Angela Brake Group Day Care Home

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a broken white pitcher in the sand box. Observed a peeling cover on a child's Mickey Mouse table in the play area. Observed exposed foam and peeling covers on two red/blue rest mats in the childcare 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: 3280.131(a)

Description: Health Information

Noncompliance Area: Observed child file #1 contained an initial health assessment which was dated (6/17/25) more than 15 months after child #1first day of attendance at the facility.

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.

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Observed child file #2, a young toddler, contained a most recent health assessment which was dated more than 8 months ago.

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: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: Observed child file #3, 4, and 5, all preschool age children, contained most recent health assessments which were all dated more than 18 months ago.

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: 3280.133(4)

Description: Locked

Noncompliance Area: Observed a bottle of tylenol on a cabinet in the upstairs area which was accessible to school age children in care.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: Observed an able child's hands were not washed after being diapered.

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

Regulation: 3280.166(4)

Description: Bottles labeled

Noncompliance Area: Observed a bottle which was not labeled with the child's name.

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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: Observed the most recently documented emergency drill was conducted (7/3/24) more than 18 months ago.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: Observed the documentation of annual staff training in the emergency plan revealed that the most recent staff training in the emergency plan (6/1/26) for staff file #1, 2, and 3 was conducted more than 18 months after the previous staff training in the emergency plan (8/1/24).

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: 3280.76

Description: Building Surfaces

Noncompliance Area: Observed a splintering fence post by the purple chair in the outdoor play area.

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint on a close line post within the outdoor play space.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Observed the documented fire alarm testing log revealed the last documented testing of the fire alarms was conducted on 1/2/26.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Observed the emergency contact information for child file #3, did not contain 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: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: Observed child files #1 and #2, both preschool children, contained most recent health assessments which were dated more than 18 months ago.

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: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed staff files #1, #2, and #3 contained updated NSOR certificates which were dated more than 62 months after the previous valid NSOR certificate. Observed staff file #3 contained an updated FBI fingerprint clearance which was dated 61 months after the previous valid FBI clearance. Observed household member #4 file contained a most recent NSOR certificate which was more than 60 months old.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -4- may not be in the childcare space at the facility while children are in care.

Regulation: 3280.51

Description: Maximum Number of Children

Noncompliance Area: Observed 13 unrelated children in care, playing in the outdoor play space at the time the inspection was initiated.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed hand sanitizer and laundry detergent, both labeled "keep out of the reach of children", accessible to children on a low shelf in the child care space.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Observed three times within the previous 12 months, the fire alarm testing revealed it was completed more than 30 days apart. These dates were 12/23/24-1/27/25, 1/27/25-2/28/25, and 3/28/25-4/30/25.

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.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a cracked sand table toy with a rough edge. Observed a changing pad with a peeling cover and exposed foam.

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: 3280.118(c)

Description: Vet's certificate required

Noncompliance Area: Observed the cat at the facility had an expired rabies tag.

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: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: Observed child file #1, an older toddler, contained a most recent health assessment which was more than 24 months old.

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: 3280.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Observed child file #2, did not contain a written, signed, and dated statement of exemption from immunizations from the child's parent or guardian.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: Observed the most recent documented emergency drill was conducted more than 18 months ago.

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

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed an electrical outlet on a power cord in the outdoor play area which did not have a protective receptacle cover.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed hand sanitizer, labeled "keep out of the reach of children", accessible to children in an unlocked drawer of the changing table.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Observed the documented fire alarm testing log revealed that 2 times in the previous 12 months, the fire alarms were tested more than 30 days apart.

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.

Regulation: 3280.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: 2nd citation. Previously cited on 6/21/21 under SIN-00225830. Observed embedded equipment in the outdoor play space with approximately 6 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

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.

Regulation: 3280.105(b)

Description: No bed linens alone

Noncompliance Area: At approximately 12:00 PM Certification Staff observed Staff #2 place a child on only a blanket to nap.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Regulation: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: 2nd citation. Previously cited on 6/21/21 under SIN-00225830. A staff person did not ensure that children's hands were washed before lunch.

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

Regulation: 3280.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Certification Staff observed Staff #1 place a soiled diaper in a plastic bag instead of immediately placing the diaper into a plastic-lined, hands-free covered can. The facility lacked a plastic-lined, hands-free covered can by the changing table on the porch in the outdoor play space.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 2nd citation. Previously cited on 6/21/23 under SIN-00225830. The emergency plan did not address 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.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a torn mat with exposed foam on the porch in the outdoor play space. Observed torn mesh in the pop-up tent in the outdoor play space. Observed approximately a 12-inch tear in the tunnel in the outdoor play space. Observed cracked LEGOS with rough edges in the basement.

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: 3280.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: Observed embedded equipment in the outdoor play space with approximately 6 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

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.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #2 lacked 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: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the living room and computer room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The files of Children #2 and #5 lacked a current influenza immunization in accordance with 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: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: A staff person did not ensure that children's hands were washed before the afternoon snack.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The emergency plan did not address 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.

Regulation: 3280.151(a)

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

Noncompliance Area: Staff #1 and #3 lacked documentation of a health assessment conducted every 24 months. The file of Staff #1 contained a health assessment dated 6/15/21. The file of Staff #3 contained a current health assessment dated 5/31/23 with a previous one dated 5/20/21.

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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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: 3280.152

Description: Adult Hygiene

Noncompliance Area: Facility persons did not wash their hands before afternoon snack.

Correction Required: 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: The emergency contact and agreement for Child #1 was not reviewed and updated at least once in a 6-month period. Child #1's emergency contact and agreement were reviewed on 6/6/22, 1/9/23, and 6/1/23. The emergency contact and agreement for Child #3 was not reviewed and updated at least once in a 6-month period. Child #3's emergency contact and agreement were reviewed on 6/6/22, 1/8/23, and 6/1/23. The agreement for Child #4 was not reviewed and updated at least once in a 6-month period. Child #4's agreement was reviewed on 6/6/22, 1/9/23, and 6/1/23.

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: 3280.31(e)

Description: Age and training

Noncompliance Area: The files of Staff #1, #2, and #3 lacked documentation of obtaining an annual 12 clock hours of child care training.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed 4 bottles of Purell Advanced Hand Sanitizer which indicated "keep out of the reach of children" under the bathroom sink in the basement 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: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The primary staff person or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 7/30/22, 8/23/22, 9/22/22, 10/24/22, 12/23/22, 1/2/23, 3/6/23, 5/8/23, and 6/7/23.

Correction Required: The primary staff person 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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility was unable to provide written documentation 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 8/29/22, 9/22/22, 10/24/22, 12/23/22, 1/2/23, 3/6/23, 5/8/23, and 6/7/23. The facility did not have a charged fire extinguisher rated for Class B fires in the kitchen.

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.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: 2nd citation. Previously cited on 6/27/22. The file of Child #1 lacked the persons designated by a parent to whom the child may be released on the agreement.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: 2nd citation. Previously cited on 6/27/22. The file of Child #1 lacked the home address, work address and 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: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: 2nd citation. Previously cited on 6/27/22. Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: 2nd citation. Previously cited on 6/27/22. An emergency drill was not conducted annually. The facility had no documentation of an emergency drill being conducted.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: 2nd citation. Previously cited on 6/27/22. 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 7/19/21, 8/31/21, 9/29/21, 10/29/21, 11/30/21, 12/22/21, 1/28/22, 2/28/22, and 3/31/22.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed approximately a 1 inch crack on the corner of the Little Tykes Coupe creating rough edges and pinch points in the outdoor play space. Observed a rest mat with exposed foam.

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: 3280.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: Observed embedded equipment in the outdoor play space with approximately 4 inches of mulch. The Consumer Product Safety Commission recommends 9 inches of mulch as protective surface covering.

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.

Regulation: 3280.102(f)

Description: Hazardous toys and equipment

Noncompliance Area: Observed a Bumbo seat which lacked a restraint belt on the back porch located in the outdoor play space.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: Observed plastic bags in bins at the bottom of the basement stairs, under the changing table in the basement, and in a plastic bin beside the bathroom sink in the basement which were accessible to children.

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: 3280.105(j)

Description: Prohibit items in crib

Noncompliance Area: At approximately 9:35 AM Certification Staff observed toys present in a pack 'n play while an infant was sleeping in the pack 'n play.

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

Regulation: 3280.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: At approximately 9:40 AM Certification Staff observed two children playing under the carport located outside of the outdoor play space where no staff were physically present.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file of Child #5 lacked the child's departure times on the agreement.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file of Child #5 lacked the persons designated by a parent to whom the child may be released on the agreement.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of Child #3 lacked the complete work address of the enrolling parent on the emergency contact form. The file of Child #5 lacked the home address, work address and 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: 3280.124(b)(4)/3280.182(3)

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

Noncompliance Area: The file of Child #1 lacked written consent signed by a parent for emergency medical care prior to admission on the emergency contact form. Child #1 had an admission date of 4/18/22 with an emergency contact form signed on 4/20/22.

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: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file of Child #1 contained an emergency contact which lacked 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 or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of Child #4 lacked the address and telephone number 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: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child #1, a 27 month old, and Child #2, an 8 month old, lacked a current influenza immunization in accordance with the 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: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: Observed staff not ensuring a child's hands were washed after being diapered.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: 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.

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.

Regulation: 3280.151(a)

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

Noncompliance Area: The file of Staff #2 lacked a health assessment conducted every 24 months. The file of Staff #2 contained a current health assessment dated 6/21/21 with a previous one dated 5/28/19.

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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.182(5)

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

Noncompliance Area: The file of Child #1 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #1 had an admission date of 4/18/22 with an emergency contact form signed on 4/20/22.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: An emergency drill was not conducted annually. The facility had no documentation of an emergency drill being conducted.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The files of Staff #1, #2, and #3 lacked documentation of receiving training regarding the emergency plan on an annual basis.

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: 3280.31(e)

Description: Age and training

Noncompliance Area: The files of Staff #1, #2, and #3 lacked documentation of obtaining an annual 12 clock hours of child care training.

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

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: The files of Staff #1, #2, and #3 lacked documentation of renewing their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. The files of Staff #1, #2, and #3 contained documentation of first-aid and CPR training completed on 5/18/22 with previous training completed on 1/24/20.

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: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff persons #1, #2, and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-aid/CRP from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff person(s) shall complete professional development in the topics of 3280.31(f) (10) within 90 days of hire. Staff person #1, #2, and #3 will have until July 28,2022 to complete the required training. Until such time as the required training has been completed, staff person #1, #2, and #3 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #2, and #3, staff person #1, #2, and #3 may not work in a child-care position at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Staff #3 lacked a Child Abuse Clearance updated every 60 months. The file of Staff #3 contained a Child Abuse Clearance dated 5/11/21 with a previous one dated 5/10/16. The file of Household Member #4 lacked a Child Abuse Clearance updated every 60 months. The file of Household Member #4 contained a Child Abuse Clearance dated 5/11/21 with a previous one dated 5/10/16.

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: 3280.34(b)(5)

Description: HS/GED + 2 yrs

Noncompliance Area: Staff #1 and #2, who were designated as primary staff, lacked documentation of 2 years of experience with children.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children

Regulation: 3280.79(c)

Description: Ammunition locked and separate

Noncompliance Area: Certification staff observed ammunition in an unlocked cabinet in the Master Bedroom.

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The primary staff person or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation that fire drills were conducted on 6/15/21, 7/19/21, 8/31/21, 9/29/21, 10/29/21, 11/30/21, 12/22/21, 1/28/22, 3/31/22, and 5/31/22.

Correction Required: The primary staff person 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: 3280.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The primary staff person or designated staff person did not ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The primary staff person or designated staff person did not ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Evacuation routes are posted in the basement but not on the first and second floors.

Correction Required: The primary staff person 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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/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 7/19/21, 8/31/21, 9/29/21, 10/29/21, 11/30/21, 12/22/21, 1/28/22, 2/28/22, and 3/31/22.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.