3290.18 · To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, childcare providers must have a policy and procedure 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 6/24/24. The facility does not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Jul 8, 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. Facility Person #1 may not be present in a childcare position at the facility.

A renewal inspection was conducted on 6/24/24. Staff #1 did not have an updated PSP clearance on file. Staff #1's previous PSP clearance on file is dated 9/30/15. This clearance was not updated in 60 months as required by the CPSL.

Corrected Corrected by Jun 24, 2024

Category: background checks. 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.

A renewal inspection was conducted on 6/24/24. The facility did not have telephone numbers posted of the nearest hospital, police department, fire department, ambulance and poison control center by the telephone.

Corrected Corrected by Jul 8, 2024

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

3290.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

A renewal inspection was conducted on 6/24/24. The parent handbook did not contain a supervision or dismissal policy.

Corrected Corrected by Jul 8, 2024

Category: supervision. Marked corrected in the state record.

3290.123(a)/3290.123(a)(5) · An agreement shall be signed by the operator and the parent. An agreement shall specify the persons designated by a parent to whom the child may be released.

A renewal inspection was conducted on 6/24/24. Child #5's fee agreement did not list a release person and was not signed by the parent.

Corrected Corrected by Jul 8, 2024

Category: recordkeeping. Marked corrected in the state record.

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

A renewal inspection was conducted on 6/24/24. Child #1's fee agreement did not list the date of admission.

Corrected Corrected by Jul 8, 2024

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.

A renewal inspection was conducted on 6/24/24. Child #4's emergency contact form did not list health insurance coverage and policy number information.

Corrected Corrected by Jul 8, 2024

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 childcare group settings). Child #2 & #3 will be removed from care by close of business on 06/24/24 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

A renewal inspection was conducted on 6/24/24. Child #2's immunization record indicates the child has only one dose of Hepatitis A vaccine and no exemption letter is in the child's file. Child #3's immunization record indicates the child has only two doses of Hepatitis B, one dose of DTAP, one dose of Pneumococcal, one dose of Polio, no doses of MMR, no doses of Varicella, and no doses of Hepatitis A vaccines and no exemption letter is in the child's file. This is not in accordance with the ACIP recommended schedule.

Corrected Corrected by Jul 8, 2024

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

3290.182(1) · A child's record must contain initial and subsequent health reports.

A renewal inspection was conducted on 6/24/24.Child(ren) #2, #3 & #5's file did not contain initial health assessments. The operator has current health assessments on file and did not keep the initial health assessments.

Corrected Corrected by Jun 24, 2024

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.

A renewal inspection was conducted on 6/24/24. Child #2's file did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jul 8, 2024

Category: ratio. 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 smoke alarms in family childcare homes must be interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms. 35 P.S. and be OSHA approved. § 1223.6(f.1)(1.1).

A renewal inspection was conducted on 6/24/24. The facility did not have interconnected, OSHA approved, smoke alarms. The facility had 10-year lithium-ion battery operated smoke detectors, on each floor including attic and basement.

Corrected Corrected by Jul 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(3)/3290.124(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.

Emergency Contact Forms for Children # 1 and # 2 do not contain address and telephone number for Father's employment and address of release persons.

Corrected Corrected by Jun 15, 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.

Updated health assessment for Child # 2 was missing from file. Last one in file is dated 10/17/21.

Corrected Corrected by Jul 14, 2023

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

3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 6/27/23.

Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Corrected Corrected by Jun 15, 2023

Category: health medication. 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.

Facility does not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in case of an emergency posted in a central location.

Corrected Corrected by Jul 29, 2022

Category: transportation. 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.

File for Child # 1 did not contain an updated health assessment.

Corrected Corrected by Jul 29, 2022

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