B & B Family Daycare

3290.131(a)(2) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

At the time of enrollment, Child #1 was a young toddler. The health assessment provided at enrollment for the child was more than 6 months old (see code sheet for dates of enrollment and health assessment).

Corrected by Jun 29, 2026

View 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 6/26/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Child #1, a two-year old, had a vaccination record showing only 1 of the recommended 3 Hepatitis B vaccinations on file at the facility, and there was no letter of exemption on file for the missing vaccinations.

Corrected by Jun 26, 2025

View 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.

There was no proof on file showing that the emergency plan had been sent to the local municipality.

Corrected by Jun 26, 2025

View 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.

Fire drills were not conducted at least once every 60 days as evidenced by the following fire drill logs that were on file: 12/2/2024 to 2/3/2025.

Corrected by Apr 11, 2025

View 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 as evidenced by the following fire detection system logs that were on file: 11/1/24 to 12/2/24, 12/2/24 to 1/2/25, and 1/2/25 to 2/3/25.

Corrected by Apr 11, 2025

View state record

3290.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The Operator must update existing supervision policies/procedures. The policies and procedures must include the following requirements: Operator will be able to see, hear, direct and assess the children at all times. Children on the facility premises and on facility excursions off the premises shall be supervised by the operator at all times. Other methods of supervision, such as an electronic monitoring system or camera, will only be used when the operator is unable to be physically present with the children because they are specifically preparing snacks or meals for the children in care or are using the restroom, and in no other situations. The policies/procedures must be submitted to the Northeast Regional Office for approval. Once approved, the operator shall maintain the policies/procedures as part of the documents for the facility. The operator shall provide a date by when this will be completed.

On 2/5/2025, during afternoon pick-up, Child #1 was left unsupervised inside the facility, for approximately less than one minute, while Staff #1 went outside the facility to hand documents to their son. Instead of directly supervising the child, Staff #1 acknowledged that they used a camera to monitor the child, which is not permitted.

Corrected by Apr 29, 2025

View state record

3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint was observed on the front porch and all of the front porch steps of the facility.

Corrected by Jun 13, 2024

View 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).

Child #1 (see code sheet for date of admission) had child service reports on file dated 4/18/23 and 3/25/24. More than 6 months had lapsed between each report.

Corrected by Jun 17, 2024

View state record

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 did not include persons designated by a parent to whom the child may be released.

Corrected by Jun 12, 2024

View 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 information on file for Child #1 was dated 4/18/23 and 3/25/24. The financial agreement on file for Child #1 was dated 1/23/23 and 1/8/24. More than 6 months had passed since a parent last reviewed, updated, and signed emergency contact and financial agreement forms.

Corrected by Jun 12, 2024

View state record

3290.94(a)(1)/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 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 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.

Fire drills were not conducted every 60 days as evidenced by the following fire drill logs that were on file: 10/18/23 to 12/18/23 and 2/14/24 to 4/15/24. Also, the documented fire drill logs showed that the hypothetical locations of the fire were at the same location, i.e. 78 Sheridan Street, W-B, PA 18702, for six consecutive fire drills, which occurred on 6/28/23, 8/21/23, 10/18/23, 12/18/23, 2/14/24, and 4/15/24.

Corrected by Jun 12, 2024

View 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 every 30 days as indicated by the following logs that were on file: 11/17/23 to 12/18/23, 12/18/23 to 1/18/24, 2/14/24 to 3/15/24, and 3/15/24 to 4/15/24.

Corrected by Jun 12, 2024

View state record

3290.18/3290.24(a)(1) · Conditions at the facility may not pose a threat to the health or safety of the children. 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.

During renewal inspection conducted 6/28/2023, facility's emergency plan does not address continuity of operations, lock-down or shelter in place at the facility.

Corrected by Jul 7, 2023

View state record

3290.65(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

During renewal inspection conducted 6/28/2023, trash can in the bathroom containing used tissues was observed in an open trash can.

Corrected by Jun 28, 2023

View state record

3290.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

During renewal inspection conducted 6/28/2023, fee amount was missing from Child #4's fee agreement.

Corrected by Jun 28, 2023

View state record

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During renewal inspection conducted 6/28/2023, the following was missing from children's emergency contact forms: Child #1: mother's work address and work telephone number. Child #2: mother's work address and work telephone number. Child #3: mother's work address and work telephone number. Child #4: mother's work address and work telephone number. Child #5: mother's work address and work telephone number.

Corrected by Jun 30, 2023

View 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.

During renewal inspection conducted 6/28/2023, facility did not have emergency transportation plan posted.

Corrected by Jun 28, 2023

View 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.

During renewal inspection conducted 6/28/2023, the last health assessment on file for Child #5 is dated 4/11/2022. Child #5 is preschool-aged (see LIS code sheet).

Corrected by Jul 28, 2023

View 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 #3, Child #4, and Child #5 will be dismissed from care by close of business on June 28, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

During renewal inspection conducted 6/28/2023, the following children were missing immunizations: Child #3: no influenza vaccine. Child #4: no influenza vaccine. Child #5: no influenza vaccine.

Corrected by Jun 28, 2023

View 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.

During renewal inspection conducted 6/28/2023, last health assessment on file for facility person #1 is dated 3/29/2021.

Corrected by Jun 29, 2023

View 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.

During renewal inspection conducted 6/28/2023, fire drill log reflected that last fire drill was conducted on 4/14/2023, which is over 60 days ago.

Corrected by Jun 28, 2023

View 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.

During renewal inspection conducted 6/28/2023, facility did not have evacuation routes posted in the basement or on the second floor of the home.

Corrected by Jun 28, 2023

View 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.

During renewal inspection conducted 6/28/2023, facility's fire detection testing log indicated that smoke alarms were tested past 30 days on the following occasions: 10/12/2022-11/18/2022. Smoke alarms were also tested on 5/15/2023, which was over 30 days ago.

Corrected by Jun 28, 2023

View state record

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

During renewal inspection conducted 6/28/2023, facility did not have emergency drill log on file at the facility. Operator reported that facility has not conducted an emergency drill in the past year.

Corrected by Jun 28, 2023

View state record

3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There are areas of peeling paint on the picket fence located in the outdoor play space

Corrected by Jun 28, 2022

View 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.

There are exposed bolts located on the fencing in the outdoor play space

Corrected by Jun 28, 2022

View 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.

Child files #1, 2, 3, 4 and 5 do not have the addresses of the release persons listed on the emergency contact form

Corrected by Jun 28, 2022

View state record

3290.131(a)(3) · The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Child #5 is an older toddler who has been attending the facility over 60 days and does not have an initial health assessment on file

Corrected by Jul 15, 2022

View 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 does have an updated emergency plan on file but does not have documentation on file to verify that it is on file with Luzerne County Emergency Management Agency

Corrected by Sep 20, 2021

View state record