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.

Certification representative conducted a renewal inspection. The record for facility person #1, #2, #3 or #4 did not included updated emergency plan training.

Corrected Corrected by Mar 1, 2025

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.

Certification representative conducted a renewal inspection. The CPR first aid training for staff person #2 and #3 was expired.

Corrected Corrected by Mar 1, 2025

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) LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #4 may not work in a child care position at the facility. 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 #2 and #4 may not work in a child care position at the facility.

Certification representative conducted a renewal inspection. The record for staff person #2 did not include an NSOR clearance. In addition, the record for volunteer person #4 did not include PA state police clearance, child abuse clearance, DHS FBI clearance, NSOR clearance or a disclosure statement.

Corrected Corrected by Mar 1, 2025

Category: background checks. 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.

Certification representative conducted a renewal inspection. At the time of inspection there were electrical outlets unplugged. (Corrected on site).

Corrected Corrected by Jan 29, 2025

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.

Certification representative conducted a renewal inspection. There was Lysol and other toxic cleaning supplies on lower shelf in reach of the children. (Corrected on site).

Corrected Corrected by Jan 29, 2025

Category: ratio. Marked corrected in the state record.

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

Certification representative conducted a renewal inspection. The fee agreement for child #1, #4 and #5 was not signed by the operator.

Corrected Corrected by Mar 1, 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).

Certification representative conducted a renewal inspection. The record for child #1 and #4 did not include a CSR child assessment.

Corrected Corrected by Mar 1, 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.

Certification representative conducted a renewal inspection. The record for child #4 and #5 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6)/3290.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Certification representative conducted a renewal inspection. The fee agreement for child #1, #2, #3, #4 and #5 did not specify the date of the child's admission.

Corrected Corrected by Mar 1, 2025

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.

Certification representative conducted a renewal inspection. The record for child #4 did not include the name, address or telephone number of the child's physician or source of medical care.

Corrected Corrected by Mar 1, 2025

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.

Certification representative conducted a renewal inspection. The record for child #1, #2, #3, #4 and #5 did not include health insurance coverage policy numbers.

Corrected Corrected by Mar 1, 2025

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.

Certification representative conducted a renewal inspection. The record for child #4 did not include the name, address or telephone number of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.131(b)(2) · 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. The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Certification representative conducted a renewal inspection. The record for child #1, #4 and #5 did not include an initial or updated health assessment.

Corrected Corrected by Mar 1, 2025

Category: health medication. 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.

Certification representative conducted a renewal inspection. The emergency plan on file at the facility had not been updated annually.

Corrected Corrected by Mar 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.151(a)/3290.151(c)(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. 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.

On January 29, 2025, certification representative conducted a renewal inspection. The record for facility person #4 did not include a health assessment or Tuberculosis screening by the Mantoux method.

Corrected Corrected by Mar 1, 2025

Category: ratio. Marked corrected in the state record.

3290.174(a) · A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Certification representative conducted a renewal inspection. At the time of inspection, the provider did not have proof of insurance or vehicle registration.

Corrected Corrected by Mar 1, 2025

Category: ratio. Marked corrected in the state record.

3290.176 · A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Certification representative conducted a renewal inspection. The vehicle used to transport the children did not have a first aid kit or emergency contact information for the children being transported.

Corrected Corrected by Mar 1, 2025

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

3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Certification representative conducted a renewal inspection. The record for child #3 and #4 did not include signed parental consent for emergency medical care or signed parental consent for administration of minor first-aid procedures.

Corrected Corrected by Mar 1, 2025

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.

Certification representative conducted a renewal inspection. The facility did not have documentation that the emergency plan was sent to the local municipality.

Corrected Corrected by Mar 1, 2025

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.

Certification representative conducted a renewal inspection. The facility did not have evacuation routes in the basement or 2nd floor of the facility.

Corrected Corrected by Mar 1, 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.

Certification representative conducted a renewal inspection. At the time of inspection, the facility had not completed an annual emergency drill.

Corrected Corrected by Mar 1, 2025

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work in a child care position at the facility.

On January 18, 2024, certification representative conducted a renewal inspection. The record for staff person #4 did not include a PA state police clearance, an FBI fingerprint or an NSOR clearance.

Corrected Corrected by Feb 18, 2024

Category: background checks. 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.

On January 18, 2024, certification representative conducted a renewal inspection. At the time of inspection staff person #2 was working alone with 9 unrelated children with the youngest child being 6 months old.

Corrected Corrected by Feb 18, 2024

Category: recordkeeping. 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.

On January 18, 2024, certification representative conducted a renewal inspection. There were toxic hand soaps and hand sanitizers in reach of the children located in the childcare space. (Corrected on site).

Corrected Corrected by Jan 18, 2024

Category: ratio. Marked corrected in the state record.

3290.73(c)/3290.73(d) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3290.73(c).

On January 18, 2024, certification representative conducted a renewal inspection. First aid kit #1 was missing a bottle of water. In addition, first aid kit #2 was missing tweezers, scissors, soap and gloves.

Corrected Corrected by Feb 18, 2024

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

3290.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

On January 18, 2024, certification representative conducted a renewal inspection. There was a shelf blocking the back exit door. In addition, there were bags and items blocking the basement exit door. The door was locked and there was no key available to open it at the time of inspection. (Corrected on site).

Corrected Corrected by Jan 18, 2024

Marked corrected in the state record.

3290.103/3290.113(a) · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

On January 18, 2024, certification representative conducted a renewal inspection. At the time of the inspection staff person #2 was out of ratio working with 9 children with the youngest child being 6months old. As the staff person #2 answered the door to let families in, a 6-month-old infant was had a reading book in her mouth and unsupervised she started to eat the paper pages.

Corrected Corrected by Feb 18, 2024

Category: supervision. 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.

On January 18, 2024, certification representative conducted a renewal inspection. The rest equipment was not labeled with children names.

Corrected Corrected by Feb 18, 2024

Category: physical safety. 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).

On January 18, 2024, certification representative conducted a renewal inspection. The record for child #3 did not include an updated CSR assessment.

Corrected Corrected by Feb 18, 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.

On January 18, 2024, certification representative conducted a renewal inspection. The fee agreement for child #4 did not specify the persons designated by a parent to whom the child may be released.

Corrected Corrected by Feb 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6)/3290.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

On January 18, 2024, certification representative conducted a renewal inspection. The fee agreement for child #2, #3, #4 and #5 did not specify the children's admission date.

Corrected Corrected by Feb 18, 2024

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.

On January 18, 2024, certification representative conducted a renewal inspection. The record for child #1 did not include signed parental consent for emergency medical care.

Corrected Corrected by Feb 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(c)/3290.176 · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

On January 18, 2024, certification representative conducted a renewal inspection. The vehicle used to transport the children did not have a first aid kit available or emergency contact information specific to each child on the excursion.

Corrected Corrected by Feb 18, 2024

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

3290.151(a)/3290.151(c)(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. 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.

On January 18, 2024, certification representative conducted a renewal inspection. The record for staff person #4 did not include a health assessment or Tuberculosis screening by the Mantoux method.

Corrected Corrected by Feb 18, 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.

On January 18, 2024, certification representative conducted a renewal inspection. The facility did not have establish or maintain an individual record for child #1.

Corrected Corrected by Feb 18, 2024

Category: recordkeeping. 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.

On January 18, 2024, certification representative conducted a renewal inspection. The fee agreement for child #2 was outdated.

Corrected Corrected by Feb 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.182(4)/3290.182(5) · A child's record must contain signed parental consent for administration of medications or special dietary needs. 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 January 18, 2024, certification representative conducted a renewal inspection. The record for child #1 did not include signed parental consent for special dietary needs or for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Feb 18, 2024

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.

On January 18, 2024, certification representative conducted a renewal inspection. The record for child #1 did not include signed parental consent for transportation and walking excursions.

Corrected Corrected by Feb 18, 2024

Category: transportation. 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.

On January 18, 2024, certification representative conducted a renewal inspection. The facility emergency plan had not been sent to their local municipality.

Corrected Corrected by Feb 18, 2024

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.

On January 18, 2024, certification representative conducted a renewal inspection. The facility did not have evacuation routes posted in a conspicuous location on each floor of the facility.

Corrected Corrected by Feb 18, 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.

On January 18, 2024, certification representative conducted a renewal inspection. The facility did not have documentation showing that the fire alarm system is being checked every 30 days.

Corrected Corrected by Feb 18, 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.

On January 18, 2024, certification representative conducted a renewal inspection. The facility did not complete an emergency drill or have an emergency drill log at the time of inspection.

Corrected Corrected by Feb 18, 2024

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 January 18, 2024, certification representative conducted a renewal inspection. The record for staff person #3 only had 10hrs of child care training.

Corrected Corrected by Feb 18, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Health and Safety training.

On January 18, 2023, certification representative conducted a renewal inspection. The record for staff person #1, #2 and #3 did not have the 10hr health and safety training.

Corrected Corrected by Feb 18, 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.

On January 23, 2023 during the renewal inspection, the file of Child #1 did not contain evidence of an updated emergency contact form, the form on file did not have a date.

Corrected Corrected by Jan 30, 2023

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.

ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, TE FILE IF STAFF #1, STAFF #2 AND STAFF #3 DID NOT CONTAIN EVIDENCE OF AN ANNUAL MINIMUM OF 12 CLOCK HOURS OF CHILD CARE TRAINING

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)/3290.181(d) · An agreement shall be signed by the operator and the parent. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM AND FEE AGREEMENT FORM OF CHILD #1, CHID #2, CHILD #3, CHILD #4 AND CHILD #5 DID NOT CONTAIN PARENTAL SIGNATURES AND DATE, FEE AGREEMENT WAS NOT SIGNED BY OPERATOR

Corrected Corrected by Apr 1, 2022

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.

ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #2, CHILD #3 AND CHILD #5 DID NOT CONTAIN HEALTH COVERAGE INFORMATION AND POLICY NUMBER

Corrected Corrected by Apr 1, 2022

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

3290.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF CHILD #2 AND CHILD #4 DID NOT CONTAIN EVIDENCE OF AN UPDATED HEATH ASSESSMENT CHILD #2 WAS DATED 7/13/2020; CHILD #4 WAS DATED 11/5/2020

Corrected Corrected by Apr 1, 2022

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.

ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE FIE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF AN UPDATED HEALTH ASSESSMENT, THE HEALTH ASSESSMENT ON FILE WAS DATED 2/5/2020

Corrected Corrected by Apr 1, 2022

Category: health medication. 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 FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1, CHILD #2, CHILD #3, CHILD #4 AND CHILD #5 DID NOT CONTAIN PARENTAL CONSENT FOR OBATINING EMERGENCY MEDICAL CARE

Corrected Corrected by Apr 1, 2022

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 FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1, CHILD #2, CHILD #3, CHILD #4 AND CHILD #5 DID NOT CONTAIN PARENTAL CONSENT FOR ADMINISTERING MINOR FIRST AID

Corrected Corrected by Apr 1, 2022

Category: ratio. Marked corrected in the state record.