Debbies Little Angels Soaring Above The Crowd

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed chipped paint in childcare space bathroom.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection child #1 emergency contact did not include the work address and work phone number on file.

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

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: During the renewal inspection the emergency contact for child #1 did not include the special needs and disabilities of the child on file.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection the emergency contact for child #1 did not include the release persons name, address and phone number on file.

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: 3290.151(a)/3290.192(2)

Description: Within 3 months, then 12 months/Health assessment, TB test

Noncompliance Area: During the renewal inspection staff #1 did not have a health assessment on file.

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 on file at the facility. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection staff #1 did not complete the Pennsylvania Health and Safety Update 2022 training on file.

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

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: During the renewal inspection there was no record for each child enrolled in the facility.

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

Regulation: 3290.182(3)/3290.182(4)

Description: Consent for emergency medical care required prior to admission/Consent for administration of medications or special dietary needs

Noncompliance Area: During the renewal inspection child #1 emergency contact did not contain signed parental consent for emergency medical care and for administration of medications or special dietary needs.

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 medications or special dietary needs.

Regulation: 3290.182(5)

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

Noncompliance Area: During the renewal inspection child #1 emergency contact did not signed contain parental consent for administration of minor first-aid procedures.

Correction Required: 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: 3290.192(1)

Description: Name, address, and phone

Noncompliance Area: During the renewal inspection staff #1 and 2 file did not include the name and address on file.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection staff #1 and 2 did not have emergency plan training on file.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During the renewal inspection staff #2 did not have 12 clock hours of childcare training on file.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: During the renewal inspection staff #2 did not have health and safety training on file.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection staff #1 did not have a disclosure and State Police Clearance on file. Staff #2 did not have a disclosure and FBI 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. Facility Person #1 and 2 may not work in a child care position at the facility.

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: During the renewal inspection there was no documentation of testing every 30 days of fire safety system on file.

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)).

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: The cot for Child #1 and the crib for Child #2 were not labeled.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement in the file for Child #1 did not specify the release persons.

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

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms in the files for Child #1 and Child #2 did not include the release persons addresses.

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: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: The most recent updated health reports in the file for Child #1, an Older Toddler, exceeded 12 months between reports.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3290.131(e)(1)/3290.182(1)

Description: Parent written verification from Doctor./Initial and subsequent health assessments

Noncompliance Area: The immunization record in the file for Child #1 did not include documentation of a flu shot or a letter of exemption from the parent or physician.

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

Regulation: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: The bottle for Child #2 was not labeled.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Two of the knobs on the kitchen stove did not have child protective devices installed.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The first parental update for the Emergency Contact Form in the file for Child #1 was dated more than 6 months after the child's enrollment date. The fee agreement in the file for Child #1 had not been 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: 3290.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form in the file for Child #1 did not contain signed parental consent for emergency medical care for the child.

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.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted on the 2nd floor or in the basement.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The fire drill log documented four months were fire system checks exceeded 30 days between checks: 6/16-7/15, 8/6-9/14, 9/14-10/27 and 3/10-4/14. On the day of the inspection, 6/13/22, a fire system check had not been documented for 32 days (5/12/22).

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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Noncompliance Area: During the renewal inspection the agreement for child #2-4 did not specify the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: During the renewal inspection child#1-3 emergency contact did not include the work addresses and telephone numbers of the enrolling parent and the information on the child's special needs on file.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Noncompliance Area: During the renewal inspection child #1 and 4 file did not include the health insurance coverage and policy number and the name, address and telephone number of designated person whom the child may be released to.

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.

Noncompliance Area: During the renewal inspection 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 was not on file.

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

Noncompliance Area: During the renewal inspection child #4 did not have an updated health assessment on file.

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

Noncompliance Area: During the renewal inspection child #2-4 did not have an updated emergency contact and financial agreement on file.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: During the renewal inspection there was no emergency plan on file or posted.

Correction Required: The facility shall have an emergency plan.

Noncompliance Area: During the renewal inspection staff #1 and 2 file does not have the minimum of 12 clock hours of child care training on file.

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

Noncompliance Area: During the renewal inspection certification rep observed staff person take children on an excursion outside without the first-aid kit.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3290.73(c).

Noncompliance Area: DURING RENEWAL INSPECTION ON 4-6-18, CERT REP OBSERVED MISSING UPDATED SIGNATURE OF EMERGENCY CONTACT INFORMATION FOR CHILD 2 AND CHILD 4.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: DURING RENEWAL INSPECTION ON 4-6-18, CERT REP OBSERVED MISSING SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE FOR CHILD 2.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 4-6-18, CERT REP OBSERVED MISSING SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MEDICATIONS OR SPECIAL DIETARY NEEDS FOR CHILD 2.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 4-6-18, CERT REP OBSERVED MISSING SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST AID PROCEDURES BY FACILITY STAFF FOR CHILD 2.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 4-6-18, CERT REP OBSERVED MISSING SIGNED PARENTAL CONSENT FOR TRANSPORTATION, WALKING EXCURSIONS, SWIMMING AND WADING FOR CHILD 2.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 4-6-18, CERT REP OBSERVED MISSING DOCUMENTATION OF EMERGENCY PLAN TRAINING IN THE FILES OF STAFF 1 AND 2.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: The agreement for child #1, 2 and 4 did not specify the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: The emergency contact information for child #3 did not include the phone number of the child's doctor.

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

Noncompliance Area: The emergency contact information for child #1 did not include the parent's work addresses and phone numbers.

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

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

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.

Noncompliance Area: Thel health assessment observed in the record for child #2 is dated 10/17/14.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: The emergency contact information for child #2 did not include signed parental consent for emergency medical care for the child.

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.

Noncompliance Area: The emergency contact information for child #2 did not include signed parental consent for administration of minor first-aid procedures.

Correction Required: 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.