Frog Hill Daycare

Regulation: 3280.103

Description: Small Toys and Objects

Noncompliance Area: In the preschool room foam blocks were observed with bite marks in them.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file for Child #2 contained an agreement form that was lacking the child's arrival and departure times.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for Child #2 and #4 both contained agreement forms that were lacking the persons 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.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for Child #1 contained an emergency contact form that was lacking the enrolling parent's work address and phone number.

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

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: Emergency contact forms were not in the Kitchen or the Playroom when the children were receiving care in those two rooms.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: All the child care spaces, the playroom, kitchen, and preschool rooms were all lacking a posted emergency transportation plan.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file for Child #3, who is a young toddler aged child, contained a child health report that was more than 6 months old.

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: 3280.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #4 contained an immunization record that was lacking 1-2 doses of rotavirus, 1 dose of HIB, and 1 dose or pneumococcal.

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.

Regulation: 3280.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #3 contained a child health report that showed no immunizations and stated that the parents chose not to get the child immunized, however there was no exemption letter on file for the child.

Correction Required: 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: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: The facility was lacking a posted safe pick up and drop off procedure.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: The file for Staff #1 contained a Pediatric First Aid/CPR that was not renewed before the last one expired.

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: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained two mandated reporter trainings that were more than 60 months apart.

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

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The green first aid kit that was located in the pantry outside of the restroom was lacking 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.

Regulation: 3280.113(a)

Description: Supervised at all times

Noncompliance Area: Operator self-reported that Staff Person #1 was responsible for Child #1 when Child #1 left the classroom without Staff Person #1's knowledge. Child #1 was found by the Operator in the upstairs area of the Operator's home hiding in an open closet area. The whereabouts of Child #1 were unknown for approximately 10-15 minutes.

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.

Regulation: 3280.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Operator self-reported that Staff Person #1 was responsible for Child #1, when Child #1 left the classroom without Staff Person #1's knowledge. Child #1 was found by the Operator in the upstairs area of the Operator's home hiding in an open closet area. The whereabouts of Child #1 were unknown for approximately 10-15 minutes. During this time Child #1 was not physically present with Staff Person #1 who was assigned responsibility for the child.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The updates to the mandated reporter trainings on file for Staff Person #1 exceeded 60 months between trainings completed on 4.4.20 and 6.22.25.

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

Regulation: 3280.52(b)

Description: Similar age levels

Noncompliance Area: Operator self-reported that Staff Person #1 was responsible for Child #1 when Child #1 left the classroom without Staff Person #1's knowledge. Child #1 was found by the Operator in the upstairs area of the Operator's home hiding in an open closet area. The whereabouts of Child #1 were unknown for approximately 10-15 minutes. During this time the child would not have been present with a staff person to be in compliance with the staff:child ratio requirements.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15.

Regulation: 3280.94(a)(2)

Description: Different times of day

Noncompliance Area: The fire drill log on file indicated that all of the fire drills were conducted at 10am. Fire drills have not been conducted at different times of the day.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at different times of the day or night, or both, if applicable.

Regulation: 3280.71

Description: Heat Source

Noncompliance Area: Upon arrival at the facility at 11:05AM there was a lit candle on the kitchen counter within reach of 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.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a broken gas lid, which creates a sharp edge, on a Little Tykes car in the outdoor play 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: 3280.106

Description: Refrigerator

Noncompliance Area: A sticky substance was observed on the floor and shelves of the refrigerator.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: The fee agreements in the files for Child #3 and #4 were not signed by the operator.

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

Regulation: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The fee agreement in the file for Child #4 did not include the date for which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The fee agreement in the file for Child #4 did not include the services provided.

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 § 3280.124(f).

Regulation: 3280.124(a)

Description: Each child emergency contact person

Noncompliance Area: An emergency contact form was not on site for Child #4.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form in the file for Child #3 did not include the enrolling parent's work address or work phone number.

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

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for Child #1 did not include the release person's address.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The files for Child #3 and #4, who have been enrolled for more than 60 days, did not include an initial health report.

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

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for Staff Person #1 did not include a health assessment conducted within the past 24 months.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact form in the file for Child #1, who has been enrolled for more than 6 months, has not been updated by the parent. The emergency contact form and fee agreement in the file for Child #2, who has been enrolled for more than 6 months, have not been updated by the parent.

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: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #1 contained only one letter of reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: The current Pediatric First Aid/CPR Certification in the file for Staff Person #1 was conducted on 11/12/24, which was after the previous certification had expired (10/31/24).

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: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: On 11/20/24 at 10:00 AM, Staff Person #1 was observed supervising six children (1 Infant, 1 Young Toddler, 2 Older Toddlers and 2 Preschool Children).

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b).

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: Observed a nail protruding from the floor, which creates a potential hazard, in front of the glass doors in the PSSA Activity Room. Observed two thorny vines growing along the fence in the outdoor play space.

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: On the day of the inspection (11/20/24), a fire drill had not been documented in the past 60 days. The last documented fire drill was conducted on 6/3/24.

Correction Required: The primary staff person 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.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On the day of the inspection (11/20/24), a fire system test had not been documented in the past 30 days. The most recent documented fire system test was conducted on 8/15/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3290.124(b)(4)/3290.182(3)

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

Noncompliance Area: Previously cited under SIN- 00240595. The emergency contact information on file for children #2, 3 and 4 did not include the written consent signed by a parent for emergency medical care for the child.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Previously cited under SIN- 00240595.The emergency contact information on file for children #1 and 2, who have been enrolled for more than six months, lacks a review/update within the past six 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: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Previously cited under SIN- 00240595. The files for children #1 and 5 lack an initial health report.

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

Regulation: 3290.182(5)

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

Noncompliance Area: The files for children #3, 4 and 5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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: 3290.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The entrance from the kitchen to the School Age Room was blocked as a board was nailed to the entrance.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: In the fenced in back yard of the facility, observed that the Step 2 play set had two exposed bolts on the left side, a blue kitchen set with a cracked sink located beside the Step 2 play set, a blue basketball hoop and pink basketball hoop which did not have the basin filled and could be pulled over by the children, and a pack n play on the back porch (not used for nap) which had leaves and dirt at the bottom of it and was soiled on the top rails,

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: 3290.103

Description: Small Toys and Objects

Noncompliance Area: In the Infant/Toddler Room, where young and older toddlers were observed playing, observed 4 latex balloons, one on the floor by the bathroom and three on the floor by the gate entrance, in the school age room, observed accessible foam letters and numbers, and in the buffet in the school age room, observed 9 accessible latex ballons. In the School Age Room, where young and older toddlers were observed playing, observed small wooden letters in the desk in the corner with a diameter of less than an inch. In the unlocked and accessible top drawer of the buffet table, observed six pieces of earrings and small splinters of wood with a diameter of less than an inch. In the unlocked and accessible bottom drawer of the buffet table, observed egg sun catchers, pom poms, a bunny face kit and a seven kit craft kit all with a diameter of less than an inch. In the unlocked and accessible plastic white drawers in the room, observed push pins, google eyes, brass fasteners, plastic bunny and cats, and green pipe cleaners with a diameter of less than an inch. In the unlocked and accessible white corner cabinet, observed lacing shapes and strings with a diameter of less than an inch. On the floor of the room, observed a Magna tile which was cracked and there was a small, exposed part with a diameter of less than an inch and baby doll house toys on the ground of the toy house with a diameter of less than an inch. On the window seat, and accessible to the children, observed a green sensory bottle with dry white beans in it and the top was not secured and the beans had a diameter of less than an inch. In the unlocked and accessible buffet drawer by the white doors, observed marbles and three small screws with a diameter of less than an inch. On the children's table of the room, observed a bag which contained small play kitchen items, dinosaurs that had a diameter of less than an inch. In the kitchen area, where young and older toddlers were present, observed accessible ink stampers, a sensory bin which contained uncooked split peas and on the kitchen table were grapes with a diameter of less than an inch. In the room located beside the School Age Room, where young and older toddlers were observed playing, observed a Littlest Pet Shop bin with small toys less than an inch.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed that the cots at the facility were labeled but the blankets/sleeping bags used by the children were not labeled.

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: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: On 3/8/24, at approximately 12:45PM, observed child #2 and staff #1 in the kitchen, Child #2 walked from the kitchen and through the hallway by the gate of the infant toddler room where staff #1 could not see the child. On 3/8/24, at approximately 1:00 and 1:15 PM, observed child #2 and staff #1 in the kitchen. Child #2 walked from the kitchen into the school age room and then to the room beside the school age room. Staff #1 could not see the child. On 3/8/24, at approximately 1:30 PM, observed children #1 and 2 with staff #1 in the kitchen. Children #1 and 2 ran into the school age room and to the room beside the school age room. Staff #1 could not see the children in the room beside the school age room.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Regulation: 3290.113(f)

Description: Supervision of children

Noncompliance Area: Based on a conversation with the operator, the operator was not using a monitor when using the restroom and therefore, could not see, assess, or direct the children in care.

Correction Required: When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

Regulation: 3290.114

Description: Outdoor Activity

Noncompliance Area: Based on a conversation with the operator, the children were not taken out doors for most of the winter.

Correction Required: Weather permitting, children shall be taken out doors daily.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: The fee agreements on file for children #4 and 5 were not signed by the operator.

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

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

Description: Amount of fee/Date fee to be paid

Noncompliance Area: The fee agreement on file for child #4 did not specify the fee to be charged per day or per week. The fee agreements on file for children #1 and 4 did not specify the date on which the fee is to be paid.

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

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

Description: Services provided/Arrival/departure times

Noncompliance Area: The fee agreements on file for children #1 and 4 did not specify the services to be provided to the family and the child. The fee agreement on file for child #4 did not specify the arrival and departure times.

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

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreements on file for children #1 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.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The fee agreements on file for children ##1, 3 and 4 lacked the child's date of admission.

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: 3290.123(b)/3290.182(8)

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

Noncompliance Area: The fee agreements on file for children #1,2, 3, 4 and 5 were the originals. Therefore, the parent did not receive the original agreement.

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

Regulation: 3290.124(b)(2)/3290.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for child #1 lacks the name, address and phone number of the child's physician and lacks the enrolling parents work address and work phone.

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

Regulation: 3290.124(b)(4)/3290.182(3)

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

Noncompliance Area: The emergency contact information on file for children #3, 4 and 5 did not include the written consent signed by a parent for emergency medical care for the child.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(5)/3290.124(b)(6)

Description: Information re: disability/Insurance coverage information

Noncompliance Area: The emergency contact information on file for children #1, 2, 4 and 5 lack information on the child's special needs which is needed in an emergency situation. The emergency contact information on file for children #4 and 5 lack the health insurance name and policy number. The emergency contact information on file for child #1 lacks a health insurance policy number.

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. 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: The emergency contact information on file for children #1, 2, 4 and 5 lack the address of all individuals 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(c)

Description: Excursions

Noncompliance Area: Observed that the facility's excursion bag with first aid kit did not contain all information required on the emergency contact forms.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The emergency contact information on file for children #1 and 2, who have been enrolled for more than six months, lacks a review/update within the past six 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: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The files for children #1 and 5 lack an initial health report.

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

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Observed child #2 eating snack. Staff did not ensure that the child's hands were washed before eating.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Observed a Bright Star walker on the back porch of the facility. The back porch did not have a gate and the walker could potentially roll off the porch and down the stairs with a child in the walker causing a threat to the health and safety of the child.

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

Regulation: 3290.182(5)

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

Noncompliance Area: The files for children #3, 4 and 5 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: In the School Age Room located beside the kitchen, where children were observed playing, observed that the wallpaper was peeling up from the bottom and starting to come off.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: There were more than 60 days between fire drills which were conducted on 11/21/23 and 1/25/24.

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.

Regulation: 3290.95(a)/3290.95(a)

Description: System in compliance/System in compliance

Noncompliance Area: * On 3/8/24, observed that the fire detector in the basement did not go off when the other two interconnected smoke detectors on the main floor went off and there was no smoke detector on the 2nd floor of the family child care home.

Correction Required: * The children will not return to care until operable detectors are on each floor. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). 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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: There were more than 30 days between manual checks of the smoke detectors which were conducted on 8/20/23 and 9/20/23, 10/20/23 and 11/20/23, 12/20/23, 1/25/24 and 2/25/24.

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(b)/3290.95(b)

Description: Operator or designated staff responsibility/Operator or designated staff responsibility

Noncompliance Area: On 3/8/24, observed that the fire detector in the basement did not go off when the other two interconnected smoke detectors on the main floor went off and there was no smoke detector on the 2nd floor of the family child care home.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met. 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: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: On the back porch, observed a child's blue chair which was cracked on one of the arms causing a pinch point and sharp corners.

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: 3290.103

Description: Small Toys and Objects

Noncompliance Area: In the room which leads to the back porch, observed child's play kitchen utensils which included small spoons and forks with a diameter of less than an inch, a craft drawer which contained small fuzzy balls with a diameter of less than an inch, a container on the table with small fuzzy balls with a diameter of less than an inch and a sensory table with small fuzzy balls with a diameter of less than an inch. In the backyard play space, observed small white rocks by the bottom of the porch steps with a diameter of less than an inch. All were accessible to the young toddler in care who is still placing objects in their mouth.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.124(b)(4)/3290.182(3)

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

Noncompliance Area: The emergency contact information on file for child #1 lacked consent by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.133(3)

Description: Name on bottle

Noncompliance Area: In the facilities excursion bag which contains the first aid kit, observed zinc ointment and sting relief medication which lacked a label with the child's name.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The file for staff #1 lacked the one hour health and safety update which was required by 12/30/22.

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

Regulation: 3290.182(5)

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

Noncompliance Area: The file for child #1 lacks signed parental consent for minor first-aid procedures by facility staff.

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: 3290.182(8)

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

Noncompliance Area: The fee agreement on file for child #1 was the original. Therefore, the original was not given to the parent.

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

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: The operator did not provide to the parent of each child enrolled a letter explaining the emergency procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The facility file lacked verification that the operator sent a copy of the emergency plan to the local municipality and to the county emergency management agency.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: The facilities fenced in back yard play space has a back porch which leads down to the back yard. The lattice which surrounds the bottom area of the porch was coming loose. Therefore, the children have access to the area underneath the porch which is filled with dirt, rocks and leaves and is approximately two feet tall and the children may hit their heads on the beams located under the porch.

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

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: On the back porch steps which lead to the outdoor play space, observed that the steps had gray peeling paint.

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

Regulation: 3290.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The toddler play room door was obstructed by a felt board which was approximately 3 feet tall and wide enough to cover the entrance to the bathroom. The bathroom exits to a laundry room.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3290.111(a)/3290.111(b)

Description: Written plan/Posted in area used by parents

Noncompliance Area: A written plan of daily activities and routines was not established and was not posted in a traffic area used by parents.

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

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: The facility lacked a conspicuously posted plan which identifies the means of transporting a child to emergency care and facility 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.

Regulation: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The diapering can observed in the bathroom was not hands free.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan lacked a plan for continuity of operations during the aftermath of a disaster. The facility lacked a policy to identify and prevent Shaken Baby/Abusive Head trauma/Child Maltreatment.

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

Regulation: 3290.22(a)/3290.22(b)

Description: Availability of certificate of compliance and applicable regulations/Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility lacked a posted sign in a conspicuous location to be used by parents with instructions for contacting the appropriate regional child car office and lacked a means to provide the parent with information on how to access the regulations electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location. The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

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

Description: Emergency plan/Emergency plan

Noncompliance Area: The facility's emergency plan lacks a plan that includes the word lock-down. The facility's emergency plan lacks a plan that provides accommodations for 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure statement on file for staff #1 lacked a date of signature.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: In the blue room, school age room and science room, observed a book/toy shelf in each room that was not secured to the wall and could cause a hazard to the children should they pull it over or it was to fall on the children.

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

Regulation: 3290.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The exit from the science room to the laundry room was obstructed by a refrigerator in the science room and a shelving unit in the laundry room. The exit from the school age room to the doll room (doll room is not used by the children) was obstructed by toys and a bean bag in the school age room and various toys in the doll room.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility lacked proof of purchase of the interconnected fire detection system.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.