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

The Emergency Plan did not address Continuity of Operations.

Corrected Corrected by Dec 13, 2024

Category: ratio. 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.

Documentation showed late Fire System testing was conducted: 5.1.24 to 6.3.24, 7.2.24 to 8.2.24, 8.2.24 to 9.3.24, 11.1.24 to 12.2.24., which were beyond the 30-day testing requirement.

Corrected Corrected by Mar 10, 2025

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 did not contain documentation of 12 hours of child care training, as only three (3) hours were documented in the file from 12.19.23 to 12.13.24, and the operator stated that she would not be working until after the holidays.

Corrected Corrected by Mar 14, 2025

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.

As confirmed by the operator, an Emergency Drill has never been conducted.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.63 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Four (4) of the seven (7) electrical outlets, on the surge protector in the back room, did not contain protective receptacle covers, and were accessible to children 5 years of age or younger.

Corrected Corrected by Dec 14, 2023

Marked corrected in the state record.

3290.66(a) · Cigarettes, pipes or cigars may not be smoked in a child care space, a play space or a food preparation area when children are in care or when food is being prepared.

At the facility entrance, where children enter, there were two ashtrays, one of which contained five (5) cigarettes butts, and the operator stated that parents must have placed them there since no one in her household smokes.

Corrected Corrected by Dec 14, 2023

Category: ratio. 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 did not contain nonporous gloves.

Corrected Corrected by Dec 14, 2023

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 files for Child #2, Child #3, and Child #4 did not contain written consent, signed by a parent, for emergency medical care.

Corrected Corrected by Jan 5, 2024

Category: recordkeeping. 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 file for Child #1, who began attending on 3.21.23, did not contain an initial Health Report within 60 days following the first day of attendance at the facility.

Corrected Corrected by Jan 10, 2024

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

3290.131(b)(2)/3290.181(b) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. Information in a child's record shall be kept current by the operator.

The file for Child #4, a preschool child, did not contain an updated Health Assessment within 12 months of the previous one dated 3.17.22.

Corrected Corrected by Jan 16, 2024

Category: health medication. 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 child care group settings). Child #1 must be dismissed from care by close of business on 12.14.23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The file for Child #1 did not contain documentation of any vaccinations.

Corrected Corrected by Jan 10, 2024

Category: health medication. 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, in the files for Child #1, Child #2, Child #3, and Child #4, did not contain signed parental consent for administration of minor first-aid.

Corrected Corrected by Jan 5, 2024

Category: ratio. 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. Staff #1 may not work in a child care position at the facility.

The file for Staff #1 did not contain a signed, Disclosure Statement.

Corrected Corrected by Jan 19, 2024

Category: background checks. 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.

Contact information for the regional child care office was not posted.

Corrected Corrected by Jan 8, 2024

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.

The operator confirmed that the parents were not provided with information on how to access the regulations electronically,

Corrected Corrected by Jan 8, 2024

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 did not contain 12 hours of child care training during 12 months, as only 9 1/2 hours were documented from 12.19.22 to 12.14.23, and the operator stated that she was done working until after Christmas.

Corrected Corrected by Jan 31, 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 site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Mar 21, 2023

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 most recent Child Abuse clearance on file for Household member #2 is dated 1/13/17, more than 60 months ago.

Corrected Corrected by Mar 21, 2023

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

3290.118 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Staff person #1 was observed lying a 9 month old infant in the crib on her stomach, rather than on the American Academy of Pediatrics recommendation of placing infants on their back.

Corrected Corrected by Mar 21, 2023

Category: health medication. 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 file for Child #1, with an enrollment date of 10/12/21, does not include an initial health assessment, due within 90 days of enrollment, as per Announcement C-20-04.

Corrected Corrected by Mar 21, 2023

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 most recent health assessment on file for Child #4, a preschool age child, is dated 4/26/21, more than 12 months ago.

Corrected Corrected by Mar 21, 2023

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

3290.131(d)(5)/3290.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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 most recent influenza vaccination on file for Child #2, who is 3 years old, is dated 11/5/20, more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #4, who is 4 years old, included 2 of 3 Hepatitis B vaccines; 3 of 4 DTAP vaccines; 2 of 4 HIB vaccines; and 1 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Mar 21, 2023

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

3290.151(a)(2)/3290.192(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. 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.

The most recent health assessment on file for Staff person #1 is dated 12/5/20, more than 24 months ago.

Corrected Corrected by Mar 21, 2023

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

3290.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

The operator did not have a written feeding plan submitted by the parent, giving the formula and feeding schedule for an infant for Child #3.

Corrected Corrected by Mar 21, 2023

Category: nutrition. 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.

The fire drill log on file indicates fire drills were held on 1/14/22; 4/8/22; 7/1/22; 9/23/22; and 12/16/22, all more than 60 days apart, as required with the 12/19/20 Chapter 3290 regulation updates.

Corrected Corrected by Mar 21, 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 test log for the interconnected smoke detectors indicates tests being completed on 1/15/22-2/15/22; 3/14/22-4/15/22; 7/13/22-8/15/22; 10/12/22-11/15/22

Corrected Corrected by Mar 21, 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.

There was no written documentation of an emergency drill being conducted prior to 12/19/21, as per updates to Chapter 3290 regulations, effective 12/19/20.

Corrected Corrected by Mar 21, 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 person #1 includes 10 of 12 required annual training hours completed between 12/19/20-12/19/21, as per Announcement C-21-09.

Corrected Corrected by Mar 21, 2023

Category: recordkeeping. 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 #1 lacks updated mandated reporter training.

Corrected Corrected by Mar 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.51 · The number of children in care may not exceed six children at any one time who are unrelated to either the legal entity or the staff person. At any one time, the related children of either the legal entity or the staff person, but not both, may be excluded in determining compliance with this section.

The operator was caring for 7 children at one time at 10:10am on 12/2/21. There were 4 PS aged children, 2 OTs and 1 YT in care.

Corrected Corrected by Dec 3, 2021

Category: recordkeeping. 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 children #2, #3, and #4 lack initial health assessments. Immunization records were obtained and are on file.

Corrected Corrected by Mar 6, 2022

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 #1 lacks an updated health assessment. The last health assessment that is on file is dated 11/2019. Current immunizations are on file.

Corrected Corrected by Mar 6, 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 did not provide for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Corrected Corrected by Feb 6, 2022

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 operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Corrected Corrected by Feb 6, 2022

Category: physical safety. 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.

The operator did not conduct fire drills every 60 days. The fire drills were being conducted 4 times per year.

Corrected Corrected by Feb 6, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.94(a)(4) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The hypothetical locations of the fire were not rotated around the facility for each drill such that the hypothetical location was not the same for consecutive drills.

Corrected Corrected by Feb 6, 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 proof of purchase on file for the fire detection system.

Corrected Corrected by Feb 6, 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 fire detection system was not tested at least once every 30 days .

Corrected Corrected by Feb 6, 2022

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.

The operator did not provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Jan 10, 2022

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 emergency plan did not provide for accommodations for shelter of children during an emergency including lock-down.

Corrected Corrected by Feb 6, 2022

Category: physical safety. 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.

The emergency plan has not been reviewed at least once in the past 12 months.

Corrected Corrected by Feb 6, 2022

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 has not conducted an annual emergency drill.

Corrected Corrected by Feb 6, 2022

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 lacks 4 of the annual 12 hours of required training.

Corrected Corrected by Mar 6, 2022

Category: recordkeeping. Marked corrected in the state record.