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 the Renewal Inspection on 11/04/2024, the file for Staff Person #1 did not contain verification of the completion of Emergency Plan Training.

Corrected Corrected by Nov 29, 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). Facility Person #1 may not work in a child care position at the facility.

At the time of the Renewal Inspection on 11/04/2024, the most recent Child Abuse Clearance on file for Staff Person #1 was dated 07/24/2019, and the most recent DHS FBI Clearance on file for Staff Person #1 was dated 07/29/2019.

Corrected Corrected by Nov 26, 2024

Category: background checks. 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.

At the time of the Renewal Inspection on 11/04/2024, immunization records on file for a cat residing within the facility were dated 12/06/2021.

Corrected Corrected by Nov 26, 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).

At the time of the Renewal Inspection on 11/04/2024, the files for Child #2, Child #3, and Child #4 did not contain a child service report.

Corrected Corrected by Nov 26, 2024

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.

At the time of the Renewal Inspection on 11/04/2024, the file for Child #1 did not contain an agreement form.

Corrected Corrected by Nov 26, 2024

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.

At the time of the Renewal Inspection on 11/04/2024, the file for Child #1 did not contain the Health Insurance policy number for Child #1.

Corrected Corrected by Nov 26, 2024

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 on 11/04/2024, the most recent health assessment on file for Child #2 was dated 12/06/2022.

Corrected Corrected by Nov 26, 2024

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 on 11/04/2024, the emergency contact form on file for Child #1 did not contain a date and signature indicating when it was reviewed.

Corrected Corrected by Nov 26, 2024

Category: recordkeeping. 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 on 11/04/2024, the facility's evacuation routes were not posted in a conspicuous location in the facility.

Corrected Corrected by Nov 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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 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.

At the time of the Renewal Inspection on 11/04/2024, the date documented on file, of the most recent fire drill conducted at the facility was 02/11/2024.

Corrected Corrected by Nov 26, 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.

At the time of the Renewal Inspection on 11/04/2024, the facility did not have operating interconnecting Fire Detection System.

Corrected Corrected by Nov 26, 2024

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).

At the time of the Renewal Inspection on 11/04/2024, the facility's Emergency Plan did not identify an evacuation location away from the facility premises.

Corrected Corrected by Nov 26, 2024

Category: physical safety. 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 on 11/04/2024, there was no verification of the completion of an annual emergency drill on file at the facility.

Corrected Corrected by Dec 3, 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.

At the time of the Renewal Inspection on 11/04/2024, the file for Staff Person #1 did not contain verification of an annual minimum of 12 clock hours of childcare training.

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(e) · 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.

During renewal inspection 02/27/2024, emergency contact forms on file for child #1 and #2 did not contain enrolling parent's dated signature.

Corrected Corrected by Mar 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.24(a)(3)/3290.24(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. 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.

During renewal inspection 02/27/2024, facility's emergency plan did not provide for a method to contact parents when an emergency situation arises and when the emergency has ended.

Corrected Corrected by Mar 26, 2024

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 renewal inspection 02/27/2024, CPR certification on file for staff person #1 was not completed by a PQAS certified trainer nor was it an acceptable training curriculum.

Corrected Corrected by Apr 8, 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).. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 may not work in a child care position at the facility.

During renewal inspection 02/27/2024, file of staff person #1 did not contain signed and witnessed copy of a disclosure statement nor verification of completed mandated reporter training.

Corrected Corrected by Mar 26, 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 renewal inspection 02/27/2024, child service reports on file for child #1 and #2 were incomplete. Only first section of form was completed.

Corrected Corrected by Mar 26, 2024

Category: recordkeeping. 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.

During renewal inspection 02/27/2024, emergency contact form on file for child #3 did not contain release person's address.

Corrected Corrected by Mar 26, 2024

Category: recordkeeping. 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.

During renewal inspection 02/27/2024, file of child #1 and #2 did not contain health reports completed and signed by physician. Files for child #1 and #2 only contained child's immunization records.

Corrected Corrected by Mar 26, 2024

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

3290.151(a)(2)/3290.151(c)(1) · 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. An adult health assessment must include a physical examination.

During renewal inspection 02/27/2024, file of staff person #1 did not contain current health assessment.

Corrected Corrected by Mar 26, 2024

Category: health medication. 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.

During renewal inspection 02/27/2024, facility's emergency plan did not indicate accommodations for infants, toddlers and children with special needs.

Corrected Corrected by Mar 26, 2024

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

3290.31(h)/3290.31(i) · Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date the professional development was completed. Documentation of the completion of the professional development under subsection (g) taken from September 30, 2016, forward satisfies this requirement. All staff persons shall complete the professional development under subsection (g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department.

During renewal inspection 02/27/2024, file of staff person #1 did not contain verification that Health and Safety training had been completed.

Corrected Corrected by Mar 26, 2024

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

3290.24(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

During renewal inspection 02/27/2024, facility's emergency plan did not include accommodations for shelter of children during an emergency lockdown, shelter in place and shelter at locations away from the facility.

Corrected Corrected by Mar 26, 2024

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 renewals inspection 02/27/2024, file of staff person #1 did not contain verification that 12 hours of child care training had been received in the last year.

Corrected Corrected by Apr 5, 2024

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.

On 1-4-23 during renewal inspection Certification Representative noticed that child #1 file agreement form was missing a description for extra services.

Corrected Corrected by Jan 4, 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.

On 1-4-23 during renewal inspection Certification Representative noticed that children #1, # 2 and # 3 files were missing parent consent for emergency medical care.

Corrected Corrected by Jan 18, 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.

On 1-4-23 during renewal inspection Certification Representative noticed that children # 1, #2 and # 3 files emergency contact form was missing parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jan 4, 2023

Category: ratio. Marked corrected in the state record.

3290.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

On 1/26/22 during renewal inspection Certification Representative noticed that child # 2 agreement was missing the day of the week the fee should be paid.

Corrected Corrected by Feb 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(4) · Emergency contact information must include the written consent signed by a parent for emergency medical care.

On January 26, 2022 during renewal inspection Certification Representative noticed that child # 1 emergency contact form was missing signed consent for emergency care treatment.

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. 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.

On January 26, 2022 during renewal inspection Certification Representative noticed that child # 3 record was missing a physical health form.

Corrected Corrected by Jan 31, 2022

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