Blue Sky Family Day Care

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child # 1 & 4 who have not reached school age yet, have not had child service reports completed and have attended the facility more than six 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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child # 3 does not have the medical policy name or number on file.

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: 3290.182(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: Child # 3 does not have signed consent for emergency medical care or minor first aid.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 1 has mandated reporter training and the National Sex Offender clearance on file that are more than 60 months old. Mandated reporter training was done 9/4/20 and the NSOR was completed 9/11/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a childcare position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: There is toxic Purell hand sanitizer in the kitchen on the dryer that is accessible to the children going to the childcare space downstairs.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Facility operator did not test the alarms in over 30 days from 7/1/25 to 8/1/25.

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

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: There is a broken Lego car an infant is playing with.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: There are small fuzzy balls with a diameter less than 1 inch on a shelf accessible to children still placing objects in their mouth.

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: 3290.105(f)

Description: 2 feet apart

Noncompliance Area: A crib with an infant in it at the time of the inspection does not have 2 feet of space on three sides of the crib.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3290.133(3)

Description: Name on bottle

Noncompliance Area: There is Aveeno diaper cream used on an infant that does not have the name of the child for whom the diaper cream is for. There is Vaseline used on an infant that does not have the name of the child for whom it is for.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Facility operator has soiled diapers in a diapering can that is not lined with anything.

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: 3290.135(e)

Description: Every 2 hours

Noncompliance Area: Child # 1 was at the facility over 2 hours while inspection took place, and provider did not check the diaper.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: Bottles used by a child at the facility are not labeled.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Facility did not conduct fire drills in over 60 days from 6/1/24 to 8/1/24.

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: The facility alarms were not tested in overs 30 days from 8/1/24 to 9/1/24.

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: 3290.11(h)(2)(ii)/3290.32(a)

Description: Clearances for individuals residing in home/Comply with CPSL

Noncompliance Area: During the renewal inspection on 9/11/23, household member #2 and household member #3 did not have any clearances on file and moved into the residence on September 6th, 2023. An acceptable plan of correction was obtained from the operator stating that the correction would be implemented by 9/11/23. A follow up inspection was conducted on 10/16/23 and on 10/20/23. Household member #2 did not have any clearances on file and moved into the residence on September 6th, 2023. She was present in the home while children were in care.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the child care facility at least 30 days in a calendar year if the individual moved into the child care facility following the date of the previous application for a certificate of compliance. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Household member #2 will not be present in the family child care home while children are present or during the family child care operating hours until all required clearances are on file. The Regional office will verify correction of this violation over the course of two unannounced inspections.

Regulation: 3290.11(h)(2)(ii)/3290.32(a)

Description: Clearances for individuals residing in home/Comply with CPSL

Noncompliance Area: During the renewal inspection on 9/11/23, household member #2 and household member #3 did not have any clearances on file and moved into the residence on September 6th, 2023. An acceptable plan of correction was obtained from the operator stating that the correction would be implemented by 9/11/23. A follow up inspection was conducted on 10/16/23 and on 10/20/23. Household member #2 did not have any clearances on file and moved into the residence on September 6th, 2023. She was present in the home while children were in care.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the child care facility at least 30 days in a calendar year if the individual moved into the child care facility following the date of the previous application for a certificate of compliance. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During an inspection on 9/11/23, the operator did not have smoke detectors that were interconnected and approved by a testing laboratory recognized by OSHA to test and certify smoke alarms. The operator is not in compliance with 35 P.S. § 1223. The operator submitted an acceptable plan of correction stating that the correction would be implemented by 9/30/23. A follow up visit was conducted on 10/20/23. The operator still does not have smoke detectors that were interconnected and approved by a testing laboratory recognized by OSHA to test and certify smoke alarms. The operator is not in compliance with 35 P.S. § 1223.

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, there were 2 refrigerators in the kitchen which held potentially hazardous foods. The mini fridge did not contain an operating thermometer.

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: 3290.11(h)(2)(ii)/3290.32(a)

Description: Clearances for individuals residing in home/Comply with CPSL

Noncompliance Area: During the renewal inspection on 9/11/23, household member #2 and household member #3 did not have any clearances on file and moved into the residence on September 6th, 2023.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the child care facility at least 30 days in a calendar year if the individual moved into the child care facility following the date of the previous application for a certificate of compliance. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Household member #2 and household member #3 will not be present in the family child care home while children are present or during the family child care operating hours until all required clearances are on file. The Regional office will verify correction of this violation over the course of two unannounced inspections.

Regulation: 3290.11(h)(2)(ii)/3290.32(a)

Description: Clearances for individuals residing in home/Comply with CPSL

Noncompliance Area: During the renewal inspection on 9/11/23, household member #2 and household member #3 did not have any clearances on file and moved into the residence on September 6th, 2023.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the child care facility at least 30 days in a calendar year if the individual moved into the child care facility following the date of the previous application for a certificate of compliance. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: During the inspection, while children were in care, a cat with a red collar was observed running from the hallway to the kitchen where the door was open to the outside. The operator had stated the cat belongs to a neighbor and she does not have rabies immunization for them.

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 #1, child #3 and child #4 have not had a child service report on file since 10/11/22. This does not follow the 6 month update requirement.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal, child #4 did not have the name, address and telephone number of the child's physician or source of medical care on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

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

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

Noncompliance Area: During the inspection, on the emergency contact form for child #4, there was no written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the inspection, the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, was missing from the emergency contact form for child #4.

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 the inspection, the name, address and telephone number of the individual designated by the parent to whom the child may be released was missing from the emergency contact form for child #4.

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)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During the inspection, child #1 did not have an annual influenza vaccination or a letter of exemption for the influenza vaccine written by the parent on file.

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 #1 must be dismissed from care by close of business on 9/11/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the inspection, the operator did not have a written policy which includes 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.

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: 3290.181(c)/3290.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: During the inspection, the updated emergency contact form on file for child #4 which reflects a change in residency for the child was not signed or dated by the parent.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3290.182(5)

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

Noncompliance Area: During the inspection, the emergency contact form for child #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: During the inspection, staff person #1 only had 11 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: 3290.65(a)

Description: Trash removed once a day

Noncompliance Area: During the inspection, in the third floor hallway, a trash can was filled with garbage. Next to the trash can was a filled trash bag containing leftover food and garbage.

Correction Required: Trash shall be removed from the facility at least once per day.

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 smoke detectors that were interconnected and approved by a testing laboratory recognized by OSHA to test and certify smoke alarms. The operator is not in compliance with 35 P.S. § 1223.

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 smoke alarms in family child care homes must be interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms. 35 P.S. § 1223.6(f.1)(1.1). At the time of installation, the smoke alarms in family child care homes must be approved by a testing laboratory recognized by OSHA to test and certify smoke alarms. 35 P.S. § 1223.6(f.1)(1.1)(ii).

Regulation: 3290.11(h)(2)(ii)/3290.32(a)

Description: Clearances for individuals residing in home/Comply with CPSL

Noncompliance Area: During the renewal inspection on 9/26/22, household member #2 did not have any clearances on file and moved into the residence in August 2022 (specific date in August unknown by operator). Household member #3 did not have a Child Abuse clearance and a NSOR certificate on file and moved into the residence on June 25th, 2022. During a previous inspection on 7/12/22, the operator did not disclose any additional resident living in the home.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the child care facility at least 30 days in a calendar year if the individual moved into the child care facility following the date of the previous application for a certificate of compliance. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Household member #2 and household member #3 will not be present in the family child care home while children are present or during the family child care operating hours until all required clearances are on file and sent to DHS for review. The Regional office will verify correction of this violation over the course of two unannounced inspections.

Regulation: 3290.11(h)(2)(ii)/3290.32(a)

Description: Clearances for individuals residing in home/Comply with CPSL

Noncompliance Area: During the renewal inspection on 9/26/22, household member #2 did not have any clearances on file and moved into the residence in August 2022 (specific date in August unknown by operator). Household member #3 did not have a Child Abuse clearance and a NSOR certificate on file and moved into the residence on June 25th, 2022. During a previous inspection on 7/12/22, the operator did not disclose any additional resident living in the home.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the child care facility at least 30 days in a calendar year if the individual moved into the child care facility following the date of the previous application for a certificate of compliance. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During the renewal inspection on 9/26/22, there was no child service report on file for child #1, child #2, child #3 and child #4 dated within the past 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection on 9/26/22, the emergency contact form for child # 3 did not have 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: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection on 9/26/22, the operator admitted that she does not send the parents of each child enrolled in the facility the 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 9/26/22, staff person #1, the operator, did not have a current Child Abuse clearance on file. The Child Abuse clearance that was on file was dated 6/23/17. The current PA State Police clearance on file was dated 7/31/22 with the previous clearance dated 6/5/17. The previous clearance would have expired on 6/5/17. This shows a period of where the operator was not current with clearances and not compliance with CPSL requirements.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #1 may not operate a family child care home until the Child Abuse clearance is obtained and sent to DHS for review.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 9/26/22, staff person #1, the operator, did not have a current Child Abuse clearance on file. The Child Abuse clearance that was on file was dated 6/23/17. The current PA State Police clearance on file was dated 7/31/22 with the previous clearance dated 6/5/17. The previous clearance would have expired on 6/5/17. This shows a period of where the operator was not current with clearances and not compliance with CPSL requirements.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection, there was a bottle of Lysol spray and Desitin diaper cream located on the bottom shelf of the changing table. These items 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: 3290.124(b)(2)/3290.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During an onsite unannounced inspection on 4/25/22, the emergency contact form for child #2 did not contain the address of the child's physician. The emergency contact form also did not include health insurance coverage or policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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: 3290.182(5)

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

Noncompliance Area: During an onsite unannounced inspection on 4/25/22, on the emergency contact form for child #1, 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: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: During an onsite inspection on 4/25/22, the provider did not have the lock-down procedures in the emergency plan. Accommodations for infants and toddlers during an emergency were also not included in the plan.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During an onsite inspection on 4/25/22, the operator did not have verification of emergency drills being conducted annually.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During an onsite inspection on 4/25/22, there was no verification that the emergency plan was sent to the city of Allentown for review.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: A renewal inspection was conducted on 9/24/21 and in the back yard play area, there was an area that was washed away from the rain causing a deep trench and a potential tripping hazard for children. A plan of correction was received stating that the violation would be corrected by 10-7-21. At a follow up visit conducted on 11-8-21, the violation was not corrected and the backyard still had an area that was washed away from the rain causing a deep trench and a potential tripping hazard for children. Se llevó a cabo una inspección de renovación el 24/9/21 y en el área de juegos del patio trasero, había un área que fue arrastrada por la lluvia, lo que provocó una zanja profunda y un peligro potencial de tropiezo para los niños. Se recibió un plan de corrección que indica que la infracción se corregirá antes del 10-7-21. En una visita de seguimiento realizada el 8-11-21, la infracción no se corrigió y el patio trasero todavía tenía un área que fue arrastrada por la lluvia, lo que provocó una zanja profunda y un peligro potencial de tropiezo para los niños.

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: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: A renewal inspection was conducted on 9/24/21 , the windows on the second and third floors opened to more than 6 inches. A plan of correction was received stating that the violation would be corrected by 10-7-21. At a follow up visit conducted on 11-8-21, the violation was not corrected and the windows on the second and third floors opened to more than 6 inches. Se llevó a cabo una inspección de renovación el 24/9/21, las ventanas del segundo y tercer piso se abrieron a más de 6 pulgadas. Se recibió un plan de corrección que indica que la infracción se corregirá antes del 10-7-21. En una visita de seguimiento realizada el 8-11-21, la infracción no se corrigió y las ventanas del segundo y tercer piso se abrieron a más de 6 pulgadas.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: At the time of the inspection, there was no file for child #2. En el momento de la inspección, no había ningún expediente para #2 infantil.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

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: At the time of the inspection, on the emergency contact form for child #1, there was no parent signature of consent for emergency medical care for the child and no parent signature of consent of administration of minor first-aid procedures by facility staff. En el momento de la inspección, en el formulario de contacto de emergencia para #1 infantiles, no había firma de consentimiento de los padres para la atención médica de emergencia para el niño ni firma de consentimiento de los padres para la administración de procedimientos menores de primeros auxilios por parte del personal de la instalación.

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: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, there was no verification that the provider gave 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. En el momento de la inspección, no hubo verificación de que el proveedor le diera al padre de cada niño inscrito en la instalación información sobre cómo acceder a las regulaciones en este capítulo electrónicamente y con instrucciones para comunicarse con la oficina regional de cuidado infantil correspondiente. En el momento de la inspección, no hubo verificación de que el proveedor le diera al padre de cada niño inscrito en la instalación información sobre cómo acceder a las regulaciones en este capítulo electrónicamente y con instrucciones para comunicarse con la oficina regional de cuidado infantil correspondiente.

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: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: At the time of the inspection, the emergency plan on file did not include accommodations for infants and toddlers. The emergency plan also did not include lockdown procedures. En el momento de la inspección, el plan de emergencia en el archivo no incluía adaptaciones para bebés y niños pequeños. El plan de emergencia tampoco incluyó procedimientos de confinamiento.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, there was no PA State Police clearance, no Child Abuse clearance and no FBI clearance on file for household member #1. En el momento de la inspección, no había autorización de la Policía Estatal de la Autoridad Palestina, ni autorización de abuso infantil ni autorización del FBI en el archivo para los miembros del hogar #1.

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 #1 will not be present at the facility while children are in care. Clearances will be obtained and sent to DHS for approval.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, there was no PA State Police clearance, no Child Abuse clearance and no FBI clearance on file for household member #1. En el momento de la inspección, no había autorización de la Policía Estatal de la Autoridad Palestina, ni autorización de abuso infantil ni autorización del FBI en el archivo para los miembros del hogar #1.

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(d)

Description: Age and training

Noncompliance Area: At the time of the inspection, staff #2 did not have verification of current First Aid and Pediatric CPR on file. En el momento de la inspección, el personal #2 no tenía la verificación de los primeros auxilios actuales y la RCP pediátrica en el archivo.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: At the time of the inspection, in the back yard play area, there was an area that was washed away from the rain causing a deep trench and a potential tripping hazard for children. En el momento de la inspección, en el área de juegos del patio trasero, había un área que fue arrastrada lejos de la lluvia causando una zanja profunda y un peligro potencial de tropiezo para los niños.

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: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: At the time of the inspection, the windows on the second and third floors opened to more than 6 inches. En el momento de la inspección, las ventanas en el segundo y tercer piso se abrieron a más de 6 pulgadas.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

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 on file did not have any dates of manual testing and did not have receipts of purchase of the smoke detectors, therefore, the provider was not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). En el momento de la inspección, el registro de monitoreo mensual manual en el archivo no tenía ninguna fecha de prueba manual, por lo tanto, el proveedor no cumplía con los estándares establecidos en la sección 1016 (c) de la ley (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.