Dahiana Cruz Jorge Family Daycare

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During an inspection on 4/29/2026, it was discovered that staff person 1 was observed to be caring for children unsupervised. Staff person 1 has not completed the following pre- service training required prior to caring for children unsupervised: mandated reporter training.

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 pre- service trainings are completed, staff person 1 must be supervised, when interacting with children at a minimum by, a family childcare home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised.

Regulation: 3290.24(b)/3290.24(g)

Description: Emergency plan/Emergency plan

Noncompliance Area: During an inspection on 4/29/2026, it was observed that the emergency plan was last updated in March of 2025 making it more than 1 year since the last update. There were also changes to the emergency plan regarding the location of where the children would go in an emergency. The emergency plan was not sent to the county for approval after updates were made.

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. 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 an inspection on 4/29/2026, it was discovered through investigation that staff 1 has been working with the children alone, including transporting the children, and she did not have mandated reporter training or a child abuse clearance on file.

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: 3290.113(a)/3290.113(f)

Description: Supervised at all times /Supervision of children

Noncompliance Area: During a complaint visit on 4/29/2026, staff # 1 took a child to the bathroom, leaving four children in the childcare space unsupervised for approximately 1 minute. The facility did not have any electronic monitors, cameras, mirrors or other devices set up to supervise the children while taking the child to the bathroom.

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). 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. TIERED IS: 1) Staff # 1 will supervise children at all times. This portion of the plan will have an immediate correction date. 2) Staff # 1 will take the training on Better Kid Care called "Supervising Children in Family Childcare" Provider will provide date on when training will be taken by.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: The pack and plays were not labeled with children's names. As per staff 1, the pack and plays are currently being used.

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: 3290.111(a)

Description: Written plan

Noncompliance Area: The facility did not have a written plan of daily activities and routines.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Regulation: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: Child 2 did not have a fee amount or date fee to be paid on the fee agreement.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 3 did not have a completed child service report filled out and signed by the parent. Child 5 did not have a child service report on file. Please see LIS for dates of admission and birth.

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: Children 1 and 2 did not have a date of admission on file.

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

Regulation: 3290.131(b)(1)/3290.131(e)

Description: Updated infant health report: every 6 months/Immunization record

Noncompliance Area: During the renewal inspection on 1/22/2026, children 3 and 4 had outdated health assessments. Child 3's health assessment was dated 5/23/2025 and child 4's health assessment was dated 2/3/2025. Children 3 and 5 did not have updated immunizations on file. Please see LIS for dates of birth and admission.

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. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3290.14(b)

Description: Building Codes

Noncompliance Area: During the renewal inspection on 1/22/2026, the facility's fire extinguisher, which was in the kitchen, had its gauge in the red.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child 3 had an outdated emergency form and fee 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.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: The first aid kit was missing medical tape.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: The pack and play was not labeled with a child's name.

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: 3290.111(b)

Description: Posted in area used by parents

Noncompliance Area: It was observed during the annual inspection on 3/26/2025, that the facility did not have a daily schedule posted in the childcare area.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Regulation: 3290.18/3290.74(a)

Description: General Health and Safety/Requirements

Noncompliance Area: During the annual inspection on 3/26/2025, it was observed that there were multiple cords hanging down from the wall and touching the floor, in the childcare area. The cords posed a strangulation hazard to the children in care since they were accessible. Additionally, it was also observed that an air conditioner was plugged into a power strip which also posed as a fire hazard.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child 1 had an outdated emergency form and fee agreement on file. Both were last updated on 6/1/2024.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During the annual inspection on 3/26/2025, it was observed that an emergency drill was last conducted on 11/2023, making it more than 12 months since the last emergency drill.

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

Regulation: 3290.31(f)(1)(ii)

Description: Age and training

Noncompliance Area: During the annual inspection on 3/26/2025, it was observed that staff 1 had 3 hours of childcare training on file and not the required 12 hours.

Correction Required: Training conducted by an entity that is licensed or certified professionally competent in the training topic is acceptable and may count toward the annual requirement for 12 clock hours of child care training.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: It was observed that the facility did not have proof of purchase on file for the interconnected system.

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: 3290.113(a)/3290.113(f)

Description: Supervised at all times /Supervision of children

Noncompliance Area: Certification representative went out to investigate a self-reported incident on 5/6/2024. As per staff 1, she admitted to being in the kitchen when child 1 pulled himself over to the garbage can, while he was strapped into a tabletop highchair. When at the garbage can, which had a foot pedal, child 1 put his finger under the foot pedal and then it fell over, injuring child 1's finger.

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: 3290.113(e)

Description: Restraints prohibited

Noncompliance Area: Certification representative visited the facility on 5/6/2024 to investigate a self-reported incident. During the investigation, staff 1 did admit to strapping child 1 in a tabletop highchair. As per staff 1, child 1 was strapped in the tabletop highchair due to pushing another child. As per staff 1, child 1 did not want to be in the highchair as evidenced by squirming when put into the highchair.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3290.124(b)(6)/3290.124(b)(7)

Description: Insurance coverage information/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted on 4/11/2024, the following information was missing from children's emergency contact forms: Child #1: Health insurance policy number. Release persons' addresses. Child #2: Release persons' addresses.

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. 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: 3290.133(4)

Description: Locked

Noncompliance Area: During renewal inspection conducted 4/11/2024, Desetin diaper cream labeled "keep out of reach of children" was observed in a bin located on a lower shelf of the changing table, which was accessible to children.

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.

Regulation: 3290.135(b)

Description: Surfaces cleaned

Noncompliance Area: During renewal inspection conducted 4/11/2024, diapering pad used at facility was ripped, exposing the foam inside and rendering it unable to be properly sanitized after each use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3290.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: During renewal inspection conducted 4/11/2024, health assessment on file for staff person #1 reflects that staff person #1 is not suitable to provide child care. No further information is provided.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection conducted 4/11/2024, peeling paint was observed in the middle room under the corkboard and near the desk.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection conducted 4/11/2024, facility's fire detection testing log reflected that smoke alarms were tested on 2/21/2024 and again on 3/23/2024, which is past 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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: During unannounced monitoring conducted 12/12/2023, there was no initial health report on file for child #12. Child #12 has been enrolled at the facility for over 60 days (see LIS code sheet).

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.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: During renewal inspection conducted 10/12/2023, fire drill log used by the facility did not include the names of the facility persons or the hypothetical location of the fire. An acceptable plan of correction was received with a correction date of 11/1/2023. When certification representative returned for unannounced monitoring on 12/12/2023, fire drill log used by the facility did not include the names of the facility persons or the hypothetical location of the fire.

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: During renewal inspection conducted 10/12/2023, facility did not have OSHA-approved, interconnected smoke alarms installed on each floor of the facility. Additionally, facility has ABC fire extinguisher in the kitchen and the gauge is in red. An acceptable plan of correction was received with a correction date of 11/1/2023. When certification representative returned for unannounced monitoring on 12/12/2023, operator purchased and installed OSHA-approved smoke alarms; however, could not demonstrate that they operate in an interconnected fashion. Additionally, smoke alarms were tested on 10/19/2023 and 11/19/2023, which is past 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. Act 42 of 2022, signed into law July 7, 2022, amended the Fire and Panic Act at 35 P.S. § 1223.6, and requires all certified family child care homes to have interconnected smoke alarms approved, at the time of installation, by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor to test and certify smoke alarms.

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: During renewal inspection conducted 10/12/2023, a plastic bin used as a toybox in the facility had a cracked lid, creating a pinch point.

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.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection conducted 10/12/2023, rest equipment used by children was unlabeled.

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: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During renewal inspection conducted 10/12/2023, children's fee agreements were missing the following information: Child #13: fee amount and date fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. 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: During renewal inspection conducted 10/12/2023, children's fee agreements were missing the following information: Child #12: arrival and departure times.

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

Regulation: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's emergency contact forms: Child #1: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #2: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #3: parent's name, home and work addresses and home and work telephone numbers. Release person's address. An acceptable plan of correction was received with a correction date of January 9, 2023. When certification representative returned for unannounced monitoring on March 23, 2023, the following was missing from children's emergency contact forms: Child #4: Parent's work address and work telephone number. Child #5: Release person(s) address(es). Child #6: Parent's work address and work telephone number. Child #7: Release person(s) address(es). Child #9: Release person(s) address(es). Child #10: Parent's work address and work telephone number. Child #11: Parent's work address and work telephone number. An acceptable plan of correction was received with a correction date of March 27, 2023. When certification representative returned for unannounced monitoring on May 31, 2023, the following was missing from children's fee agreements: Child #4: Parent's work address and work telephone number. Child #5: Release person(s) address(es). Child #6: Parent's work address and work telephone number. Child #7: Release person(s) address(es). Child #9: Release person(s) address(es). Child #10: Parent's work address and work telephone number. Child #11: Parent's work address and work telephone number. An acceptable plan of correction was received with a correction date of July 14, 2023. When certification representative returned for renewal inspection on October 12, 2023, the following was missing from children's fee agreements: Child #5: Release person(s) address(es). Child #9: Mother's work address. Release person(s) address(es). Child #12: Mother and father's work addresses and phone numbers. Release person(s) address(es).

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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. Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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. For a period of three (3) months, the operator will provide the NE Regional Office with a record for each new child that is enrolled either prior to the child's first date of attendance or within five (5) calendar days of the child's first date of attendance. The record shall contain all documentation required on the first day of attendance.

Regulation: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's emergency contact forms: Child #1: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #2: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #3: parent's name, home and work addresses and home and work telephone numbers. Release person's address. An acceptable plan of correction was received with a correction date of January 9, 2023. When certification representative returned for unannounced monitoring on March 23, 2023, the following was missing from children's emergency contact forms: Child #4: Parent's work address and work telephone number. Child #5: Release person(s) address(es). Child #6: Parent's work address and work telephone number. Child #7: Release person(s) address(es). Child #9: Release person(s) address(es). Child #10: Parent's work address and work telephone number. Child #11: Parent's work address and work telephone number. An acceptable plan of correction was received with a correction date of March 27, 2023. When certification representative returned for unannounced monitoring on May 31, 2023, the following was missing from children's fee agreements: Child #4: Parent's work address and work telephone number. Child #5: Release person(s) address(es). Child #6: Parent's work address and work telephone number. Child #7: Release person(s) address(es). Child #9: Release person(s) address(es). Child #10: Parent's work address and work telephone number. Child #11: Parent's work address and work telephone number. An acceptable plan of correction was received with a correction date of July 14, 2023. When certification representative returned for renewal inspection on October 12, 2023, the following was missing from children's fee agreements: Child #5: Release person(s) address(es). Child #9: Mother's work address. Release person(s) address(es). Child #12: Mother and father's work addresses and phone numbers. Release person(s) address(es).

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3290.131(b)(2)

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

Noncompliance Area: During renewal inspection conducted 10/12/2023, last health assessment on file for child #8 is dated 3/15/2021. Child #8 is preschool-aged (see LIS code sheet).

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: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 10/12/2023, there is no record of influenza vaccine on file for child #8. Child #8 is preschool-aged (see LIS code sheet).

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #8 will be dismissed from care by close of business on October 12, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: During renewal inspection conducted 10/12/2023, facility person #1 did not wash child's hands after diapering until prompted by certification representative. Child was playing for several minutes after having diaper changed.

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: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: During renewal inspection conducted 10/12/2023, diapering trash can did not have a plastic liner.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection conducted 10/12/2023, facility's emergency plan did not address continuity of operations.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the section of their emergency plan that must address continuity of operations.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 10/12/2023, emergency contact form for child #8 was last updated on 1/11/2023.

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(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection conducted 10/12/2023, the following was missing from children's emergency contact forms: Child #5: consent for emergency medical care. Child #9: consent for emergency medical care. Child #12: consent for emergency medical care and consent for minor first-aid. Child #13: consent for emergency medical care and consent for minor first-aid. Child #14: consent for emergency medical care and consent for minor first-aid.

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.

Regulation: 3290.182(6)

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

Noncompliance Area: During renewal inspection conducted 10/12/2023, emergency contact form for child #13 did not contain consent for transportation, walking excursions, swimming and wading. Facility person #1 admitted that on 10/10/2023 when certification representative initially attempted to conduct renewal inspection, they were not at the facility and that child #13 was with them off facility premises. Facility person #1 states that they walked to another location.

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

Regulation: 3290.24(a)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 10/12/2023, when asked for the emergency plan, the operator presented a blank PEMA template that did not contain any information specific to the facility.

Correction Required: The facility shall have an emergency plan.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 10/12/2023, facility did not have emergency drill log on file. Operator admitted that an emergency drill has not been practiced in the past year.

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

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During renewal inspection conducted 10/12/2023, facility person #4 completed 5.5 hours of child care training for training year 8/12/2022-8/12/2023.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted 5/31/2023-6/16/2023, provider reports that there are three (3) staff members employed at the facility and two (2) adult household members residing in the home. Facility person #1 resides in the home and is not a staff member. Facility person #1 does not have current FBI Clearance on file. Operator admits that facility person #2 is also residing in the home and does not have any clearances on file. Facility person #2 is not a staff member. Facility person #3 is a staff member in the facility and does not have PSP or child abuse clearances on file. An acceptable plan of correction was received with a correction date of 6/16/2023 which specified that facility person #1 is longer residing in the home. When certification representative returned for renewal inspection on 10/12/2023, operator reported that facility person #1 has moved back into the home and is employed as a staff person. On 10/12/2023, facility person #1's file contained outdated child abuse clearance dated 4/6/2018. Facility person #2's file did not contain signed/dated disclosure statement or FBI clearance. Operator reports that facility person #3 no longer works at the facility. Facility person #4's file did not contain signed/dated disclosure statement.

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. For a period of three (3) months, the legal entity must send a complete file to the Northeast Regional Office for all new hires/household members. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted 5/31/2023-6/16/2023, provider reports that there are three (3) staff members employed at the facility and two (2) adult household members residing in the home. Facility person #1 resides in the home and is not a staff member. Facility person #1 does not have current FBI Clearance on file. Operator admits that facility person #2 is also residing in the home and does not have any clearances on file. Facility person #2 is not a staff member. Facility person #3 is a staff member in the facility and does not have PSP or child abuse clearances on file. An acceptable plan of correction was received with a correction date of 6/16/2023 which specified that facility person #1 is longer residing in the home. When certification representative returned for renewal inspection on 10/12/2023, operator reported that facility person #1 has moved back into the home and is employed as a staff person. On 10/12/2023, facility person #1's file contained outdated child abuse clearance dated 4/6/2018. Facility person #2's file did not contain signed/dated disclosure statement or FBI clearance. Operator reports that facility person #3 no longer works at the facility. Facility person #4's file did not contain signed/dated disclosure statement.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted 5/31/2023-6/16/2023, provider reports that there are three (3) staff members employed at the facility and two (2) adult household members residing in the home. Facility person #1 resides in the home and is not a staff member. Facility person #1 does not have current FBI Clearance on file. Operator admits that facility person #2 is also residing in the home and does not have any clearances on file. Facility person #2 is not a staff member. Facility person #3 is a staff member in the facility and does not have PSP or child abuse clearances on file. An acceptable plan of correction was received with a correction date of 6/16/2023 which specified that facility person #1 is longer residing in the home. When certification representative returned for renewal inspection on 10/12/2023, operator reported that facility person #1 has moved back into the home and is employed as a staff person. On 10/12/2023, facility person #1's file contained outdated child abuse clearance dated 4/6/2018. Facility person #2's file did not contain signed/dated disclosure statement or FBI clearance. Operator reports that facility person #3 no longer works at the facility. Facility person #4's file did not contain signed/dated disclosure statement.

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. Facility Person #1, facility person #2, and facility person #4 may not work or be present in the child care facility until all required documents are on file.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During renewal inspection conducted 10/12/2023, an uncovered electrical outlet was observed in the childcare space. Electrical outlet was accessible to children 5 years of age and younger.

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 renewal inspection conducted 10/12/2023, laundry detergent labeled "keep out of reach of children" was in a cabinet under the sink in the kitchen. Cabinet was not equipped with child lock and was accessible to children. Facility does have a baby gate limiting access to the kitchen; however, baby gate was broken and did not lock.

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: 3290.94(a)(9)

Description: Written record

Noncompliance Area: During renewal inspection conducted 10/12/2023, fire drill log used by the facility did not include the names of the facility persons or the hypothetical location of the fire.

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: During renewal inspection conducted 10/12/2023, facility did not have OSHA-approved, interconnected smoke alarms installed on each floor of the facility. Additionally, facility has ABC fire extinguisher in the kitchen and the gauge is in red.

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. Act 42 of 2022, signed into law July 7, 2022, amended the Fire and Panic Act at 35 P.S. § 1223.6, and requires all certified family child care homes to have interconnected smoke alarms approved, at the time of installation, by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor to test and certify smoke alarms.

Regulation: 3290.123(a)(5)/3290.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's fee agreements: Child #1: Date of admission. Release person(s). Child #2: Date of admission. Release person(s). Child #3: Date of admission. Release person(s). An acceptable plan of correction was received with a correction date of January 9, 2023. When certification representative returned for unannounced monitoring on March 23, 2023, the following was missing from children's fee agreements: Child #5: Date of admission. Child #7: Release person(s). Child #8: Release person(s). Child #9: Release person(s). An acceptable plan of correction was received with a correction date of March 27, 2023. When certification representative returned for unannounced monitoring on May 31, 2023, the following was missing from children's fee agreements: Child #5: Release person(s). Child #7: Release person(s). Child #8: Release person(s). Child #9: Release person(s).

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

Regulation: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's emergency contact forms: Child #1: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #2: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #3: parent's name, home and work addresses and home and work telephone numbers. Release person's address. An acceptable plan of correction was received with a correction date of January 9, 2023. When certification representative returned for unannounced monitoring on March 23, 2023, the following was missing from children's emergency contact forms: Child #4: Parent's work address and work telephone number. Child #5: Release person(s) address(es). Child #6: Parent's work address and work telephone number. Child #7: Release person(s) address(es). Child #9: Release person(s) address(es). Child #10: Parent's work address and work telephone number. Child #11: Parent's work address and work telephone number. An acceptable plan of correction was received with a correction date of March 27, 2023. When certification representative returned for unannounced monitoring on May 31, 2023, the following was missing from children's fee agreements: Child #4: Parent's work address and work telephone number. Child #5: Release person(s) address(es). Child #6: Parent's work address and work telephone number. Child #7: Release person(s) address(es). Child #9: Release person(s) address(es). Child #10: Parent's work address and work telephone number. Child #11: Parent's work address and work telephone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's emergency contact forms: Child #1: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #2: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #3: parent's name, home and work addresses and home and work telephone numbers. Release person's address. An acceptable plan of correction was received with a correction date of January 9, 2023. When certification representative returned for unannounced monitoring on March 23, 2023, the following was missing from children's emergency contact forms: Child #4: Parent's work address and work telephone number. Child #5: Release person(s) address(es). Child #6: Parent's work address and work telephone number. Child #7: Release person(s) address(es). Child #9: Release person(s) address(es). Child #10: Parent's work address and work telephone number. Child #11: Parent's work address and work telephone number. An acceptable plan of correction was received with a correction date of March 27, 2023. When certification representative returned for unannounced monitoring on May 31, 2023, the following was missing from children's fee agreements: Child #4: Parent's work address and work telephone number. Child #5: Release person(s) address(es). Child #6: Parent's work address and work telephone number. Child #7: Release person(s) address(es). Child #9: Release person(s) address(es). Child #10: Parent's work address and work telephone number. Child #11: Parent's work address and work telephone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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. The operator will attend an in-person training at the Northeast Regional Office on September 25, 2023 related to child files.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted 5/31/2023-6/16/2023, provider reports that there are three (3) staff members employed at the facility and two (2) adult household members residing in the home. Facility person #1 resides in the home and does not have current FBI Clearance on file. Operator admits that facility person #2 is also residing in the home and does not have any clearances on file. Facility person #3 is an employee in the facility and does not have PSP or child abuse clearances on file.

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. Facility person #1, facility person #2, and facility person #3 may not work in a child care position or be present at the facility while child care is occurring until all clearances are on file.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted 5/31/2023-6/16/2023, provider reports that there are three (3) staff members employed at the facility and two (2) adult household members residing in the home. Facility person #1 resides in the home and does not have current FBI Clearance on file. Operator admits that facility person #2 is also residing in the home and does not have any clearances on file. Facility person #3 is an employee in the facility and does not have PSP or child abuse clearances on file.

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. For a period of four (4) months, the legal entity must send a complete file to the Northeast Regional Office for all new hires/household members. New hires may not begin to work in childcare and until the file has been approved by the Northeast Regional Office.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted 5/31/2023-6/16/2023, provider reports that there are three (3) staff members employed at the facility and two (2) adult household members residing in the home. Facility person #1 resides in the home and does not have current FBI Clearance on file. Operator admits that facility person #2 is also residing in the home and does not have any clearances on file. Facility person #3 is an employee in the facility and does not have PSP or child abuse clearances on file.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During unannounced monitoring conducted 5/31/2023-6/16/2023, provider reports that there are three (3) staff members employed at the facility and two (2) adult household members residing in the home. Facility person #1 resides in the home and does not have current FBI Clearance on file. Operator admits that facility person #2 is also residing in the home and does not have any clearances on file. Facility person #3 is an employee in the facility and does not have PSP or child abuse clearances on file.

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. The operator will attend an in-person training at the Northeast Regional Office on September 25, 2023 related to CPSL requirements and staff files.

Regulation: 3290.65(c)

Description: No insects or rodents

Noncompliance Area: During unannounced monitoring conducted 6/7/2023, a cockroach was observed on the facility's wall.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3290.123(a)(5)/3290.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's fee agreements: Child #1: Date of admission. Release person(s). Child #2: Date of admission. Release person(s). Child #3: Date of admission. Release person(s). An acceptable plan of correction was received with a correction date of January 9, 2023. When certification representative returned for unannounced monitoring on March 23, 2023, the following was missing from children's fee agreements: Child #5: Date of admission. Child #7: Release person(s). Child #8: Release person(s). Child #9: Release person(s).

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

Regulation: 3290.124(b)(2)/3290.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's emergency contact forms: Child #1: name, address and telephone number of the child's physician or source of medical care. Health insurance information and policy number. Child #2: name, address and telephone number of the child's physician or source of medical care. Health insurance information and policy number. Child #3: name, address and telephone number of the child's physician or source of medical care. Health insurance information and policy number. An acceptable plan of correction was received with a correction date of January 9, 2023. When certification representative returned for unannounced monitoring on March 23, 2023, the following was missing from children's emergency contact forms: Child #7: Health insurance policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's emergency contact forms: Child #1: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #2: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #3: parent's name, home and work addresses and home and work telephone numbers. Release person's address. An acceptable plan of correction was received with a correction date of January 9, 2023. When certification representative returned for unannounced monitoring on March 23, 2023, the following was missing from children's emergency contact forms: Child #4: Parent's work address and work telephone number. Child #5: Release person(s) address(es). Child #6: Parent's work address and work telephone number. Child #7: Release person(s) address(es). Child #9: Release person(s) address(es). Child #10: Parent's work address and work telephone number. Child #11: Parent's work address and work telephone number.

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

Description: Each child

Noncompliance Area: During unannounced monitoring conducted March 23, 2023, operator did not have a file established for Child #12 or Child #13 (see LIS code sheet for enrollment dates). Parent of Child #14 reports that she never filled out either a fee agreement or emergency contact form for her child while in care at this facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3290.182(6)

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

Noncompliance Area: Complaint investigation verified that operator has taken Child #1 on an excursion away from the facility premises. Parent denies giving operator/facility permission to transport her child away from the facility.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: When certification representative conducted unannounced monitoring on 1/9/2022, staff files were requested. Staff files were sent to certification representative on 2/7/2023. Staff person #1 was observed to be caring for children unsupervised on 1/9/2023. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training had an expiration date of 8/17/2022. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated reporter training.

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. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required trainings related to this citation. 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: 3290.31(g)

Description: Age and training

Noncompliance Area: When certification representative conducted unannounced monitoring on 1/9/2022, staff files were requested. Staff files were sent to certification representative on 2/7/2023. Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Per OCDEL Announcement C-22-06, all current child care staff who completed the previous health and safety pre-service training modules, listed below, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 Versión en español: Actualización de Salud y Seguridad de Pennsylvania 2022) by December 30, 2022. Facility person #1 shall complete the required one-hour 2022 update to the health and safety training by February 25, 2023.

Regulation: 3290.105(a)/3290.118

Description: Clean, age appropriate/Infant sleep position

Noncompliance Area: During the unannounced monitoring inspection conducted on January 9, 2023, a 2-month-old infant was observed sleeping in a car seat with several blankets near the child's face (see LIS code sheet).

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. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's fee agreements: Child #1: signed/dated by operator. Child #2: signed/dated by operator. Child #3: signed/dated by operator.

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

Regulation: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's fee agreements: Child #1: fee amount. Date on which fee is to be paid. Child #2: fee amount. Date on which fee is to be paid. Child #3: fee amount. Date on which fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)/3290.123(a)(4)

Description: Services provided/Arrival/departure times

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's fee agreements: Child #1: services provided to the family and child. Arrival/departure time. Child #2: services provided to the family and child. Arrival/departure time. Child #3: services provided to the family and child. Arrival/departure time.

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). An agreement shall specify the child's arrival and departure times.

Regulation: 3290.123(a)(5)/3290.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's fee agreements: Child #1: Date of admission. Release person(s). Child #2: Date of admission. Release person(s). Child #3: Date of admission. Release person(s).

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

Regulation: 3290.124(b)(2)/3290.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's emergency contact forms: Child #1: name, address and telephone number of the child's physician or source of medical care. Health insurance information and policy number. Child #2: name, address and telephone number of the child's physician or source of medical care. Health insurance information and policy number. Child #3: name, address and telephone number of the child's physician or source of medical care. Health insurance information and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, the following information was missing from children's emergency contact forms: Child #1: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #2: parent's name, home and work addresses and home and work telephone numbers. Release person's address. Child #3: parent's name, home and work addresses and home and work telephone numbers. Release person's address.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3290.134(a)/3290.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, certification representative observed facility person #1 to change child #1's diaper. Facility person did not wash their own hands or child's hands after diapering.

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

Regulation: 3290.92(a)

Description: Portable space heaters

Noncompliance Area: During the unannounced monitoring conducted on January 9, 2023, a portable space heater was being used in the facility. The City of Allentown does not allow portable heaters in any type of daycare.

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.

Regulation: 3290.123(a)(2)/3290.123(a)(6)

Description: Date fee to be paid/Admission date

Noncompliance Area: On renewal inspection conducted 8/9/2022, agreement for Child #2 did not specify the date on which fee is to be paid or date of admission. Agreements for Child #5 and Child #6 did not have date of admission. An acceptable plan of correction was received on 8/19/2022 with a correction date of 8/10/2022. When certification representative returned for unannounced monitoring on 8/31/2022, agreement for Child #2 did not specify the date on which fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the date of the child's admission.

Regulation: 3290.131(b)(2)/3290.131(e)(1)

Description: Updated toddler/preschool health report: every 12 months/Parent written verification from Doctor.

Noncompliance Area: On renewal inspection conducted 8/9/2022, immunization records for the following children were not in accordance with the schedule recommended by the ACIP (see LIS code sheet for children's ages). Child #2 (last health assessment dated 7/14/2021): received 3 of 4 doses of HIB and Pneumococcal vaccines. Child #3 (last health assessment dated 10/20/2021): received 2 of 3 doses of Hepatitis, Rotavirus, Pneumococcal, and Polio vaccines; 2 of 4 doses of DTAP and HIB vaccines; no record that child has received MMR, Varicella or Hepatitis A vaccine. An acceptable plan of correction was received on 8/19/2022 with correction date of 8/26/2022. When certification representative returned for unannounced monitoring on 8/31/2022, updated vaccine records were not on file for Child #2 or Child #3.

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.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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On renewal inspection conducted 8/9/2022, Child #3's fee agreement was last updated 11/10/2021 and emergency contact form was last updated 11/4/2021. An acceptable plan of correction was received on 8/19/2022 with a correction date of 8/10/2022. When certification representative returned for unannounced monitoring on 8/31/2022, Child #3's fee agreement and emergency contact form was not updated.

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: 3290.123(a)(2)/3290.123(a)(6)

Description: Date fee to be paid/Admission date

Noncompliance Area: On renewal inspection conducted 8/9/2022, agreement for Child #2 did not specify the date on which fee is to be paid or date of admission. Agreements for Child #5 and Child #6 did not have date of admission.

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the date of the child's admission.

Regulation: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: On renewal inspection conducted 8/9/2022, emergency contact forms for Child #3 and Child #6 did not include enrolling parents' work address or telephone number or release person(s) address(es).

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On renewal inspection conducted 8/9/2022, emergency contact forms for Child #3 and Child #5 did not include health insurance 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: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: On renewal inspection conducted 8/9/2022, facility did not have a written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted.

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.

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: On renewal inspection conducted 8/9/2022, initial health report for Child #4 was dated 4/26/2022, which was after 60 days following the first day of attendance at the facility (see LIS code sheet for child's date of admission).

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.

Regulation: 3290.131(b)(2)/3290.131(e)(1)

Description: Updated toddler/preschool health report: every 12 months/Parent written verification from Doctor.

Noncompliance Area: On renewal inspection conducted 8/9/2022, immunization records for the following children were not in accordance with the schedule recommended by the ACIP (see LIS code sheet for children's ages). Child #2 (last health assessment dated 7/14/2021): received 3 of 4 doses of HIB and Pneumococcal vaccines. Child #3 (last health assessment dated 10/20/2021): received 2 of 3 doses of Hepatitis, Rotavirus, Pneumococcal, and Polio vaccines; 2 of 4 doses of DTAP and HIB vaccines; no record that child has received MMR, Varicella or Hepatitis A vaccine.

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.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: 3290.133(3)

Description: Name on bottle

Noncompliance Area: On renewal inspection conducted 8/9/2022, facility had unlabeled diaper cream in the diapering area. Staff reported that diaper cream is not for a specific child, but is used on children in care.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Regulation: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: On renewal inspection conducted 8/9/2022, facility's trashcan used for diapering is not hands-free.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: On renewal inspection conducted 8/9/2022, facility did not develop a policy for abusive head trauma, shaken baby, or child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On renewal inspection conducted 8/9/2022, Child #3's fee agreement was last updated 11/10/2021 and emergency contact form was last updated 11/4/2021.

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(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On renewal inspection conducted 8/9/2022, emergency contact forms for Child #3 and Child #6 did not contain signed parental consent for emergency medical care or administration of minor first-aid by facility staff.

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.

Regulation: 3290.22(a)/3290.72

Description: Availability of certificate of compliance and applicable regulations/Emergency Numbers Posted

Noncompliance Area: On renewal inspection conducted 8/9/2022, facility did not have instructions for contacting the appropriate regional child care office or emergency telephone numbers posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location. 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.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: On renewal inspection conducted 8/9/2022, Staff person #1 did not have disclosure statement on file at facility. Staff person #3 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). Staff person #3 was not observed to be caring for children unsupervised during inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until 8/30/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. 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: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: On renewal inspection conducted 8/9/2022, the child gate in the outdoor play space was broken. Play space leads to an alleyway behind the facility.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On renewal inspection conducted 8/9/2022, electrical outlets in the child care space were observed to be exposed and 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: 3290.70(c)/3290.70(d)

Description: Good repair/Above ground window opening restricted to 6"

Noncompliance Area: On renewal inspection conducted 8/9/2022, a window on the third floor of the home was open during visit. Window is not modified to limit the opening to 6 or fewer inches. Screen on window was broken.

Correction Required: Screens shall be in good repair. Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: On renewal inspection conducted 8/9/2022, facility did not have proof of purchase on file for 10-year lithium ion battery-operated smoke detectors on file. Facility did not have 10-year lithium ion batteries on the 2nd or 3rd floors of the home.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: On unannounced monitoring completed on 3/3/2022, documentation reflected that testing for fire detection system was completed on 1/4/2022 and 2/9/2022, which is past 30 days. An acceptable plan of correction was received on 3/30/2022 with a correction date of 3/9/2022. On 4/13/2022, an unannounced inspection was conducted. During this inspection, documentation reflected that testing for fire detection system was completed on 3/9/2022 and has not been conducted in April 2022, which is past 30 days. An acceptable plan of correction was received on 4/13/2022 with a correction date of 4/13/2022. On 6/6/2022, an unannounced inspection was conducted. During this inspection, documentation reflected that testing for fire detection system was completed on 3/9/2022 and has not been conducted since.

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.