Deborah Rogers Family Child Care Home

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: During the renewal inspection on 12/18/24 a book shelf with a tipping hazard was observed in the childcare space.

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(f)

Description: 2 feet apart

Noncompliance Area: During the renewal inspection on 12/28/24 an infant was observed sleeping in in a pack and play that did not have 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection on 12/18/24 The provider did not have a written policy to address the following: *Recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma *Strategies for coping with a crying, fussing, or distraught child *The prevention and identification of child maltreatment

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

Regulation: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: Durning the renewal inspection on 12/18/24 the emergency plan did not have lock-down procedures or accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection on 12/18/24 damaged paint and plaster was observed in the childcare space.

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

Regulation: 3290.104

Description: High Chairs

Noncompliance Area: During the renewal process a highchair without a T-shaped safety strap was observed at the facility.

Correction Required: Highchairs shall have a wide base and a T-shaped safety strap.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 12/6/23 the operator did not have verification the emergency plan and subsequent plan updates were mailed to the local municipality and to the county emergency management agency as required.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: On 12/6/23 the interconnected smoke alarms did not have verification of OSHA approval.

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(e)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: During a renewal inspection on 11/16/2022, the file for child #1 did not contain a record of influenza vaccination; the file for child #2 contained a record of influenza vaccination more then 12-month-old.

Correction Required: 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During a renewal inspection on 11/16/2022, the filed for children #1 and 2 contained a financial agreement that was not updated in the past 6-months.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection on 11/16/2021, the file for staff person #1 did not contain a mandated reporter training less than 60 months old. Mandated Reporter training on file is dated 12/24/2015.

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 1may not work in a child care position at the facility.

Noncompliance Area: The Certification Representative observed a container filled with rubber bands and other items with a diameter of less than 1 inch in the main child care spaces where toddlers receive care..

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

Noncompliance Area: Child 1 was observed by the Certification Representative sleeping on the black leather sofa in the main child care area.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: Service agreements information in 3 out of a sample of 5 children's records did not contain services provided and the parents did not receive the original agreements.

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).A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: 3 out of a sample of 5 children's records reviewed the emergency contact information did not have release person's name, address and phone number/

Correction Required: Update the records of all currently enrolled children to ensure compliance with the regulation.

Noncompliance Area: Facility did not have a written plan posted that identified the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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: Child #1 immunization record did not include the influenza shot.

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

Noncompliance Area: Certification Representative observed a diaper change series and the diaper changing surface was not cleaned after each use.

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

Noncompliance Area: Staff person #1 health assessment did not include the date the Mantoux test was read.

Correction Required: Update the Adult Health assessment for Staff Person # 1 to include the date the Mantoux test was read.

Noncompliance Area: During the renewal inspection on 1/14/2020, CR observed 2 medication bottles containing pills on a window ledge in the front of the childcare space which belong to the LE accessible to children

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

Noncompliance Area: During the renewal inspection 1/14/2020, CR observed cleaning materials and other toxic materials stored in an unlocked cabinet in the 1st floor bathroom and closet in main childcare space accessible to children A bleach and water spray bottle in the main childcare space was not in a container that specified the content

Correction Required: Cleaning materials and other toxic materials must be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: During the renewal inspection 1/14/2020 CR observed multiple first Aid kits on an entertainment center accessible to children

Correction Required: A first-aid kit shall be inaccessible to children.

Noncompliance Area: Damage paint was observed by the Certification Representative on the base of the wall near the black sofa in the main child care space.

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

Noncompliance Area: A fire evacuation plan was not posted at the facility.

Correction Required: Fire evacuation plans shall be developed and posted.

Noncompliance Area: Child #1 and 2 did not have updated health assessments in 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: Child #3 did not have emergency contact reviewed and signed by parent in last 6months.

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: Child #3 did not have an agreement form in file.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: During renewal inspection on 12/13/17, while reviewing children's files, Child # 1 and 4 had a current health assessment done, but did not have a child health repotr attached.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON 1/5/17, CERT REP OBSERVED STAFF # 1 LISTED AS FACILITY OWNER, WENT UPSTAIRS AND LEFT THE CHILDREN ALONE

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).: Children must be supervised at all times.

Noncompliance Area: DURING RENEWAL INSPECTION ON 1/5/17, CHILD # 2 'S PARENT DID NIT SIGN THE AGREEMENT FORM

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

Noncompliance Area: DURING RENEWAL INSPECTION ON 1/5/17, CHILD # 4'S EMERGENCY CONTACT DID NOT INCLUDE ADDRESS AND PHONE NUMBER OF PHYSCIAN

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: DURING RENEWAL INSPECTION ON 1/5/17, CHILD # 2- 4 DID NOT HAVE INSURANCE COVERAGE AND POLICY NUMBER. CHILD # 4'S EMERGENCY CONTACT DI NOT AHVE RELEASE PERSONS ADDRESS LISTED

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 RENEWAL INSPECTION ON 1/5/17, CHILD # 2 WHOSE ENROLLMENT DATE 6/13/16 DID NOT HAVE A HEALTH ASSESSMNET IN FILE. CHILD # 3 WHOSE ENROLLMENT DATE 5/22/16 DID NOT HAVE A CURRENT HEALTH ASSESSMENT IN FILE

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. 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 RENEWAL INSPECTION ON 1/5/17, CHILD # 2-4 DID NOT HAVE AN UPDATED EMERGENCY CONTACT IN 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 RENEWAL INSPECTION ON 1/5/17, CHILD # 2 AND 4 DID NOT HAVE 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.