Happy Valley Daycare

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a white plastic toy storage bin to be cracked with sharp edges.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for children #2,4 and 5 are lacking child service reports completed during the previous 6-month period.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3280.124(f).

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The files for children #1,2,4 and 5 are lacking emergency contact and financial agreements that have been reviewed and updated during the previous 6-month period.

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: 3280.131(a)

Description: Health Information

Noncompliance Area: The file for child #1, school age, and child #4, preschool, are lacking initial health reports within 60 days of the first day of attendance.

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.

Regulation: 3280.131(a)(4)

Description: Initial health report for school age; accordance with school attendance

Noncompliance Area: The file for child #1, school age, contains only an infant health report and is lacking an updated health report conducted at the time when the child entered kindergarten and became school age.

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: 3280.134(d)

Description: Labeled toothbrush

Noncompliance Area: Observed 2 unlabeled toothbrushes in a cup in the bathroom.

Correction Required: A child shall have a labeled toothbrush if brushing teeth is a program activity.

Regulation: 3280.182(1)

Description: Initial and subsequent health assessments

Noncompliance Area: The files for child #1 and #4 are lacking valid health reports and have been in attendance for greater than 60 days.

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

Regulation: 3280.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The file for child #4 contains emergency contact information that is lacking signed parental consent for emergency medical care for the child.

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.

Regulation: 3280.182(5)

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

Noncompliance Area: The file for child #4 contains emergency contact information that is lacking 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: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for staff person #1 is lacking 12 hours of annual child care training during the year 12/2024 to 12/2025. The file for staff person #2 is lacking 12 hours of child care training during the year 4/2024 to 4/2025.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(f)

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 (see LIS code sheet): PA Health and Safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, a primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1may not work in a child-care position at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for facility person #3 contains current criminal history, child abuse, FBI and NSOR clearances that were obtained after the previous clearances expired as evidenced by the following clearances on file: criminal history dated 2/27/2020 and 10/10/2025, child abuse dated 3/25/2020 and 10/17/2025, FBI dated 2/16/2020 and 10/14/2025, and NSOR dated 8/14/2020 and 10/15/2025.

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: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed a bin containing sunscreen labeled Keep Out of Reach of Children stored in a cubby accessible to preschoolers in care.

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

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: The water temperature at the bathroom sink where children wash their hands measured 120 ° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a child's bounce seat had a cracked plastic toy attached to the activity tray exhibiting 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.

Regulation: 3280.51

Description: Maximum Number of Children

Noncompliance Area: At ~ 10:00am on 11/24/2025 it was observed that 17 children were present in the child care facility and one additional child was observed leaving the facility. Of the 18 children, one child was related to staff person #1 and 2 children were related to staff person #2, leaving 15 unrelated children, ages infant through school age, receiving care at the facility.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.

Regulation: 3280.53(b)/3280.61(c)

Description: Counted for capacity /40 square feet wall-to-wall

Noncompliance Area: At ~ 10:00am on 11/24/2025 it was observed that 17 children, were receiving care at the facility. The measured capacity of the child care space, including related and unrelated children, is a maximum of 16 children.

Correction Required: The related or foster children of an operator and the children or foster children of a staff person shall be counted in the capacity for the space. Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed on the outdoor playground a cracked child's plastic Adirondack style chair, a blue roofed yellow playhouse with a cracked front window ledge and a yellow scooter with a cracked blue wheel. Observed in the indoor child care space a cracked white stacking toy bin.

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

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: Observed staff persons #1 and #2 caring for 11 children. Staff person #1 identified 3 children including 1 infant and 2 young toddlers in their supervision group. Staff person #2 identified 8 children including 2 young toddlers, 1 older toddler and 5 preschoolers in their supervision group. When caring for young toddlers the maximum staff:child ratio is 1:5.

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log identified the most current fire drill was conducted 1/26/2025 which is greater than 60 days.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire alarm test log identified the most recent alarm test was conducted 1/26/25 which has exceeded 30 days.

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: The file for staff person #1, hire date (see IS code sheet) is lacking PA Health & Safety training completed within 90 days of hire as evidenced by the Health & Safety training on file is dated 1/24/25 (Part 1) and 3/10/25 (Part 2).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #1, hire date (see IS code sheet) is lacking mandated reporter training completed within 90 days of hire as evidenced by the mandated reporter training on file is dated 12/26/2024.

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

Regulation: 3280.123(b)/3280.182(8)

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

Noncompliance Area: The files for children #2,4 and 5 contain the original agreement.

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

Regulation: 3280.124(b)(7)/3280.124(f)

Description: Name/address/phone release person/Updated every 6 months

Noncompliance Area: The file for child #4 contains an emergency contact form that is lacking the addresses for the emergency release persons.

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

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The files for child #1 and child #3 contain emergency contact and financial agreements that have not been reviewed and updated by a parent in the previous 6-month period.

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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The file for child #5 who has been in attendance for greater than 60 days is lacking a health report.

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

Regulation: 3280.131(e)/3280.131(e)(3)

Description: ACIP recommended immunization record /Dismissal policy

Noncompliance Area: The file for child #5, preschool age, is lacking an immunization record. Child #5 must be removed from care until an immunization record is obtained.

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. 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).

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The provider has not conducted and documented an emergency drill in the past 12 moths.

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

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for staff person #1 contains only 6 of the required 12 hours of annual training between 4/2023 and 4/2024. The file for staff person #2 contains only 10 of the required 12 hours of annual training between 11/2023 and 11/2024.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training topics 1-9.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #2must be supervised, when interacting with children at a minimum by, a primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed stored on the countertop beside the kitchenette sink accessible to children, cleaning products with a label stating 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: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, whom was hired as secondary staff person on (See LIS Code Sheet) lacked an NSOR application that was dated prior to the hire date. The NSOR application was dated 1/10/24 and NSOR verification certificate was dated 1/12/24.

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: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: On the outdoor playspace a Lil' Tykes pink slide was observed to have a large crack at the top of the slide creating pinch and crush points. On the outdoor playspace a toy picnic table had a large crack in the top of it creating pinch and crush points.

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

Regulation: 3280.105(f)

Description: 2 feet apart

Noncompliance Area: An infant was observed sleeping in a pack n play that only had 2 feet of space on one side.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for child #1 lacked an agreement that specified 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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #4 lacked emergency contact information that included the addresses of the individuals designated by the parent to whom the child may be released.

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

Regulation: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The file for child #3 lacked an initial health report.

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

Regulation: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The file for child #2 lacked a health report that included statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/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: Mandated Reporter Training and Health & Safety 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.

Regulation: 3280.151(a)/3280.192(3)

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

Noncompliance Area: The file for staff person #2 lacked an initial 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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed that an emergency drill was not conducted in 2023.

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

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: It was observed that the operator did not provide the parent of each enrolled child a letter explaining a subsequent update to the plan including the lockdown procedures and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired as a secondary staff person on (See LIS Code Sheet) lacked a dated disclosure statement and proof of fingerprinting and was not removed from the childcare position.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility.

Regulation: 3280.35(1)/3280.192(2)(iv)

Description: HS/GED/Transcript, diploma and letters

Noncompliance Area: The file for staff person #1 lacked a high school diploma.

Correction Required: A secondary staff person shall have obtained a high school diploma or a general educational development certificate. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3280.71

Description: Heat Source

Noncompliance Area: The hot water in the sink in the restroom measured at 117.8 degrees that is used by the children.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: The wooden fence in the outdoor playspace was observed to have a hole in it where a knot in the wood used to be causing rough edges, sharp corners, and splintering wood.

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The Fire Drill and Fire Detection Log was observed there were 71 days between 4/5/23 and 6/15/23, 92 days between 6/15/23 and 9/15/23, and 87 days between 9/15/23 and 12/11/23.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The Fire Drill and Fire Detection Log was observed there were 31 days between 7/14/23 and 8/14/23, 32 days between 8/14/23 and 9/15/23, 31 days between 9/15/23 and 10/16/23, 32 days between 10/16/23 and 11/17/23, and 46 days between 12/15/23 and 1/30/24.

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

Regulation: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: In the outdoor play space a plastic toy bicycle was observed to have a cracked seat with pinch and crush points.

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

Regulation: 3280.118(c)

Description: Vet's certificate required

Noncompliance Area: It was observed that the two dogs at the facility lacked a veterinarian's certificate of current rabies immunization on file at the facility.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #2 lacked emergency contact information that included 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.

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The file for child #2 lacked emergency contact information that included information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for children #1 and #2 lacked emergency contact information that included the addresses 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: 3280.131(a)

Description: Health Information

Noncompliance Area: The file for child #2 lacked an initial health report that was completed within 60 days following the first day of attendance at the facility. The first day of attendance at the facility was 1/9/23 and the child health report in the file is dated 3/28/23.

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.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #2 lacked an influenza immunization in 2022 according to recommendations of 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 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).

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: In the outdoor play space a fence post was observed to be missing in the back corner with exposed nails creating a visible hazard.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: 3rd citation: Staff person #1 has been named as a perpetrator in an indicated report of child abuse and was observed to be providing care to 3 unrelated children on 7-7-22. On 3-21-22, the legal entity of the facility submitted an acceptable plan of correction that stated that Staff person #1 would not provide care to any unrelated children during the appeal process. Previously cited 2-16-22 and 3-14-22.

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

Regulation: 3280.124(a)

Description: Each child emergency contact person

Noncompliance Area: Emergency contact information was not present for child #1 and child #2 observed to be in care at the facility.

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

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: There was no documentation on file regarding an annual emergency drill during the period from 12/18/2020 to 12/18/2021.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: 2ND CITATION: Staff person #1 has been named as perpetrator in an indicated report of child abuse and was observed providing child care to 4 unrelated children on 3/14/2022 at 11:30am. . PREVIOSLY CITED 2/16/2022.

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The operator does not have a log of fire system tests every 30 days and does not have an annual fire system inspection by a fire safety professional. The operator demonstrated that the interconnected fire system is operational.

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

Regulation: 3280.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file for staff person #2, who was used to satisfy ratio requirements on 1/28/22, is lacking a health assessment and TB test.

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

Regulation: 3280.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff person #2, who was used to satisfy ratio requirements on 1/28/22, is lacking a health assessment and TB test.

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

Regulation: 3280.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #2, who was used to satisfy ratio requirements on 1/28/22, is lacking verification of a high school diploma or GED to qualify as a staff person.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.192(3)

Description: Health assessment, TB test

Noncompliance Area: The file for staff person #2, who was used to satisfy ratio requirements on 1/28/22, is lacking a health assessment and TB test.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for staff person #2, who was used to satisfy ratio requirements on 1/28/22, is lacking 2 written reference letters.

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

Regulation: 3280.35(1)

Description: HS/GED

Noncompliance Area: The file for staff person #2, who was used to satisfy supervision and ratio requirements on 1/28/22, is lacking verification of a high school diploma or GED to qualify as a staff person.

Correction Required: A secondary staff person shall have obtained a high school diploma or a general educational development certificate

Regulation: 3280.52(a)(1)

Description: Primary staff person present

Noncompliance Area: On 1/28/2022 at 11:00am staff person #1 was observed alone in the child care facility supervising 1 YT, 3 OT and 4 PS children.

Correction Required: A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in §3280.52(b) or (c) requires a second or third staff person.

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: On 1/28/2022 at 11:00am staff person #1 was observed alone in the child care facility supervising 1 YT, 3 OT and 4 PS children.

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

Regulation: 3280.113(b)

Description: No physical punishment

Noncompliance Area: Based on interviews and photos it was determined that staff person #1 used physical discipline against Child #1 resulting in pain and injury to the child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 has been named as perpetrator in an indicated report of child abuse.

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

Regulation: 3280.61(a)

Description: Indoor space- small muscle

Noncompliance Area: According to a staff interview, child #1 was taken by Staff #1 to an unlicensed space in the residence that was not approved for child care.

Correction Required: A facility shall provide indoor child care space for individual and group small muscle activity.

Noncompliance Area: On the outdoor play space there was observed a cracked plastic climber posing a sharp edge and pinch point.

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 #2 contained a financial agreement that lacked the fee amount.

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

Noncompliance Area: The files for child #1, #2 and #3 contained the original agreement.

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

Noncompliance Area: The file for child #3, older toddler, does not contain verification of a flu shot received during the previous 12 month period as required by the ACIP immunization schedule.

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

Noncompliance Area: The bottle for an enrolled infant is washed by hand and not sent home or washed in a commercial dishwasher.

Correction Required: Disposable nursers shall be used for infants unless bottles are provided by the parent or unless a commercial dishwasher is used by the facility.

Noncompliance Area: The file for child #2 does not contain signed parental consent for emergency medical care prior to admission.

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.

Noncompliance Area: The file for child #2 does not contain signed parental consent for administration of minor first-aid procedures prior to admission.

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.

Noncompliance Area: The file for staff person #1 contains only 1 of the required 2 written non-family references.

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

Noncompliance Area: On the outdoor play space there was a white wooden fence board observed to be broken and splintering posing a hazard to the children.

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

Noncompliance Area: The facility fire drill log identified that the most recent fire drills were conducted 7/24/19, 10/31/19 and 1/20/20 which is greater than 60 days between fire drills.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.

Noncompliance Area: An infant was observed sleeping in a pack and play propped on a pillow. There was also a pacifier in the pack and play with a stuffed animal toy attached.

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

Noncompliance Area: There were several smoke alarms throughout the group child care home however they were not interconnected as required for group child care homes located in a residence.

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

Noncompliance Area: At approximately 10:00am on 1/9/20, staff person #1 was observed alone supervising 1 infant, 1 young toddler, 1 older toddler and 6 preschoolers while staff person #2 was in the other part of the home.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b). Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: An electrical outlet near the fish tan was observed to be lacking a protective cover. The outlet was accessible to children age 5 years and under.

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

Noncompliance Area: A container of resolve floor cleaner, labeled keep out of the reach of children, was in the kitchen area accessible to the 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 an unlocked drawer of the bathroom vanity there were plastic bags accessible to toddlers and preschoolers.

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.

Noncompliance Area: An infant was observed utilizing rest equipment that was not labeled for the infant's individual use.

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

Noncompliance Area: An infant was observed in a pack n play that was in a corner with a sofa on one side and a chair on the other side, therefore there was not 2 feet of space on any sides.

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

Noncompliance Area: The files for children #2,3,4,and 5 all contain the original agreements.

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.

Noncompliance Area: The file for child #5 has not been reviewed and updated in the previous 6 month period.

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

Noncompliance Area: The file for child #4 who has been enrolled for more than 60 days, does not contain a health report.

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

Noncompliance Area: The files for child #2, an older toddler, and child #5, a preschooler, do not contain health reports completed in the previous 12 month period.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: The file for child #2, an older toddler who has been enrolled for greater than 60 days, does not contain written verification of administered immunizations. Child #2 must be removed from care until an immunization record is acquired.

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.

Noncompliance Area: The file for child #3, a preschooler, does not contain verification of an influenza vaccination during the previous 12 months as recommended by the ACIP .

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

Noncompliance Area: An infant was observed drinking from a bottle that was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The file for child #4 does not contain an initial health report. The files for Child #2 and child #5 do not contain updated health reports.

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

Noncompliance Area: The file for child #4 does not contain signed parental consent for obtaining emergency medical care.

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.