Amy Daycare Llc

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 2/24/2026, the emergency contact information for Child #1 did not include the health insurance coverage and 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.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: On 2/24/2026, the updated health report on file for Child #1, a young toddler did not include a review of the child's immunized status according to recommendations of the ACIP. See LIS code sheet.

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 childcare group settings). Child #1 must be dismissed from care by close of business 2/24/2026 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3280.134(a)/3280.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During the renewal inspection on 2/24/2026, Staff #2 was observed changing a diaper for a child. It was observed that Staff #2 did not wash the child's hands or their own hands after changing the diaper.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 2/24/2026, the emergency contact information and the financial agreement for Child #1 were not signed to review and update by a parent within the previous 6 months. See LIS code sheet.

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: 3280.182(3)/3280.182(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 2/24/2026, the record/emergency contact information for Child #2 and Child #3 did not contain signed parental consent for emergency medical care for the child and also did not contain signed parental consent for administration of minor first-aid procedures by facility staff. See LIS code sheet.

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: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: Upon arrival to the Renewal Inspection on 2/24/2026 at 10:25 AM, Staff #2 was observed to working alone with a mixed age group of 1 infant, 2 young toddlers and 2 older toddlers. Two staff persons are required to maintain the required staff to child ratios for this mixed age group of children. Staff #1, the operator arrived at the facility at 11:14 AM.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b). TIERED LIS: 1. The required staff to child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The operator must print and post the required staff to child ratios in each measured childcare space. The operator shall provide a date for when this will be completed.

Regulation: 3280.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During the Renewal Inspection on 2/24/2026, the back exit door of the facility had a bucket, a mop and two brooms blocking the door. These items obstructed the emergency means of egress for the back door of the facility.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On 2/24/2026, the fire drill/fire detection log at the facility showed that the fire alarm system had not been manually tested since 1/20/2026.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. The fire alarm system at the facility shall be manually tested at least once every 30 days.

Regulation: 3280.105(j)

Description: Prohibit items in crib

Noncompliance Area: On 5/6/2025, Child #1 an infant was observed sleeping in a crib while there were bumper pads present in the crib. See LIS code sheet.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: On 5/6/2025, Staff person #1 was observed to be caring for a child unsupervised. Staff person #1 had not completed the following pre-service training required prior to caring for children unsupervised: Part 1 of the pre-service health and safety training.

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 training is completed, staff #1 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 5/6/2025, Staff #1 was observed working with a child at the facility. Staff #1 did not have the completed National Sex Offender Registry (NSOR) clearance on file on 5/6/2025.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Staff #1 may not work in a childcare position at the facility until the completed National Sex Offender Registry (NSOR) clearance is on file.

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: on 5/6/2025, the grass outside in the outdoor play area was observed to be knee high on this Cert. Rep. This made the length of grass too high for children to play safely in.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On 5/6/2025, the fire drill/fire detection log showed that the fire alarm system was last tested manually on 4/1/2025.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. The fire alarm system must be manually tested at least once every 30 days.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: On 2/14/2025, the operator had not yet sent the emergency plan 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.