Gwendolyn A Jennings Family Child Care Home

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 forms in the files for children #1 and #2 did not contain signed parental 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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact forms in the files for children #1 and #2 did not contain the health insurance coverage and policy number for the children.

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)/3290.131(e)

Description: Within 60 days/Immunization record

Noncompliance Area: The file for child #2 lacked an initial health report within 60 days following the first day of attendance at the facility.

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. Child #2 must be dismissed from care by close of business 7/13/26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

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

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

Noncompliance Area: The file for child #1, who is preschool child, did not contain a health report dated within the last 12 months. The most recent health report on file was dated 1/15/25.

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

Regulation: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: The two most recent health assessments in the file for Staff Person #1 are dated 8/22/23 and 6/24/26, which are more than 24 months apart.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.

Regulation: 3290.182(5)

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

Noncompliance Area: The emergency contact forms in the files for children #1 and #2 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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: A pack n' play used as rest equipment for a child observed receiving care was not labeled with the child's name.

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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The two most recent parent updates on the emergency contact form and the financial agreement form in the file for child #1 are dated more than 6 months apart.

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: A health report including a copy of the child's immunization record was not on file for children #2 and #3, who have been enrolled more than 60 days following the first day of attendance at the facility.

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 #3 must be dismissed from care by close of business 7/15/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 9/30/24.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff persons available to supervise staff person #1, staff person #1 may not work in a child care position at the facility.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility lacked policies regarding recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with crying, fussing, or distraught children, and prevention and identification of child maltreatment.

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

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: Individual records were not established and maintained on file at the facility for children #2 and #3.

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

Regulation: 3290.21(f)

Description: Photo ID

Noncompliance Area: The operator did not have documentation of a valid photo identification at the time of inspection due to the photo identification that was observed expired on 6/2/25

Correction Required: A valid photo identification of the operator or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: The file for staff person #1 contained 6/12 clock hours of child care training.

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

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

Description: Age and training

Noncompliance Area: The file for staff person #1 had documentation of pediatric first-aid/CPR training that was not renewed prior to the expiration date of the most current certification file. The most current pediatric first aid/CPR training on file was observed to have expired on 9/30/24.

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: 3290.65(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In the kitchen, trash that had been contaminated by human secretion was observed contained in a plastic-lined receptacle but did not closed lid.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file at the facility contained documentation of conducting fire drills on 8/12/24 and 1/17/25, exceeding 60 days between drills.

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: The documentation on file at the facility of testing the fire detection system exceeded 30 days between testings from 7/9/24 to 1/17/25, 3/7/25 to 4/16/25 and 5/14/25 to 6/25/25.

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

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: The thermometer in the facility's refrigerator was observed to be 0 degrees and was determined not to be operable.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for child #1, who has been enrolled more than 6 months, did not include a child service report.

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(b)/3290.182(8)

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

Noncompliance Area: The file for child #4 did not include a copy of an agreement form between the parent and the operator.

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(a)/3290.181(a)

Description: Each child emergency contact person/Each child

Noncompliance Area: An individual record containing emergency contact information was not on file at the facility for child #4.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for child #3 lacked the addresses of the release persons designated by the parent to whom the child may be released.

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

Regulation: 3290.131(b)(1)/3290.181(c)

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

Noncompliance Area: The file for child #2, who is a young toddler, lacked documentation of a health assessment conducted within the last 6 months. The most recent health report on file is dated 12/1/23.

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. 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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility did not have documentation of a written policy to address recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing or distraught child, and the prevention and identification of child maltreatment.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The agreement form on file for child #1 has not been reviewed and updated by the parent within the last 6 months. The most recent update on file is dated 4/11/23.

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

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: The two most recent emergency plan trainings in the file for staff person #1 are dated more than 12 months apart: 10/3/22 and 7/7/24.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility's documentation of testing the fire detection system exceeded 30 days from 9/14/23 to 10/18/23, 11/17/23 to 12/20/23, 12/20/23 to 1/26/24, and 1/26/24 to 2/28/24.

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(a)

Description: System in compliance

Noncompliance Area: SECOND CITATION: The smoke alarms in the facility were operable at the time of the Correction Visit although they were not interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms. At the time of installation, the smoke alarms were not approved by a testing laboratory recognized by OSHA to test and certify smoke alarms. PREVIOUSLY CITED 9/11/23.

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)). Operator will install interconnected OSHA approved smoke detectors by October 26, 2023.

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: Observed small pieces of a plastic coating material and foam that were peeling off from the highchair located in the facility. The highchair was accessible to children who are still placing objects in their mouths.

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 rest equipment that was not labeled for the use of a specific child.

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

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 10:00 AM on the day of the Renewal Inspection Staff #1 answered the door leaving three of the children, including 1 young toddler and 2 older toddlers, alone in the back room where she was not present with her group of children. At approximately 10:05 AM-10:15 AM, Child #2, an infant, was in the front room unsupervised with Staff #1's daughter, who is not an employee or household member. At this time Staff #1 was in the back room with the three other children and therefore, not physically present in the front room with Child #2.

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(a)

Description: Supervised at all times

Noncompliance Area: *At approximately 10:00 AM on the day of the Renewal Inspection Staff #1 answered the door leaving three of the children, including 1 young toddler and 2 older toddlers, alone in the back room where she was not present with her group of children. At approximately 10:05 AM-10:15 AM, Child #2, an infant, was in the front room unsupervised with Staff #1's daughter, who is not an employee or household member. At this time Staff #1 was in the back room with the three other children and therefore, not physically present in the front room with Child #2.

Correction Required: *Children must be supervised at all times. The legal entity must arrange for all facility staff to receive in person training regarding the supervision of children provided by the Early Learning Resource Center. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity will confirm compliance by sending copies of completed supervision training to the Certification Representative.

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The Agreement in the file for Child #2 and #4 lacked the date on which the fee is to be paid.

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 #1, enrolled for more than 6 months, lacked a child service report providing 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)(5)

Description: Designated release persons

Noncompliance Area: The Agreements in the files for Child #2 and #4 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.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreements in the files for Child #2 and #4 lacked 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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #4 lacked the phone number of the child's physician.

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

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

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

Noncompliance Area: The Emergency Contact Form in the file for Child #1 lacked written consent signed 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for Child #1 and #5 lacked the address of the individual designated by the parent to whom the child may be released.

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

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: The facility lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The file for Child #3 contained an emergency contact form that had not been updated within the last 6 months.

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

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The file for Child #5 lacked an initial health report within 60 days of attendance.

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: 3290.131(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: The file for Child #4 and #5, both enrolled more than 60 days at the facility, did not contain documentation of the influenza vaccination as required based on the child's age as per the ACIP recommended schedule.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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. Child #4 and #5 must be dismissed from care by close of business 9/11/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.151(c)(2)/3290.192(2)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for Staff #1 did not contain the results of a tuberculin skin test, x-ray or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: The file for Child #2, an infant, lacked a written formula and feeding schedule obtained from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Although Staff #1 had the Pennsylvania Health and Safety training at the time of the Renewal Inspection, it was observed that Staff #1 had not completed the Pennsylvania Health and Safety Updated by the compliance date of 12/30/22 as set forth in Announcement C-22-06.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The Emergency Plan at the facility lacked a continuity of operations plan including, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The Emergency Plan Delivery documentation that was submitted during the renewal inspection lacked information on the local municipality where the emergency plan was submitted.

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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Front Main Room next to the pack n play at the bottom of the steps there was an electrical outlet that lacked a protective receptacle cover. The outlet was accessible to children 5 years of age and younger.

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

Regulation: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: Observed a window in the bathroom on the second floor that was accessible to children and was not modified to limit the opening to 6 inches or fewer.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The Second and Third Floor of the facility lacked a posted evacuation route.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility lacked smoke detectors in the family childcare home that were interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms.

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

Regulation: 3290.131(d)(5)

Description: Immunization record

Noncompliance Area: The Health Report for Child #1 lacked verification of a 4th dose of the Pneumococcal vaccination in accordance with the schedule recommended by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Children #1 must be dismissed from care by the close of business 2/7/2023 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.131(e)(3)

Description: Dismissal policy

Noncompliance Area: The Health Report for Child #1 lacked verification of a 4th dose of the Pneumococcal vaccination in accordance with the schedule recommended by the ACIP.

Correction Required: 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). Children #1 must be dismissed from care by close of business 2/7/2023 and may only return when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed rest equipment that was not labeled for the use of a specific child.

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(f)

Description: Supervision of children

Noncompliance Area: After discussion with the operator it was found that the operator is unable to be physically present with the children when preparing meals or using the restroom. At the time of the renewal inspection there was not an electronic monitor, camera, or mirror available for the operator to use to see, hear, direct, and assess the children when not physically in the same space during meal preparation or using the restroom.

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)

Description: Signed

Noncompliance Area: The Agreements in the file for Child #1 and #4 lacked the operator's signature.

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

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Agreements for Child #1, #2, and #3 lacked the amount of the fee to be charged.

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 Agreement for Child #2, #3, and #4 lacked the date on which the fee is to be paid.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact Form for Child #1 lacked the 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.

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 Forms in the files for Children #1, #3, and #4 lacked written consent signed 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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #1 and #4 lacked the health insurance coverage and policy number. The Emergency Contact Form for Child #2 and #3 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: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: The file for Staff #1 lacked a health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.

Regulation: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for Staff #1 lacked tuberculosis screening by the Mantoux method.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety Basic, Pediatric First Aid/CPR, and Mandated Reporter Training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an (family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.182(1)

Description: Initial and subsequent health assessments

Noncompliance Area: The file for Child #2, a school age child, enrolled for more than 60 days, lacked a health report.

Correction Required: 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 Child #1, #3, and #4 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: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parents of each child enrolled with information on how to electronically access the regulations.

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: 3290.24(a)

Description: Emergency plan

Noncompliance Area: The facility lacked an emergency plan.

Correction Required: The facility shall have an emergency plan.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of conducting 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: 3290.31(f)

Description: Age and training

Noncompliance Area: The file for Staff #1 lacked 12 annual hours of child care training.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety Basic and Pediatric First Aid/CPR.

Correction Required: Staff person(s) shall complete professional development in the topics 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until (9/15/22) to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an (family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #1 will have until (9/15/22) to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person #1 must be supervised, when interacting with children, by an (family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.32(a)/3290.192(4)

Description: Comply with CPSL/Required training

Noncompliance Area: The file for Staff #1 lacked a disclosure statement, current State Police, Child Abuse, and FBI clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a the facility. A facility person's record shall include records of training required by the Department.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Dining Room, there were four electrical outlets on a surge protector that lacked protective receptacle covers. The outlets were accessible to children 5 years of age and younger.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the upstairs bathroom the child protection lock was broken on the cabinet giving the children in care access to the toxics located underneath the sink, including spray paint and waterproof sealant, labeled keep out of reach of 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: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: In the upstairs bathroom there was a window, accessible to the children, that did not limit the opening to 6 inches or less.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility lacked a smoke detection system log.

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

Noncompliance Area: While child #3, an infant aged child was observed napping in a pack and play on a pillow.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: The agreement form on file for children #1 and #4 were observed not to have documented the amount of the fee to be charged per day or per week.

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

Noncompliance Area: The agreement form on file for children #1 and #4 were observed not to contain documentation of the date on which the fee is to be paid.

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

Noncompliance Area: The agreement form on file for child #1 was observed not to contain documentation of the services to be provided to the child.

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

Noncompliance Area: The agreement form on file for child #4 was observed not to specify the child's arrival and departure times.

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

Noncompliance Area: The agreement form on file for children #1 - #4 were observed not to contain documentation of the persons whom the children are authorized to be released to.

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

Noncompliance Area: The emergency contact form on file for child #2 was observed not to contain emergency contact information for each enrolled child.

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

Noncompliance Area: The emergency contact form on file for child #2 was observed not to contain documentation of the address for 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 emergency contact form on file for child #1 was observed not to contain documentation of the work information for the enrolling parent.

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

Noncompliance Area: The emergency contact form on file for children #2-#4 were observed not to contain complete documentation of the child's health insurance coverage information.

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: The emergency contact information on file for child #4 was observed not to contain complete contact information for the person's whom child #4 is authorized to be released to.

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.

Noncompliance Area: The file for children #1 and #4 were observed not to contain a complete health report on file.

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

Noncompliance Area: A cigarette lighter was observed to be accessible to the children in care on the porch on a child's table to the right of the door as you enter the facility.

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

Noncompliance Area: The agreement form on file for children #1 and #2 were observed not to contain documentation of the fee to be charged.

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

Noncompliance Area: The agreement on file for child #1 was observed not to contain documentation of the services to be provided to the child.

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

Noncompliance Area: The agreement form on file for child #1 and #2 were observed not to specify the child's arrival and departure time.

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

Noncompliance Area: The agreement form on file for children #1 and #2 were observed not to specify the persons whom the children are authorized to be released to by the parent.

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

Noncompliance Area: The agreement form on file for child #1 was observed not to contain documentation of the child's date of admission.

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

Noncompliance Area: The emergency contact form on file for children #1 and #2 were observed not to contain complete contact information for the enrolling parent including work information.

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