Angela Caraballo

Regulation: 3290.121(b)

Description: Given parents in writing

Noncompliance Area: Child # 3 did not have their fee agreement or emergency contact form completed at time of enrollment on 7/7/25. Fee agreement and emergency contact forms were on file and dated for 7/15/25 for child # 3.

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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: Child # 3 did not have a health assessment on file until more than 60 days from time of enrollment. Health assessment is from 9/25/25.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3290.165

Description: Menus

Noncompliance Area: Facility operator serves meals and does not have a menu.

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.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 1,2 & 4 have not had their emergency contact forms and fee agreements updated in over six months. Child # 1 - 8/28/24 to 8/15/25. Child # 2 - 8/26/24 to 8/16/25 and Child # 4 - 9/23/24 to 8/19/25.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff persons # 1 & # 2 have NSOR's on file that are over sixty months old from 10/2/20. Facility staff # 2 has a Dept of Education FBI clearance on file from 11/22/16. Facility staff # 2 does not have 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. Facility Person #1 may not work in a childcare position at the facility. Facility Person # 2 will not be in the home while childcare is taking place at the facility until both clearances are approved and on file.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Child # 1,2,3 & 4 do not have a date of admission listed anywhere in their file.

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

Regulation: 3290.151(a)(2)

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

Noncompliance Area: Facility staff # 1 did not have a health assessment conducted in over 24 months from 9/13/22 to 10/3/24.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: There is an unlabeled pack n play in the kitchen used for a child enrolled at the facility.

Correction Required: 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: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: During a complaint investigation on 10/1/24 facility operator admitted to certification rep that she answered the front door of the facility for another agency worker and left 3 children unsupervised and alone in the backyard. The children were an infant and two preschool aged children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). Children must be supervised at all times. The legal entity must submit a policy that needs to be approved by the certification representative from the NE Regional office on How the Legal Entity will ensure all children are supervised at all times, including when they are outside playing in the backyard, and when someone comes to the front door. The legal entity will ensure compliance and follow the policy at all times when applicable once the regional office representative approves the policy. The policy will be sent to the certification representative to be approved prior to implementation. Any staff hired will review and sign they understand the policy at time of hire.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: During a complaint investigation on 10/1/24 facility operator admitted to certification rep that she answered the front door of the facility for another agency worker and left 3 children unsupervised and alone in the backyard. The children were an infant and two preschool aged children.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). Children must be supervised at all times.

Regulation: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: There are multiple unlabeled bottles on the counter in the facility kitchen

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: During a complaint investigation, certification rep observed facility back yard used by the children, has the facility fence gated rope tied open to the back alley. There are no barriers provided by the facility operator to prevent the children from running into the back alley where cars were observed driving during the inspection. Also observed were a rusty gas grill and gasoline tank on the ground in the backyard accessible to the children.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Facility did not conduct a fire drill in over 60 days from 6/3/24 to 9/2/24.

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: Facility operator has not tested the fire alarm in over 30 days from 8/1/24 to 9/2/24.

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: 3290.106

Description: Refrigerator

Noncompliance Area: During the inspection, the operator did not have an operable thermometer in the refrigerator.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: During the inspection, the Pitbull "Mia" did not have a current rabies vaccine on file 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(a)(3)

Description: Services provided

Noncompliance Area: During the inspection, child #3, child #4 and child #5 did not have child service reports completed in the previous 6 months.

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).

Regulation: 3290.131(b)(2)

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

Noncompliance Area: During the inspection, child #5 did not have an updated and current health report on file. The physical on file was dated 7/18/22.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During the inspection, child #5 was missing the following immunizations: DTAP #4 and HIB #4 and is not immunized according to 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). Child #5 must be dismissed from care by close of business 10/23/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.17(e)/3290.182(7)

Description: Copies of reports in file at facility/Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: During the inspection, the operator admitted to not keeping retaining incident reports at the facility in an accident file.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the inspection, staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 11/15/23.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the inspection, the operator did not have a written plan that addresses the prevention and identification of child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The provider's written policy must include, but is not limited to: recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the inspection, the operator admitted that the parents are not provided information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate 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: 3290.31(f)

Description: Age and training

Noncompliance Area: During the inspection, staff person #1 only had 10 clock hours of child care training during the 12/21-12/22 training period.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the inspection, the childproof lock on the cabinet in the kitchen was broken. Inside the cabinet was a bottle of Clorox. Behind the steps leading to the outback area, there were numerous cans of different sprays and chemicals which stated to "keep out of reach of children." Both of these areas 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: 3290.74(a)

Description: Requirements

Noncompliance Area: During the inspection, there were food wrappers on the floor in the kitchen.

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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the inspection, the operator did not have proof and date of purchase of the interconnected fire alarm system.

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. The operator must maintain proof and date of purchase of an interconnected smoke alarm system with the facility's fire drill logs (62 P.S. § 1016(c)(3) and 55 Pa. Code § 3280.95)

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: During the renewal inspection, the refrigerator temperature measured 48° F.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: During the renewal inspection, the dog, Baby, who was present and around children did not have a current rabies immunization on file. The Rabies immunization that was on file expired 7/27/22.

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: 3290.121(a)/3290.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: During the renewal inspection, the operator did not have written policies identifying the general daily schedule, hours of operation, supervision policies, night care policies, dismissal policies and pick up arrangements.

Correction Required: The operator shall review with the parent, at the time of application, 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. 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: 3290.123(a)

Description: Signed

Noncompliance Area: During the renewal inspection, the agreement on file for child #1 and child #2 was not signed by the parnet.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During the renewal inspection, the child service report on file for child #1, child #2, child #4 was not dated within the previous 6 months. Child #5 did not have a child service report on file and has been enrolled at the facility for more than 6 months (see LIS sheet for date of admission).

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).

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, the address of the individual designated by the parent to whom the child may be released was missing from the emergency contact form for child #4 and child #5.

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(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: During the renewal inspection, the immunization record on file for child #1 and child #2 did not include an annual influenza vaccination or letter of exemption from the influenza vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3290.151(a)/3290.151(c)(2)

Description: Within 3 months, then 12 months/Mantoux TB

Noncompliance Area: During the renewal inspection, staff #3 did not have a health assessment and Tuberculosis screening at initial employment (see LIS code sheet for date of hire).

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. 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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection, the operator did not have written policies identifying volunteer emergency preparedness training in the emergency plan.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection, the operator did not have written policies addressing the prevention and identification of child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The provider's written policy must include, but is not limited to: recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and addressing the prevention and identification of child maltreatment.

Regulation: 3290.182(5)

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

Noncompliance Area: During the renewal inspection, on the emergency contact form for child #3, there was no signed parental consent for administration of minor first-aid procedures 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.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection, the operator did not have verification that the parent of each child enrolled in the facility is given information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare 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 childcare office.

Regulation: 3290.24(b)/3290.24(g)

Description: Emergency plan/Emergency plan

Noncompliance Area: During the renewal inspection, the last written update/review to the emergency plan occurred on 9/27/21 and not within the annual requirement. There was also no verification that the emergency plan was sent to Lehigh County Emergency Management Agency for review.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. 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: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection, staff #2 did not have verification in his file that he was trained in the 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. The operator will ensure staff person #2 receives training on the emergency plan and document the training by 11-9-22.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, staff #1, staff #2 and staff #3 did not have a signed disclosure statement on file. Staff #3 had a Child Abuse clearance on file that was dated 10/11/16 and is expired. The FBI clearance on file was dated 11/22/16 and is expired as well. The mandated reporter training on file was dated 10/12/16 and is expired.

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 #3 may not be present in the home while children are in care until all clearances and mandated reporter training are obtained.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, staff #1, staff #2 and staff #3 did not have a signed disclosure statement on file. Staff #3 had a Child Abuse clearance on file that was dated 10/11/16 and is expired. The FBI clearance on file was dated 11/22/16 and is expired as well. The mandated reporter training on file was dated 10/12/16 and is expired.

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 #3 may not be present in the home while children are in care until all clearances and mandated reporter training are obtained. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection, on the second floor where the bathroom is located for children to use, the doors to the bedrooms were unlocked and accessible to children. Inside these bedrooms contained medication and lotions which are toxic 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: 3290.121(a)/3290.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: At the time of the inspection, there was no verification that the provider reviews or provides the enrolled families information on 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.

Correction Required: The operator shall review with the parent, at the time of application, 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. 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: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: At the time of the inspection, the agreement on file for child #3 did not specify the persons designated by a parent to whom the child may be released.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: At the time of the inspection, the agreement on file for child #1-5 did not contain a date of 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: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, the emergency contact form on file for child #3 and 4 did not have the parent's home or work addresses listed.

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: At the time of the inspection, the emergency contact form on file for child #3 and 4 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.

Regulation: 3290.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: At the time of the inspection, on the health assessment for child #1 and 5 there was no statement stating that the child is able to participate in child care and appears 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: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: An inspection was done by Allentown Health Bureau on 11-10-21. The inspection report had stated that child #1 did not have up to date immunizations. During the complaint investigation on 11-29-21, child #1 was not in accordance with immunizations schedule recommended by the ACIP.

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: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: At the time of the inspection, there was no record of Tuberculosis screening on file for staff #2.

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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: An inspection was conducted by the Allentown Health Bureau on 11-10-21. During this inspection, the operator did not have a valid operational certificate to operate a family child care home. The operator was told to stop operation effective 11-10-21. During the complaint investigation on 11-29-21, the operator still did not have a valid operational certificate to operate a family child care home. The license on file had expired 5/2021. When speaking to the operator, she had stated that children were coming back into enrollment on Wednesday 12-1-21. No authorization from the Allentown Health Bureau was given for this operator to continue operation.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. OPERATOR WILL NOT PROVIDE CHILD CARE SERVICES UNTIL THE OPERATOR OBTAINS A VALID OPERATING CERTIFICATE FROM THE ALLENTOWN HEALTH BUREAU. THE PROVIDER WILL NOT BE PERMITTED TO REOPEN OR OBTAIN A CERTIFICATE OF COMPLIANCE UNTIL A VALID OPERATIONAL LICENSE IS OBTAINED, VERIFIED BY ALLENTOWN HEALTH BUREAU AND SENT TO DHS FOR REVIEW.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: An inspection was conducted by the Allentown Health Bureau on 11-10-21. During this inspection, the operator did not have a valid operational certificate to operate a family child care home. The operator was told to stop operation effective 11-10-21. During the complaint investigation on 11-29-21, the operator still did not have a valid operational certificate to operate a family child care home. The license on file had expired 5/2021. When speaking to the operator, she had stated that children were coming back into enrollment on Wednesday 12-1-21. No authorization from the Allentown Health Bureau was given for this operator to continue operation.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. OPERATOR WILL NOT PROVIDE CHILD CARE SERVICES UNTIL THE OPERATOR OBTAINS A VALID OPERATING CERTIFICATE FROM THE ALLENTOWN HEALTH BUREAU.

Regulation: 3290.22(a)/3290.22(b)

Description: Availability of certificate of compliance and applicable regulations/Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, the instructions for contacting the appropriate regional child care office were not posted at by the Certificate of Compliance. The provider did not have any verification that the parent of each child enrolled in the facility is given information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location. 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: At the time of the inspection, the emergency plan on file did not include accommodations for infants and toddlers during an emergency.

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. The provider will send the updated emergency plan to local and county emergency management agencies for review.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff #1 and 2 did not have signed disclosure statements on file. Staff #2 did not have mandated reporter training on file. Household member #3 did not have an updated FBI clearance on file. The FBI clearance on file was dated 11-22-16 and therefore expired.

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. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff #1 and 2 did not have signed disclosure statements on file. Staff #2 did not have mandated reporter training on file. Household member #3 did not have an updated FBI clearance on file. The FBI clearance on file was dated 11-22-16 and therefore expired.

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. The CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months. HOUSEHOLD MEMBER #3 MAY NOT BE IN THE PRESENCE OF CHILDREN UNTIL A COMPLETED FBI CLEARANCE IS OBTAINED AND SUBMITTED TO DHS FOR REVIEW.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An inspection was done by Allentown Health Bureau on 11-10-21. The inspection stated the outlet in the upstairs bathroom did not have a cover on it. During the complaint investigation on 11-29-21, the outlet still did not have a cover on it and did not have protective covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3290.65(c)

Description: No insects or rodents

Noncompliance Area: At the time of the inspection, a roach was observed crawling across the floor. The operator stated that she does get many roaches.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of the inspection, the last fire drill that was conducted was done on 10-15-21 and the previous one was done on 8-4-21 showing more than a 60 day timeframe of fire drills being conducted.

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: An inspection was done by Allentown Health Bureau on 11-10-21. The inspection stated that evacuation routes were not posted. A complaint investigation was done on 11-29-21 and evacuation routes were missing from each floor of the home.

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: At the time of the inspection, in the basement of the home, there was no smoke detector. The provider was informed that she could not operate without a 10 year lithium ion smoke detector installed in the basement. The provider was not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

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. Children will not be allowed in care until the provider installs an operable 10 year lithium ion smoke detector in the basement and is in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c). A 10 year lithium ion battery smoke detector will be purchased and installed by close of business on 11-29-21. DHS will verify operability of the 10 year lithium ion smoke detector prior to allowing any children into care.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of the inspection, the manual monthly monitoring log of the fire detection devices showed a test date of 10-15-21 and a previous test date of 8-4-21. This reflects more than a 30 day timeframe in which the manual testing was completed. The provider did not have receipts of purchase/installation for the 10 year lithium ion battery smoke detectors that were in place in the home.

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: At the time of the inspection, in the basement of the home, there was no smoke detector. The provider was informed that she could not operate without a 10 year lithium ion smoke detector installed in the basement. The provider was not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

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. Children will not be allowed in care until the provider installs an operable 10 year lithium ion smoke detector in the basement and is in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c).