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

At the time of renewal inspection observed that rest equipment is not labeled.

Corrected Corrected by Dec 15, 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.

At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of baby shaken syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected Corrected by Dec 15, 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.

At the time of renewal inspection observed that staff person #2 was not trained in emergency plan. Written record of emergency plan training was not on file.

Corrected Corrected by Dec 15, 2023

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). 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. Staff Person #2 may not work in a child care position at the facility.

At the time of renewal inspection, file of staff person #2 did not include NSOR certificate and mandated reporter training. Staff person #2 was not a provisional hire and was hired more than 90 days ago.

Corrected Corrected by Dec 15, 2023

Category: supervision. 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.

At the time of renewal inspection observed that emergency telephone numbers are not posted.

Corrected Corrected by Dec 15, 2023

Category: physical safety. 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.

At the time of renewal inspection observed that rest equipment is not labeled.

Corrected Corrected by Dec 15, 2023

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 renewal inspection observed staff person #2 leaving facility and two infants unattended for a couple of minutes in the basement. Staff person #1 was in the kitchen preparing food.

Corrected Corrected by Dec 1, 2023

Category: supervision. Marked corrected in the state record.

3290.124(b)(2)/3290.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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 renewal inspection, emergency contact information of child #1, #2, #3, #4, and #5 did not include the name, address and telephone number of the child's physician or source of medical care as well as health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected Corrected by Dec 15, 2023

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

3290.124(b)(3)/3290.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 renewal inspection, emergency contact form of children #1, #2, #3, #4, and #5 did not include the work address and phone number of the enrolling parent. Emergency contact form of children #2, #4, and #5 did not include the address and telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

At the time of renewal inspection, emergency contact information did not include information on the children #1, #2, #3, #4 and #5 special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Corrected Corrected by Dec 15, 2023

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

3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

At the time of renewal inspection, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed.

Corrected Corrected by Dec 15, 2023

Category: transportation. Marked corrected in the state record.

3290.131(d)(5)/3290.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

At the time of renewal inspection, a health report of child #1 did not include immunization record. Child #1 is enrolled since 7/18/23.

Corrected Corrected by Dec 15, 2023

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

3290.131(d)(5)/3290.131(e)(2)(i) · A health report shall include a review of the child's immunized status according to recommendations of 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.

At the time of renewal inspection, immunization record of child #4 did not include influenza immunization recommended by ACIP. Last influenza immunization on file was from 2021 A letter of exemption was not observed in the file of child #4.

Corrected Corrected by Dec 15, 2023

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, written statements giving the formula and feeding schedule for two infants was not obtained from the parents of infants observed in the facility.

Corrected Corrected by Dec 15, 2023

Category: nutrition. 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.

At the time of renewal inspection, a record of children #1 and #4 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Corrected Corrected by Dec 1, 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.

At the time of renewal inspection observed that emergency plan was not sent to the local municipality and the county emergency management agency.

Corrected Corrected by Dec 15, 2023

Category: physical safety. 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.

At the time of renewal inspection observed that evacuation routes are not posted at each level.

Corrected Corrected by Dec 15, 2023

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.

At the time of renewal inspection observed that interconnecting smoke detectors were not working during the test.

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(2) · The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §  3290.94 (relating to fire drills).

The facility's emergency plan did not include a location for children to be sheltered away from the facility in the event of an emergency requiring relocation.

Corrected Corrected by Dec 15, 2023

Category: physical safety. 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 the time of renewal inspection, file of staff person #1 included verification of education from Dominican Republic that was not translated. File of staff person #2 did not include verification of education.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.