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

The Emergency Plan did not contain documentation for Continuity of Operations.

Corrected Corrected by Aug 15, 2024

Category: ratio. 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 files for Child #1, Child #2, and Child #3 did not contain the address of the child's physician or source of medical care.

Corrected Corrected by Aug 15, 2024

Category: health medication. 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 files for Child #1, Child #2, and Child #3 did not contain the enrolling parent's work address or work phone number.

Corrected Corrected by Aug 15, 2024

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 Health Assessment, in the file for Child #4, did not contain an updated Health Assessment since 10.28.22.

Corrected Corrected by Aug 15, 2024

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

3290.14(a) · A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)).

The Occupancy Permit was not available at the facility.

Corrected Corrected by Aug 15, 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 and with instructions for contacting the appropriate regional child care office.

There was no documentation that the operator provided the parent of each enrolled child with information on how to access the regulations electronically or with instructions for contacting the regional child care office.

Corrected Corrected by Aug 15, 2024

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 Health and Safety professional development training updates on file for Staff #1 and #2 are dated 3/7/23, after the deadline of 12/30/22, as per Announcement C-22-06.

Corrected Corrected by Mar 7, 2023

Category: health medication. 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 documentation of annual Emergency Plan training. The file for Staff #2 contained documentation of the most recent Emergency Plan training dated 10/18/21, which is more than 12 months old.

Corrected Corrected by Aug 15, 2023

Category: recordkeeping. 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 #2 was observed not to contain documentation of a previous First Aid/CPR training.

Corrected Corrected by Aug 11, 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 file for Staff #1 was observed not to contain documentation of previous State Police, Child Abuse, FBI clearances, and Mandated Reporter training. The file for Staff #2 was observed not to contain documentation of previous State Police, Child Abuse clearances, and Mandated Reporter training. The file for Staff #2 contains FBI clearances dated 4/28/17 and 10/25/22, which are dated more than 60 months apart.

Corrected Corrected by Aug 11, 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 #1 was observed not to contain a child service report within 6 months of enrollment (SEE IS CODE SHEET).

Corrected Corrected by Aug 5, 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 Emergency Contact forms and Fee Agreements for Child #1 were reviewed and signed by the parent on 4/30/22 and 11/30/22, which is more than 6 months apart.

Corrected Corrected by Aug 11, 2023

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 contained an initial health assessment dated 8/18/21, which is more than 6 months prior to the date of enrollment for a young toddler. (SEE IS CODE SHEET).

Corrected Corrected by Aug 15, 2023

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 written verification of immunizations on file for Child #1 is dated 10/28/22, which is more than 60 days after enrollment (SEE IS CODE SHEET).

Corrected Corrected by Aug 17, 2023

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

3290.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The flu shot exemption letter submitted by the parent does not include a date the letter was signed, making it invalid.

Corrected Corrected by Aug 11, 2023

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

3290.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

The trash can on site, used for disposing diapers, was not a hands-free covered can.

Corrected Corrected by Aug 22, 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 emergency plan on site at the facility does not include accommodations for toddlers during an emergency.

Corrected Corrected by Aug 11, 2023

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 fire drill 60-day test log includes test dates 10/8/22-1/25/23 (109), which are more than 60 days apart.

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

The evacuation route was not posted in the facility in a conspicuous location on each floor.

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. 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 fire drill log on file included multiple consecutive hypothetical locations of the fire used for the drill.

Corrected Corrected by Aug 11, 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 fire alarm 30-day test log includes test dates 9/1/22-10/8/22 (37), 10/8/22-1/25/23 (109), 2/22/22-3/29/23 (35), 5/4/23-6/8/23 (35), 6/8/23-7/26/23 (48), which are more than 30 days apart.

Corrected Corrected by Aug 11, 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 lacked all 12 hours of required annual training completed between 12/19/21-12/19/22, as per Announcement C-21-09.

Corrected Corrected by Sep 21, 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). 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 and #3 (HH Member)--- may not work in a child care position at the facility or be in the child care space while children are in care.

SECOND VIOLATION. The file for Staff #2 contained a most recent FBI clearance which was dated more than 60 months in the past. Staff #3, HH Member, lacked a file at the facility, making it unable to be determined if proper clearances were on file. Previously cited on SIN-00208796 on 7/27/22.

Corrected Corrected by Nov 6, 2022

Category: background checks. 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.

SECOND VIOLATION. The file for Child #1, a YT, contained a most recent health report dated more than 6 months in the past. Previously cited on SIN-00208796 on 7/27/22.

Corrected Corrected by Oct 28, 2022

Category: health medication. 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 in the facility in a conspicuous location.

Corrected Corrected by Oct 22, 2022

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 and #3 (HH Member)-- may not work or be present in the child care space at the facility.

The file for Staff #1 contained a disclosure statement which lacked a witness signature. The file for Staff #2 contained a most recent FBI clearance which was dated more than 60 months in the past. Staff #3, HH Member, lacked a file at the facility, making it unable to be determined if proper clearances were on file.

Corrected Corrected by Oct 24, 2022

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.

Toxic cleaners were observed to be accessible to children under the sink used for handwashing in an unlocked cabinet outside of the bathroom.

Corrected Corrected by Oct 23, 2022

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 was observed to lack soap.

Corrected Corrected by Oct 21, 2022

Marked corrected in the state record.

3290.111(b) · The written plan of daily activities and routines shall be posted in a traffic area used by parents.

The written plan of daily activities and routines was not posted in the facility.

Corrected Corrected by Oct 22, 2022

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.

A written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency was not posted in the facility.

Corrected Corrected by Oct 21, 2022

Category: transportation. 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, a YT, contained a most recent health report dated more than 6 months in the past.

Corrected Corrected by Oct 22, 2022

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

3290.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Unlabeled Tylenol, Benadryl and Neosporin cream were observed in the first-aid kit.

Corrected Corrected by Oct 21, 2022

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

3290.176 · A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

The transportation first-aid kit was observed to lack soap and scissors.

Corrected Corrected by Oct 21, 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 observed emergency plan lacked accommodations of infants and toddlers, children with disabilities and children with chronic medical conditions.

Corrected Corrected by Oct 21, 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.

According to operator report, the emergency plan was submitted to the local municipality, but not the county emergency management agency.

Corrected Corrected by Oct 22, 2022

Category: physical safety. 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 observed fire drill log contained consecutive drills in which the hypothetical location of the fire did not change.

Corrected Corrected by Oct 22, 2022

Category: recordkeeping. Marked corrected in the state record.

3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

An evacuation route was not posted on the main floor of the facility.

Corrected Corrected by Oct 22, 2022

Category: recordkeeping. 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 observed emergency plan lacked accommodations for shelter during lock-down and shelter in place.

Corrected Corrected by Oct 21, 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 observed emergency plan update was dated more than one year in the past.

Corrected Corrected by Oct 21, 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.

Documentation of an emergency drill held between 12/19/20 and 12/19/21 was not available at the time of the inspection.

Corrected Corrected by Oct 22, 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 contained 10 of the 12 required child care training hours between 12/19/20 and 12/19/21. The file for Staff #2 lacked documentation of the 12 required child care training hours between 12/19/20 and 12/19/21.

Corrected Corrected by Oct 24, 2022

Category: recordkeeping. 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.

There was cleaning material in an unlocked cabinet under the sink in the laundry room.

Corrected Corrected by Sep 1, 2021

Category: ratio. Marked corrected in the state record.

3290.73(a) · A first-aid kit shall be in the facility.

There was no first-aid kit at the facility.

Corrected Corrected by Sep 30, 2021

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.

There was no Emergency transportation plan posted at the facility.

Corrected Corrected by Sep 30, 2021

Category: transportation. 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 facility had not conducted a fire drill at least once every 60 days since December 2020, per the operator. The facility did not have a written record to indicate when fire drills were conducted at the facility.

Corrected Corrected by Sep 30, 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 facility's fire detection devices were not manually tested every 30 days and the facility did not have a written document to log the test.

Corrected Corrected by Aug 27, 2021

Category: recordkeeping. 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 at the facility was outdated. The Emergency plan should be update at least annually.

Corrected Corrected by Sep 30, 2021

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 in the facility.

Corrected Corrected by Sep 30, 2021

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