Jessica Courtney

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: During a renewal inspection conducted on 10/25/2025, the operator did not have the feline pet's veterinarian's certificate of current rabies immunization.

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

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

Noncompliance Area: During a renewal inspection conducted on 10/15/2025, 2 child files were reviewed. Child # 1 and 2 files contained emergency contact forms that did not have the section regarding parental consent for emergency medical care addressed.

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(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection conducted on 10/15/2025, 2 child files were reviewed. Child # 2 file contained an emergency contact form that was not updated every 6 months as required. Child # 2 emergency contact form was signed on 7/27/2024 and updated on 9/9/2025.

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.

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: During a renewal inspection conducted on 10/15/2025, 2 staff files were reviewed. Staff person # 1 fie did not contain verification of a TB screening at initial employment.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department. 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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection conducted on 10/15/2025, 2 child files were reviewed. Child # 1 and 2 files contained fee agreements that were not updated every 6 months as required. Child # 1 fee agreement was signed on 1/23/2025 with no 6 month review. Child # 2 fee agreement was signed on 8/27/24 and updated on 6/19/2025.

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.

Regulation: 3290.182(5)

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

Noncompliance Area: During a renewal inspection conducted on 10/15/2025, 2 child files were reviewed. Child # 1 and 2 files contained emergency contact forms where the section regarding parental consent for minor first aid was not addressed.

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: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: During a renewal inspection conducted on 10/15/2025, 2 staff files were reviewed. Staff person # 1 and 2 files did not contain verification of annual training on the facility's emergency plan.

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.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During a renewal inspection conducted on 10/15/2025, 2 staff files were reviewed. Staff person # 1 and 2 files did not contain verification of 12 hours of annual childcare training.

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: During a renewal inspection conducted on 10/15/2025, 2 staff files were reviewed. Staff person # 1 file contained clearances that were not updated in a timely manner and left the staff person without the necessary clearances to work with children. Staff person # 1 file contained a PA state police clearance that was valid from 8/13/2019 to 8/13/2024. The new clearance was obtained on 10/15/2024. Staff person # 1 Child Abuse clearance was valid from 4/8/2020 to 4/8/2025. The new clearance was obtained on 10/7/2025. Staff person # 1 FBI clearance was valid from 4/15/2020 to 4/15/2025. The new clearance was obtained on 10/6/2025. Staff person # 1 NSOR clearance was valid from 2/12/2020 to 2/12/2025. The new clearance was obtained on 10/10/2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 should not have been allowed to work in a child care position at the facility while the clearances were expired.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: During a renewal inspection conducted on 10/15/2024, 4 child files were reviewed. Child # 3 and 4 files contained fee agreements that were not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: During a renewal inspection conducted on 10/15/2024, 4 child files were reviewed. Child # 1,2,3 and 4 files contained fee agreement forms that did not address extra services offered at the facility.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: During a renewal inspection conducted on 10/15/2024, 4 child files were reviewed. Child # 1 file contained an emergency contact form that did not address the child's special needs.

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: During a renewal inspection conducted on 10/15/2024, 4 children were reviewed. Child # 2 file contained an emergency contact form that did not list the child's health insurance 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During a renewal inspection conducted on 10/15/2024, 4 child files were reviewed. Child # 3 file contained an emergency contact form that did not list the address for 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: 3290.192(2)

Description: Health assessment, TB test

Noncompliance Area: During a renewal inspection conducted on 10/15/2024, 2 staff files were reviewed. Staff member # 1 file did not contain a valid health assessment. Staff member # 2 file did not contain an initial hire TB test.

Correction Required: 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: 3290.31(a)(2)

Description: Age and training

Noncompliance Area: During a renewal inspection conducted on 10/15/2024, 2 staff files were reviewed. Staff member # 2 file did not contain verification of education.

Correction Required: Have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department no later than the submission of the second renewal application.

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

Description: Age and training

Noncompliance Area: During a renewal inspection conducted on 10/15/2024, 2 staff files were reviewed. Staff member #1 file did not contain verification of training in 1st Aid / CPR.

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: During a renewal inspection conducted on 10/15/2024, 2 staff files were reviewed. Staff member # 1 file did not contain PA state police clearance. Staff member # 2 file did not contain a valid Child Abuse clearance. Facility Person # 1 and 2 may not work in a child care position at the facility.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and 2 may not work in a child care position at the facility.

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: On 01/12/2023. during the renewal inspection, toy cars were present with parts less than 1 inch in diameter and accessible to children who are still placing objects in their mouths.

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.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: On 01/12/2023, during the renewal inspection, the financial agreement for child #3 was not signed by the parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: On 01/12/2023, during the renewal inspection, the financial agreement for child #1 did not specify the admission date. .

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

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 01/12/2023, during the renewal inspection, the emergency contact information for child #1and #5 did not include the address of the individuals designated by the parent to whom the child may be released to.

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: 3290.151(a)/3290.192(2)

Description: Within 3 months, then 12 months/Health assessment, TB test

Noncompliance Area: On 01/12/2023, during the renewal inspection, the file for facility person #3 did not include an health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility. 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: On 01/12/2023, during the renewal inspection, the facility did not have the following as required: The facility's emergency plan did not address "Continuity of operations" after an emergency situation. The facility did not have a policy on the " Prevention of Shaken Baby Syndrome, Abusive Head Trauma , and Child Maltreatment."

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: On 01/12/2023, during the renewal inspection, the water temperature in the basement bathroom located next to the childcare space was extremely hot, which slighty burned one of the children's fingers. The temperature of the water measured at 115 degrees.

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

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 01/12/2023, during the renewal inspection, the emergency contact information for child #1, #2 and #4 did not contain parental signed consent for emergency medical care and for 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.

Regulation: 3290.192(1)

Description: Name, address, and phone

Noncompliance Area: On 01/12/2023, during the renewal inspection, the file for facility person # 3, who was acknowledged to be a volunteer at the facility, did not include the name, address, and telephone number of the facility person.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: On 01/12/2023, during the renewal inspection, there was no evidence on file that facility person #3, who was acknowledged to be a volunteer at the facility, was trained on the facility's emergency plan.

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.

Regulation: 3290.31(c)

Description: Age and training

Noncompliance Area: On 01/12/2023, during the renewal inspection, there was no evidence on file to confirm the age of facility person #3, who was acknowledged to be a volunteer at the facility,

Correction Required: A volunteer shall be 16 years of age or older. A volunteer shall be directly supervised at all times by a staff person.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 01/12/2023, during the renewal inspection, the following was cited for CPSL requirements: The file for facility person #3 did not include a PA Criminal clearance, a PA Child Abuse clearance, and the National Sex Offender Registry Clearance nor any request for the clearances. There was no updated Pa Criminal and PA Child Abuse on file at the facility for individual #1. There was no updated Pa Child Abuse for individual #2.

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: 3290.73(c)

Description: Has all items

Noncompliance Area: On 01/12/2023, during the renewal inspection, the first aid kit located in the basement area was missing soap. The first aid kit located next to the kitchen was missing tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: On 01/12/2023, during the renewal inspection, damaged sheetrock was present in the basement bathroom area, by the toilet paper holder. Dirty leaves were present all over the back yard and all over the toys accessible to the children. A black metal pull cart was present in the playspace creating a visible 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: During the renewal inspection child #1-3 fee agreement did not specify the persons designated by a parent whom the child may be released on file.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: During the renewal inspection child #1 fee agreement was not updated once in a 6-month period.

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: During the renewal inspection child #2 emergency contact did not contain signed parental consent for administration of minor first-aid procedures on file.

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.

Noncompliance Area: During the renewal inspection staff #2 did not have emergency plan training on file.

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: During the renewal inspection staff #2 did not have state police, child abuse and FBI clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: During the renewal inspection the first-aid kit did not contain scissors and tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: DURING RENEWAL INSPECTION, CERT REP OBSERVED MISSING TELEPHONE NUMBER OF PHYSICIAN FOR CHILD 3 AND CHILD 4.

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: DURING RENEWAL INSPECTION, CERT REP OBSERVED MISSING HEALTH INSURANCE POLICY NUMBER FOR CHILD 1, CHILD 2 AND CHILD 3.

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: DURING RENEWAL INSPECTION, CERT REP OBSERVED OUTDATED REVIEW OF FINANCIAL AGREEMENTS FOR CHILD 1, CHILD 2, CHILD 3 AND CHILD 4.

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: DURING RENEWAL INSPECTION, CERT REP OBSERVED MISSING 6 HOURS OF REQUIRED TRAINING IN CHILDCARE IN THE FILE OF STAFF 1.

Correction Required: A facility person's record shall include records of training required by the Department.

Noncompliance Area: The rest cots were not labeled specifically for a particular 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 operator has not completed a financial agreement with the parents of child #1, 2 and 3 or for any parent of the children enrolled.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The operator has not completed a 6 month review with the parent of child #1, 2 and 3, or any parent of enrolled children, of information about the child's growth and development in the context of the services being provided.

Correction Required: 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).

Noncompliance Area: The emergency contact information for child #2 and 3 did not include the name, address and telephone number of the child`s physician.

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: The emergency contact information for child #1-3 did not include the health insurance coverage an/or policy number for the child.

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 emergency contact information for child #2 and 3 did not include the address 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 operator is not completing the required 6 month reviews of the emergency contact information and financial agreements with parents.

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 parent of child #2 did not sign parental consent for emergency medical care for the child.

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.

Noncompliance Area: The parent of child #2 did not sign parental consent for administration of minor first-aid by facility staff.

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.

Noncompliance Area: The parent of child #2 did not sign parental consent for transportation and walking excursions.

Correction Required: A child`s record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The applicable regulations under which the facility is certified (Chapter 3290) was not posted in the facility.

Correction Required: The facility`s current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: Staff person #1 completed first-aid training online on 2/15/17.

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: Staff person #1 did not sign an updated disclosure statement, as required by CPSL. The volunteer observed at the facility on the day of the inspection has an expired State Police clearance, dated 5/12/2010 and an expired Child Abuse clearance, dated 5/20/2010, on file at the facility. The volunteer did not sign an updated disclosure statement, as required by CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The first-aid kit was missing scissors and soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: The first-aid kit the facility uses for excursions was missing scissors and soap.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3290.73(c).

Noncompliance Area: Chipped paint was observed on different areas on the walls in the dining room of the facility.

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 operator did not develop or post the facility's fire evacuation plan.

Correction Required: Fire evacuation plans shall be developed and posted.