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Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Emergency contact information in several children's records was not being updated every 6 months. (#1, #2, #3, #4) CONTIUING VIOLATION

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: Several children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#1, #3, and #4) CONTIUING VIOLATION

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's written policies on shaken baby syndrome, abusive head trauma, and child maltreatment did not include the identification and prevention of child maltreatment. CONTIUING VIOLATION

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Revise and submit the facilities policies to include the identification and prevention of child maltreatment.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedures to the plan as required in 3270.27 subsection a. (accommodations for infants, toddlers, children with disabilities, and chronic medical conditions and lockdown)

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures and updates to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1- the NOSR was more than 60 months old) (#2-the NOSR was more than 60 months old)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 and #2 may not work in a child care position at the facility until the proper clearances have been obtained. Submit a copy of the completed CPSL clearance documents for the identified facility persons as specified. Ensure that all clearances are completed and submitted in accordance with the CPSL.

Regulation: 3290.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: Fire drill records contained the same hypothetical location of the fire for each fire drill for consecutive fire drills between (1/6/25 and 8/7/25). CONTIUING VIOLATION

Correction Required: The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Conduct a fire drill and ensure that it contains a hypothetical location that is different from the previous drill conducted. Submit a copy of a completed fire drill to verify compliance. Develop and submit a written policy statement indicating that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, and #4).

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(eComplete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation).

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Emergency contact information in several children's record was not being updated every 6 months. (#1, #2, #3, #4, and #5)

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: Three children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2, #3, and #5)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility lacked written policies on the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Develop and submit written policies on the prevention of shaken baby, abusive head trauma, and child maltreatment.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3290 regulations.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: Several facility person's records did not include written verification of annual emergency plan training. (#1, #2, and #3)

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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Several staff person's record did not contain written verification of annual minimum 12 hours of childcare training. (#1, #2 and #3)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: Fire drill records did not include the hypothetical location of the fire and the names of facility persons.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Conduct a fire drill and include this information on the DHS fire drill log form. Submit a copy of the completed fire drill record. Ensure that all future fire drill records include this information.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Several children's records did not contain a child service report that had been completed within the past 6 months. (#1, #2, #3, and #4).

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). Complete and submit a current up-to-date child service report for the indicated child. Ensure that child service reports are completed for all children as specified in this regulation.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Emergency contact information in several children's record was not being updated every 6 months. (#1, #2, #3, #4, and #5)

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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: Three children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#2, #3, and #5)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3290.151(a)(2)

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

Noncompliance Area: Two staff person's record did not contain a health assessment completed within the past 24 months. (#2 and #3)

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. Obtain and submit a current up-to-date health assessment for the identified staff person. Ensure that health assessments are completed within the required timeframes.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility lacked written policies on the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Develop and submit written policies on the prevention of shaken baby, abusive head trauma, and child maltreatment.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3290 regulations.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: Several facility person's records did not include written verification of annual emergency plan training. (#1, #2, and #3)

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. Provide and submit written verification of the completed training for all identified facility persons. Ensure that emergency plan training is completed and documented upon initial employment and annually.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Several staff person's record did not contain written verification of annual minimum 12 hours of childcare training. (#1, #2 and #3)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two staff person's record did not contain the required CPSL hiring documents. (#1 and #2- no completed mandated reporter training)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Persons #1 and #2 may not work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff persons. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3290.94(a)(1)/3290.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: There was no written record of fire drills indicating that fire drills were being conducted every 60 days.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill. Submit written records verifying that fire drills are being conducted every 60 days as required.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: Several children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreement.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Two staff persons were observed caring for a child and their record did not contain verification of completed CCDBG training (10 hour-Health and Safety) required prior to working with children unsupervised (#1 and #3).

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons must complete the CCDBG training that is required prior to working with children unsupervised. Submit written verification of the completed training.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: There was no written record verifying that emergency drills were being conducted annually.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Conduct an emergency drill and ensure that an emergency drill is conducted annually. Submit a copy of the completed emergency drill form to verify compliance.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: There was no documentation indicating that the operator sent a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Send a copy of the emergency plan to the appropriate authorities as specified in this regulation. Submit written documentation of delivery.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: One staff person's record did not contain written verification of annual minimum 12 hours of childcare training. (#2)

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training for the identified staff person.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two facility person's record did not contain the required CPSL hiring documents. (#1 and #3- mandated training more than 60 months old (#1- the STATE POLICE was for volunteers and not for employees

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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 and #3 cannot work in a childcare position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection, cert rep observed all CPSL clearances and mandated reporter training certificates were out of date in the file of Staff 3.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing labels indicating which rest equipment was reserved for which individual child.

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: During renewal inspection on 3/14/19, cert rep observed agreements missing arrival and departure times in the file of Child 2.

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

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing designated release persons on the agreements in the file of Child 2.

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

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing admission dates on agreements in the files of Chiold 2, Child 3 and Child 7.

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

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing agreements in the files of Child 4, Child 5, Child 6 and Child 8. Agreements for Child 3 and Child 7 were missing the signature of the operator.

Correction Required: An agreement shall be signed by the operator and the parent.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: During renewal inspection on 3/14/19, cert rep observed all agreements on file at the facility were the original agreement. Parents did not receive the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing emergency contact information in the file of 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.

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing contact information of the source of medical care in the files of Child 6 and Child 8.

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: During renewal inspection on 3/14/19, cert rep observed missing health insurance coverage and policy number in the files of Child 2, Child 3, Child 4, Child 6 and Child 7.

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: During renewal inspection on 3/14/19, cert rep observed missing addresses and telephone numbers of both release persons and emergency contact persons in the file of Child 7.

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: During renewal inspection on 3/14/19, cert rep observed missing posting of emergency transportation plan at the facility.

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

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing health reports in the files of Child 2, Child 3 and Child 7.

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

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing signed parental consent for emergency medical care and administration of medications or special dietary needs in the files of Child 3, Child 4, Child 6 Child 7 and Child 8.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing signed parental consent for administration of minor first aid procedures by staff and for transportation, walking excursions, swimming and wading in the files of Child 3, Child 4, Child 6 Child 7 and Child 8.

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.A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing name, address and telephone numbers in the files of Staff 1, Staff 2 and Staff 3.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing health assessment, including tuberculin skin test, in the file of Staff 3.

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.

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing State Police clearance and incorrect FBI clearance in the file of Staff 3.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 3/14/19, cert rep observed missing posting of emergency telephone numbers at the facility.

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