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 on 1/26/2024, Certification Representative observed two children napping on rest equipment that was not labeled with the child's name.

Corrected Corrected by Jan 26, 2024

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

3290.131(e)(1) · 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.

At the time of inspection, the record for facility child #1 did not show all vaccines were up-to-date according to the ACIP recommended schedule. Facility child #1 was missing a Pneumococcal vaccine.

Corrected Corrected by Feb 9, 2024

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

3290.94(a)(4) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

At the time of inspection, the facility fire drill logs did not list the hypothetical location of fire for each drill.

Corrected Corrected by Jan 26, 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.

At the time of inspection, Certification Representative observed that there was not verification that facility staff #1 completed 12 hours of child care training at least annually.

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During the renewal inspection conducted on 1/6/2023 observed child #2, #3, #4 and #5's files did not include a fee agreement.

Corrected Corrected by Jan 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(4) · An agreement shall specify the child's arrival and departure times.

During the renewal inspection conducted on 1/6/2023 observed child #1's agreement did not specify the child's arrival and departure times.

Corrected Corrected by Jan 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

During the renewal inspection conducted on 1/6/2023 observed child #2, #3, #4 and #5's file did not include an emergency contact information form.

Corrected Corrected by Jan 18, 2023

Category: recordkeeping. 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 1/6/2023 observed child #1's emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Jan 18, 2023

Category: health medication. 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.

During the renewal inspection conducted on 1/6/2023 observed child #2, #4 and #5's file did not include an initial health report.

Corrected Corrected by Jan 18, 2023

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 renewal inspection conducted on 1/6/2023 observed child #3's health report did not include 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 18, 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 renewal inspection conducted on 1/6/2023 observed the operator did not 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 Jan 18, 2023

Category: physical safety. 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.

During the renewal inspection conducted on 1/12/2022 observed staff person #1's pediatric first aid and pediatric cardiopulmonary resuscitation expired o n 2/9/2021. Observed staff person #2's first aid and CPR training did not include pediatric.

Corrected Corrected by Feb 2, 2022

Category: ratio. 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.

During the renewal inspection conducted on 1/12/2022 observed child #1's last health assessment on file is from 10/6/2020.

Corrected Corrected by Feb 2, 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.

During the renewal inspection conducted on 1/12/2022 observed child #2's emergency contact form was last reviewed and updated by a parent on 3/11/2021.

Corrected Corrected by Feb 2, 2022

Category: recordkeeping. 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 renewal inspection conducted on 1/12/2022 observed staff person #1 and #2's files did not include 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.

Corrected Corrected by Feb 2, 2022

Category: health medication. 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 renewal inspection conducted on 1/12/2022 observed last fire drill was conducted on 11/26/2020.

Corrected Corrected by Feb 2, 2022

Category: recordkeeping. 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 1/12/2022 observed the fire extinguisher was last inspected on 12/2020.

Corrected Corrected by Jan 12, 2022

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.

During the renewal inspection conducted on 1/12/2022 observed staff person #1 and #2's files did not contain 12 clock hours of child care training.

Corrected Corrected by Feb 2, 2022

Category: recordkeeping. Marked corrected in the state record.