A Genuine Love & Care

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: A manual test of the fire detection system exceeded 30 days between 12/24/2024 - 01/25/2025.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.131(a)(4)/3290.182(1)

Description: Initial health report for school age/Initial and subsequent health assessments

Noncompliance Area: The file for child #1 did not include a health report for a school-age child (see LIS code sheet) that was dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2. The most recent health report was completed on 03/17/2022 and a subsequent health report was not provided when the child entered 6th grade.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record must contain initial and subsequent health reports.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: The file for staff person #1 did not include an annual minimum of 12 clock hours of training. 5 hours of training were completed between 12/2022 - 12/2023.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The operator did not ensure that a fire drill was conducted at least once every 60 days. The fire drills in the following months exceeded 60 days: 04/04/2023 - 07/03/2023 - 10/01/2023 - 12/31/2023 - 03/21/2024.

Correction Required: 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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The wireless interconnected smoke detectors were operable on each floor but did not communicate with one another when tested due to not being synced properly at the time of installation. *Corrected at the time of the inspection. The operator did not have documentation that the smoke alarms installed were approved by a testing laboratory recognized by OSHA to test and certify smoke alarms. The operator did not maintain documentation of proof and date of purchase of the interconnected alarm with the facility's fire drill logs.

Correction Required: 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.

Regulation: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for staff person #1 included a health assessment that has not been updated within 24 months of the previous health assessment; the most recent health assessment on file was dated 01/26/2021.

Correction Required: 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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility emergency plan did not include a plan for the continuity of operations. Staff person #1 who completed the previous health and safety pre-service training modules prior to October 4, 2022, has not completed the 1-hour Pennsylvania Health and Safety Update 2022 which was required to be completed by December 30, 2022.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement for child #1, #2 and #3 did not specify the amount of the fee to be charged per day or per week.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement for child #1, #2 and #3 did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for child #1 and #2 did not include the complete address of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #2 and #3 did not include the complete work address of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information for child #1 and #2 did not include the address of the individuals designated by the parent to whom the child may be released. The emergency contact information for child #3 did not include the complete address of the individuals designated by the parent to whom the child may be released.

Correction Required: 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.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The operator did not send a copy of the emergency plan updates to the local municipality or to the county emergency management agency.

Correction Required: 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.

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: CONTINUED DEFICIENCY- observed the pediatric first-aid and CPR was not renewed before the expiration of the most current certification. The most recent pediatric first-aid and CPR was completed on 01/24/2019 and needed to be updated by 01/2021. PREVIOUSLY CITED on 12/28/2022. On 01/13/2022, staff person #1 completed a 3-hour online Pediatric First Aid, CPR/AED course through the International CPR Institute which is not an acceptable training entity.

Correction Required: 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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: CONTINUED DEFICIENCY- The file for household member #2 did not include a Child Abuse Clearance or FBI Clearance which was updated at least once every 60 months as required by the CPSL The most recent Child Abuse clearance was dated 12/02/2016 and the most recent FBI clearance was dated 11/29/2016. PREVIOUSLY CITED on 12/28/2021.

Correction Required: 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.

Regulation: 3290.121(b)

Description: Given parents in writing

Noncompliance Area: On 12/28/2021, the documents provided to the parent at the time of enrollment did not include information regarding dismissal policies, transportation or pick-up arrangements.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: On 12/09/2021, the facility did not have 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.

Correction Required: 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.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: On 12/09/2021, the operator does not provide the parent of each child enrolled in the facility with information on how to access the regulations in chapter 3290 electronically or instructions for contacting the Central regional child care office.

Correction Required: 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.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: On 12/28/2021, the emergency plan did not include accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: On 12/28/2021, observed the pediatric first-aid and CPR was not renewed before the expiration of the most current certification. The most recent pediatric first-aid and CPR was completed on 01/24/2019 and needed to be updated by 01/2021.

Correction Required: 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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 12/28/2021, staff person #1 was unable to locate a copy of their most recent FBI clearance. According to previous inspection documentation, the most recent FBI Clearance was completed on 11/29/2016. The FBI clearance was not updated at least once every 60 months as required by the CPSL. The file for household member #2 did not include a Child Abuse Clearance or FBI Clearance which was updated at least once every 60 months as required by the CPSL The most recent Child Abuse clearance was dated 12/02/2016 and the most recent FBI clearance was dated 11/29/2016.

Correction Required: 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. Staff Person #1 may not work in a child care position at the facility.

Regulation: 3290.32(a)/3290.192(4)

Description: Comply with CPSL/Required training

Noncompliance Area: On 12/28/2021, Mandated Reporter training was not updated every 60 months as required by the CPSL. The most recent Mandated Reporter training was completed on 06/18/2015.

Correction Required: 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.

Regulation: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: On 12/28/2021, observed a window in the second floor bathroom which is accessible to children did not have a safety mechanism to limit the opening to 6 or fewer inches.

Correction Required: 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.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: On 12/28/2021, observed peeling paint on the window frame located in the dining room.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: On 12/09/2021, observed the evacuation routes were not posted in a conspicuous location on each floor of the facility. An evacuation route was only posted on the first floor of the facility.

Correction Required: 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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: On 12/28/2021, the operator did not have proof of purchase of the fire detection devices installed at the facility. On 12/09/2021, the operator did not ensure the fire detection devices were tested at least once every 30 days.

Correction Required: 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.

Noncompliance Area: On 12/16/19 it was observed that child 1 did not have the name, address, and phone number for their physician on file. CORRECTED ON SITE.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: On 1/7/19 it was observed that child 3 did not have signed permission on file for emergency medical care and first aid.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: On 1/7/19 it was observed that children 1, 2, 3, and 4 did not have addresses on file for their release persons.

Correction Required: 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.

Noncompliance Area: On 1/7/19 it was observed that child 4 did not have a physical on file and had been enrolled for longer than 60 days.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: On 1/7/19 it was observed that staff person 1 has not had 12 training hours in the previous 12 months. Staff person has 6 training hours on file and requires 6 additional hours.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: On 1/7/19 it was observed that staff person 1 did not have current First Aid Certification on file.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: On 12/7/17 it was observed that child 3 had been enrolled longer than 60 days and did not have a physical on file.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: On 12/7/17 it was observed that child 1 had a physical on file that expired on 8/26/17.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: On 12/7/17 it was observed that staff person 1 had a physical on file that expired on 1/20/17.

Correction Required: 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.