Clara J Piper Family Child Care Home

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for child #4 did not include documentation of sharing a child service report with the parent in the last 6 months. The most recent signed report on file was dated 10/04/24.

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)(5)

Description: Designated release persons

Noncompliance Area: The agreement for child #2 did not include the persons designated by the parent to whom the child may be released.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information for children #1, #3, and #4 did not include complete contact information for their physician or source of medical care.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #3 and child #4 did not include the enrolling parent's work address and phone number. The boxes on the form were left blank.

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

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: The emergency contact information for child #3 and child #4 did not include information on the child's special needs or disability. The boxes on the form were left blank.

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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information for child #1 and child #2 did not include health insurance coverage and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The initial health report for child #1 was dated more than 60 days following their first day of attendance. A current health report is now on file.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

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: The health assessment for staff #1 was not updated within 24 months. The previous health assessment was dated 1/18/24. The most recent health assessment, dated 2/13/26, is now current.

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: 3290.181(d)

Description: Dated signature affixed

Noncompliance Area: The financial agreement for child #2 was signed but not dated by the parent.

Correction Required: 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: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan was not reviewed annually. Documented review dates on the cover of the plan were 1/12/25 and 2/24/26.

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(d)

Description: Emergency plan

Noncompliance Area: Emergency drills were not conducted annually. Drill documentation is dated 1/13/25 and 2/19/26. A current emergency drill is now on file.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files for staff #1 and household member #2 contained state police and child abuse clearances which were not renewed within 60 months. The state police clearance for staff #1 was previously obtained 1/15/21 and was renewed on 2/06/26. The previous child abuse clearance for staff #1 was obtained 1/27/21 and was renewed on 2/11/26. The previous state police clearance for household member #2 was obtained on 1/15/21 and was renewed on 2/02/26. The previous child abuse clearance for household member #2 was obtained on 1/27/21 and was renewed on 2/12/26. Current clearances are now on file for both individuals.

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: 3290.115(a)(2)

Description: Above-ground pool inaccessible

Noncompliance Area: The above ground pool was not made inaccessible in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission. The sides of the pool were not 48 inches above ground around the entire perimeter. Measurements taken at various areas were 43 and 46 inches. Additionally, multiple cinder blocks were close to the pool walls creating a risk of climbing on the blocks and accessing the pool. The cinder blocks were tied to the pool cover with rope and intended to hold the cover in place.

Correction Required: An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement for child #1 did not specify the date on which the fee is to be paid.

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

Regulation: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement for child #4 did not specify the child's arrival and departure times.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for child #3 did not include health insurance information.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by a (AGS, family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.181(d)

Description: Dated signature affixed

Noncompliance Area: The emergency contact forms for children #1 and #2, enrolled since 9/30/24, lacked dated parental signatures prior to 3/03/25. Current signatures are now on file.

Correction Required: 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: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #1 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum/ the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-1Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by a family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, then staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: One electrical outlet in the care space lacked a protective cover. The outlet was accessible to children 5 years of age or younger.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child file #1 lacked the enrolling parents' home and work address and telephone numbers on the emergency contact form.

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

Regulation: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: Child files #2 and #3 lacked documentation of the influenza vaccination administered in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 completed the Pennsylvania Health and Safety Update 2022 on 2/14/23 which was after the required date of 12/30/22 according to Announcement C-22-06.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility lacked a plan to train volunteers and a statement regarding the continuity of operations in the event of an emergency in their emergency plan by June 30, 2022 as per Announcement C-22-04 Updated Emergency Preparedness and Response Planning Regulations and Requirements.

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: The facility lacked documentation and details of an emergency drill conducted at the facility at least 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: The facility lacked documentation of the emergency plan updates being submitted to the local and 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: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff person #1 completed 10 hours of professional development from 12/19/21-12/19/22, two additional hours of professional development were borrowed from trainings completed after 12/19/22.

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

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did 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(d)

Description: Emergency plan

Noncompliance Area: An annual emergency drill was not conducted.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted every 60 days during the periods from 2/22/2021 to 5/17/2021 to 8/19/2021 to 11/7/2021 to 2/7/2022.

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 fire detection system was not tested every 30 days during the periods from 4/3/2021 to 5/7/2021 to 6/10/2021 to 7/17/2021 to 8/19/2021; 9/9/2021 to 10/13/2021; and 11/7/2021 to date of inspection on 3/29/2022.

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.

Noncompliance Area: There was mulch observed in an outdoor play space where toddlers receive care.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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.

Noncompliance Area: An above ground swimming pool in the back yard had a deck that lead to the rear entrance of the residence and there was no barrier to make it inaccessible to children in care.

Correction Required: An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Noncompliance Area: The record for child #1 lacked written verification of the influenza vaccine being administered in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: A hot tub in the back yard was filled with water and the cover was not locked, making it accessible and posing a drowning risk to children in care.

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

Noncompliance Area: The following toxic materials were observed in areas accessible to children in care: (2) tubes of toothpaste labeled keep out of the reach of children under 6 were in an unlocked drawer under the bathroom sink and a container of Ice Melt was on the front porch.

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.

Noncompliance Area: The following medications were observed in an unlocked drawer in the bathroom vanity, accessible to children: Biofreeze, Gold Bond foot cream, and Lidopro topical pain relief.

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

Noncompliance Area: Pruning shears, sharp adult scissors, and a screw driver were observed in an unlocked drawer in the kitchen, accessible and posing a potential threat to the safety of children.

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

Noncompliance Area: There was a cracked plastic storage container, posing a potential pinch point, on a shelf in the living room, accessible to children in care, and there was a plastic toy truck that was broken with a sharp edge inside the storage container.

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.

Noncompliance Area: The record for household member #1 contained an invoice for a state police clearance, which is not a valid state police clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The emergency contact information for child #1 and #2 did not include the address of the individuals 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.

Noncompliance Area: A cutlery set was observed in an unlocked kitchen cabinet, accessible to children in care.

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

Noncompliance Area: Observed children's files #1 and #2 did not contain the address of the release person.

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.

Noncompliance Area: Observed staff #1, who was providing care for children, did not have documentation of current training in first-aid techniques.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: Observed the kitchen stove was not resticted to prevent the children from being able to turn on the stove top burners.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.