Tres Tiny Town

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

At the time of inspection, health and safety professional development training updates required by OCDEL within the prescribed timeframe were not in compliance for staff member #1.

Corrected by Aug 29, 2023

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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.

During the renewal inspection on 10/14/22, there was no documentation that facility's emergency plan had been sent to local municipality and county emergency management agency.

Corrected by Oct 14, 2022

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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.

During the renewal inspection on January 27th, 2022. the record reviewed for staff person #2 did not include emergency plan training at time of initial employment and on an annual basis.

Corrected by Jan 28, 2022

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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 on January 27th, 2022, the pediatric first aid certification reviewed for staff person #1 and staff person #2 was not completed by an acceptable CPR/First Aid Training Program.

Corrected by Mar 5, 2022

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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. 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 may not work in a child care position at the facility.

During the renewal inspection on January 27th, 2022, the file for staff person#2 and household member #3 did not contain NSOR verification. The LE does not have an approved waiver to hire provisionally.

Corrected by Jan 27, 2022

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3290.76(b) · If the facility is located in a residence, ammunition shall be contained in a locked area separate from weapons and firearms.

During the renewal inspection on January 27th, 2022, Certification Representative observed ammunition for residential firearm stored in a green unlocked dresser drawer on the third floor of facility.

Corrected by Feb 1, 2022

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3290.118 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

During the renewal inspection on January 27th, 2022, Certification Representative observed child #2, 10 months old, sleeping on stomach in a playpen

Corrected by Jan 27, 2022

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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.

During the renewal inspection on January 27th, 2022, the emergency contact information reviewed for child#2 did not include written consent signed by the parent for emergency medical care

Corrected by Jan 28, 2022

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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.

During the renewal inspection on January 27th, 2022, the emergency contact and financial agreement information reviewed for child #1 was not updated with a 6-month period (dated 11/3/2020).

Corrected by Jan 27, 2022

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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.

During the renewal inspections on January 27th, 2022, the health assessment reviewed for staff person #2 was not completed within 24 month period (dated 06.14.2019).

Corrected by Jan 27, 2022

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3290.163(a)(1) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

During the renewal inspection on January 27th, 2022, Certification Representative observed the lunch meal served did not include a dairy product.

Corrected by Jan 27, 2022

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3290.182(4) · A child's record must contain signed parental consent for administration of medications or special dietary needs.

During the renewal inspection on January 27th, 2022, the record reviewed for child #2 did not include signed parental consent for administering medication or special dietary needs.

Corrected by Feb 1, 2022

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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.

During the renewal inspection on January 27th, 2022, the record reviewed for child #2 did not include signed parental consent for administering minor first-aid procedures by facility staff.

Corrected by Feb 16, 2022

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3290.182(7) · A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

During the renewal inspection on January 27th 2022, Certification Representative observed no second copy accident file for report of child accidents, injuries or illnesses.

Corrected by Jan 28, 2022

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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))

During the renewal inspection on January 27th, 2022, Certification Representative observed no smoke detector for the 3rd floor and batteries needed for smoke detector on 2nd floor.

Corrected by Jan 28, 2022

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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 the renewal inspection on January 27th, 2022, the emergency plan reviewed did not include lock-down, shelter in place procedures and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected by Jan 28, 2022

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3290.31(k) · Staff persons shall obtain available ongoing professional development relating to the health and safety topics as specified in § 3290.31(g) prior to obtaining professional development in other topics as permitted in § 3290.31(f)(2).

During the renewal inspection on January 27th, 2022, the record reviewed for staff person #1 and staff person #2 did not include health and safety training.

Corrected by Feb 22, 2022

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