3290.94(a)(7) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that facility persons and children in attendance participate in the fire drill.

Upon review of the facility's fire drill log the last fire drill conducted on 1/29/25 did not include the child who had been in attendance that morning and after school.

Corrected Corrected by Jun 30, 2025

Category: recordkeeping. Marked corrected in the state record.

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. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by a family childcare home staff person who has completed the required training related to this citation. If there are no staff person available to supervise staff person #1, staff person #1 may not work in a childcare position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current Pediatric First Aid/CPR training taught by a PQAS instructor. This is evidenced by the previously documented pediatric First Aid/CPR training expiration date of 4/2025.

Corrected Corrected by Jun 30, 2025

Category: supervision. 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. Staff Person #1 and HH member #2 may not work in a childcare position at the facility.

The staff file for Staff person #1 and Household Member #2 was observed to lack a valid National Sex Offender Registry (NSOR) check; the NSOR on file is dated 1/20/20 and is more than 60 months old.

Corrected Corrected by Jun 5, 2025

Category: background checks. 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.

Upon review of the facility's fire drill log more than 60 days has passed since the last fire drill conducted on 1/29/25.

Corrected Corrected by Jun 30, 2025

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.

The staff file for Staff person #1 contained 10hours of training for December 2023 - December 2024.

Corrected Corrected by Jun 3, 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.

2nd CITATION: Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 10/29/24 to 11/29/24 (31 days). PREVIOUSLY CITED ON 10/29/24

Corrected Corrected by Dec 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.21(f) · A valid photo identification of the operator or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Operator's driver's license used for photo identification was observed to have expired as of 10/6/24.

Corrected Corrected by Nov 15, 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.

Upon review of the facility's 30-day fire testing documentation, more than 30 days has passed since the last test which was conducted on 5/8/24.

Corrected Corrected by Nov 15, 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.

The facility's emergency plan has not been reviewed annually as evidence by the last documented review being dated 6/6/23.

Corrected Corrected by Nov 15, 2024

Category: recordkeeping. 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 letter to the parents explaining the emergency procedure does not address annual emergency drills.

Corrected Corrected by Nov 15, 2024

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.

2nd citation: The following tests listed on the facility's fire detction testing log were more than 30 days apart: 10/5/23 and 11/5/23.Previously cited on 10/05/23

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.92(c) · The manufacturer's instructions for use shall be kept in an accessible area in the facility.

The manufacturer's instructions for the space heater in the basement were not accessible at the time of the inspection.

Corrected Corrected by Oct 5, 2023

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

3290.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

There was a small area of mulch in the backyard, making it accessible to the toddlers in care at the time.

Corrected Corrected by Oct 9, 2023

Category: physical safety. 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 1 hour health and safety training update in the file for staff person #1, who began working before 10/4/22, was dated after 9/28/23.

Corrected Corrected by Sep 28, 2023

Category: health medication. 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.

On 10/5/23, the file for staff person #1 contained a CPR training card, signed by a PQAS trainer. The course was titled, "CPR and AED," which is not an acceptable course. On 10/10/23, the staff person presented a second card, signed by the same instructor, titled, "Adult First Aid CPR AED," which is not an acceptable course.

Corrected Corrected by Oct 23, 2023

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). 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. Staff Person #1 may not work in a child care position at the facility.

The last state police clearance in the file for staff person #1 was dated 9/26/18. The last state police clearance in the file for individual #2, a household member was 1/31/18.

Corrected Corrected by Nov 6, 2023

Category: background checks. 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.

The following toxics were observed as accessible in the child care space: 2 tubes of neosporin and a bottle of Ecxedrin were in a drawer in a plastic cart behind the desk which was accessible to the preschooer in care at the time. A bottle of white out in the desk drawer. The items included instructions to keep out of the reach of children.

Corrected Corrected by Oct 5, 2023

Category: ratio. 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).

There were no child service reports for child #1, #2, #3 and #5, all enrolled more than 6 months.

Corrected Corrected by Oct 9, 2023

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 emergency contact information in the file for child #1, #2 and #4 did not contain signed parental consent for emergency medical care.

Corrected Corrected by Oct 9, 2023

Category: recordkeeping. 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 emergency contact information in the file for child #1, #2 and #3 did not include an address for all of the release persons.

Corrected Corrected by Oct 9, 2023

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 last two updates on the emergency contact and agreement forms in the file for child #3 were 9/2022 and 7/2023. The last review date on the agreement form for child #5 was 9/2023, but there was no parent signature.

Corrected Corrected by Oct 9, 2023

Category: recordkeeping. 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 initial report in the file for child #3 enrolled 9/12/22, was dated 9/20/23.

Corrected Corrected by Oct 5, 2023

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

3290.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The last health report in the file for child #2, an infant, was dated 1/24/23.

Corrected Corrected by Oct 9, 2023

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

3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to 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 and #2 will be dismissed from care by close of business and may only return to care when the immunization record is updated or when a parent provides a written signed exemption letter.

The most recent list of vaccinations in the file for child #1, an older toddler, did not include a flu shot and there was not a written statement of exemption from a parent. The most recent list of vaccinations in the file for child #2, an 11 month old, did not include a flu shot and was missing the following: 2 of 3 DTAP, 1 of 2 HIB, 2 of 3 Pneumococcal and 1 of 2 polio and there was not a written statement of exemption from a parent.

Corrected Corrected by Oct 6, 2023

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

3290.151(a) · 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.

Individual #2, a household member, was observed prepping food for the children's lunch at the inspection and did not have a health assessment on file.

Corrected Corrected by Oct 5, 2023

Category: ratio. Marked corrected in the state record.

3290.151(c)(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.

Individual #2, a household member, was observed prepping food for the children's lunch at the inspection and did not have a TB screening on file.

Corrected Corrected by Oct 5, 2023

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

3290.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was not a written statement by a parent giving the formula and feeding schedule for child#2, an infant.

Corrected Corrected by Oct 6, 2023

Category: nutrition. 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 emergency contact information in the file for child #1, #2 and #4 did not contain signed parental consent for minor first-aid.

Corrected Corrected by Oct 6, 2023

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.

Based on conversation with the operator, updates to the facility's emergency plan was sent to the local and county emergency management agency, but there was no proof of delivery of the updates.

Corrected Corrected by Oct 27, 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 following tests listed on the facility's fire detction testing log were more than 30 days apart: 1/11/23 and 2/11/23; 3/10/23 and 4/12/23; 5/8/23 and 6/12/23; 6/12/23 and 7/25/23; 8/1/23 and 9/13/23.

Corrected Corrected by Oct 5, 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.

The certificate of compliance posted at the facility was for the previous certification year that expired 1/9/23.

Corrected Corrected by Oct 5, 2023

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 letter provided to the parents of enrolled children explaining the facility's emergency procedures did not include information regarding lock down, accommodations for infants/toddlers, accommodations for children with disabilities or accommodations for children with medical conditions.

Corrected Corrected by Oct 6, 2023

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 #1 included proof of 5 hours of child care training between 12/19/21 and 12/19/22.

Corrected Corrected by Nov 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was not a writtent formula and feeding schedule for child #1, an 11 month-old.

Corrected Corrected by Dec 27, 2022

Category: nutrition. 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's emergency plan did not include information regarding continuity of operations. The facility did not have a shaken baby policy.

Corrected Corrected by Jan 2, 2023

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). 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.

The most recent FBI clearance in the file for facility person #2, a household member, was dated 1/4/17.

Corrected Corrected by Dec 27, 2022

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.

The outlets in a power strip located behind the desk were uncovered, making them accessible to the 4 children in care, all less than 5 years old.

Corrected Corrected by Dec 27, 2022

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 can of lighter fluid on the floor in the back of the room, making it accessible to the 4 children in care.

Corrected Corrected by Dec 27, 2022

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.

The telephone numbers posted at the facility did not include the number of nearest hospital or poison control.

Corrected Corrected by Dec 27, 2022

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

3290.74(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

A small area on pane of glass at the top of the wall in the facility's bathroom had a small crack. .

Corrected Corrected by Dec 27, 2022

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

3290.92(b) · Fixed and portable space heaters shall be insulated or equipped with protective guards.

There was a portable space heater observed in the basement child care space without insulation or protective guards, allowing this certification representative to put their fingers through the face of the heater and touch the heating element inside.

Corrected Corrected by Jan 2, 2023

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

3290.92(c) · The manufacturer's instructions for use shall be kept in an accessible area in the facility.

There was a portable space heater observed in the basement child care space and the operator did not have the manufacture's operating instructions.

Corrected Corrected by Jan 2, 2023

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.

The following items were observed in the child care space, were accessible to the toddlers in care at that time and had a diameter of less than inch: 2 packs of googly eyes in a drawer in a 3-door cart on the floor; 2 sets of small wooden blocks in 2 containers on a low shelf; small toy parts in a green lego container on a low shelf; Foam letters in a low shelf near the play kitchen area. a set of magnetic alphabet letters in a container on a low shelf.

Corrected Corrected by Oct 12, 2022

Category: physical safety. 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 most recent agreement in the file for child #3 did not specify the date on which the fee is to be paid.

Corrected Corrected by Dec 27, 2022

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 most recent agreement in the file for child #3 did not specify the release persons.

Corrected Corrected by Dec 27, 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 emergency contact information in the file for child #1 did not include a city or zip code for the child's physician. The emergency contact information in the file for child #3 only listed the street name for the physician's address.

Corrected Corrected by Dec 27, 2022

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

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

The emergency contact information in the file for child #2 did not include mom's work address.

Corrected Corrected by Dec 27, 2022

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 emergency contact information in the file for child #1 did not include written parental consent for emergency medical care.

Corrected Corrected by Dec 27, 2022

Category: recordkeeping. 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 emergency contact information in the file for child #1, #2 and #3 did not include a city or zip code for the release persons.

Corrected Corrected by Dec 27, 2022

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 last update in writing by a parent on the emergency contact information and agreement form in the file for child #3 and #4 was in 2021.

Corrected Corrected by Jan 2, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The last health report in the file for child #4, a 3 year-old, was 1/14/21.

Corrected Corrected by Dec 27, 2022

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

3290.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

There was no evidence of a flu shot in the file for child #3, an older toddler. The last flu shot in the file for child #4, a 3 year-old, was in 2019. Neither file included a written statement of exemption by a parent.

Corrected Corrected by Jan 2, 2023

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.

The last health assessment in the file for staff person #1 was 10/28/19.

Corrected Corrected by Dec 27, 2022

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 emergency contact information in the file for child #1 did not include written parental consent for minor first-aid.

Corrected Corrected by Jan 2, 2023

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's emergency plan did not provide accommodations of infants, toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jan 2, 2023

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.

There were no evacuation routes posted on the 1st or 2nd floors.

Corrected Corrected by Jan 2, 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.

Fire drills were being conducted twice a month, however, the fire drill log did not specify the time of day, hypothetical location, the evacuation time, the names of the facility persons and the number of children who participated in the drill.

Corrected Corrected by Jan 2, 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.

There was no proof of purchase of the facility's fire detection system. The operator stated that 30-day testing was being conducted at the time of the fire drills, but wasn't specifically documented.

Corrected Corrected by Jan 2, 2023

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.

The last documented review of the facility's emergency plan presented at the inspection was 2017.

Corrected Corrected by Jan 2, 2023

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.

Based on conversation with the operator, they were not conducting emergency drills.

Corrected Corrected by Jan 2, 2023

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 facility has an emergency plan, but it was not posted where parents could see it.

Corrected Corrected by Jan 2, 2023

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 #1 included 10 hours of training between 12/19/20 and 12/19/21.

Corrected Corrected by Jan 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)(4)(i)/3290.192(4) · 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. A facility person's record shall include records of training required by the Department.

The current pediatric first aid/CPR certification for Staff person #1 is dated 8/24/21, is dated after the deadline of 6/17/21; training was required within 180 days following the implementation of the current regulations.

Corrected Corrected by Oct 14, 2021

Category: ratio. 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 agreement on file for Child #4 does not include the date the fee is to be paid.

Corrected Corrected by Dec 6, 2021

Category: recordkeeping. Marked corrected in the state record.

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

The agreement on file for Child #4 and #5 does not include the child's arrival and departure times.

Corrected Corrected by Dec 10, 2021

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 on file for Child #1 and #3 does not include the names of the release person(s).

Corrected Corrected by Dec 10, 2021

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 emergency contact form on file for Child #2 does not include the complete address for the child's physician/source of medical care.

Corrected Corrected by Dec 10, 2021

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

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

The emergency contact form on file for Child #1, #2, and #5 does not include the complete address for the enrolling parent's place of employment.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. 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 emergency contact form on file for Child #2, #3, #4, and #5 does not include the complete address for all listed release persons.

Corrected Corrected by Dec 10, 2021

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.

The emergency transportation plan was not posted in the facility.

Corrected Corrected by Dec 10, 2021

Category: transportation. 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 file for Child #4, with an enrollment date of 1/19/21, more than 90 days ago, does not include an initial health, which was due within 90 days of enrollment, as per Announcement C-20-04.

Corrected Corrected by Dec 30, 2021

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

3290.131(d)(5)/3290.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization record on file for Child #1, who is 2 years old, includes 3 of 4 DTAP vaccinations recommended by the ACIP for a child this age, and does not include an influenza vaccination, which is recommended annually by the ACIP. The immunization record on file for Child #2 and #3, who are 3 years old, does not include an influenza vaccination, which is recommended annually by the ACIP. The most recent influenza vaccination for Child #5 is dated 11/18/19, more than 1 year ago and which is recommended annually by the ACIP.

Corrected Corrected by Jan 31, 2022

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 does not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions, as required by 12/19/20, per changes to Chapter 3290 Family Child Care Home regulations.

Corrected Corrected by Dec 30, 2021

Category: physical safety. 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 have verification of notifying parents of how to locate the regulations electronically.

Corrected Corrected by Dec 10, 2021

Marked corrected in the state record.

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.

The facility emergency plan does not include lockdown procedures, as required by 12/19/20, per changes to Chapter 3290 Family Child Care Home regulations.

Corrected Corrected by Dec 30, 2021

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