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 file of child #3 lacked an emergency contact form with the 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; or NA if not applicable.

Corrected Corrected by Sep 10, 2024

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). 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 of staff #2 lacked a Disclosure statement.

Corrected Corrected by Oct 1, 2024

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

3290.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Observed a wooden letter block with splintering wood.

Corrected Corrected by Sep 9, 2024

Category: physical safety. 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 files of children #2, #3, #4, and #5 lacked child service reports completed every 6 months.

Corrected Corrected by Sep 17, 2024

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 file of child #2 lacked an emergency contact form with the full address of the child's physician or source of medical care.

Corrected Corrected by Sep 10, 2024

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 file of child #2 lacked an emergency contact form with the full address of the enrolling parent.

Corrected Corrected by Sep 10, 2024

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 file of child #4 lacked an emergency contact form with the full address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Sep 10, 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 files of child #2 and #5 lacked health assessments within 60 days attendance at the facility.

Corrected Corrected by Oct 3, 2024

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

3290.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

Observed bottles not labeled for child #1.

Corrected Corrected by Sep 10, 2024

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.

The fire drill log lacked adequate information to show a drill was conducted every 60 days due to the 6-31-24 was notated.

Corrected Corrected by Sep 17, 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.

Based on the smoke detection testing log, there was insufficient documentation to show the smoke detection system was tested more than 30 days apart because an invalid date was documented: 6-31-24.

Corrected Corrected by Sep 17, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.113(f) · When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

Upon arrival, observed a lack of usage of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

Corrected Corrected by Sep 9, 2024

Category: supervision. Marked corrected in the state record.

3290.24(b)/3290.24(c) · 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 operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Based on documentation, the emergency plan was reviewed more than 12 months apart, 8/2023 and 9/2024.

Corrected Corrected by Sep 17, 2024

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.

The facility emergency plan is lacking a plan for continuity of operations following an emergency.

Corrected Corrected by Sep 22, 2023

Category: ratio. 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.

Staff person #1 completed the PA Health & Safety Update 2022 after the required date of 12/30/2022.

Corrected Corrected by Sep 22, 2023

Category: health medication. 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 files for children #1 and #2 contain current emergency contact and financial agreements that were reviewed / updated greater than 6 months after the previous review. The files are now current.

Corrected Corrected by Sep 22, 2023

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 file for child #3 is lacking an initial health report within 60 days of the first day of attendance at the facility. The file does contain a current health report.

Corrected Corrected by Sep 22, 2023

Category: health medication. 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 provider does not have the current certificate of compliance posted in the facility.

Corrected Corrected by Sep 22, 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.

At the time of inspection, the operator was not providing parents of enrolled children with a letter explaining the facilities current emergency procedures in the event of an emergency.

Corrected Corrected by Sep 22, 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 family child care home is lacking smoke alarms that are interconnected, and approved by a testing laboratory recognized by OSHA. Announcement C-23-01 stated that providers had until September 6, 2023 to be compliant with this requirement.

Corrected Corrected by Sep 26, 2023

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.

The facility lacked a policy regarding Shaken Baby, Syndrome, Abusive Head Trauma, and Child Maltreatment to meet compliance with pertinent laws and regulations.

Corrected Corrected by Oct 24, 2022

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). 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.

HHM #2 contained valid PA State Police Criminal Clearances dated 5/31/16 and 11/15/21, valid Child Abuse Clearances dated 5/31/16 and 11/16/21, and valid DHS FBI Clearances dated 6/16/16 and 11/16/21, which exceeded the 60 months as required for valid clearances by CPSL and Chapter 3490.

Corrected Corrected by Oct 18, 2022

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

3290.102(f) · Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility.

The facility had a Boppy Original Newborn Lounger for use with the children in care that was recalled by the United States Consumer Product Safety Commission.

Corrected Corrected by Oct 18, 2022

Category: physical safety. 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 emergency plan drill conducted between 12/19/20 and 12/19/21.

Corrected Corrected by Oct 18, 2022

Category: recordkeeping. 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.

Observed the emergency numbers were not posted by the telephone in the kitchen area.

Corrected Corrected by Dec 10, 2021

Category: physical safety. 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.

Observed child file #1, 2, 3, 4, and 5 contained original agreements.

Corrected Corrected by Dec 10, 2021

Category: recordkeeping. 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.

Observed staff file #1 contained an updated health assessment which was dated more than 24 months after the previous valid health assessment.

Corrected Corrected by Dec 10, 2021

Category: ratio. 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.

Observed the documented fire drill log revealed that since the facility opened, the two fire drills which were conducted were conducted more than 60 days apart.

Corrected Corrected by Dec 10, 2021

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.

Observed the operator did not have documentation of testing of the fire alarm system every 30 days. The last documented testing of the system was more than 90 days ago.

Corrected Corrected by Dec 14, 2021

Category: recordkeeping. 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.

Observed the facility did not provide the parents of each child enrolled in the facility with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Dec 10, 2021

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.

Observed multiple electrical outlets which did not have protective receptacle covers in a room where children will walk to go to the outside yard.

Corrected Corrected by Aug 19, 2021

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.

Observed 2 tiki torches containing oil in the back yard which were accessible to children.

Corrected Corrected by Aug 19, 2021

Category: ratio. Marked corrected in the state record.

3290.70(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Observed 3 above ground windows which were not restricted to 6 or fewer inches.

Corrected Corrected by Aug 19, 2021

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.

Observed the ceiling in the downstairs walkway had detached ceiling tiles with exposed insulation.

Corrected Corrected by Aug 19, 2021

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

3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Observed several spots of peeling paint on the door trim of a room along the walkway to the back yard play area.

Corrected Corrected by Aug 19, 2021

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

3290.94(a)(5) · Evacuation routes are posted in a conspicuous location on each floor of the facility.

Observed the facility did not have the evacuation routes posted on each floor of the facility.

Corrected Corrected by Aug 19, 2021

Marked corrected in the state record.