Gloria E Pitts Family Child Care Home

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: The metal Jumbling Tower board game box was broken creating a sharp edge. The couch in the living room was ripped exposing the foam.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: The facility sleeping equipment were not labeled with the child's name and used only by the named child while enrolled in the program.

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: 3290.106

Description: Refrigerator

Noncompliance Area: The facility refrigerator temperature was 52 degrees.

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: 3290.113(f)

Description: Supervision of children

Noncompliance Area: The operator was not using 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.

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: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The file for child #1 lacked the fee amount on the agreement form.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The file for child #1 lacked the date on which the fee is to be paid on the agreement form.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for child #3 lacked an approved form to provide information to the family about the child's growth and development in the context of the services being 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 § 3290.124(e).

Regulation: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file for child#1 lacked the child's arrival and departure times on the agreement form.

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

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The files for child # 2,3,4 and 5 lacked specify the persons designated by a parent to whom the child may be released on the agreement form.

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

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: The file for child#1 lacked the date of the child's admission on the agreement form.

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

Regulation: 3290.123(b)/3290.182(8)

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

Noncompliance Area: The file for child #1 contained an original agreement form.

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)(4)/3290.182(3)

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

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

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for children #4 and 5 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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(e)/3290.181(c)

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

Noncompliance Area: The file for child # 2 contained an emergency contact form and an agreement form that has not been renewed since 4/1/25. The file for child # 3 contained an emergency contact form that has not been renewed since 4/1/25, and an agreement form that has not been renewed since 6/3/24. The file for child # 4 contained an emergency contact form that has not been renewed since 4/1/25, and an agreement form that has not been renewed since 5/7/23. The file for child # 5 contained an emergency contact form that has not been renewed since 4/1/25, and an agreement form that has not been renewed since 5/7/23.

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)(4)

Description: Initial health report for school age

Noncompliance Area: The file for child #2 a school age lacked a health report dated in accordance with the requirements for medical examinations for school attendance. The health report in the file is dated 1/31/23 when child#2 was 3 years old. The file for child #5 a school age lacked a health report dated in accordance with the requirements for medical examinations for school attendance. The health report in the file is dated 1/31/23 when child# 5 was 4 years old.

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

Regulation: 3290.131(a)/3290.131(e)(3)

Description: Within 60 days/Dismissal policy

Noncompliance Area: The file for child #3 a young toddler lacked an initial health report. The children have been in care longer than 60 days. Child # 3 may not return to care until a health report and immunization record is provided.

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. 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 # 3 must be dismissed from care by close of business 3/23/26 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3290.165

Description: Menus

Noncompliance Area: The operator lacked a menu. The operator was not discussing the general menu plan with the parent so that the daily nutritional needs of the child can be met.

Correction Required: The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The Certificate of Compliance was not posted in a conspicuous location used by parents.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of the annual emergency drills.

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

Regulation: 3290.24(e)

Description: Emergency plan

Noncompliance Area: The facility emergency plan was not posted in the facility at a conspicuous location used by the parents.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: The operator did not provide the parents of each enrolled child 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for household member #1 lacked State Police clearance.

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

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There was an uncovered electrical outlet in the living room accessible to children 5 years of age or younger.

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

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: The first -aid kit lacked soap, scissors and tweezers.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: There was a missing ceramic tile transition piece between the living room and the kitchen creating a tripping hazard.

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: There was peeling paint on the right-side wall between the living room and the kitchen.

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

Regulation: 3290.93

Description: Fireplaces & Wood or Coal Burning Stoves

Noncompliance Area: There was a stove accessible to children without protective guards.

Correction Required: Fireplaces, fireplace inserts or woodburning and coalburning stoves, if allowed by local ordinance, shall be securely screened or equipped with protective guards while in use.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 6/2/25-7/9/25,7/9/25-8/10/25,9/4/25-10/6/25,10/6/25-11/8/25,11/8/25-12/9/25, 1/8/26-2/8/26,2/8/26-3/23/26.

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 subsection (a) are met.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: There was an unlabeled pack n play with the child's name and used only by the named child while enrolled in the program.

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

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The files for children # 1,2 and 4 lacked the amount of the fee to be charged per day or per week on the agreement form.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The files for children# 1,2 and 4 lacked the date on which the fee is to be paid on the agreement form.

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

Regulation: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The files for children #1,2 and 4 lacked the arrival and departure times on the agreement form.

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

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The files for children #,2 and 4 lacked the persons designated by a parent to whom the child may be released on the agreement form.

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 files for children #1and 2, lacked the date of the child's date of admission on the agreement form.

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(a)(7)

Description: Services considered extra

Noncompliance Area: The files for children # 1 and 2 lacked services which are to be considered as extra on the agreement form.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #4 lacked the work telephone numbers of the enrolling parent on the emergency contact form.

Correction Required: 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 files for children #3 and 5 lacked the written consent signed by a parent for emergency medical care on the emergency contact form.

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)(6)

Description: Insurance coverage information

Noncompliance Area: The files for children # 1,2 and 4 lacked the health insurance policy number on the emergency contact form.

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: The files for children #1 and 2 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form. The files for children # 3 and 5 lacked the telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form.

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(e)/3290.181(c)

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

Noncompliance Area: The file for child # 2 contained an emergency contact form and an agreement form that has not been updated in writing once in a 6-month period. The las review was dated 5/11/24. The file for child # 4 contained an emergency contact form and an agreement form that has not been updated in writing once in a 6-month period. The las review was dated 6/10/24.

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)/3290.131(e)

Description: Within 60 days/Immunization record

Noncompliance Area: The file for child # 2, a preschooler lacked an initial health report. The children have been in care longer than 60 days. The child cannot return until the facility has a copy of the immunizations. The file for child # 4 an infant lacked an initial health report. The child has been in care longer than 60 days. The child cannot return until the facility has a copy of the immunizations.

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. 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. Children # 2, and 4 must be dismissed from care by close of business 3/7/25 and may only return to care when the immunization record is provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: There were 3 razors accessible to children in the bathroom. There was a lidded candle on top of a shelf, accessible to children in the living room while the children were in care.

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 children #3 and 5 lacked a signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by parents.

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

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled in the facility with information on how to access the regulations electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: 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: 3290.22(c)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not post a copy of the inspection summary issued by the Department next to the facility's certificate of compliance in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department next to the facility's certificate of compliance in a conspicuous location used by parents. The inspection summary must remain posted until an agent of the Department verifies that each noncompliance item noted on the inspection summary has been corrected.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility emergency plan lacked accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: 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(b)

Description: Emergency plan

Noncompliance Area: The facility emergency plan was not review annually. The last review was documented on 10/1/23.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of an annual emergency drill.

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

Regulation: 3290.24(e)

Description: Emergency plan

Noncompliance Area: The operator did not post the emergency plan in the facility at a conspicuous location.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: The operator did not provide the parents of each enrolled child 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: 3290.31(f)

Description: Age and training

Noncompliance Area: The file for staff person #2 lacked 12 out of 12 required hours of annual childcare training, from 12/19/23 to 12/19/24.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for households #1 lacked the State Police clearance, Child Abuse Clearance, FBI clearance and the NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: There was a bottle of desinfex multi-purpose wipes, a can of disinfectant spray Levander scent and 3 jars of A+D prevent original ointment on top of the coffee table in the living room label " Keep out of reach of children" 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: 3290.73(c)

Description: Has all items

Noncompliance Area: The first- aid kit lacked soap, tweezers and 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: 3290.93

Description: Fireplaces & Wood or Coal Burning Stoves

Noncompliance Area: There was a stove accessible to children without protective guards.

Correction Required: Fireplaces, fireplace inserts or woodburning and coalburning stoves, if allowed by local ordinance, shall be securely screened or equipped with protective guards while in use.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Based on a review of the facility's Fire drill log, The last fire drill was recorded on 3/16/24.

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(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Based on a review of the facility's Fire Detection System Test log, the fire system was not tested within the past 30 days. The last test was recorded on 4/8/24.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreement, in the file for Child #1, did not contain the date of the child's 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: 3290.14(b)

Description: Building Codes

Noncompliance Area: An Occupancy Permit was not available.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The file for Staff #1 contained documentation of Health and Safety 1-Hour Update training on 2.24.23, which was due by 12.30.22. The Emergency Plan did not contain Continuity of Operations.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In an unlocked cabinet, under the kitchen sink, were toxic items which stated, "Keep out of reach of children,": Easy Off Oven Cleaner (14.5 oz) and LA's Totally Awesome Cleaner (32 oz), and they 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: 3290.73(c)

Description: Has all items

Noncompliance Area: The first-aid kit did not contain tweezers, scissors, or 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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Although the six (6) smoke detectors located on the main floor, basement, and garage were operational, the two (2) smoke detectors which were to be interconnected, did not communicate with each other. They each sounded separately, but not together. The Fire System Testing Log contained documentation of testing on 1.4.24, 2.8.24, and 3.10.24, which were not within 30 days of each other.

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: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: On 3/4/23, at time of renewal, a written medical transport plan was not posted in the facility.

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

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

Description: Immunization record/Immunization record

Noncompliance Area: On 3/4/23, at time of renewal, Child #1 has been enrolled for more than 60 days. Child #1 immunization record did not include an annual influenza vaccine required by the ACIP.

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

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: On 3/4/23, at time of renewal, the facility's current certificate of compliance with instructions for contacting the regional office was not posted in a conspicuous location used by parents.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: On 3/4/23, at time of inspection, no documentation of emergency plan delivery to the local municipality and to the county emergency management agency was not on file at the facility.

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: 3290.72

Description: Emergency Numbers Posted

Noncompliance Area: On 3/4/23, at time of inspection, emergency telephone numbers were not posted in the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3290.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: On 3/4/23, at time of renewal inspection, the Fire Drill Log on file did not contain a different hypothetical location of a fire for each fire drill.

Correction Required: 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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: On 3/4/23, at time of inspection, evacuation routes were not posted on the main floor and the lower level of the facility.

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

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: On 3/4/23, at time of inspection, the facility's Fire Drill Log did not indicate the specific time of day of the drill, the evacuation time, and the names of the facility persons and the number of children who participated in the fire drills.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: On 3/4/23, at time of renewal, a log indicating the smoke detectors are tested at least every 30-day test was not on file at the facility.

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: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: The files for child #4 and #5 had an agreement that lacked the child's admission date.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The files for child #1, #2, #3, #4, and #5 had an emergency contact form that lacked the telephone 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: The files for child #4 and #5 had an emergency contact form that lacked the 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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: The files for child #4 and #5 lacked an initial health assessment within 60 days of their start date and require a current health assessment.

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(d)(5)

Description: Immunization record

Noncompliance Area: The file for child #5, a school-age child, lacked an immunization record.

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

Regulation: 3290.131(e)

Description: Immunization record

Noncompliance Area: The file for child #4 lacked an immunization record within 60 days of their start date and requires a current immunization record.

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

Regulation: 3290.182(8)

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

Noncompliance Area: The files for child #1, #2, and #3 lacked an initial agreement and require a current agreement.

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: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The parent of each enrolled child was not provided with information on how to access the DHS child care 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.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of an emergency drill being conducted within the last year.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for household member #1 had FBI clearances dated 12-6-16 and 1-4-22 that were over 60 months between clearances.

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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted in the basement of the facility.

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

Noncompliance Area: The file for staff person #1 had a health assessment that exceeded 24 months between assessments.

Correction Required: 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.

Noncompliance Area: The emergency plan lacked a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: On the outside backyard play space, the wall on the right side with wooden beams had splintering with sharp edges in a few areas.

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.

Noncompliance Area: The first room down the hallway on the right had a door to the kitchen that was blocked by a shelf preventing the door from opening.

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

Noncompliance Area: In the infant room upstairs, there were not a sufficient amount of toys or a variety play equipment in the different categories including materials for dramatic role playing, toys and materials for cognitive, visual, and auditory development, toys to handle and manipulate and art materials for tactile development, and toys and equipment for large muscle development.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at 3290.101(c)(1) - (6).

Noncompliance Area: In the downstairs child care space, there was a plastic bin with toys that had 2 cracks on the sides of the bin with sharp edges and another bin with a crack on the lid with a sharp edge.

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.

Noncompliance Area: The file for child #1, child #2, and child #3 had an agreement that lacked the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: The file for child #1, child #2, and child #3 had an agreement that lacked the child's admission date.

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

Noncompliance Area: The file for child #1, child #2, and child #3 had an emergency contact form that lacked the name, address and telephone 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.

Noncompliance Area: The file for child #1, child #2, and child #3 had an emergency contact form that lacked the name of the health insurance and the 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.

Noncompliance Area: Staff person #1 stated that when she changes the infant's diaper in the infant room, the soiled diaper is placed in a loose plastic bag and then taken directly outside to throw away in a trash can outside. The infant room lacked a plastic-lined, hands-free covered can.

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.

Noncompliance Area: The file for child #1, child #2, and child #3 had an emergency contact form that lacked signed parental consent for emergency medical care for the child and 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 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: The file for staff person #1 had 9 hours of training within the last 2 years and lacked 3 additional hours of child care training.

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

Noncompliance Area: In the downstairs child care space, there was a drawer with 2 cans of Axe body spray and a deodorant that were labeled "Keep out of reach of children" that 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.

Noncompliance Area: In the kitchen, the oven and stove knobs were accessible to 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: An emergency transportation plan was not posted in the living room.

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.