Country Kids Pre-School Day Care

Regulation: 3280.105(f)

Description: 2 feet apart

Noncompliance Area: Observed a child sleeping in a pack n play which did not have 2 feet of space on three sides.

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: 3280.166(1)

Description: Written statement

Noncompliance Area: Observed the infant feeding schedule filled out by the parents for 2 infants, did not contain the formula and feeding amounts which were posted on a board in suite 4 which was written by the staff.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3280.131(a)

Description: Health Information

Noncompliance Area: Observed child file #2, contained an initial health assessment which was dated more than 60 days after first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3280.151(a)

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

Noncompliance Area: Observed staff file #1 contained an updated health assessment which was dated more than 24 months after the previous valid health assessment (8/4/22-1/27/25).

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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: 3280.181(c)/3280.181(d)

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

Noncompliance Area: Observed the financial agreement for child file #1, contained documentation of the most recent parental review which was dated more than 8 months ago.

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: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed staff file #1 contained a valid NSOR verification letter which was dated more than 60 months (12/23/19-1/10/25) after the previous valid NSOR verification letter. Observed staff file #2 contained a valid NSOR verification letter which was dated more than 60 months (12/23/19-1/16/25) after the previous valid NSOR verification letter.

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

Regulation: 3280.105(f)

Description: 2 feet apart

Noncompliance Area: Observed Child #7 using a facility pack and play, which lacked the required minimum two feet of space on three sides.

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: 3280.131(b)(1)/3280.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health assessments

Noncompliance Area: The files for Child #1, an infant, and Child #2, an infant at enrollment, were observed to lack updated health reports once every six months. This was evidenced by the health reports in Child #1's file dated 02/07/23 and 03/13/24, a period of 13 months, and Child #2's file contained health reports dated 09/19/22 and 05/23/23.

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

Regulation: 3280.131(d)(1)

Description: Child's health history

Noncompliance Area: The files for Children #1 & #2 were observed to contain health reports that that failed to include a review of the child's health history.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3280.131(d)(3)

Description: Current medication and reason

Noncompliance Area: The files for Children #1 and #2 were observed to contain health reports that did not include a list of the child's current medication and the reason for the medication.

Correction Required: A health report shall include a list of the child's current medication and the reason for the medication.

Regulation: 3280.131(d)(4)

Description: Acute or chronic health problem

Noncompliance Area: The files for Children #1 & #2 were observed to contain health reports that failed to 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.

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.

Regulation: 3280.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The files for children #1 and #2 were observed to contain health reports that failed to 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.

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: 3280.133(6)

Description: Written consent

Noncompliance Area: The facility was observed to have two medications labeled for Child #3; however, written consent from the parent was only provided for the administration of one of these medications.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility was observed to have an emergency plan that failed to include a statement regarding continuity of operations following an emergency, and to address volunteer emergency preparedness training and practice drills.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.183

Description: Confidentiality of Records

Noncompliance Area: The facility was observed to have the files of children #4, #5 & #6 stacked on the table in the front lobby. The owner acknowledged that they were left there intentionally unattended so that the parents of children #4, #5 & #6 could make any necessary updates to file documentation at pick-up.

Correction Required: A facility person may not disclose information concerning a child or family, except in the course of inspections and investigations by agents of the Department.

Regulation: 3280.26(a)(2)

Description: Emergency plan

Noncompliance Area: The facility was observed to have an emergency plan that failed to provide for the evacuation of children from the facility building and evacuation of the children to a location away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

Regulation: 3280.124(b)(4)/3280.182(3)

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

Noncompliance Area: The file for child #1 was observed to contain an emergency contact form that lacked a signature giving 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: 3280.134(a)

Description: Child's hands washed

Noncompliance Area: Staff Person #1 was observed diapering child #2 and failed to wash the child's hands once the diapering was completed.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files of Children #1 and #2 lacked the work address of the enrolling parent on the emergency contact form. The file of Child #3 lacked the complete work address and the work telephone number of the enrolling parent 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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of Children #1 and #2 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The emergency contact for Child #1 was not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. Child #1's emergency contact was signed on 7/13/21 with a review on 2/5/22

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: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: The operator did not notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Regulation: 3280.182(8)

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

Noncompliance Area: It was observed that the agreement was not on file at the date of enrollment for Child #1. Child #1's date of admission was 8/18/21 with an agreement dated 8/20/21.

Correction Required: 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: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff #1 lacked documentation of obtaining an annual 12 clock hours of child care training.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: On 4/6/22 observed rust on the bottom and top of the gate at the entrance to the outdoor play space. Observed the rusted parts on the bottom of the gate had curled away from the frame creating rough edges.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility was unable to provide a written record that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 4/2/21, 4/29/21, 5/28/21, 6/28/21, 7/28/21, 8/27/21, 9/27/21, 10/27/21, 11/24/21, 12/23/21, 1/21/22, 2/22/22, and 3/24/22.

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