Ferreras Carrasco Child Care

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child # 1 enrolled and attending facility does not have health insurance policy or number on file.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child # 3 has not had a child service report completed in over 6 months since 6/13/24.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child # 1 does not have their medical insurance provider on file.

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: 3290.182(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: Child # 1 & # 2 do not have consent on file for emergency medical care or 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: 3290.18

Description: General Health and Safety

Noncompliance Area: Facility fire alarm system is overdue for the annual alarm inspection. The alarm was due to be inspected in March 2025.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Facility did not test the fire alarms in over 30 days from 1/21/25 to 2/21/25.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Facility napping cots are not labeled for the children. 3 older school aged children report never seeing the cots before and report they all sleep upstairs in the operators' sons' room on the 2nd floor.

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)(3)/3290.123(a)(6)

Description: Services provided/Admission date

Noncompliance Area: Child # 1 & # 2 have been enrolled at the facility over 6 months and do not have a child service report on file. Child # 2 has no admission date on file.

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 date of the child's admission.

Regulation: 3290.124(e)

Description: Updated every 6 months

Noncompliance Area: Emergency contact forms for children being transported in the facility van have not been updated in over 6 months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The operator has not sent the emergency plan to the emergency management agency or local municipality in over 12 months since 7/5/22.

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

Regulation: 3290.31(f)/3290.31(f)(4)(i)

Description: Age and training/Age and training

Noncompliance Area: Facility staff # 1 & # 2 do not have 12 hours of childcare training. Facility staff # 1 & # 2 have pediatric first aid and cpr that expired 6/8/24.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Facility cannot open and operate until at least 1 facility staff person has PQAS approved pediatric first aid and cpr training. .

Regulation: 3290.51

Description: Maximum Number of Children

Noncompliance Area: Facility staff # 2 was observed at arrival of facility for the facilities renewal inspection with 7 children in care that are unrelated to the operator.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to either the legal entity or the staff person. At any one time, the related children of either the legal entity or the staff person, but not both, may be excluded in determining compliance with this section.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: There is toxic Bright Air Freshener on a shelf accessible to the children in the children's basement bathroom and on a stand on the porch used by the children assessable to them.

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: 3290.69

Description: Heat Source

Noncompliance Area: The stove is not equipped with stove guards and the children were observed eating lunch in the kitchen on the bar stools next to the stove while the stove was in use with the children's lunch in the oven.

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

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: The first aid kit does not contain soap.

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: 3290.102(f)

Description: No hazardous toys/equipment

Noncompliance Area: At the time of the inspection, a Fisher Price Infant to Toddler rocker was observed in the home. This piece of equipment was deemed hazardous by the United States Consumer Product Safety Commission on 6/14/22 and cannot be used in the home.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of the inspection, staff person #1 and staff person #2 were observed to be caring for children unsupervised. Staff person #1 and staff person #2 do not have current mandated reporter training. This is evidenced by the previously documented mandated reporter training expiration date of 9/3/23 and 8/31/22, respectively.

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 and staff person #2 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 and staff person #2, staff person #1 and staff person #2 may not work in a child care position at the facility.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection, staff person #1 and staff person #2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/13/23 and 8/31/22, respectively.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person#1 and staff person #2 will have until 4/3/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person#1 and staff person #2 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 and staff person #2, staff person #1 and staff person #2 may not work in a child-care position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: At the time of the inspection, nail polish and acetone nail polish remover stating "keep away from children" were observed on the counter in the kitchen and was accessible to children.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of the inspection, the hard-wired, OSHA approved and interconnected smoke detectors did not interconnect in the basement when tested from other floors.

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: At the time of the inspection, the manual monthly monitoring of the fire detection devices was conducted on 2/21/24 with a previous testing date of 1/20/24. These dates reflect longer than the 30 day required timeframe of manually testing the smoke detectors.

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: 3290.121(a)/3290.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: During the renewal inspection, the operator did not have written documentation of facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. The operator admitted that this is not provided to parents.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

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

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During the renewal inspection, child #4 and child #5 did not have a fee amount or when the fee is to be paid on the 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: During the renewal inspection, child #3 last had a child service report completed on 4/6/21 and not within the 6 month timeframe. Child #5 did not have a child service report on file dated within the previous 6 months. Child #4 had nothing stating the services to be provided to the child on the agreement form.

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)(4)

Description: Arrival/departure times

Noncompliance Area: During the renewal, on the agreement for child #4, there was no departure time listed for the child.

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

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During the renewal, there was no date of admission on the agreement for child #1 and child #4.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: During the renewal inspection, child #1 did not have an emergency contact form on file.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection, the emergency contact form for child #3 and child #4 did not include the phone number of the child's physician.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection, the emergency contact form for child #4 did not include the child's 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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, the emergency contact form for child #2 and child #4 did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During the renewal inspection, child #1 was missing the following immunization according to the recommendations of the ACIP: HEP A #2.

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 #1 must be dismissed from care by close of business on 6/13/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection, the operator did not have a written policy that includes, 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 addressing 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. The provider must have a written policy that includes, 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 addressing the prevention and identification of child maltreatment.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection, the operator's emergency plan was not in compliance and did not address volunteer emergency preparedness training, practice drills, and 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 sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: During the renewal inspection, staff person #1, staff person #2 and staff person #4 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff person #1, staff person #2 and staff person #4 shall complete the required one-hour 2022 update to the health and safety training by 6/28/23.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, staff person #4 did not have a current PA State Police clearance on file. The clearance that was on file was dated 1/10/18 and therefore expired.

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 CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection, staff person #4 did not have a current PA State Police clearance on file. The clearance that was on file was dated 1/10/18 and therefore expired.

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 CPSL was revised to include a requirement that all clearances (and/or mandated reporter training) be updated and on file at least every 60 months. Staff person #4 may not work in a childcare position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection, perfumes and cleaners were located in a bedroom on the second floor. Perfume sprays were located on a table in the hallway on a second floor. Perfumes and air fresheners were observed in the 2nd floor bathroom. Medication and perfumes were observed in the third floor bedrooms. A can of bed bug spray was observed on the stairwell leading to the third floor. All of these are toxics and were accessible to children.

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)(1)/3290.94(a)(4)

Description: Every 60 days/Hypothetical locations

Noncompliance Area: During the renewal inspection, the fire drill log that was present at the facility was last tested in June 2022. The operator then submitted a fire drill log after the inspection showing a drill in May and June 2023 but no hypothetical location of the fire was listed.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the renewal inspection, the last documented manual monthly monitoring of the fire detection system was done in June 2022. The operator did not have receipts of purchase or an installation attestation for the smoke detection 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)). 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: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: During an onsite inspection on 6/15/22, the emergency plan on file did not include accommodations for toddlers and children with special needs. The lock-down procedures for the family child care home were not included in the emergency plan. An acceptable plan of correction was received on 7/5/22 stating the correction was implemented on 6/29/22. As of 7/18/22, the provider did not include accommodations for toddlers and children with special needs in the emergency plan. The lock-down procedures for the family child care home were also not included in the emergency plan.

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: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During an onsite inspection on 6/15/22, there was no verification that the emergency plan was sent to the City of Allentown for review. An acceptable plan of correction was obtained on 7/5/22 stating that the correction was implemented on 6/29/22. As of 7/18/22, the provider still did not obtain verification that the emergency plan was sent to the City of Allentown for review.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an onsite inspection on 6/15/22, staff #1 (see code sheet for date of hire) did not have a current FBI clearance on file. The FBI clearance on file was dated 5/2/17 and therefore expired on 5/2/22. Staff #2 (see code sheet for date of hire) did not have a current FBI clearance on file. The FBI clearance on file was dated 6/5/17 and therefore expired on 6/5/22. The PA State Police clearance on file was dated 6/7/22 with a previous clearance date of 6/1/17. This shows a lapse in time that a current PA State Police clearance was on file. Staff #3 (see code sheet for date of hire) did not have a signed disclosure on file. Household member #4 (see code sheet for DOB) did not have a PA State Police clearance, Child Abuse Clearance or NSOR certificate on file. An acceptable plan of correction was received on 7/5/22 stating that all corrections would be implemented on 7/15/22. As of 7/18/22, household member #4 (see code sheet for DOB) did not have a PA State Police Clearance or NSOR certificate 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. Household member #4 will not be present in the home while children are in care.

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During an onsite inspection, there was no date of admission documented on the agreement for child #4.

Correction Required: An agreement shall specify the date of the child's admission.A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During an onsite inspection, the emergency contact form for child #4 did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: During an onsite inspection, there was no written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted anywhere in the family child care home.

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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: During an onsite inspection, the emergency contact form for child #5 was dated 3/13/21. The agreement was dated 9/25/20. These dates do not show that a parent review was conducted every 6 months.

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

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: During an onsite inspection, there was no file for child #6.

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

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

Description: Emergency plan/Emergency plan

Noncompliance Area: During an onsite inspection on 6/15/22, the emergency plan on file did not include accommodations for toddlers and children with special needs. The lock-down procedures for the family child care home were not included in the emergency plan.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During an onsite inspection on 6/15/22, there was no written documentation that the provider is conducting emergency drills annually.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During an onsite inspection on 6/15/22, there was no verification that the emergency plan was sent to the City of Allentown for review.

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

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: During an onsite inspection, staff #1 had an expired Pediatric First Aid/CPR training on file. The date of this training was 6/29/19 and therefore expired on 6/29/21.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During an onsite inspection on 6/15/22, staff #1 and staff #2 did not have verification of 12 clock hours of child care training on file from the previous year.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an onsite inspection on 6/15/22, staff #1 (see code sheet for date of hire) did not have a current FBI clearance on file. The FBI clearance on file was dated 5/2/17 and therefore expired on 5/2/22. Staff #2 (see code sheet for date of hire) did not have a current FBI clearance on file. The FBI clearance on file was dated 6/5/17 and therefore expired on 6/5/22. The PA State Police clearance on file was dated 6/7/22 with a previous clearance date of 6/1/17. This shows a lapse in time that a current PA State Police clearance was on file. Staff #3 (see code sheet for date of hire) did not have a signed disclosure on file. Household member #4 (see code sheet for DOB) did not have a PA State Police clearance, Child Abuse Clearance or NSOR certificate 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 an onsite inspection on 6/15/22, staff #1 (see code sheet for date of hire) did not have a current FBI clearance on file. The FBI clearance on file was dated 5/2/17 and therefore expired on 5/2/22. Staff #2 (see code sheet for date of hire) did not have a current FBI clearance on file. The FBI clearance on file was dated 6/5/17 and therefore expired on 6/5/22. The PA State Police clearance on file was dated 6/7/22 with a previous clearance date of 6/1/17. This shows a lapse in time that a current PA State Police clearance was on file. Staff #3 (see code sheet for date of hire) did not have a signed disclosure on file. Household member #4 (see code sheet for DOB) did not have a PA State Police clearance, Child Abuse Clearance or NSOR certificate 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. STAFF PERSON #1, STAFF #2 CAN NOT WORK IN A CHILD CARE POSITION UNTIL THE FBI CLEARANCE IS OBTAINED AND SENT TO DHS FOR REVIEW. HOUSEHOLD MEMBER #4 CAN NOT BE IN THE PRESENCE OF CHILDREN DURING THE FAMILY CHILD CARE OPERATING HOURS.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During an onsite inspection, in the patio play area, there was a can of Cutter bug spray sitting on a table. There was a gallon of paint on the step of the patio. In the basement area, where children use the restroom, there was a bottle of laundry detergent and a bottle of bleach sitting on a table accessible to children. On the second floor in the hallway was a bottle of lotion. On the second floor in the bathroom, were bottles of perfume which were accessible to children.

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: 3290.65(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: During an onsite inspection on 6/15/22, the trash can in the main child care space had tissues in it and did not contain a lid.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: On 7/20/21, a renewal inspection was conducted at the facility. Child #3 (date of admission unknown) and #4 (date of admission unknown) did not have an initial health assessment on file. A plan of correction was received stating all violations would be corrected by 9/6/21. A site visit was conducted on 9/7/21, the certification representative observed that child #3 and 4 still did not have a health assessment on file.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: On 7/20/21, a renewal inspection was conducted at the facility. The health assessment on file for child #2 (DOB 8-8-17) was dated 5-31-18. There should have been another health assessment 6 months after this date on or around 11-31-18, one on or around 5-31-19, one on or around 11-31-19 and then annually after. A plan of correction was received stating all violations would be corrected by 9/6/21. A site visit was conducted on 9/7/21, the certification representative observed that child #2 did not have and updated health assessment on file.

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

Regulation: 3290.131(b)(2)

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

Noncompliance Area: On 7/20/21, a renewal inspection was conducted at the facility. The health assessment on file for child #2 (DOB 8-8-17) was dated 5-31-18. There should have been another health assessment 6 months after this date on or around 11-31-18, one on or around 5-31-19, one on or around 11-31-19 and then annually after the age of 2. A plan of correction was received stating all violations would be corrected by 9/6/21. A site visit was conducted on 9/7/21, the certification representative observed that child #2 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.

Regulation: 3290.131(d)(5)

Description: Immunization record

Noncompliance Area: On 7/20/21, a renewal inspection was conducted at the facility. There was no influenza vaccination or exemption for this vaccine on file for child #2-5. A plan of correction was received stating all violations would be corrected by 9/6/21. A site visit was conducted on 9/7/21, the certification representative observed that child #2-5 did not have influenza vaccination or exemption from the influenza on file.

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

Regulation: 3290.32(d)

Description: Age and training

Noncompliance Area: On 7/20/21, a renewal inspection was conducted at the facility. Staff #1 and #2 who were present in the facility were not competent in pediatric first aid. Staff #1's first aide certification expired 6-6-19 and there was no verification for staff #2 of having this completed. A plan of correction was received stating all violations would be corrected by 9/6/21. A site visit was conducted on 9/7/21, the certification representative observed that Staff #1 and 2 did not have training in Pediatric First Aid and CPR.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Noncompliance Area: Child 1's health report was not signed by a doctor, PA or CRNP. Child 1's immunizations were also submitted 60 days after his initial start date.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.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.

Noncompliance Area: On 7/13/2020, it was observed that the facility did not have an operable smoke detector on the first floor. The facility also did not have fire evacuation plans posted.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Fire evacuation plans shall be developed and posted.

Noncompliance Area: On the date of inspection, it was observed that there was not an operable smoke detector in the facility's basement and 4th floor. In the basement, the smoke detector did not have working batteries and on the 4th floor, none of the smoke detectors had batteries.

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

Noncompliance Area: The facility's emergency plan was last updated on 8/14/2018.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: Household member one, did not have the FBI, child abuse, state police or NSOR 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.

Noncompliance Area: When the certification representative arrived to the facility on 8/14/2019 for a verification visit, it was observed that an infant was sleeping in a rocker and no one was supervising the child. This occurred for approximately 10 minutes before the infant was moved to a pack and play.

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of in person training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The training will not count towards the annual training hours. 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.

Noncompliance Area: During the annual renewal, it was found that child 1 had an outdated emergency contact form form and fee agreement. During a verification visit on 8/14/2019, it was found that child 1 continued to have an outdated emergency contact form.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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 annual renewal on 8/14/2019, it was found that child 2 last had his health assessment and immunization records last updated on 5/31/2018 . Child 2 Is a young toddler. During a verification visit on 8/14/2019, child 2 continued to not have his health assessment and immunization record updated.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: During the annual inspection on 6/13/2019, it was observed that the provider was utilizing her stovetop and oven while it was accessible to children. The stove's oven was unlocked making it accessible to the children in care. When certification representative went back to the facility to conduct a verification visit on 8/14/2019, it was observed that the stove was again being utilized without a stove guard and the children were in the kitchen. The stove was accessible to the children.

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

Noncompliance Area: During the annual renewal inspection on 6/13/2019, it was observed that the kitchen door was open for ventilation and there was no screen in use. During a verification visit on 8/14/2019, it was again observed that the kitchen door was open for ventilation and there was no screen in use.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Noncompliance Area: During the annual inspection on 6/13/2019, it was observed that the first aid kit used for transportation was missing scissors. During a verification visit on 8/14/2019, it was again observed that the first aid kit was missing scissors.

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.A first-aid kit, including the contents as specified in 3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: Child 4 did not have a child service report on file and his date of admission is 4/16/2018.

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).

Noncompliance Area: Children 6 and 7 did not have a date of admission on file. Child 6 did not have the signature of the operator on his fee agreement. Child 7 did not have any fee agreement on file.

Correction Required: An agreement shall be signed by the operator and the parent.An agreement shall specify the date of the child's admission.

Noncompliance Area: Children 2, 3, 4 and 5 did not have updated emergency forms and fee agreements. Children 2 and 3 last had their emergency forms and fee agreements updated on 4/9/2018. Child 4 last had his updated on 4/15/2018 and child 5 last had his updated on 5/10/2018.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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 4, who is a young toddler, last had his health assessment and immunization record updated on 5/31/2018.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The facility did not have medication, which was observed at the facility, labeled for children 1, 4 and 7. As per provider, the medication belonged to children 1, 4 and 7. Children 1, 4 and 7 also did not have medication logs on file.

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. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: Children 1 and 7 did not have parental permission for emergency medical care or 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.

Noncompliance Area: Staff 2, who opened facility in March of 2018, continued to not have a high school diploma on file during the annual inspection on 6/13/2019.

Correction Required: The operator shall have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department at the time of registration renewal.

Noncompliance Area: Staff 1 did not have mandated reporter training on file and as per staff 2, she is left alone with the children so staff 2 can transport children.

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

Noncompliance Area: There was an uncovered outlet in the play area on the back wall.

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

Noncompliance Area: There was medication accessible in an unlocked kitchen drawer. The kitchen is accessible to the children in care.

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

Noncompliance Area: It was observed that the provider was utilizing her stovetop and oven while it was accessible to children. The stove's oven was unlocked making it accessible to the children in care.

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

Noncompliance Area: During the annual renewal inspection, it was observed that the kitchen door was open for ventilation and there was no screen in use.

Correction Required: Windows or doors used for ventilation shall be screened when open.

Noncompliance Area: The first aid kit that is used for transportation was missing scissors.

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.

Noncompliance Area: On 7/25/2018, certification representative observed staff 1 hitting child 1 on the leg as a result of her initiating negative interactions with her siblings.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The facility will develop a policy, which will be distributed to all day care families, explaining that hitting is not allowed in the day care under no circumstances.

Noncompliance Area: The contact information for Child 1's father was missing on the emergency contact form during the facility's annual inspection on 6/20/2018. During a verification visit on 7/25/2018, it was observed that the information was still missing from the child's file.

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

Noncompliance Area: Children 1, 2, 3, 4 and 7 were missing the health insurance name and policy number in their files during the facility's annual inspection on 6/20/2018. During a verification visit on 7/25/2018, it was observed that children 1, 2, 3 and 4 were still missing the health insurance name and policy number from their files.

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: Children 1, 2, 3, 6 and 7 were missing the health assessments from the files. All children were enrolled for more then 60 days. Child 1, 2 and 3 were enrolled on 4/2/2018. As per provider, children 6 and 7 were enrolled for more then 60 days. During a verification visit on 7/25/2018, it was observed that children 1 and 2 were still missing their health assessments.

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

Noncompliance Area: It was observed during the facility's annual inspection on 6/20/2018, that staff 1 had a record of positive TB on file and did not have the results of a chest x-ray on file. During a verification visit on 7/25/2018, staff 1 continued to not have the results of a chest x-ray in her file stating that she was negative for TB. Provider stated that the hospital was going to be sending her the results in the mail but that she never received them.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Noncompliance Area: During the facility's annual inspection on 6/20/2018. children 1-8 did not have permission for emergency medical care and minor first aid on file. During a verification visit on 7/25/2018, it was observed that children 1-8 continued to not have permission for emergency medical care and 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.

Noncompliance Area: During the facility's annual inspection on 6/20/2018, it was observed that various liquors were in an unlocked cabinet in a downstairs room that was accessible to the children. Due to the cabinet being unlocked, the liquor was accessible. During a verification visit on 7/25/2018, it was found that the liquor was still accessible to children in the same cabinet.

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

Noncompliance Area: Upon entering the facility on 6/20/2018 for the annual inspection, certification representative observed the provider utilizing the stove while children were in care. Children were in the kitchen and the stove was accessible to the children due to their being no gate or stove guard blocking the stove. During a verification visit on 7/25/2018, certification representative asked provider to show him where the stove guard was. Operator stated that she has one on order but it is not present.

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

Noncompliance Area: Provider did not have the fee amount documented for child 6. Child 6 also did not have a date of admission on file.

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 of the child's admission.

Noncompliance Area: Children 1, 2, 3 and 6 did not have a signature from the operator and services provided documented on their fee agreements.

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

Noncompliance Area: The contact information for Child 1's father was missing on the emergency contact form.

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

Noncompliance Area: Children 1, 2, 3, 4 and 7 were missing the health insurance name and policy number in their files.

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: Children 1, 2, 3, 6 and 7 were missing the health assessments from the files. All children were enrolled for more then 60 days. Child 1, 2 and 3 were enrolled on 4/2/2018. As per provider, children 6 and 7 were enrolled for more then 60 days. .

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

Noncompliance Area: Staff 1 had a record of positive TB on file and did not have the results of a chest x-ray on file.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Noncompliance Area: Children 1-8 did not have permission for emergency medical care and minor first aid on file.

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.