Corrected Corrected by Jan 16, 2024

Category: ratio. Marked corrected in the state record.

3290.31(g)(1)/3290.31(h) · Prevention and control of infectious diseases (including immunization) and the establishment of a grace period that allows homeless children and children in foster care to receive services under this subchapter while their families (including foster families) are taking necessary action to comply with immunization and other health and safety requirements. 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.

Observed 12/27/2023 staff #1 did not complete the one-hour health and safety training course update for staff members hired or have taken the health and safety course prior to 10/4/2022. Staff #2 have not completed the following required pre-service training within 90 days of their date of hire.

Corrected Corrected by Jan 16, 2024

Category: health medication. 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.

Observed 12/27/2023 the fire detectors installed were not interconnected on hardwired that allow for communication between smoke alarms.

Corrected Corrected by Jan 22, 2024

Category: recordkeeping. 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.

Observed 12/27/2023 Staff #1&2 was missing 12 hours from their annual 12 hours of childcare training.

Corrected Corrected by Jan 22, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Observed child cup without a label.

Corrected Corrected by Feb 3, 2023

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.

Observed family child care home with no regulations posted or available for parents.

Corrected Corrected by Apr 4, 2022

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.

Observed outdoor play area with mulch down under outdoor toys proposing a chocking hazard.

Corrected Corrected by Jul 19, 2021

Category: physical safety. 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.

Observed Emergency telephone number list without local fire department number.

Corrected Corrected by Jul 19, 2021

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