Twins Hill Daycare

3280.14/3280.20 · 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. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

A renewal inspection was conducted on 9/3/2025. At that time, the facility did not have a policy to address the following: recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; or the prevention and identification of child maltreatment.

Corrected by Oct 17, 2025

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3280.32(a)/3280.192(4) · 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 #1 may not work in a child care position or be present at the facility while child care is occurring until all required clearances are on file. 1. 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 #1 may not work in a child care position or be present at the facility while child care is occurring until all required clearances are on file. This portion of the plan shall have an immediate correction date. 2. Facility Person #1 will obtain all required clearances and they will be on file at the facility. may not work in a child care position or be present at the facility while child care is occurring until all required clearances are on file. This portion of the plan shall have a date in which the DHS FBI clearance will be on file at the facility.

A renewal inspection was conducted on 9/3/2025 At that time, staff/household members files were reviewed. Facility person #1 had PSP clearance dated 8/21/2025, child abuse clearance dated 9/2/2025, and NSOR clearance dated 8/26/2025 which were all obtained after facility person #1 had turned 18 years old. There is no DHS FBI clearance on file. Facility person #1 resided in the home full time until 8/22/2025. As of 8/22/2025, facility person #1 resides in the home part-time.

Corrected by Dec 17, 2025

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3280.69(a) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

A renewal inspection was conducted on 9/3/2025. At that time, the temperature of the water in the bathroom sink used by children was taken and was 123° F.

Corrected by Oct 3, 2025

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3280.123(a)(2)/3280.123(a)(3) · An agreement shall specify the date on which the fee is to be paid. 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 § 3280.124(f).

A renewal inspection was conducted on 9/3/2025. At that time, fee agreement for child #1 did not include services provided or the date on which the fee is to be paid.

Corrected by Sep 3, 2025

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3280.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

A renewal inspection was conducted on 9/3/2025. At that time, fee agreement for child #1 did not include release person(s).

Corrected by Sep 3, 2025

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3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

A renewal inspection was conducted on 9/3/2025. At that time, the following information was missing from child #1's emergency contact form: full name and address of child's pediatrician.

Corrected by Sep 3, 2025

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3280.124(b)(3)/3280.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

A renewal inspection was conducted on 9/3/2025. At that time, the following information was missing from child #1's emergency contact form: father's work address and work telephone number, mother's work address, and release person's address.

Corrected by Sep 3, 2025

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3280.131(d)(5)/3280.131(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).

A renewal inspection was conducted on 9/3/2025. At that time, immunization record on file for child #1 did not reflect that child is immunized according to the recommendations of the ACIP. Child #1 had 2 of 3 doses each of Rotavirus and HIB vaccines. There was no exemption on file. Child #1 is an infant (see LIS code sheet for DOB).

Corrected by Oct 3, 2025

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3280.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

A renewal inspection was conducted on 9/3/2025. At that time, the changing pads had cloth coverings over them. Cloth coverings do not allow for the diaper changing surface to be cleaned after each use.

Corrected by Sep 3, 2025

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3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

A renewal inspection was conducted on 9/3/2025 At that time, facility's emergency plan did not provide for accommodations for infants. Certification representative observed an infant in care during inspection. Additionally, parent letter explaining the facility's emergency plan did not include accommodations for infants, toddlers, or children with disabilities.

Corrected by Sep 5, 2025

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3280.94(a)(3)/3280.94(a)(4) · Fire drills are conducted during various program activity times. 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.

A renewal inspection was conducted 9/3/2025. At that time, the fire drill log used by the facility did not include time of fire drill or hypothetical location of the fire during the drill.

Corrected by Sep 25, 2025

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3280.94(a)(5) · The primary staff person 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.

A renewal inspection was conducted on 9/3/2025. At that time, evacuation routes were not posted on the main living area or second floors of the facility.

Corrected by Oct 17, 2025

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3280.94(a)(7) · Facility persons and children in attendance participate in the fire drill.

A renewal inspection was conducted 9/3/2025. At that time, the fire drill log used by the facility did not include the number of children in care or staff present during drill.

Corrected by Sep 4, 2025

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3280.14/3280.20 · 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. Continuity of operations planning includes, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster

The facility's emergency plan did not address continuity of operations.

Corrected by Jun 11, 2025

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3280.74 · 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.

Emergency telephone numbers were not posted in the facility.

Corrected by Jun 6, 2025

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3280.75(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 soap.

Corrected by Jun 11, 2025

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3280.151(a)/3280.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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.

Staff Person #1 and Staff Person #2 did not have health assessments on file.

Corrected by Jun 6, 2025

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3280.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The files of Staff Person #1 and Staff Person #2 did not contain verification of past childcare experience.

Corrected by Jun 8, 2025

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3280.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The files of Staff Person #1 and Staff Person #2 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Jun 5, 2025

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. A group child care home in a residence with 12 or fewer children in care must have an interconnected smoke detector system. 34 Pa. Code § 403.23(c)(1).

The smoke detectors in the facility were not interconnected.

Corrected by Jun 10, 2025

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