Catrina A Brewington Family Child Care Home

Regulation: 3290.151(a)(2)

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

Noncompliance Area: Certification rep reviewed staff #1 and observed physical examination was not conducted within 24 months.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3290.192(4)

Description: Required training

Noncompliance Area: Certification rep reviewed staff #1 record and observed 12 hours of annual training was not obtained and in record.

Correction Required: A facility person's record shall include records of training required by the Department.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Certification rep reviewed household member #2 record and observed Child Abuse, NSOR and FBI clearances in record are expired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Cert rep reviewed child #1 record and observed child service report was incomplete.

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)(4)/3290.182(3)

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

Noncompliance Area: Cert rep reviewed child #2 record and observed signed parental consent for emergency medical care for child was missing in the emergency contact form.

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(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Cert rep reviewed child #1 record and observed financial agreement and emergency contact was not updated at least once in a 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of the renewal inspection, provider did not have a Shaken Baby Syndrome Policy.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.182(5)

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

Noncompliance Area: Cert rep reviewed child #2 record and observed signed parental consent for administration of minor first-aid procedures by facility staff was missing in the emergency contact form.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff was missing in the emergency contact form. by facility staff. Written consent is required prior to admission.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: Cert rep reviewed the emergency plan delivery document and observed provider did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

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

Regulation: 3290.94(a)(1)/3290.95(a)

Description: Every 60 days/System in compliance

Noncompliance Area: During the renewal inspection cert rep reviewed fire drill log and observed last date of a fire drill conducted was 9/23/24.During the renewal inspection cert rep reviewed and observed documentation of fire detection testing every 30 days was not documented and written in record.

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. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed household member clearances and observed State Police Criminal clearance in record was expired, date in record 8/16/18. Child Abuse clearance was observed to be expired in record, date of in record 8/16/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the renewal inspection certification rep observed last fire drill recorded on record was conducted on 10/4//23.

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: During the renewal inspection certification rep observed fire detection devices are not interconnected on each floor. During the renewal inspection operator did not have documentation of fire detection devices tested every 30 days.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: At the time of the inspection, file of child #1, #2 and #5 did not include child service report on the Department's approved form that provides information to the family about the child's growth and development.

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(a)/3290.181(a)

Description: Each child emergency contact person/Each child

Noncompliance Area: At the time of renewal inspection, emergency contact form and agreement was not observed for child #5, who was receiving care in the facility.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of renewal inspection, emergency contact information and agreement of child #1, #2, #3, and #4 have not been updated every 6 months as required. Last update was in July 2022.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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: 3290.131(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: At the time of renewal inspection, immunization record of child #1 and #2 did not include current influenza immunization recommended by ACIP. A letter of exemption was not observed in the file of child #1 and #2.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: At the time of renewal inspection, file of staff person #1 included a health assessment dated 3/30/21 that was conducted more than 24 months ago.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of renewal inspection, file of staff person #1 did not include Pennsylvania Health and Safety Update 2022 one hour professional development training required by OCDEL within the prescribed timeframe which is by December 30, 2022.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

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

Regulation: 3290.31(f)(4)(i)/3290.32(d)

Description: Age and training/Age and training

Noncompliance Area: At the time of renewal inspection, file of staff person #1 included pediatric first aid and CPR training from 3/20/21 that was not renewed timely. No one at the facility was trained in pediatric first aid and CPR.

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. 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #1did not contain current PA state police and PA Child Abuse clearances. PA State police on file was from 7/19/18, PA Child Abuse on file was from 7/25/18. Both clearances were more than 60 months old and are not acceptable. At the time of renewal inspection, file of household member #2 did not include PA state police clearance and NSOR.

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 must be removed from child care position by close of business. PA child abuse and PA State police clearances must be obtained before staff person #1 may resume a child care position.

Regulation: 3290.76(b)

Description: Ammunition locked and separate

Noncompliance Area: At the time of renewal inspection, ammunition was contained in a locked area together with weapon.

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

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: At the time of renewal inspection observed that the last fire drill was conducted on 8/29/22.

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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection documentation of smoke detector testing every 30 days was not observed. Tag on fire extinguisher located in the kitchen expired on 11/2022.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of renewal inspection, a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma and child maltreatment was not observed. In addition, the emergency plan did not contain a statement regarding continuity of operations in the event of an emergency.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

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: At the time of renewal inspection provider did not provide verification a copy of the emergency plan was sent to the local municipality and to the county emergency management agency.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection, verification that smoke detectors are tested every 30 days were not observed.

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.