As We Grow Child Care

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: It was observed in the basement that a bowl of pet food of less than 1 inch diameter and a plastic trash bag sitting on the floor were accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: It was observed that rest equipment being used by children was not labeled with the child's name and used only by the named child while enrolled in the program.

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: It was observed at the time of inspection, the provider placing an infant into a pack and play on the lower level of the home, leaving four children on the main level of the home unsupervised. While infant was in the pack and play on the lower level of the home, the provider returned to the main level of the home, gathered lunch items from the kitchen and then escorted the four children to the lower level of the home.

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).

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Files for children #1, #2, #3, #4, and #5 did not include child service reports conducted within the last 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: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: The service agreements for children #4, and #5 do not specify the date of the child's admission.

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

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: The service agreements for children #1, #2, #3, #4, and #5 do not specify the services which are to be considered as extra.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms for children #4 and #5 do not include work addresses and telephone numbers of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3290.124(b)(4)

Description: Written consent

Noncompliance Area: The emergency contact form for child #1 does not include the 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms for children #2 and #4 do 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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact forms and financial agreements for children #1, #2, #3, #4, and #5 have not been updated at least once in a 6-month period or as soon as there is a change in the information.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: The emergency contact form for child #1 does not include signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3290.182(5)

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

Noncompliance Area: The emergency contact form for child #1 does not include 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: 3290.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The emergency contact form for child #1 does not include signed parental consent for transportation, walking excursions, swimming and wading.

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

Regulation: 3290.192(3)

Description: CPSL information

Noncompliance Area: File for staff person #1 did not include a dated disclosure statement at the time of inspection. (This was corrected at the time of inspection.)

Correction Required: 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: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan does not provide accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

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.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The operator could not provide documentation in writing that the emergency plan has been reviewed at least once annually.

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.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: Emergency plan training on an annual basis and/or at the time of each plan update is not documented for staff person #1.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The operator could not provide documentation of the emergency plan and subsequent plan updates being sent to the local municipality.

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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed in the basement, a bottle of rubbing alcohol was placed on a desk 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)(4)/3290.182(8)

Description: Written consent/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: Child # 2's file did not contain Emergency Contact or Fee Agreement.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: Child # 4's file did not include documentation of an updated health assessment. The previous health assessment on file was dated 9/30/24.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Emergency Drills were not completed annually. The previous Emergency Drill was completed 5/17/24.

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

Regulation: 3290.76(a)

Description: Locked

Noncompliance Area: Firearms and ammunition were observed in an open and unlocked gun cabinet.

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

Regulation: 3290.76(b)

Description: Ammunition locked and separate

Noncompliance Area: Firearms and ammunition were observed in the same gun safe and were not stored in separate locked areas.

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

Regulation: 3290.76(c)

Description: Notify parents

Noncompliance Area: Staff # 1 did not have documentation to show parents of enrolled children were notified that firearms and ammunition are present in the facility.

Correction Required: If the facility is located in a residence, the operator shall notify the parent when weapons, firearms or ammunition are present at the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Staff Person # 1 did not complete all fire drills within 60 days. Specifically: from 10/16/24 to 12/16/24, 61 days passed, from 1/14/25 to 3/16/25, 61 days passed and from 3/16/25-5/18/25, 63 days passed. Staff Person # 1 did not complete emergency equipment testing within 30 days. From 1/14/25 to 2/14/25, 31 days passed and from 2/14/25 to 3/18/25, 32 days passed.

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: 3290.182(5)

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

Noncompliance Area: Child #1 parent wrote "band-aid" on the signature line for consent for administration of minor first-aid.

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: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: The provider acknowledged that they greet the parents at the door located on the main level of the home during arrival and departure times and will typically spend a few minutes talking to them while the children are left unsupervised in the basement area where child care services are provided. It was observed there is a half door installed in the entry way leading down to the basement that allows the provider to hear and direct the children in the child care space, however the provider is not able to see and/or fully assess the children downstairs in the child care space while the provider is upstairs at the door.

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: 3290.94(a)(9)/3290.95(b)

Description: Written record/Operator or designated staff responsibility

Noncompliance Area: The operator was not able to produce a written record of fire drills and/or manual testing of the smoke detectors that were conducted in 2023. A fire drill log for 2022 was the most recent documentation the operator could produce at time of inspection on 9/15/2023.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. 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)

Description: System in compliance

Noncompliance Area: It was observed on 9/15/2023 the family child care home does not have operable, interconnected smoke detectors on the basement level of the home where child care services are provided. The provider was able to demonstrate operable, interconnected smoke detectors on the main level of the facility and an operable, battery-operated single smoke detector in the basement level of the facility, which is not in compliance with Act 62.

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)).

Noncompliance Area: Child #1 last Child Service Report 6-4-18 Child #2 last Child Service Report 6-4-18

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3290.124(e).

Noncompliance Area: Child #1 last agreement was updated 12-27-17 Child #2 last agreement was updated 6-4-18 Child #2 last Emergency Contact was updated 3-6-17

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: Child #1 last health assessment was 1-16-18

Correction Required: A child's record must contain initial and subsequent health reports.

Noncompliance Area: Child #1's last Emergency Contact sheet last updated 9/6/17. Child #2 and #3's Emergency Contact information last updated 1/3/17. Child #2 and #3 last updated 1/3/17.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file for Child #1 did not have an updated agreement.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The file for Child #1 did not have an up to date health report

Correction Required: A child`s record must contain initial and subsequent health reports.

Noncompliance Area: Staff #1 is providing child care on a 24 hour basis. During Night Care hours while children are asleep, Staff #1 also sleeps. Operator is unable to see, hear, assess or direct regarding supervision at these times.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times.