Abi Bush Family Child Care Home

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file of staff #3 lacked documentation of completing 12 annual training hours.

Correction Required: 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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of household members #1 and #2 lacked DHS FBI clearances (see LIS code sheet for information).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: According to the smoke detection testing log, the smoke detection system was not tested every 30 days on the following dates: 4-4-25 to 5-14-25 which is more than 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 subsection (a) are met.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on documentation a fire drill was not done every 60 days due to the fact the last one held was 3-7-25. On the day of the unannounced inspection 5-14-25 was 68 days since the last documented fire drill.

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: Based on the documentation of testing the smoke detection system they were tested more than 30 days apart due to the fact the last testing date was 4-4-25. At the time of the unannounced inspection, 5-14-25 it was 40 days since last tested.

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: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: 2nd citation. Previously cited 9/12/23. Child #1, a 1-year-old, lacked an influenza immunization according to the recommendations of the ACIP.

Correction Required: 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).

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked bin labeled "balls" in the playroom. Observed a cracked tricycle with rough edges in the outdoor play space.

Correction Required: 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.

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreements for Children #1 and #2 lacked the date of the child's admission.

Correction Required: 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.

Regulation: 3290.123(b)/3290.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The files of Children #1 and #2 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: Emergency contact information for Child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child #3 did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information for Children #1 and #2 did not include the address and telephone number of the individual 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: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: The file of Child #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #3 contained a health report dated 10/20/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #3, a 1-year-old, lacked Hepatitis B, Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, Polio, and influenza immunizations according to the recommendations of the ACIP. Child #3 had documentation of 1 Hepatitis B, 1 Rotavirus, 1 DTAP/DTP/TD, 1 HIB, 1 Pneumococcal, 1 Polio, and no influenza immunizations.

Correction Required: 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).

Regulation: 3290.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file of Child #3 contained a health report which indicated the child was not able to participate in child care and did not appear to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3290.151(a)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a health assessment conducted on 11/6/20.

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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Observed adult scissors in the 1st cabinet of the dining hutch located in the dining room which were accessible to children.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The operator lacked documentation of sending a copy of the emergency plan updates to the local municipality and 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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed 3 tubes of Crest toothpaste which indicated "keep out of the reach of children under 6" on the bathroom sink counter which were accessible to children.

Correction Required: 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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility lacked interconnected smoke alarms on each floor and in the basement. The facility did not have an interconnected smoke alarm on the 2nd floor but did have on the 1st floor and in the basement. The operator lacked documentation of the proof and date of purchase of the interconnected smoke alarms.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: 2nd citation. Previously cited on 9/27/22. The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 9/28/21, 10/29/21, 11/22/21, 12/20/21, 1/31/22, 2/25/22, 3/31/22, 4/27/22, 5/27/22, 6/24/22, 7/27/22, 8/19/22, and 10/27/22.

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: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a Little Tykes riding toy with an exposed screw behind the seat in the outdoor play space. Observed a metal riding toy with rust on the seat and steering wheel in the outdoor play space.

Correction Required: 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.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest equipment not labeled with the child's name.

Correction Required: (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.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: A veterinarian's certificate of current rabies immunization was not on file for a cat who was present at the facility.

Correction Required: 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.

Regulation: 3290.123(b)

Description: Parent receives original

Noncompliance Area: The files of Children #1, #2, #3, #4, and #5 contained the original copies of the agreement. The facility did not make a copy for the files and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The files of Children #1, #2, and #3 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

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 files of Children #1, #2, and #3 lacked the complete work address of the enrolling parent on the emergency contact form. The file of Child #4 lacked the work telephone number of the enrolling parent on the emergency contact form.

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

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file of Child #5 lacked written consent signed by a parent for emergency medical care prior to admission on the emergency contact form. Child #5 had an admission date of 9/1/22 with an emergency contact form signed on 9/26/22.

Correction Required: 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of Children #1, #2, and #3 lacked the complete address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form. The file of Child #4 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: The file of Child #4 lacked an updated health report at least every 12 months for an older toddler or preschool child with the reinstating of this regulation on 1/6/22. The most recent health report in the file of Child #4 is dated 8/9/21.

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.

Regulation: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: The file of Child #5, a 2 year old, lacked DTAP/DTP/TD immunizations, Pneumococcal immunizations, a current influenza immunization, and Hepatis A immunizations in accordance with the schedule recommended by the ACIP. The file of Child #5 contained documentation of 3 DTAP/DTP/TD immunizations, 2 Pneumococcal immunizations, and 1 Hepatis A immunization.

Correction Required: 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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First-aid and CPR. The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment. The emergency plan did not include requirements for continuity of operations.

Correction Required: 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, by a family child care home staff person who has completed the required training related to this citation. 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.

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file of Child #5 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #5 had an admission date of 9/1/22 with an emergency contact form signed on 9/26/22.

Correction Required: 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.

Regulation: 3290.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: It was observed that an agreement was not on file at the date of enrollment for Child #5. Child #5's admission date was 9/1/22. The agreement was dated on 9/26/22.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: The facility did not have an emergency plan that provides for accommodations for shelter of children during an emergency including shelter in place at the facility.

Correction Required: 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.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: An emergency drill was not conducted annually.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: The file of Staff #1 lacked documentation of an annual minimum of 12 clock hours of child care training.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid and CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3290.31(g) (10) within 90 days of hire. Staff person #1 will have until November 2, 2022, to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Household Member #2 lacked a Child Abuse Clearance updated every 60 months. Household Member #2 had a Child Abuse Clearance dated 9/9/21 with a previous one dated 11/30/15.

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.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed Quick Drying Epoxy which indicated "keep out of the reach of children" in the 1st drawer beside the refrigerator in the kitchen which was accessible to children.

Correction Required: 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.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The operator or designated staff person did not ensure that fire drills are conducted at least once every 60 days. The operator provided documentation that fire drills were conducted on 9/28/21, 11/22/21, 1/31/22, 3/31/22, 5/27/22, 7/27/22.

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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The operator did not ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Evacuation routes are posted on the first floor but not the basement or 2nd floor.

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: The facility was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 9/28/21, 10/29/21, 11/22/21, 12/20/21, 1/31/22, 2/25/22, 3/31/22, 4/27/22, 5/27/22, 6/24/22, 7/27/22, and 8/19/22.

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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #1 lacked the health insurance coverage and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The operator lacked a copy of the updated emergency plan sent to the local municipality and 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff #1 and household member #2 were observed having FBI clearances dated 12/2/15, exceeding 60 months between renewals. Receipts for a new FBI clearances were observed on file dated 9/24/21. Household member #2 lacked a disclosure statement on file.

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 until all clearances are obtained.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The operator lacked documentation showing the fire detection system was checked on a monthly basis beginning in November of 2020.

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: The facility lacked a written plan conspicuously posted 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.

Noncompliance Area: Child #3 was enrolled on 10/10/18 and lacked health assessment.

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: Child #2, #4, and #5 lacked an updated health report every 12 months as a preschool children. The most current health assessment observed for child #2 was dated 9/26/18, the most current health assessment observed for child #4 was dated 10/2/18, and the most current health assessment observed for child #5 was dated 9/26/18.

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: Child #2, who was enrolled on 8/22/18, lacked 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.

Correction Required: 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.

Noncompliance Area: Child #1 lacked an influenza vaccination in accordance with the schedule recommended by the ACIP or a parent exemption letter. Children #2, #4 and #5 lacked written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered in accordance with the schedule recommended by the ACIP. The most current written verification observed for child #2 accompanied the outdated health assessment dated 9/26/18, the most current written verification observed for child #4 accompanied the outdated health assessment dated 10/2/18 and the most current written verification observed for child #5 accompanied the outdated health assessment dated 9/26/18.

Correction Required: 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.

Noncompliance Area: The most current health assessment for staff #1 was dated 8/21/18, exceeding 24 months.

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.

Noncompliance Area: The facility lacked a written statement giving the formula and feeding schedule for an infant observed in care.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The facility lacked a COVID-19 Health and Safety plan and screening procedures to asses the symptoms of COVID-19 for children. The dining room was observed having a vacuum cord laying on the floor and plugged into the wall creating a choking hazard for an infant observed in care.

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

Noncompliance Area: The operator lacked training regarding the emergency plan on an annual basis. No current review of emergency plan was observed.

Correction Required: 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.

Noncompliance Area: Staff #1 lacked a current Pennsylvania State Police (PSP), Pennsylvania Child Abuse clearance, and an National Sex Offender Registry (NSOR) certificate. The most current PSP clearance was dated 7/6/15 and most current Pennsylvania Child Abuse clearance dated 7/8/15. Household member #2 lacked an NSOR certificate.

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 #1 may not work in a child care position at the facility until all clearances and NSOR certificate are obtained.

Noncompliance Area: Staff #1 lacked Mandated Reporter training updated every 60 months. The most current training was dated 6/29/15.

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.

Noncompliance Area: The bathroom sink cabinet accessible to children was observed having an assortment of soaps and cleaners under the sink which had manufacturer labels stating "keep out of reach of children".

Correction Required: 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.

Noncompliance Area: The outdoor play space was observed having adult and child glider swings with torn fabric on the seats.

Correction Required: 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.

Noncompliance Area: The hutch located in the dining room was observed having a glue stick in an unlocked bottom cabinet accessible to all ages of children in care with a manufacture label stating "Keep of reach of children 3 years and younger, choking hazard".

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The rest equipment lacked labels for the use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The above ground swimming pool located in the back yard was observed having a plastic bench beside the pool making the outer barrier less than 48 inches, not in compliance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Correction Required: An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Noncompliance Area: The file for child #1 was observed having the most recent health assessment on file dated 9/13/16, exceeding 12 months as an older toddler or preschool child.

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: Child #1 lacked and current review of the child's immunized status according to the recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: On 9/17/19 at 10:15 AM a box fan located in the 1st floor dining room window was observed in use and accessible to children in care. A Pack N' Play being utilized for infant rest equipment was observed having excessive fabric creating a possible sleeping hazard for infants.

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

Noncompliance Area: The emergency contact information and financial agreement for child #1 lacked parental review and updated at least once in a 6-month period between 9/5/18 and 9/10/19.

Correction Required: 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.

Noncompliance Area: Staff #1 lacked a biennial minimum of 12 clock hours of child care training.

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

Noncompliance Area: A cabinet approximately 60 inches in height and 36 inches in width located in the dining room lacked anchoring to the wall creating a possible tipping hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: The living room was observed having peeling paint at the bottom of both archway exits leading out of the room.

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

Noncompliance Area: The facility was observed having ammunition located on the top of a locked gun cabinet.

Correction Required: If the facility is located in a residence, ammunition shall be contained in a locked area separate from weapons and firearms.

Noncompliance Area: Two Pack N' Plays lacked labels specifying the child for whom it was to be used.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The operator lacked a general menu to discuss with the parent so that the daily nutritional needs of the child can be met.

Correction Required: The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

Noncompliance Area: The files for children #1 and #2 lacked parental review and update to the emergency contact forms and financial agreements at least once in a 6-month period. Child #1 was observed having review dates of the emergency contacts and financial agreement on 7/6/17 and 9/5/18, exceeding six months. Child #2 was observed having review dates of the emergency contacts and financial agreement on 8/29/17 and 9/5/18, exceeding six months.

Correction Required: 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.

Noncompliance Area: The outdoor play space lacked 6 inches of loose-fill under the fall zone of the embedded children's play house.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The files for children #2 and #5 lacked the home and work addresses and telephone numbers of the enrolling parent.

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

Noncompliance Area: The files for children #3 and #5 lacked documentation of the health insurance coverage and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The files for children #2 and #3 lacked address and telephone number of the individual 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.

Noncompliance Area: The files for children #1, #2, #3, #4, and #5 lacked update to the emergency contact information and the financial agreement at least once in a 6-month period in the previous year. Current review dates were on file.

Correction Required: 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.

Noncompliance Area: Child #5 lacked a written statement giving the formula and feeding schedule from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The files for children #3 and #5 lacked signed parental consent for emergency medical care and administration of minor first-aid procedures by facility staff.

Correction Required: A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Noncompliance Area: The outdoor play space was observed having a hammer/nails and 3 pieces of rebar accessible to children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility`s outdoor play area, shall be kept clean, in good repair and free from visible hazards.