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 pre- service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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 mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/03/20.

Corrected Corrected by Jun 6, 2025

Category: supervision. 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.

Household Member #2 did not renew their child abuse clearance within 60 months. The clearance was previously obtained on 3/17/20 and was renewed on 3/23/25.

Corrected Corrected by Mar 23, 2025

Category: background checks. 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.

Staff person #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 2/03/20.

Corrected Corrected by Jun 6, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.70(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Two above ground floor windows in the child care room were not restricted to open 6 inches or less. The clips installed for that purpose were not engaged during the inspection.

Corrected Corrected by Jun 6, 2025

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. Household Member #1 may not be present while children are in care at the facility.

Household Member #1 did not have a current valid state police clearance. An expired clearance dated 12/05/19 was on file. Also on file was a state police clearance for the purpose of volunteering dated 10/09/24. Household Member #2, who turned 18 since the last renewal inspection, had an NSOR clearance dated after the 2024 renewal application was submitted. The clearance was dated 12/04/24 and the application was submitted 12/02/24.

Corrected Corrected by Jan 5, 2025

Category: background checks. 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.

An open bag of rock salt ice melt was observed beside the front door.

Corrected Corrected by Dec 20, 2024

Category: ratio. Marked corrected in the state record.

3290.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Broken plastic was observed at the door hinge area of a ride on car.

Corrected Corrected by Dec 20, 2024

Category: physical safety. 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 veterinarian's certificate of current rabies vaccination was not on file for a dog at the facility. The vaccination on file expired 10/2024.

Corrected Corrected by Jan 2, 2025

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

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

The agreement for child #3 was not signed by the operator.

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. 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, all enrolled over 6 months, lacked current documentation of child service reports shared with the parents. The files for children 1-3 contained no reports. The file for child #4 contained a signed report dated over 6 months ago on 2/06/24. The file for child #5 contained a signed report dated over 12 months ago on 2/27/23.

Corrected Corrected by Feb 17, 2025

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 information for child #2 did not include the enrolling parents work address and telephone number.

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact number for child #3 did not include health insurance coverage and policy number for the child.

Corrected Corrected by Feb 17, 2025

Category: health medication. 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 agreement and emergency contact information for child #3 has not been updated and signed by the parent since 9/15/23.

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(2)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The files for children #1 and #3 do not contain current health reports. The most recent report on file for child #1 was dated 11/06/23. The most recent report on file for child #3 was dated 9/18/23.

Corrected Corrected by Feb 28, 2025

Category: health medication. 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.

Documentation of an annual review of the emergency plan was not on file. The last documented review was dated for January 2022.

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. Marked corrected in the state record.

3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

The emergency plan was not posted.

Corrected Corrected by Feb 17, 2025

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

3290.24(f) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to parents explaining the emergency procedures lacked details regarding the accommodations for infants and toddlers.

Corrected Corrected by Feb 28, 2025

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

3290.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The agreements for children #4 and #5 did not specify the date on which the fee is to be paid.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The agreement for child #4 was not signed by the operator.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. 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 1-4 lacked current child service reports. The last report on file for child #1 was dated 2/27/23. The files for children 2-4, enrolled for over 6 months, did not contain reports.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.123(a)(6)/3290.182(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.

The agreement for child #4 did not specify the date of the child's admission.

Corrected Corrected by Feb 29, 2024

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 #5 did not include the addresses for 3 individuals designated by the parent to whom the child may be released.

Corrected Corrected by Feb 29, 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 agreements and emergency contact information for children #1, #2, and #3 have not been signed and dated by the parent in the last 6 months. The most recent updates on file are as follows; child #1 6/02/23, child #2 11/01/22, and child #3 10/27/20.

Corrected Corrected by Feb 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(1)/3290.182(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.

The files for children #2 and #4 , both young toddlers, lacked current health reports. The most recent report on file for child #2 was dated 12/08/22. The only report on file for child #4 was not dated, therefore compliance could not be determined.

Corrected Corrected by Feb 29, 2024

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

3290.131(b)(2)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The file for child #3, a preschooler, lacked a current health report. The most recent health report on file was dated 11/04/22.

Corrected Corrected by Feb 29, 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 log of the 30 day tests of the fire alarm system indicates 31 days between multiple tests. Tests were being conducted on the 1st of each month.

Corrected Corrected by Feb 29, 2024

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 last documented emergency drill was dated 12/01/22. Documentation of a 2023 drill was not presented for review at the inspection.

Corrected Corrected by Feb 29, 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 facility's emergency plan lacked details regarding continuity of business operations as required in announcement C-22-04.

Corrected Corrected by Feb 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 facility did not have a written policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required in Announcement C-22-03.

Corrected Corrected by Feb 28, 2023

Category: health medication. 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 file for staff #2 did not contain documentation of completing the 1-hour health and safety training update by 12/30/22 as required by Announcement C-22-06.

Corrected Corrected by Jan 4, 2023

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

3290.31(f)(4)(i)/3290.192(4) · 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. A facility person's record shall include records of training required by the Department.

The file for staff #1 contained documentation of CPR/FA from an unapproved source. The course was online and did not include an in person session.

Corrected Corrected by Dec 19, 2022

Category: ratio. 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.

The file for staff #2 lacked a disclosure statement.

Corrected Corrected by Jan 4, 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).

The file for child #2 contained an agreement which lacked the services provided. The files for children #3 and #5 did not contain current child service reports.

Corrected Corrected by Feb 28, 2023

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 file for child #4 contained emergency contact information which did not include the phone number child's physician or source of medical care.

Corrected Corrected by Feb 28, 2023

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 file for child #4 contained emergency contact information which did not include the address and telephone number of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Feb 28, 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.

The facility lacked a posted plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Corrected Corrected by Feb 28, 2023

Category: transportation. 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 files for child #1 and child #5 contained emergency contact information and financial agreements which have not been updated in over 6 months.

Corrected Corrected by Feb 28, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.131(b)(2)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The file for child #5 did not contain a health report conducted in the last 12 months.

Corrected Corrected by Feb 28, 2023

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

3290.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The file for child #2, an 8 month old, did not include an updated immunization record. The record on file indicated only 1 dose administered of the following vaccines; Hep B, Rotavirus, DTAP, HIB, Pneumococcal, and polio and did not contain documentation of receiving the influenza vaccine. The file for child #5 did not contain documentation of receiving the influenza vaccine in 2022. Written exemptions were not on file for child #2 or child #5.

Corrected Corrected by Feb 28, 2023

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

3290.94(a)(1)/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 fire drills are conducted at least once every 60 days. 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 operator was unable to present a fire drill log at the time of inspection therefore compliance with conducting drills every 60 days was unable to be determined.

Corrected Corrected by Feb 28, 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 30 day tests of the fire detection system were conducted 31 or 32 days apart on several consecutive tests from 3-1-22 through 11-1-22. The last documented test occurred 12-1-22, a January 2023 test has not yet been documented.

Corrected Corrected by Feb 28, 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 contained documentation of 11 of the 12 required hours of annual training.

Corrected Corrected by Jan 4, 2023

Category: recordkeeping. 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.

The file for staff # 1 lacked Emergency plan training.

Corrected Corrected by Jan 15, 2022

Category: recordkeeping. 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.

The file for staff #1 lacked a current pediatric CPR and first-aid certification. The previous certification expired on 11/13/2021.

Corrected Corrected by Jan 31, 2022

Category: ratio. Marked corrected in the state record.

3290.105(a) · (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

There were two pack and plays that lacked a label identifying the specific child the rest equipment was to be used for.

Corrected Corrected by Jan 15, 2022

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

3290.123(a)(6)/3290.182(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.

The agreement form for child #1 lacked the date of the child's admission.

Corrected Corrected by Dec 21, 2021

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 #2 lacked the name of the child's physician or source of medical care.

Corrected Corrected by Jan 15, 2022

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 emergency plan lacked accommodations for infants and toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Jan 15, 2022

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 facility lacked a written record of fire drills.

Corrected Corrected by Jan 15, 2022

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 operator did not have a written log for testing the fire detection system every 30 days.

Corrected Corrected by Jan 31, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.22(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

The facility's posted certificate of compliance was not current. The certificate was dated 3/15/19-3/15/20.

Corrected Corrected by Jan 15, 2022

Marked corrected in the state record.

3290.24(e) · The emergency plan shall be posted in the facility at a conspicuous location.

The facility's emergency plan was not posted in a conspicuous location in the facility.

Corrected Corrected by Jan 31, 2022

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