3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.

A renewal inspection was conducted on 5/22/24. The facility's emergency plan did not address continuity of operations in the event of an emergency.

Corrected Corrected by May 30, 2024

Category: ratio. Marked corrected in the state record.

3290.24(c) · 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 renewal inspection was conducted on 5/22/24. The operator did not complete annual emergency plan training.

Corrected Corrected by May 29, 2024

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 and household members record shall include a copy of the signed disclosure statement required under the CPSL.

A renewal inspection was conducted on 5/22/24. The operator and HHM #2 & #3 did not have a signed disclosure statement on file.

Corrected Corrected by May 29, 2024

Category: recordkeeping. 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 5/22/24. The facility's parent handbook did not contain a dismissal policy.

Corrected Corrected by Jun 1, 2024

Category: supervision. 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.

A renewal inspection was conducted on 5/22/24. Cert rep observed the fire drill log to be out of compliance. The fire log indicates that the fire drills were tested more than 60 days apart, 12/15/23-3/1/24.

Corrected Corrected by May 29, 2024

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.

A renewal inspection was conducted on 5/22/24. The operator did not provide the parent of each child enrolled with information on how to access the childcare regulations (3290).

Corrected Corrected by May 30, 2024

Marked corrected in the state record.

3290.24(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

A renewal inspection was conducted on 5/22/24. The facility's emergency plan did not provide information for accommodations for shelter of children during an emergency lock-down.

Corrected Corrected by May 30, 2024

Category: physical safety. 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.

Disinfex multi-purpose wipes were observed on the bottom shelf in the bathroom, in reach of children.

Corrected Corrected by May 16, 2023

Category: ratio. Marked corrected in the state record.

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

Fee Agreements for children # 2 and # 5 did not contain child's date of admission.

Corrected Corrected by May 30, 2023

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.

Emergency Contact Form for Child # 1 did not contain address of release persons.

Corrected Corrected by May 30, 2023

Category: recordkeeping. 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 did not have a written plan posted, explaining the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Corrected Corrected by May 30, 2023

Category: transportation. 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). Children # 2, #3, and #4 must be dismissed from care by close of business 5/16/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Immunization records for Children # 2, # 3 and # 4 did not contain verification of flu shot, children were in care during flu season.

Corrected Corrected by May 16, 2023

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

3290.123(a)/3290.123(a)(6) · An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Fee Agreement for Child # 1 was not signed by operator and did not contain child's date of admission.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.18/3290.31(g) · Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete professional development in the topics listed in subsection 3290.31(g)(1-10) within 90 days of hire. Staff Person #1 will have 15 days from the date of the accepted plan to receive acceptable pediatric first aid/CPR from a PQAS trainer. Until such time as the correction is implemented, staff person must be supervised by a staff person who has completed the required pediatric first aid/CPR. If no qualified staff are available to supervise, staff #1 may not provide child care.

Staff #1 does not have acceptable pediatric first aid/CPR training on file. Staff #1 is the only staff at the facility.

Corrected Corrected by May 18, 2022

Category: supervision. Marked corrected in the state record.

3290.182(3)/3290.182(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.

Emergency Contact Form for Child # 2 did not contain signed parental consent for emergency medical care and the administration of minor first aid by staff.

Corrected Corrected by Jun 10, 2022

Category: ratio. Marked corrected in the state record.

3290.24(d)/3290.24(g) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. 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.

Facility did not conduct an emergency drill. Facility did not send updates to the Emergency Plan to the EMA and local police.

Corrected Corrected by Jun 10, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months.

File for Staff # 1 did not comply with CPSL regulations. File for Staff # 1 contained a Mandated Reporter Training dated 7/6/15.

Corrected Corrected by Sep 24, 2021

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

3290.73(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.

Facility first-aid kit was missing tape, gloves and soap.

Corrected Corrected by Sep 17, 2021

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.

File for Staff # 1 did not have an updated health assessment. Last one in file is dated 8/2/17.

Corrected Corrected by Sep 24, 2021

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.

At the time of the renewal, the facility was unable to provide proof of date of purchase and installation of fire detection system as required by section 1016(c) of the act (62 P.S. 1016(c)).

Corrected Corrected by Sep 2, 2021

Category: recordkeeping. Marked corrected in the state record.