3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The file for child #4 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

Corrected Corrected by Mar 12, 2025

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.

There were 3 razors accessible to children in the bathroom. There was a lidded candle on top of a shelf, accessible to children in the living room while the children were in care.

Corrected Corrected by Mar 12, 2025

Category: health medication. 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). 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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

The file for households #1 lacked the State Police clearance, Child Abuse Clearance, FBI clearance and the NSOR clearance.

Corrected Corrected by Mar 25, 2025

Category: supervision. 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.

There was a bottle of desinfex multi-purpose wipes, a can of disinfectant spray Levander scent and 3 jars of A+D prevent original ointment on top of the coffee table in the living room label " Keep out of reach of children" accessible to children.

Corrected Corrected by Mar 12, 2025

Category: ratio. Marked corrected in the state record.

3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first- aid kit lacked soap, tweezers and scissors.

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

3290.93 · Fireplaces, fireplace inserts or woodburning and coalburning stoves, if allowed by local ordinance, shall be securely screened or equipped with protective guards while in use.

There was a stove accessible to children without protective guards.

Corrected Corrected by Mar 12, 2025

Category: physical safety. 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.

There was an unlabeled pack n play with the child's name and used only by the named child while enrolled in the program.

Corrected Corrected by Mar 12, 2025

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

3290.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The files for children # 1,2 and 4 lacked the amount of the fee to be charged per day or per week on the agreement form.

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The files for children# 1,2 and 4 lacked the date on which the fee is to be paid on the agreement form.

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The files for children #1,2 and 4 lacked the arrival and departure times on the agreement form.

Corrected Corrected by Mar 12, 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.

The files for children #,2 and 4 lacked the persons designated by a parent to whom the child may be released on the agreement form.

Corrected Corrected by Mar 12, 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.

The files for children #1and 2, lacked the date of the child's date of admission on the agreement form.

Corrected Corrected by Mar 12, 2025

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.

The files for children # 1 and 2 lacked services which are to be considered as extra on the agreement form.

Corrected Corrected by Mar 12, 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.

The files for children #3 and 5 lacked the written consent signed by a parent for emergency medical care on the emergency contact form.

Corrected Corrected by Mar 12, 2025

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.

The files for children # 1,2 and 4 lacked the health insurance policy number on the emergency contact form.

Corrected Corrected by Mar 12, 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.

The files for children #1 and 2 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The files for children # 3 and 5 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

Corrected Corrected by Mar 25, 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.

The file for child # 2 contained an emergency contact form and an agreement form that has not been updated in writing once in a 6-month period. The las review was dated 5/11/24. The file for child # 4 contained an emergency contact form and an agreement form that has not been updated in writing once in a 6-month period. The las review was dated 6/10/24.

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.131(a)/3290.131(e) · 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 facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Children # 2, and 4 must be dismissed from care by close of business 3/7/25 and may only return to care when the immunization record is provided or when a parent provides a written, signed and dated exemption letter.

The file for child # 2, a preschooler lacked an initial health report. The children have been in care longer than 60 days. The child cannot return until the facility has a copy of the immunizations. The file for child # 4 an infant lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the immunizations.

Corrected Corrected by Mar 12, 2025

Category: health medication. 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.

The file for children #3 and 5 lacked a signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

Corrected Corrected by Mar 20, 2025

Category: ratio. 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.

The facility emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Mar 12, 2025

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

3290.94(a)(1) · 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.

Based on a review of the facility's Fire drill log, The last fire drill was recorded on 3/16/24.

Corrected Corrected by Mar 20, 2025

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.

Based on a review of the facility's Fire Detection System Test log, the fire system was not tested within the past 30 days. The last test was recorded on 4/8/24.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. 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.

The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

Corrected Corrected by Mar 20, 2025

Marked corrected in the state record.

3290.22(b) · The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The operator did not provide the parent of each child enrolled in the facility with information on how to access the regulations electronically and with instructions for contacting the appropriate regional child care office.

Corrected Corrected by Mar 25, 2025

Marked corrected in the state record.

3290.22(c) · The operator shall post a copy of each inspection summary issued by the Department next to the facility's certificate of compliance in a conspicuous location used by parents. The inspection summary must remain posted until an agent of the Department verifies that each noncompliance item noted on the inspection summary has been corrected.

The operator did not post a copy of the inspection summary issued by the Department next to the facility's certificate of compliance in a conspicuous location used by parents.

Corrected Corrected by Mar 20, 2025

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.

The facility emergency plan was not review annually. The last review was documented on 10/1/23.

Corrected Corrected by Mar 20, 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.

The facility lacked documentation of an annual emergency drill.

Corrected Corrected by Mar 20, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

The operator did not post the emergency plan in the facility at a conspicuous location.

Corrected Corrected by Mar 20, 2025

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

3290.24(f) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator did not provide the parents of each enrolled child a letter explaining the emergency procedures.

Corrected Corrected by Mar 20, 2025

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.

The file for staff person #2 lacked 12 out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24.

Corrected Corrected by Mar 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.14(b) · The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

An Occupancy Permit was not available.

Corrected Corrected by May 5, 2024

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.

The file for Staff #1 contained documentation of Health and Safety 1-Hour Update training on 2.24.23, which was due by 12.30.22. The Emergency Plan did not contain Continuity of Operations.

Corrected Corrected by May 5, 2024

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.

In an unlocked cabinet, under the kitchen sink, were toxic items which stated, "Keep out of reach of children,": Easy Off Oven Cleaner (14.5 oz) and LA's Totally Awesome Cleaner (32 oz), and they were accessible to children.

Corrected Corrected by May 5, 2024

Category: ratio. Marked corrected in the state record.

3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kit did not contain tweezers, scissors, or soap.

Corrected Corrected by May 5, 2024

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.

The Agreement, in the file for Child #1, did not contain the date of the child's admission.

Corrected Corrected by May 5, 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.

Although the six (6) smoke detectors located on the main floor, basement, and garage were operational, the two (2) smoke detectors which were to be interconnected, did not communicate with each other. They each sounded separately, but not together. The Fire System Testing Log contained documentation of testing on 1.4.24, 2.8.24, and 3.10.24, which were not within 30 days of each other.

Corrected Corrected by May 7, 2024

Category: ratio. Marked corrected in the state record.

3290.72 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

On 3/4/23, at time of inspection, emergency telephone numbers were not posted in the facility.

Corrected Corrected by Mar 10, 2023

Category: physical safety. 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.

On 3/4/23, at time of renewal, a written medical transport plan was not posted in the facility.

Corrected Corrected by Mar 13, 2023

Category: transportation. Marked corrected in the state record.

3290.131(d)(5)/3290.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

On 3/4/23, at time of renewal, Child #1 has been enrolled for more than 60 days. Child #1 immunization record did not include an annual influenza vaccine required by the ACIP.

Corrected Corrected by Mar 4, 2023

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.

On 3/4/23, at time of inspection, no documentation of emergency plan delivery to the local municipality and to the county emergency management agency was not on file at the facility.

Corrected Corrected by Mar 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.94(a)(4) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

On 3/4/23, at time of renewal inspection, the Fire Drill Log on file did not contain a different hypothetical location of a fire for each fire drill.

Corrected Corrected by Mar 10, 2023

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.

On 3/4/23, at time of inspection, evacuation routes were not posted on the main floor and the lower level of the facility.

Corrected Corrected by Mar 13, 2023

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.

On 3/4/23, at time of inspection, the facility's Fire Drill Log did not indicate the specific time of day of the drill, the evacuation time, and the names of the facility persons and the number of children who participated in the fire drills.

Corrected Corrected by Mar 10, 2023

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 3/4/23, at time of renewal, a log indicating the smoke detectors are tested at least every 30-day test was not on file at the facility.

Corrected Corrected by Mar 4, 2023

Category: recordkeeping. 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.

On 3/4/23, at time of renewal, the facility's current certificate of compliance with instructions for contacting the regional office was not posted in a conspicuous location used by parents.

Corrected Corrected by Mar 13, 2023

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). 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.

The file for household member #1 had FBI clearances dated 12-6-16 and 1-4-22 that were over 60 months between clearances.

Corrected Corrected by Apr 1, 2022

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

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

The files for child #4 and #5 had an agreement that lacked the child's admission date.

Corrected Corrected by Apr 1, 2022

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.

The files for child #1, #2, #3, #4, and #5 had an emergency contact form that lacked the telephone number of the child's physician.

Corrected Corrected by Apr 1, 2022

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.

The files for child #4 and #5 had an emergency contact form that lacked the health insurance policy number.

Corrected Corrected by Apr 1, 2022

Category: health medication. 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.

The files for child #4 and #5 lacked an initial health assessment within 60 days of their start date and require a current health assessment.

Corrected Corrected by Apr 1, 2022

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

3290.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The file for child #5, a school-age child, lacked an immunization record.

Corrected Corrected by Apr 1, 2022

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

3290.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The file for child #4 lacked an immunization record within 60 days of their start date and requires a current immunization record.

Corrected Corrected by Apr 1, 2022

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

3290.182(8) · 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.

The files for child #1, #2, and #3 lacked an initial agreement and require a current agreement.

Corrected Corrected by Apr 1, 2022

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.

Evacuation routes were not posted in the basement of the facility.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. 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.

The parent of each enrolled child was not provided with information on how to access the DHS child care regulations electronically.

Corrected Corrected by Apr 1, 2022

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.

The facility lacked documentation of an emergency drill being conducted within the last year.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. Marked corrected in the state record.