Circles-n-squares Family Child Care Home

Regulation: 3290.131(b)(2)/3290.181(c)

Description: Updated toddler/preschool health report: every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 children's file, and the file for child #1 did not include an updated health report. (last date 12/10/24)

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. 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: 3290.113(f)

Description: Supervision of children

Noncompliance Area: During the renewal inspection, certification representative, rang the doorbell at the FCCH and a child in care answered the door for the representative while the provider was nowhere in sight. Upon entering the home provider was in the restroom with the door shut not supervising the three children in care. There were no cameras or other staff supervising the children in care.

Correction Required: When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 children's files and the files of child #2 and child #4 did not include a signature from the parent on the fee agreement.

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

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 children's files, and the agreement form for child #1 did not include a date the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

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

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 children's file, and the emergency contact forms for child #3, and child #4 did not include a signature for written consent 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)(5)

Description: Information re: disability

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 children's files and the file for child #3 did not include information regarding the child's disability/special needs on the emergency contact form.

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 of CRNP, which is needed in an emergency situation.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 children's files and child #1 file did not include an updated health report. last report dated 12/20/23

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3290.174(a)

Description: Insured

Noncompliance Area: During the renewal inspection, certification representative conducted a vehicle inspection and the registration for the vehicle to transport children was expired on12/31/24

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Regulation: 3290.182(4)/3290.182(5)

Description: Consent for administration of medications or special dietary needs/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection, certification representative reviewed 4 children's files and the file for child #3 and child #4 did not include signed parental consent for minor first aid and special diet/medication on the emergency contact form.

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

Description: Age and training

Noncompliance Area: During the renewal inspection, certification representative reviewed 1 staff file and the file of staff #1 did not include the 10-hr. health and safety training for families or the update two part health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 1 STAFF FILE AND THE FILE FOR STAFF #1 DID NOT INCLUDE A DISCLOSURE FORM.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the renewal inspection, certification representative did a facility walkthrough and the facility does not have an interconnected fire alarm system per the Fire Safety Requirements for Certified Child Care Facilities that was issued under announcement C-23-01 on July 25, 2023.

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: 3290.131(d)(4)/3290.131(d)(7)

Description: Acute or chronic health problem/Free from contagious/communicable disease

Noncompliance Area: During the renewal inspection the certification rep requested to see child 1,2,3 and 4 files and noticed that children's 1 and 2 were both missing free from communicable illness. Child 1 was also missing the health problems question.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3290.131(d)(5)

Description: Immunization record

Noncompliance Area: During the renewal inspection the cert rep requested to see child 3 file and noticed that the child was missing the Rotavirus shot completely, child is missing 1 of 3 of the Pneumococcal shots as well as missing 1 of the three DTP shots according to the recommendation from the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3290.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: During the renewal inspection the rep requested to see child 1 file and notice that the health assessment was missing the Dev Screenings.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Upon reviewing staff 1 file the certification rep. observed staff 1 file and noticed that staff 1 was missing the updated Health and Safety 1 hour training. During the renewal inspection the cert rep requested to see the emergency plan and noticed that continuity of care was not included in the emergency plan.

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

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Upon reviewing staff 1 file the certification rep observed that staff 1 was missing an up-to-date mandated reporting training. DOH 3/2008

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff 1 may not work in a childcare position at the facility.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection the certification rep observed peeling paint on the wall under the months of the year chart. as well as the near the window next to the electrical outlet.

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

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/22, THE COTS, MATS AND PACK AND PLAY WERE NOT LABELED.

Correction Required: (a) 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: 3290.107(c)

Description: No styrofoam

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/22, A CHILD WAS EATING OUT OF A FOAM BOWL.

Correction Required: Styrofoam cups, bowls and plates may not be used.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/22, CHILD 1 AND 5 AGREEMENT DID NOT STATE THE RELEASE PERSON ON THE FORM.

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

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION CONDUCTED ON 2/25/22, THE EMERGENCY PLAN DID NOT STATE THE LOCKDOWN ON 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.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/22, THE EMERGENCY PLAND ID NOT PROVIDE FOR 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(g)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/22, THE EMERGENCY PLAN HAS NOT BEEN SENT TO THE COUNTY EMERGENCY MANAGEMTN AGENCY OR THE LOCAL MUNICPALITY.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: DURING THE RENEWAL INSPECTIONON 2/25/22, INDIVIDUAL 1 (STAFF) AND 2 (HOUSEHOLD MEMBER) FILE HAD EXPIRED FBI CLEARANCES ON FILE.

Correction Required: Facility employee #1 AND HOUSEHOLD MEMBER 2 must be removed from childcare position by close of business. All required clearances must be obtained before facility person#1 may resume a child care position

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/22, THERE ELECTRICAL OUTLETS IN THE NAPPING AREA DID NOT HAVE A PROTECTIVE COVER.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/22, THERE WAS LYSOL ON TOP OF FREEZER ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

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: 3290.73(c)

Description: Has all items

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/22, THE FIRST AID KIT WAS MISSING SOAP, SCISSORS AND TWEEZERS.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 2/25/22, THE FACILITY CLOSET DOORS NEAR THE WASHER AND DRYER WERE NOT ON TRACK WITH THE CLOSET.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: At the time of the inspection, there was no date on the health assessment for staff #1.

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.

Noncompliance Area: At the time of the inspection, there was no annual review by date by the operator on the emergency plan. This date needs to be documented in writing.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: At the time of the inspection, there was exposed spackle covering damaged paint in the child care space.

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

Noncompliance Area: At the time of the inspection, there was no agreement on file for child #4.

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

Noncompliance Area: At the time of the inspection, there was nothing on the agreement and no child service report on file for child #1-4.

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: At the time of the inspection, there was no birthdate of the child on the emergency contact form for child # 3 and 4.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: At the time of the inspection, there was no phone number of the child's physician on the emergency contact form for child #3 and no address of the child's physician on the emergency contact form for child #4.

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

Noncompliance Area: At the time of the inspection, there was no work address of the enrolling parent on the emergency contact form for child #1-4.

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

Noncompliance Area: At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in the facility.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: At the time of the inspection, there was no updated health report on file for child #1 (DOB 7-15-13). The last health report was dated 1-6-18.

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.

Noncompliance Area: At the time of the inspection, there TB test that was on file stated to have a chest CT conducted, but there was no verification of the chest CT on file.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Noncompliance Area: At the time of the inspection, there was no update to the emergency contact form or the agreement on file for child #1-3.

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: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #4.

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.

Noncompliance Area: At the time of the inspection, there was no disclosure statement on file for staff #1. The Child Line clearance on file for staff #1 was of household member status and not employment.

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.

Noncompliance Area: At the time of the inspection, there was no update to the emergency plan on file in the facility.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan. The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: At the time of the inspection, there was no verification of 12 clock hours of child care training on file for staff #1.

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

Noncompliance Area: At the time of the inspection, there were no emergency phone numbers posted in the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: At the time of the inspection, there was peeling paint on the blue wall in the living room and orange wall in the child care room. The blue book shelf also contained areas of chipped paint.

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

Noncompliance Area: At the time of the inspection, the portable fireplace that was being used was hot to the touch. There were no protective guards equipped. (fixed on site)

Correction Required: Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions.Fixed and portable space heaters shall be insulated or equipped with protective guards.