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 the child care portion of the house when children are in care.

The file for facility person #2, a household member over the age of 18, is lacking a criminal history clearance.

Corrected Corrected by Sep 30, 2024

Category: background checks. 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 file for staff person #1 contains a mandated reporter training that expired 12/11/2020 and does not contain a current Mandated reporter training.

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

A cat observed in the child care home is lacking a current rabies vaccination.

Corrected Corrected by Nov 4, 2024

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 files for children #1-#5 are lacking child service reports providing information to the family about the child's growth and development in the context of the services being provided

Corrected Corrected by Nov 15, 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 file for child #1 is lacking emergency contact and financial agreement that were reviewed and updated by parents during the previous 6 month period.

Corrected Corrected by Nov 15, 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 #1, young toddler, is lacking a health assessment and has been enrolled for greater than 60 days.

Corrected Corrected by Nov 15, 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, young toddler, is lacking a health report conducted during the previous 6 month period.

Corrected Corrected by Nov 15, 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 files for child #2 and child #3, preschool aged, are lacking health reports conducted during the previous 12 month period.

Corrected Corrected by Nov 15, 2024

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

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

The file for child #1 is lacking a initial and updated health report. The files for child #2 and child #3 are lacking updated health reports.

Corrected Corrected by Nov 15, 2024

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

3290.14(b) · 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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: PA Health & Safety Topics #1-#9.

Corrected Corrected by Sep 26, 2024

Category: supervision. 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 person #1 is lacking documentation of 12 annual training hours for the year 12/19/2022 to 12/31/2023.

Corrected Corrected by Sep 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.31(g) · Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 10/30/24 to complete the required training. Until such time as the required training has been completed, staff person #1must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): PA Health & Safety Topics #1-#9.

Corrected Corrected by Sep 26, 2024

Category: supervision. Marked corrected in the state record.

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

The cat in the home was due for a rabies vaccine on 1/5/23.

Corrected Corrected by Nov 1, 2023

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

3290.18 · 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. Until such time as the required trainings are completed, staff person #1-- must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1--, staff person #1-- may not work in a child care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 9/10.21.

Corrected Corrected by Oct 12, 2023

Category: supervision. Marked corrected in the state record.

3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person#1 will have until 10/26/23 to complete the mandated reporter training. Until such time as the required training has been completed, staff person#1-- must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person#1-, staff person #1-- may not work in a child-care position at the facility.

Staff #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 12/11/15.

Corrected Corrected by Oct 17, 2023

Category: supervision. 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.

The first aid kit in the facility was lacking soap, gloves, scissors and tweezers.

Corrected Corrected by Nov 1, 2023

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 #1 and #2 both enrolled more than 6 months(see LIS code sheet), are lacking Child Service Report.

Corrected Corrected by Dec 21, 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 file for Child #1 and #2 both enrolled more than 6 months(see LIS code sheet), were both lacking a 6 month update on their emergency contact sheet and the financial agreement.

Corrected Corrected by Dec 21, 2023

Category: recordkeeping. 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.

The provider was lacking proof that the emergency plan was sent to the local municipality and the county emergency management agency.

Corrected Corrected by Dec 18, 2023

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

3290.94(a)(9) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The last documented fire drill was 11/18/22.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. 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 last documented testing of the smoke detectors at the FCCH was 11/18/22, The FCCH only has stane alone smoke detectors and has not yet purchased interconnected smoke detectors at this time.

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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

The facility was lacking an annual emergency drill.

Corrected Corrected by Dec 20, 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). Facility Person #1 may not work in a childcare position at the facility.

Facility person #1, a household member, did not have a PA State Police Criminal History Clearance on file at the facility.

Corrected Corrected by Dec 9, 2022

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

3290.117(c) · A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

The file for the family cat, Minkah, did not include a certification of a current rabies immunization.

Corrected Corrected by Dec 27, 2022

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 files for Child #1 and #2 included emergency contact forms that did not provide the addresses of those listed as persons to whom each child can be released.

Corrected Corrected by Dec 16, 2022

Category: recordkeeping. 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 files for Child #1, #2, and #3 included immunization forms that did not reflect an influenza vaccine had been administered in the past 12 months.

Corrected Corrected by Dec 16, 2022

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

3290.32(a)/3290.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

The file for staff person #2 contains mandated reporter training that expired on 12/11/2020 and does not contain updated mandated reporter training.

Corrected Corrected by Oct 21, 2021

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.

A file for facility person #1, a household member who turned 18 on 4/7/2021, does not contain a criminal history, child abuse, FBI, NSOR verification and disclosure statement as required by CPSL for all household members over the age of 18.

Corrected Corrected by Oct 25, 2021

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

3290.131(a)/3290.182(1) · 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.A child's record must contain initial and subsequent health reports.

The files for child #1 and #2 are lacking initial health reports and have been in attendance greater than 90 days. The file for child #3 does contain an initial health report however it was received greater than 90 days after the child began attending the facility.

Corrected Corrected by Oct 21, 2021

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

3290.131(e) · 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.

The file for child #2, older toddler, is lacking a written immunization report and has been in attendance for greater than 60 days. The file for child #3, young toddler, contains an immunization report however it was obtained greater than 60 days after the child began attending the facility.

Corrected Corrected by Oct 21, 2021

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 emergency plan does not include accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Oct 21, 2021

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.

The current facility emergency plan has not been sent to the county emergency management agency and the local municipality.

Corrected Corrected by Oct 25, 2021

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

3290.94(a)(1)/3290.94(a)(9) · Fire drills are conducted at least once every 60 days.A written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participated in the fire drill.

A fire drill log was not available to verify if drills were conducted once every 60 days.

Corrected Corrected by Oct 21, 2021

Category: recordkeeping. 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 provider demonstrated that the fire detection alarms are operable however a log was not available to verify that the alarms have been tested every 30 days as required by Act 62.

Corrected Corrected by Oct 21, 2021

Category: recordkeeping. Marked corrected in the state record.

3290.113(f) · When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

According to the operator, who is the only staff person in the facility, an electronic monitor, camera, mirror, or other device or method is not in place to allow the children to be supervised when the operator is using the restroom.

Corrected Corrected by Oct 21, 2021

Category: supervision. 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.

The facility emergency plan does not include accommodations for lock-down procedures.

Corrected Corrected by Oct 21, 2021

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