3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.

During the renewal inspection The Shaken Baby Syndrome Policy did not include the prevention and identification of child maltreatment.

Corrected Corrected by Nov 27, 2024

Category: health medication. 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 staff #1 did not have a current pediatric first aid and CPR on file.

Corrected Corrected by Nov 27, 2024

Category: ratio. 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). Facility Person #2 may not work in a child care position at the facility.

During the renewal inspection cert rep observed staff #2 did not have a current FBI clearance on file.

Corrected Corrected by Nov 27, 2024

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

3290.62 · Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

During the renewal inspection cert rep observed the outside entrance way area had leaves and debris.

Corrected Corrected by Nov 27, 2024

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

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection child #1 emergency contact did not include the parents home address and work phone number on file.

Corrected Corrected by Nov 27, 2024

Category: recordkeeping. 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.

During the renewal inspection cert rep observed staff #2 did not have a current health assessment on file.

Corrected Corrected by Nov 27, 2024

Category: ratio. 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.

During the renewal inspection cert rep observed child #2 did not have an individual record on file.

Corrected Corrected by Nov 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.94(a)(1)/3290.95(a) · 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. 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 cert rep observed the last fire drill was done on 9/16/2024 and the last time the fire safety system was tested was 10/18/2024.

Corrected Corrected by Nov 27, 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.

During the renewal inspection staff #1 and 2 did not have the annual minimum of 12 clock hours of child care training on file.

Corrected Corrected by Nov 27, 2024

Category: recordkeeping. 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).

During the renewal inspection the fee agreement for child #1-4 did not include the services to be provided.

Corrected Corrected by Dec 15, 2023

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.

During the renewal inspection the fee agreement did not include the designated release person for child #1-4 on file.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

During the renewal inspection the fee agreement for child #1-4 did not specify extra services.

Corrected Corrected by Dec 15, 2023

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.

During the renewal inspection certification rep observed the original agreement was not given to the parent.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. 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.

During the renewal inspection there was no written statement giving the formula and feeding schedule for infants in care.

Corrected Corrected by Dec 15, 2023

Category: nutrition. 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.

During the renewal inspection child #1-4 emergency contact did not contain signed parental consent for transportation on file.

Corrected Corrected by Dec 15, 2023

Category: transportation. 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.

The emergency plan for the facility did not include requirements for continuity of operations (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 14, 2022

Category: ratio. Marked corrected in the state record.

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 12/28/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by a 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 #2 staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10/31/17.

Corrected Corrected by Dec 14, 2022

Category: supervision. 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.

Observed one electrical outlet near the entrance that lacked a protective electrical cover.

Corrected Corrected by Dec 14, 2022

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.

Observed paint and floor buffing solution, which were accessible to children, in the back storage room, which was not locked.

Corrected Corrected by Dec 14, 2022

Category: ratio. 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.

The emergency contact form in the file for Child #3 did not include the release person's address.

Corrected Corrected by Dec 14, 2022

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.

The most recent updated health reports in the files for Child #1 and #3, who are preschool children, exceeded 12 months between reports. The file for Child #5, a preschool child, did not include an updated health report conducted within the past 12 months.

Corrected Corrected by Dec 14, 2022

Category: health medication. 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.

The most recent immunization records in the files for Child #2 and #4 did not contain documentation of a flu shot administered in the past year or a letter of exemption from the parent of physician.

Corrected Corrected by Dec 14, 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.

The initial health assessment in the file for Staff Person #4 was conducted after the staff person's first day in child care.

Corrected Corrected by Dec 14, 2022

Category: ratio. 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.

The most recent parent updates for the emergency plan and fee agreement in the file for Child #1 exceeded 6 months between updates: 7/27/21-6/29/22. The emergency plan and fee agreement in the file for Child #5 has not been updated in the past six months (7/28/21).

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. 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 have documentation that a copy of the emergency plan and subsequent plan updates were sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Dec 14, 2022

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.

Evacuation routes were not posted on the first or second floors of the facility.

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. 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.

The facility did not have information on how to access the regulations in this chapter electronically posted.

Corrected Corrected by Dec 14, 2022

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.

The facility did not conduct an emergency drill for the period 12/19/20-12/19/21.

Corrected Corrected by Dec 14, 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.

The file for Staff Person #3 did not contain documentation of 12 hours of annual training for the period 12/19/20-12/19/21. The file for Staff Person #3 contained only 4.5 hours of training for this period.

Corrected Corrected by Dec 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #1 and 3 will have until 12/28/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and 3 must be supervised, when interacting with children, by a 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 and 3, staff person #1 and 3 may not work in a child-care position at the facility.

Staff person #1 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (10 Hour Building Blocks Heath and Safety Training).

Corrected Corrected by Dec 14, 2022

Category: supervision. Marked corrected in the state record.