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 files, child's 1 and 2 file failed to have signed parental consent for administration of minor first-aid procedures.

Corrected Corrected by Apr 2, 2025

Category: ratio. 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 Wednesday, 03/19/25, cert rep observed cleaning materials under the bathroom sink accessible to children.

Corrected Corrected by Mar 19, 2025

Category: ratio. 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 Wednesday 03/19/25, cert rep observed rest equipment used by children failed to be labeled with their names.

Corrected Corrected by Apr 2, 2025

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

3290.123(a) · An agreement shall be signed by the operator and the parent.

In review of children's file, child's 1 and 2 agreement failed to be signed by the enrolling parent.

Corrected Corrected by Apr 2, 2025

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).

In review of children's files, children enrolled 6 months or more failed to have a service report proving information about the child's growth and development.

Corrected Corrected by Apr 2, 2025

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.

In review of children's files, child's 1 and 2 fee agreement failed to include the designated release persons.

Corrected Corrected by Apr 2, 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 and 2 file failed to include a emergency contact form.

Corrected Corrected by Apr 2, 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 files, child's 1 and 2emergency contact and file failed to have signed parental consent for emergency medical care.

Corrected Corrected by Apr 2, 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's 3 emergency contact and fee agreement failed to be updating within a 6-month period.

Corrected Corrected by Apr 2, 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's 3, enrolled more than 60 days, file failed to include a health report. File only included the child's immunization record.

Corrected Corrected by Apr 2, 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 the facility's emergency plan was sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Apr 2, 2025

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.

In review of emergency plan documents, facility failed to have conducted a drill on the emergency plan procedures.

Corrected Corrected by Apr 4, 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 training. Staff person 1 file contained 4.5 hours of PD training.

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. 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 Monday, 04/01/24, 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 May 15, 2024

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 and emergency contact failed to contain parent's signed written consent for emergency medical care.

Corrected Corrected by May 15, 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 Monday, 04/01/24, 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.

Corrected Corrected by May 15, 2024

Category: transportation. 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 contain parent's signed written consent for administration of minor first-aid.

Corrected Corrected by May 15, 2024

Category: ratio. 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.

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 Apr 1, 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.

During follow-up inspection on Wednesday, 08/30/23, in review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

Corrected Corrected by Nov 16, 2023

Category: ratio. 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 policy addressing signs and symptoms of shaken baby syndrome and abusive head trauma and the prevention and identification of child maltreatment, failed to address prevention and identification of child maltreatment.

Corrected Corrected by Nov 16, 2023

Category: health medication. 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.

In review of facility's emergency plan, plan failed to provide a method of contacting parents at the beginning and end of emergency with instruction as to how parents can safely be reunited with their children.

Corrected Corrected by Nov 16, 2023

Category: physical safety. 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 initial inspection on Monday, 10/16/23.

Corrected Corrected by Nov 16, 2023

Category: recordkeeping. 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, plan failed to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Nov 16, 2023

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.

At the time of the initial inspection on Monday, 10/16/23, provider failed to have interconnected smoke detectors installed in the facility.

Corrected Corrected by Nov 16, 2023

Category: recordkeeping. Marked corrected in the state record.