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

Staff #1 was working with children and did not have a mandated reporter training dated within the last 60 months, on file at the facility.

Corrected Corrected by May 15, 2025

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

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

At the time of the allocated unannounced inspection the certification representative observed that staff #1 did not have documentation of the completion of mandated reporter training i the last 60 months. Staff #2 does not have an updated PA State Police clearance on file at the facility.

Corrected Corrected by May 15, 2025

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

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

At the time of the renewal inspection the certification representative observed that the agreement form for child #1, #2, and #3, did not specify the date of the child's admission.

Corrected Corrected by Oct 11, 2024

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.

At the time of the renewal inspection the certification representative observed that the agreement for child #1 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 11, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law.

At the time of the renewal inspection the certification representative observed that household member #1 had a State police clearance (dated 4/2/19) and a child abuse clearance (date 3/26/19) that was more than 60 months old.

Corrected Corrected by Oct 11, 2024

Category: supervision. Marked corrected in the state record.

3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

At the time of the renewal inspection the certification representative observed that the emergency contact information for child #3 did not include the telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 11, 2024

Category: health medication. 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.

At the time of the renewal inspection the certification representative observed that the emergency contact information for child #1 did not include the address and of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Oct 11, 2024

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.

At the time of the renewal inspection the certification representative observed that the emergency contact form and agreement form for child #1, #2, and #3, had not been updated within the last 6 months.

Corrected Corrected by Oct 11, 2024

Category: recordkeeping. 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.

At the time of the renewal inspection the certification representative observed that the operator did not have written documentation of the review of their emergency plan.

Corrected Corrected by Oct 11, 2024

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.

At the time of the renewal inspection the certification representative observed that the facility did not have a written policy and procedure identifying the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Also, the facility had an emergency plan that did not include all facility persons and their duties during an emergency. Also, the emergency plan did not outline the continuity of operations during and after an emergency. Staff #1 did not have the health and safety update training completed.

Corrected Corrected by Oct 16, 2023

Category: ratio. Marked corrected in the state record.

3290.24(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

At the time of the renewal inspection the certification representative observed that the facility's emergency plan did not have a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Oct 16, 2023

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

3290.31(f)(4)(i)/3290.32(d) · 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. 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.

At the time of the renewal inspection the certification representative observed that the provider did not have pediatric first-aid and pediatric CPR certification.

Corrected Corrected by Oct 16, 2023

Category: ratio. Marked corrected in the state record.

3290.107(c) · Styrofoam cups and plates may not be used.

At the time of the renewal inspection the certification representative observed the children at the facility eating lunch on Styrofoam plates.

Corrected Corrected by Oct 16, 2023

Marked corrected in the state record.

3290.123(a)/3290.123(b) · An agreement shall be signed by the operator and the parent. A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

At the time of the renewal inspection the certification representative observed that child #1, 2, 3, and 4 did not have a parent signed agreement on file.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the renewal inspection the certification representative observed that the agreement for child #5 did not specify the child's arrival and departure times.

Corrected Corrected by Oct 16, 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.

At the time of the renewal inspection the certification representative observed that the agreement for child #5 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of the renewal inspection the certification representative observed that the agreement for child #5 did not specify the date of the child's admission.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

At the time of the renewal inspection the certification representative observed that the emergency contact information for child #1 did not include the name, address and telephone number of the child's physician or source of medical care.

Corrected Corrected by Oct 16, 2023

Category: health medication. 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.

At the time of the renewal inspection the certification representative observed that the emergency contact information for child #1 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 Oct 16, 2023

Category: health medication. 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.

At the time of the renewal inspection the certification representative observed that the emergency contact information for child #1 did not include the name, address and telephone number of the individual designated by the parent to whom the child may be released and child #2, 4, and 5 did not include the address.

Corrected Corrected by Oct 16, 2023

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.

At the time of the renewal inspection the certification representative observed that the facility did not have a written plan conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Corrected Corrected by Oct 16, 2023

Category: transportation. 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.

At the time of the renewal inspection the certification representative observed that the emergency contact form for child #1, 2, 3, 4, and 5; that is used to capture the emergency contact information, had not been updated in the last 6-months.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. 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.

At the time of the renewal inspection the certification representative observed that the file for child #4 did not have health report. There was no date of admission in the file but there was an emergency contact form dated 10/31/2022.

Corrected Corrected by Oct 16, 2023

Category: health medication. 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.

At the time of the renewal inspection the certification representative observed that the file for child #5 did not have a health report that was updated in the last 12 months. The observed health report was from 2019.

Corrected Corrected by Sep 20, 2023

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

3290.131(c)/3290.131(d)(1) · 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. A health report shall include a review of the child's health history.

At the time of the renewal inspection the certification representative observed that child #1 and #2 did not have a complete health report from a physician, physician's assistant or a CRNP. The health record only included the immunization record.

Corrected Corrected by Oct 16, 2023

Category: health medication. 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.

At the time of the renewal inspection the certification representative observed that child #3 did not have an influenza immunization in 2022 or 2023. No exemption letter was observed for child #3.

Corrected Corrected by Oct 16, 2023

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

3290.151(a)(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.

At the time of the renewal inspection the certification representative observed that the health assessment for the provider was not updated in the last 24-month period. The observed health assessment was dated 5/21/20.

Corrected Corrected by Oct 16, 2023

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.

At the time of the renewal inspection the certification representative observed that the agreement for child #5 had not been updated in the last 6-months.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. 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.

At the time of the renewal inspection the certification representative observed that child #1 and #2 did not have signed parental consent for emergency medical care for the child.

Corrected Corrected by Oct 16, 2023

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.

At the time of the renewal inspection the certification representative observed that child #1 and #2 did not have signed parental consent for administration of minor first- aid procedures by facility staff.

Corrected Corrected by Oct 16, 2023

Category: ratio. 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 the renewal inspection the certification representative observed that the facility did not have evacuation routes posted.

Corrected Corrected by Oct 16, 2023

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)).

At the time of the renewal inspection the certification representative observed that the smoke alarms in family child care homes were not interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms.

Corrected Corrected by Oct 16, 2023

Category: physical safety. 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.

At the time of the renewal inspection the certification representative observed that the facility did not have a posting for parents with instructions for contacting the appropriate regional childcare office posted at the same location.

Corrected Corrected by Oct 16, 2023

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.

At the time of the renewal inspection the certification representative observed that the facility had not conducted an emergency drill in the last 12 months.

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. 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.

On date of inspection, operator did not have documented verification of competence of pediatric first-aid and CPR.

Corrected Corrected by Apr 23, 2023

Category: ratio. 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.

On date of inspection, toys, play-equipment and furniture were dirty. The rear area before entering the bathroom contained cooking knives, scissors, equipment/appliances that were unsafe and accessible to the children.

Corrected Corrected by Apr 23, 2023

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

3290.92(a)/3290.92(b) · Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions. Fixed and portable space heaters shall be insulated or equipped with protective guards.

On date of inspection, a portable space heater was in use in the small childcare area. The manufacturer's operating instructions or local ordinance approval was not on fine.

Corrected Corrected by Apr 4, 2023

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

3290.113(a) · Children must be supervised at all times.

On date of inspection, the FCCH had in attendance 5 children that consisted of (3) preschool (1) older- toddler and (1) infant child in care. The operator routinely left the children alone for brief periods to answer the door, prepare meals and snacks. At times the infant was left to be supervised by her 3y.o. sister while the operator seemingly overwhelmed tried to complete task.

Corrected Corrected by Aug 31, 2023

Category: supervision. Marked corrected in the state record.

3290.182(1) · A child's record must contain initial and subsequent health reports.

On date of inspection, the following children did not have a required health assessment on file: Child #1, Child, #2, Child #3, Child #4 and Child #5.

Corrected Corrected by Apr 21, 2023

Category: health medication. 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)).

On date of inspection, fire drills have not been conducted every 60 days. In addition, compliance of the fire detection devices could not be verified due to accommodations needed.

Corrected Corrected by Aug 31, 2023

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.

On date of inspection, operator did not have an annual minimum of 12 hrs. of training.

Corrected Corrected by Jul 3, 2023

Category: recordkeeping. Marked corrected in the state record.