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

The agreement on file for Child #1 does not contain the person designated by a parent to whom the child may be released to.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. 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 emergency contact form on file for Child #1 does not contain the enrolling parents work address and phone number.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(4)/3290.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact form on file for Child #1 does not contain written consent signed by a parent for emergency medical care.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. 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 emergency contact forms on file for Child #1 and Child #2 does not contain an update within the past 6 months.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.181(c) · 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 financial agreements on file for Child #1 and Child #2 does not contain an update within the last 6 months.

Corrected Corrected by Jan 26, 2024

Category: recordkeeping. 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.

The emergency contact form on file for Child #1 is lacking signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected Corrected by Jan 26, 2024

Category: ratio. Marked corrected in the state record.

3290.182(6) · A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

The emergency contact form for Child #1 did not indicate parent consent of whether or not the child could be transported by the facility or participate in walking excursions, swimming and wading.

Corrected Corrected by Jan 26, 2024

Category: transportation. 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 fire detection log on file contained dates of testing 5/28/23-6/30/23, and 12/15/23-1/22/24, all which are more than 30 days in between.

Corrected Corrected by Jan 26, 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.

2nd citation: The facility did not have a policy on shaken baby syndrome. Previously cited 1/26/23.

Corrected Corrected by Apr 19, 2023

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.

2nd citation: The last state police clearance on file at the facility for facility person #2, a household member, was dated 5/2/17. There was proof the individual applied for a new clearance, but no actual clearance. Previously cited 1/26/23.

Corrected Corrected by Apr 19, 2023

Category: background checks. 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's emergency plan did not include information regarding continuity of operations. The facility did not have a policy on shaken baby syndrome.

Corrected Corrected by Apr 1, 2023

Category: ratio. Marked corrected in the state record.

3290.24(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The facility's emergency plan did not provide information on how parents will be contacted when an emergency begins.

Corrected Corrected by Apr 1, 2023

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

3290.24(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The facility's emergency plan did not provide information on how parents will be contacted when an emergency ends and how parents will reunite with their children.

Corrected Corrected by Apr 1, 2023

Category: physical safety. 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 #2 may not be in a space where children are in care until the updated clearance is obtained.

The last two child abuse clearances in the file for staff person #1, the only staff person at the facility, were dated 4/19/17 and 5/12/22 and the individual continued to work with children with expired clearances. The last state police clearance on file at the facility for facility person #2, a household member, was dated 5/2/17. There was proof the individual applied for a new clearance, but no actual clearance. The last two child abuse clearances in the file for facility person #2 were dated 4/19/17 and 5/12/22. The last two FBI clearances in the file for facility person #2 were dated 5/24/16 and 3/4/22.

Corrected Corrected by Apr 1, 2023

Category: background checks. 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).

There were no child service reports in the file for child #1 through #4.

Corrected Corrected by Apr 1, 2023

Category: recordkeeping. 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 last two written review dates by a parent on the emergency contact and agreement form in the file for child #1 was 1/12/22 and 1/4/23. The last two written review dates by a parent on the emergency contact and agreement form in the file for child #2 was 12/1/21 and 1/2/23. The last two written review dates by a parent on the emergency contact and agreement form in the file for child #3 was 1/12/22 and 1/4/23.

Corrected Corrected by Jan 26, 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.

The last health report in the file for child #1, a 3 year old, was 6/9/21, and for child #2, a 3 year old, was 1/24/22.

Corrected Corrected by Apr 1, 2023

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

3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not provide information about accommodations during an emergency for infants, toddlers, children with disabilities or chronic medical conditions.

Corrected Corrected by Apr 1, 2023

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

3290.24(g) · 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.

Based on conversation with the operator, they had not sent the last updates to their emergency plan to the Allegheny County Emergency Management Agency.

Corrected Corrected by Apr 1, 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.

Based on conversation with the operator, they were testing the smoke alarms every 30 days but were not documenting the tests.

Corrected Corrected by Apr 1, 2023

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.

Based on conversation with the operator, they have not provided parents with information on how to access the regulations electronically.

Corrected Corrected by Apr 1, 2023

Marked corrected in the state record.

3290.24(b) · 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.

At the time of the inspection, there was not documented review of the facility's emergency plan in the last 12 months.

Corrected Corrected by Apr 1, 2023

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). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 & #2 -- may not work at the facility. 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 & #2--- may not work at the facility.

The file for facility person #1 had a FBI clearance dated for 5/20/16. The file for facility person #2, a household member over the age of 18, had a FBI clearance dated for 5/24/16, which is more than 60 months ago.

Corrected Corrected by Mar 3, 2022

Category: background checks. 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.

The immunization record for child #2 lacked an influenza vaccination in accordance with the ACIP.

Corrected Corrected by Jan 18, 2022

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.

The facility lacked an emergency transportation plan posted.

Corrected Corrected by Feb 18, 2022

Category: transportation. 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 release person's phone number.

Corrected Corrected by Jan 18, 2022

Category: recordkeeping. 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.

Facility person #1 last had a health assessment completed on 4/16/19, which is more than 24 months ago.

Corrected Corrected by Feb 18, 2022

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

3290.192(3) · 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.

The file for facility person #1 lacked a copy of the disclosure statement.

Corrected Corrected by Feb 18, 2022

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

3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

The facility lacked an emergency plan that provides for accommodations of toddlers.

Corrected Corrected by Jan 18, 2022

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