3290.24(c)/3290.192(4) · 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. A facility person's record shall include records of training required by the Department.

As confirmed by the operator, facility person #1 did not receive emergency plan training.

Corrected Corrected by Feb 11, 2026

Category: recordkeeping. 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 work in a child care position at the facility.

As confirmed by the operator, the following documents were not available for facility person #1: State Police Clearance, Child Abuse Clearance, FBI Clearance, NSOR Certificate, Disclosure Statement, or Mandated Reporter training.

Corrected Corrected by Feb 11, 2026

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

3290.151(a)/3290.192(2) · 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. 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.

As confirmed by the operator, a health assessment was not available for facility person #1.

Corrected Corrected by Feb 11, 2026

Category: ratio. Marked corrected in the state record.

3290.151(c)(2)/3290.192(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. 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.

As confirmed by the operator, a Tuberculosis screening was not available for facility person #1.

Corrected Corrected by Feb 11, 2026

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

3290.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

The name, address, and telephone number of facility person #1 was not on file.

Corrected Corrected by Feb 11, 2026

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.

Operator was unable to locate the policy on the Prevention of Shaken Baby and Abusive Head Trauma at the time of the inspection.

Corrected Corrected by Mar 31, 2025

Category: health medication. 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 file for Child #2 lacked a child service report within 6 months of starting at the facility. The child service report was completed 9 months after starting at the facility.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The agreement form on file for Child #1 lacked the admission date.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.123(b)/3290.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The agreement on file for Child #1 was observed to be an original.

Corrected Corrected by Mar 27, 2025

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 for Child #1 lacked the address for one of the release persons listed.

Corrected Corrected by Mar 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The current health reports on file for Children #2 and #3 lacked a statement that the child had received all age-appropriate screenings recommended by the American Academy of Pediatrics since the time of the previous health report.

Corrected Corrected by Apr 28, 2025

Category: health medication. 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 lacked 6 hours of child care training in their respective training year of 12.2023 through 12.2024. The file for Staff Person #2 lacked 4 hours of child care training in their respective year of 12.2023 through 12.2024.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.123(a) · An agreement shall be signed by the operator and the parent.

The file for Child #4 lacked an agreement that had been signed by the Operator and the Parent.

Corrected Corrected by Mar 27, 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 emergency contact form for Child #4 lacked the telephone number of the physician.

Corrected Corrected by Mar 27, 2024

Category: health medication. 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 for Children #1 and #3 lacked the addresses for each of the release persons listed.

Corrected Corrected by Mar 27, 2024

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 file for Child #3 lacked an initial health assessment within 60 days of enrollment at the facility. The most recent health report was completed 94 days after enrollment.

Corrected Corrected by Mar 13, 2024

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 file for Child #1, a young toddler, lacked an updated health report that had been completed within the last 6 months. The most recent health report was dated 7.3.23.

Corrected Corrected by Mar 27, 2024

Category: health medication. 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 file for Child #2, a preschool age child, lacked an updated health report that had been completed within the last 12 months. The most recent health report was dated 10.10.22.

Corrected Corrected by Mar 27, 2024

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

3290.151(a)(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.

The health assessments on file for Staff Person #1 exceeded 24 months between examinations on 1.11.22 and 2.16.24.

Corrected Corrected by Mar 13, 2024

Category: health medication. 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 facility exceeded 30 days between alarm testing on 5.9.23 and 6.28.23 and then between 9.15.23 and 10.23.23.

Corrected Corrected by Mar 13, 2024

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 files for Staff Person #1 and #2 lacked 1.5 of their 12 hours of annual child care training between 12.2022 and 12.2023.

Corrected Corrected by Mar 13, 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 emergency plan on file lacked continuity of operations as required by Federal Regulation.

Corrected Corrected by Apr 28, 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.

The files for Staff Person's #1 and #2 lacked the required updated Health and Safety training prior to 12.30.22.

Corrected Corrected by Mar 2, 2023

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

3290.31(f)(4)(i)/3290.32(d) · 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. One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Staff Person #1 and #2 exceeded 2 years between updating their Pediatric First Aide and CPR. This was documented by trainings occurring on 7.27.20 and 2.26.23. Another Staff Person would not have been present with Pediatric First Aide and CPR between 7.27.22 and 2.26.23.

Corrected Corrected by Mar 2, 2023

Category: ratio. Marked corrected in the state record.

3290.64(d) · Arts and crafts materials shall be nontoxic.

Two bingo daubers labeled Keep Out of Reach of Children were observed in the art area. The bingo daubers were not labeled as nontoxic.

Corrected Corrected by Mar 2, 2023

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 for Child #2 lacked the telephone number of the child's physician.

Corrected Corrected by Apr 3, 2023

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

3290.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Child #1 will be dismissed from the facility close of business 3.2.23.

The immunization record on file for Child #1 lacked a current influenza vaccination. The last documented influenza vaccination occurred on 10.19.21. A written exemption was not on file at the time of the inspection.

Corrected Corrected by Mar 2, 2023

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

3290.131(e)(3) · 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 will be dismissed from the facility close of business on 3.2.23.

The immunization record on file for Child #1 lacked a current influenza vaccination. The last documented influenza vaccination occurred on 10.19.21. A written exemption was not on file at the time of the inspection.

Corrected Corrected by Mar 2, 2023

Category: health medication. 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 #2 lacked 1 of their 12 hours of child-care training in their respective training year.

Corrected Corrected by Mar 2, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.31(f)/3290.192(4) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

The file for staff #1 who was hired prior to 12-19-2020 contained 4 hours of the required 12 hours of annual training hours completed by the mandatory training date of 12-19-2021. The file for staff #2 who was hired prior to 12-19-2020 contained 5 hours of the required 12 hours of annual training hours completed by the mandatory training date of 12-19-2021.

Corrected Corrected by Apr 1, 2022

Category: recordkeeping. Marked corrected in the state record.