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 failed to have a policy addressing signs and symptoms of shaken baby syndrome and abusive head trauma and the prevention and identification of child maltreatment.

Corrected Corrected by Dec 19, 2025

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

3290.24(c)/3290.192(4) · 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. A facility person's record shall include records of training required by the Department.

In review of emergency plan documents, staff person 1 had not been trained on the facility's emergency plan at the time of the renewal inspection on Tuesday, 11/18/25.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.63 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During renewal inspection on Tuesday, 11/18/25, cert rep observed a surge protector located in the main child care space, that is accessible to children 5 years of age and younger, failed to have protective receptacle covers.

Corrected Corrected by Nov 18, 2025

Category: physical safety. 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 Tuesday, 11/18/25, cert rep observed cleaning materials in the bathroom accessible to children.

Corrected Corrected by Dec 19, 2025

Category: ratio. 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.

During renewal inspection on Tuesday, 11/18/25, cert rep observed facility failed to have emergency numbers posted by the telephone in the faiclity.

Corrected Corrected by Dec 19, 2025

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

3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

During renewal inspection on Tuesday, 11/18/25, cert rep observed facility's first-aid kit failed to contain gauze and gloves.

Corrected Corrected by Dec 19, 2025

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.

During renewal inspection on Tuesday, 11/18/25, cert rep observed rest equipment used by children in care failed to be labeled with their names.

Corrected Corrected by Dec 19, 2025

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

3290.111(a)/3290.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

During renewal inspection on Tuesday, 11/18/25, cert rep observed at the facility failed to have a written daily scheduled with daily routine and activities. Plans also failed to be posted at facility in an area accessible to parents.

Corrected Corrected by Dec 19, 2025

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, child 1 and 2, enrolled 6 months or more, failed to have a service report providing information about the child's growth and development.

Corrected Corrected by Dec 19, 2025

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 and 3's emergency contact information and fee agreement failed to be updated once in a 6-month period.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. 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.

In review of children's file, child 1, a preschooler, file failed to have an updated health report. Health report contained in child's 1 file was last completed on 09/10/24.

Corrected Corrected by Dec 19, 2025

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

3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

In review of children's files, child 2, enrolled more than 60 days, file failed to include documentation of updated Hep B and Rotavirus vaccinations and child 3, enrolled more than 60 days, file failed to include documentation of updated Hep A vaccination, as required based on the child's age, per the ACIP recommended schedule.

Corrected Corrected by Dec 19, 2025

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

3290.134(a)/3290.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During renewal inspection on Tuesday, 11/18/25, cert rep observed a staff person and child failed to wash their hands after a diaper change and before meals was served.

Corrected Corrected by Dec 19, 2025

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

3290.151(a)(2)/3290.192(2) · A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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 1's file failed to include an updated health assessment. Health assessment included in file was last completed on 11/01/19.

Corrected Corrected by Dec 19, 2025

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.

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 Dec 19, 2025

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

3290.94(a)(1) · Fire drills are conducted at least once every 60 days.

During renewal inspection on Tuesday, 11/18/25, facility failed to have conducted a fire drill was at least once every 60 days. The last documented fire drill was conducted on 12/10/24.

Corrected Corrected by Dec 19, 2025

Category: physical safety. 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 subsection (a) are met.

In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days and document testing.

Corrected Corrected by Nov 18, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.22(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

During renewal inspection on Tuesday, 11/18/25, cert rep observed facility failed to have the regional OCDEL contact information posted at the facility in an area accessible to parents.

Corrected Corrected by Dec 19, 2025

Marked corrected in the state record.

3290.24(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

In review of emergency plan documents, facility's emergency plan failed to be annually reviewed by the operator.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. 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 on the facility's emergency plan.

Corrected Corrected by Dec 19, 2025

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. File contained 6 hours of annual training.

Corrected Corrected by Dec 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.52(2) · The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If one infant is in care, four toddlers are permitted.

During renewal inspection on Tuesday, 11/26/24, cert rep observed facility out of ratio. There was 1 related infant, 2 unrelated toddlers, 3 related toddlers and 1 related preschooler.

Corrected Corrected by Nov 26, 2024

Category: ratio. Marked corrected in the state record.

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

During renewal inspection on Tuesday, 11/26/24, cert rep observed a person at the facility, while children were receiving care, who was not a household member or staff.

Corrected Corrected by Nov 26, 2024

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, child 1, enrolled 6 months or more, failed to have a service report proving information about the child's growth and development.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.123(b)/3290.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

In review of children's files, child 1 file failed to include an agreement between the parent and facility.

Corrected Corrected by Jan 13, 2025

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.

In review of children's files, child 1 file failed to include the emergency contact information.

Corrected Corrected by Jan 13, 2025

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 1 file failed to have parental signed consent for emergency medical care

Corrected Corrected by Jan 13, 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.

In review of children's files, child 1, enrolled more than 60 days, file failed to have a health assessment.

Corrected Corrected by Jan 17, 2025

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

3290.134(a)/3290.152 · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

During renewal inspection on Tuesday, 11/26/24l, cert rep observed a staff and child failed to wash their hands after a diaper change.

Corrected Corrected by Nov 26, 2024

Category: health medication. 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 1 file failed to include TB results.

Corrected Corrected by Jan 13, 2025

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

3290.166(4)/3290.166(6) · Disposable nursers and bottles shall be labeled with the child's name. Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

During renewal inspection on Tuesday, 11/26/24, cert rep observed bottles failed to be labeled with child's name and toddlers sleeping with sippy cups.

Corrected Corrected by Nov 26, 2024

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

3290.181(a) · An operator shall establish and maintain an individual record for each child enrolled in the facility.

In review of children's files, children present at the facility failed to have a file.

Corrected Corrected by Jan 13, 2025

Category: recordkeeping. 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 1 file failed to have signed parental consent for administration of minor first-aid procedures.

Corrected Corrected by Jan 13, 2025

Category: ratio. Marked corrected in the state record.

3290.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

In review of children's files, child 1 file failed to have parental signed consent for transportation and walking excursions.

Corrected Corrected by Jan 13, 2025

Category: transportation. 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.

In review of facility's emergency plan, emergency plan failed to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Jan 13, 2025

Category: physical safety. 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.

In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days. The last documented testing was on 04/10/24.

Corrected Corrected by Jan 13, 2025

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. Staff person 1 will have until 12/29/23 to complete the required training. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children, by an AGS, at minimal, 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.

In review of health and safety documents, 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 Dec 29, 2023

Category: supervision. 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 failed to have a policy addressing signs and symptoms of shaken baby syndrome and abusive head trauma and the prevention and identification of child maltreatment.

Corrected Corrected by Jan 12, 2024

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 trainings are 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 person(s) available to supervise staff person 1, staff person 1 may not work in a child care position at the facility.

Staff person 1 was observed to be caring for children unsupervised. Staff person 1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 11/1/19.

Corrected Corrected by Dec 4, 2023

Category: supervision. 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 Jan 12, 2024

Category: ratio. Marked corrected in the state record.

3290.24(c)/3290.192(4) · 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. A facility person's record shall include records of training required by the Department.

Staff person 1 had not been trained on the facility's emergency plan at the time of the renewal inspection on Wednesday, 11/29/23.

Corrected Corrected by Jan 12, 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). 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 1 may not work in a child care position at the facility.

In review of staff files, staff person 1 file failed to include DHS FBI clearance, NSOR certificate and updated mandated reporter training. Mandated reporter training included in file was last completed on 02/11/17.

Corrected Corrected by Dec 4, 2023

Category: background checks. Marked corrected in the state record.

3290.32(d) · One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

During renewal inspection on Wednesday, 11/29/23, cert rep observed a staff person caring for children with expired certification in pediatric first-aid/CPR.

Corrected Corrected by Nov 29, 2023

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

3290.111(a)/3290.111(b) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

During renewal inspection on Wednesday, 11/29/23, cert rep observed facility failed to have a written daily schedule outlining daily activities and routines. Plan also failed to be posted in area accessible to parents.

Corrected Corrected by Jan 12, 2024

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.

During renewal inspection on Wednesday, 11/29/23, facility failed to have verification of current rabies immunization for a cat present at the facility.

Corrected Corrected by Jan 16, 2024

Category: health medication. 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, child 1 enrolled 6 months or more failed to have a service report proving information about the child's growth and development.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

In review of children's files, child 1 and 2 files failed to include a copy of the agreement between the enrolling parent/guarding and the operator.

Corrected Corrected by Jan 12, 2024

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 renewal inspection on Wednesday, 11/29/23, cert rep observed facility failed to have emergency contact information for children receiving care.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. 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.

During renewal inspection on Wednesday, 11/29/23, cert rep observed facility failed to have a written plan identifying the means of transporting a child to emergency care and staffing provisions, posted at the facility and accompany a staff person while transporting children.

Corrected Corrected by Jan 12, 2024

Category: transportation. Marked corrected in the state record.

3290.131(b)(1)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

In review of children's file, child 1, a young toddler, file failed to have an updated health report. Health report contained in child's 1 file was last completed on 01/13/23.

Corrected Corrected by Jan 12, 2024

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

3290.151(a)(2)/3290.192(2) · A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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 1 file failed to include an updated health assessment. Health assessment included in file was last completed on 11/01/19.

Corrected Corrected by Jan 12, 2024

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

3290.171/3290.182(6) · The operator shall obtain written consent from the parent for transportation by the facility staff. A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

In review of children's files, children who were transported in the facility's vehicle, files failed to contain parent's signed written consent for transportation.

Corrected Corrected by Jan 12, 2024

Category: transportation. Marked corrected in the state record.

3290.182(3) · 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 1 and 2 file failed to contain parent's signed consent for emergency medical care.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. 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 1 and 2 file failed to contain parent's signed written consent for administration of minor first-aid.

Corrected Corrected by Jan 12, 2024

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 Jan 12, 2024

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

3290.94(a)(1)/3290.94(a)(9) · 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. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

During renewal inspection on Wednesday, 11/29/23, facility failed to have verification that a fire drill was conducted at least once every 60 days.

Corrected Corrected by Jan 12, 2024

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.

In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days and document testing.

Corrected Corrected by Nov 29, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.95(b) · 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 the renewal inspection on Wednesday, 11/29/23, provider failed to have interconnected smoke detectors installed in the facility.

Corrected Corrected by Jan 24, 2024

Category: recordkeeping. 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 on the facility's emergency plan.

Corrected Corrected by Jan 12, 2024

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.

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.