3290.18 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #1 must complete (PA Required Health and Safety for Family Child Care Parts 1 and 2).

Staff person #1 has completed the health and safety course titled (Health and Safety Basics: Requirements for Certification) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected Corrected by Jan 12, 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.

In the Family Room there was an Airwick Plug-in Scented oil that was accessible to the children in care. In the Outside PlaySpace next to the back door there was an open bag of Rock Salt that was accessible to the children in care.

Corrected Corrected by Mar 11, 2025

Category: ratio. Marked corrected in the state record.

3290.64(c) · Toxic plants are not permitted in a child care space.

There was a plant in the kitchen space that was accessible to children that was found to be toxic.

Corrected Corrected by Mar 23, 2025

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

3290.68(a) · The indoor temperature shall be at least 65° F.

The thermostat in the facility read 64 ° F.

Corrected Corrected by Mar 11, 2025

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

3290.103 · 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.

Observed small rubber cars and buses, both less than an inch in diameter, on the floor of the Family Room. Observed empty plastic bags on the floor in the Kitchen Area. These items were accessible to children who are still placing objects in their mouths.

Corrected Corrected by Mar 11, 2025

Marked corrected in the state record.

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

The file for Child #1 contained an Agreement which did not specify the child's arrival or departure times.

Corrected Corrected by Mar 11, 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 Agreement for Child #1 lacked the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 11, 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 Agreement for Child #1 lacked the date of the child's admission.

Corrected Corrected by Mar 11, 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 #1 contained an Emergency Contact Form that had not been updated within the last 6 months.

Corrected Corrected by Mar 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.151(a)(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.

The file for Staff #1 lacked a Health Assessment completed within the previous 24 months.

Corrected Corrected by Apr 11, 2025

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.

The file for Child #1 contained a Financial Agreement Form that had not been updated within the last 6 months.

Corrected Corrected by Mar 31, 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). 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 was observed to lack a signed disclosure statement.

Corrected Corrected by Apr 4, 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.

The rabies immunization record on file for the household cat was observed to be expired as of 2/2/24.

Corrected Corrected by Apr 10, 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).

The child file for Child #1, Child #2, and Child #3 were observed to lack a completed child service report at least once every 6 months.

Corrected Corrected by Apr 18, 2024

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.

The child file for Child #1, Child #2, and Child #3 lacked an initial health report.

Corrected Corrected by Apr 1, 2024

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

3290.131(e)/3290.131(e)(3) · 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 facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, Child #2, and Child #3 must be dismissed from care by close of business 3/13/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The child file for Child #1, Child #2, and Child #3 lacked a copy of the child's immunization record.

Corrected Corrected by Apr 1, 2024

Category: health medication. 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.

Operator self-disclosed that only one fire drill had been conducted on 10/16/23.

Corrected Corrected by Apr 25, 2024

Category: recordkeeping. 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.

Upon review of the facility emergency plan, it was observed that it had not been reviewed at least annually and documented in writing since 2/6/23.

Corrected Corrected by Apr 1, 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.

A bottle of prescription medication was observed on the kitchen counter and accessible to the children in care.

Corrected Corrected by Jun 30, 2023

Category: ratio. Marked corrected in the state record.

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

The child file for Child #3 and Child #4 contained a current financial agreement form that lacked the date of the child's admission.

Corrected Corrected by Jun 30, 2023

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 child file for Child #1 through #4 contained a current financial agreement form that lacked services which are to be considered as extra.

Corrected Corrected by Jun 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The child file for Child #1 through #4 contained the original financial agreement form.

Corrected Corrected by Jun 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

The child file for Child #4 contained a current emergency contact information form that lacked information on the child's special needs which is needed in an emergency situation.

Corrected Corrected by Jun 30, 2023

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 child file for Child #1 and Child #2 contained a current emergency contact information that lacked addresses for one or more the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jun 30, 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.

The child file for Child #4 contained a current emergency contact information form that lacked signed parental consent for emergency medical care for the child.

Corrected Corrected by Jun 30, 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.

The child file for Child #4 contained a current emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jun 30, 2023

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.

The child file for Child #4 contained a current emergency contact information form that lacked signed parental consent for walking excursions.

Corrected Corrected by Jun 30, 2023

Category: transportation. 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.

Operator self-reported the fire detection system was tested on 5/15/23 however the testing was not documented in writing. A test of the fire detection system was completed on 6/15/23 however that was more than 30 days between tests.

Corrected Corrected by Jun 30, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The communicable disease question on the health assessment for Facility person #1 was marked 'Yes' and additional information describing the condition and risk they might pose to others was not provided.

Corrected Corrected by Feb 10, 2023

Category: health medication. 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 facility emergency plan lacked information regarding volunteer emergency preparedness and continuity of operations in their emergency plan.

Corrected Corrected by Feb 28, 2023

Category: ratio. 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.

The facility emergency plan was observed to lack a method for facility persons to contact parents when an emergency situation arises and when the emergency has ended.

Corrected Corrected by Feb 28, 2023

Category: physical safety. 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 facility first-aid kit was observed to lack soap.

Corrected Corrected by Jan 24, 2023

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.

The operator lacked documentation of a current rabies immunization for the household cat.

Corrected Corrected by Feb 2, 2023

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

3290.151(a)/3290.192(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. 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.

The file for Facility person #1 lacked a health assessment.

Corrected Corrected by Feb 28, 2023

Category: ratio. Marked corrected in the state record.

3290.151(c)(2)/3290.192(2) · 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. 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.

The file for Facility person #1 lacked a Tuberculosis screening and the results.

Corrected Corrected by Feb 28, 2023

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

3290.192(3) · 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 Facility person #1 lacked documentation a State Police clearance. The file for Household Member #2 lacked documentation a State Police clearance and a National Sex Offender Registry (NSOR) certificate.

Corrected Corrected by Jan 24, 2023

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

3290.192(4) · A facility person's record shall include records of training required by the Department.

The file for Facility Person #1 was observed to lack documentation of completed mandated reporter training and health and safety training.

Corrected Corrected by Jan 24, 2023

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.

The facility emergency plan was observed to lack accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 28, 2023

Category: physical safety. 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.

The operator self-reported that a copy of the facility emergency plan was not sent to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 28, 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.

The facility's smoke detection system was neither 10 yr. lithium ion nor interconnected as required under section 1016(c) of the act (62 P.S. § 1016(c)).

Corrected Corrected by Feb 28, 2023

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).

The facility emergency plan was observed to lack accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Corrected Corrected by Feb 28, 2023

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