3280.26(f) · 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.

Operator is missing proof that a copy of the emergency plan was submitted to the local municipality and the county emergency management agency.

Corrected Corrected by Mar 5, 2024

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

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.

The emergency telephone numbers are not posted in the facility.

Corrected Corrected by Mar 5, 2024

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

3280.123(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 § 3280.124(f).

Child service reports have not been completed every 6 months for child #1 & 2.

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.94(a)(1) · The primary staff person 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.

Fire drills have not been conducted every 60 days, date of last fire drill was 10/31/23.

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Fire system checks have not been completed every 30 days, date of last system check was 12/15/23.

Corrected Corrected by Mar 5, 2024

Category: recordkeeping. Marked corrected in the state record.

3280.124(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.

Child #2 is missing the addresses of the persons designated by the parent to whom the child may be released.

Corrected Corrected by Dec 20, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Operator does not have a plan to address continuity of operations.

Corrected Corrected by Dec 20, 2023

Category: ratio. Marked corrected in the state record.

3280.123(a)(6)/3280.182(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.

Child #3 is missing the date of the child's admission.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Child #4 is missing the parents work address and telephone number.

Corrected Corrected by Dec 18, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.124(f)/3280.181(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.

Child #1, 3, & 4 are missing updated emergency contact and agreements.

Corrected Corrected by Dec 20, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.182(1) · A child's record must contain initial and subsequent health reports.

Child #2 is missing an initial health assessment and immunizations.

Corrected Corrected by Dec 20, 2023

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

3280.182(3)/3280.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Child #2 is missing signed parental consent for emergency medical and minor first aid.

Corrected Corrected by Dec 20, 2023

Category: ratio. Marked corrected in the state record.

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. Staff 1 & 2 have until 4/8/23 to complete the 1 hour health and safety training update.

Staff 1 & 2 have not completed the health and safety training update.

Corrected Corrected by Mar 27, 2023

Category: ratio. Marked corrected in the state record.

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.

Child #2 is missing the phone number of the child's physician.

Corrected Corrected by Mar 27, 2023

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

3280.124(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.

Child #2 is missing the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3280.131(d)(5)/3280.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Child #1 does not have a current flu vaccine for 2022, date of last flu vaccine 11/3/21. Child #2 does not have a current flu vaccine for 2022.

Corrected Corrected by Mar 27, 2023

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

3280.95(b) · 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.

During the record review it was observed that the interconnect fire system was tested on 5/1/22 and then again on 6/1/22 which is a span of 31 days. Fire system was tested on 7/1/22 and then again on 8/1/22 which is a span of 31 days which exceeds the requirement of testing every 30 days.

Corrected Corrected by Aug 16, 2022

Category: recordkeeping. Marked corrected in the state record.

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

Child #1 is missing the work addresses and telephone numbers of the enrolling parent.

Corrected Corrected by Mar 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.131(b)(1)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

Child #1 is missing an updated health assessment.

Corrected Corrected by Apr 15, 2022

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

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

Child #1 is missing the persons designated by a parent to whom the child may be released.

Corrected Corrected by Mar 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3280.151(c)(2)/3280.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, 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.

Staff person #1 does not have a tuberculosis screening on file.

Corrected Corrected by Apr 30, 2022

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

3280.31(f)/3280.31(h) · Staff persons shall complete professional development in the following topics within 90 days of hire:All staff persons shall complete the professional development under subsection(f).

Staff person #1's date of hire 12/23/20. Staff person #1 has not completed the required health and safety professional development training within 90 days of hire.

Corrected Corrected by Apr 10, 2022

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