In Touch Day Care

Regulation: 3290.121(a)/3290.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: On 5-21-2026 during a Renewal inspection, the facility did not have a Parent's handbook.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 5-21-2026 during a Renewal inspection, the emergency contact form of child #1 did not include the release persons address and telephone numbers.

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: On 5-21-2026 during a Renewal inspection, the facility did not have an emergency transportation plan.

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: 3290.31(f)(4)(i)/3290.31(g)(10)

Description: Age and training/Health and Safety Training - Pediatric first aid/CPR

Noncompliance Area: On 5-21-2026 during a Renewal inspection, the files of staff persons #1 and #2 had Pediatric first aid/CPR trainings with an expiration date of 5-16-2026.

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. Staff person shall complete professional development in the topic of pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: On 5-16-2025 during a Renewal inspection, the file of staff person #1 had an expired Mandated Reporter Training.

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

Regulation: 3290.192(3)

Description: CPSL information

Noncompliance Area: On 5-10-2024 during the Renewal inspection, staff persons #1 and #2 did not have a disclosure statement in their files.

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.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: On 5-10-2024 during the Renewal inspection, a copy of the facility's updated Emergency plan had not been sent to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: On 5-10-2024 during the Renewal inspection, the fire detection system was not interconnected.

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)).

Regulation: 3290.131(d)(1)

Description: Child's health history

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #2 did not have a health report on file.

Correction Required: A health report shall include a review of the child's health history.

Regulation: 3290.131(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #1 did not have a record of their immunizations on file. No exemption letters were observed.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.131(e)(1)/3290.131(e)(2)(i)

Description: Parent written verification from Doctor./Religious belief/strong personal objection

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #4 has an influenza immunization that was not updated in 2022 or 2023. No exemption letter were observed.

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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility did not have a written policy for, "shaken baby and abusive head trauma". The facility had an emergency plan that did not identify the duties of each staff person during an emergency. The facilities emergency plan did not outline the continuity of operations during an emergency. Staff #1, and 2 did not have the health and safety update training completed.

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

Regulation: 3290.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #5 did not have signed parental consent for 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.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan for the facility did not include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the operator did not have verification of the review of he emergency plan.

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

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: At the time of the renewal inspection the certification representative observed that staff #2 did not have verification of the annual review of the emergency plan.

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: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBBERVED THAT THE OPERATOR DID NOT PROVIDE FOR ACCOMODATIONS OF TODDLERS IN THE EMERGENCY PLAN.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT HAVE VERIFICATION OF THE THE ANNUAL EMERGENCY DRILL.

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

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT A FAMILY MEMBER LIVING IN THE HOME DID NOT HAVE A COMPLETE DHS FBI CLEARANCE.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT HAVE VERIFICATION OF THE 30 DAY SMOKE DETECTOR TESTING.

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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE REFRIGERATOR DID NOT HAVE A THERMOMETER TO MONITOR THE TEMPERATURE.

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.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECCTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY PLAN DID NOT PROVIDE FOR CONTACTING PARENTS AT THE BENINNING OF AN EMERGENCY AND NOTIFYING THEM THAT AN EMERGENCY HAS ENDED.

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

Noncompliance Area: AT THE TIME OF THE INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE OPERATOR DID NOT HAVE A NATIONAL SEX OFFENDER REGISTRY (NSOR) ON FILE

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.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORMS USED FOR CHILD #2 DID NOT HAVE AN AREA TO IDENTIFY INFORMATION ON THE SPECIAL NEEDS OF THE CHILD, IF ANY.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORMS USED FOR CHILD #2 DID NOT HAVE AN AREA TO IDENTIFY HEALTH INSURANCE COVERAGE AND POLICY NUMBER.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT HAVE AN "EMERGENCY TRANSPORTATION PLAN" DEVELOPED AND POSTED 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. (REFERED TO AS "EMERGENCY TRANSPORTATION PLAN")

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPCETION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORMS FOR CHILD # 1, 3, & 5 DID NOT HAVE A DATE TO DETERMINE IF THE FORM WAS SIGNED IN THE 6-MONTH PERIOD. CHILD #4 HAD AN EMERGENCY CONTACT FORM THAT WAS DATED 4/4/18.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD # 1 & #3 DID NOT HAVE A SIGNED HEALTH REPORT ON FILE. EACH CHILD HAD ONLY AN IMMUNIZATION RECORD IN THEIR FILE.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.A health report shall include a review of the child's health history.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORM USED FOR CHILD #2 DID NOT HAVE A SECTION FOR CONSENT OF EMERGENCY MEDICAL CARE AND MINOR FIRST-AID.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORM USED FOR CHILD #2 DID NOT HAVE A SECTION FOR CONSENT FOR THE ADMININSTRATION OF MEDICATIONS OR SPECIAL DIETARY NEEDS.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT HAVE WRITTEN VERIFICATION OF THE REVIEW/UPDATE OF THE EMERGENCY PLAN.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 HAD COMPLETED 9 CLOCK HOURS OF BIENNIAL TRAINING IN CHILD CARE TRAINING.

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

Noncompliance Area: During the inspection on 4/13/18 the file records for child #3 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable

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 the inspection on 4/13/18, the child records for child#4 and 5 did not include an update in writing emergency contact information once in a 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

Noncompliance Area: During the inspection on 4/13/18 the file records for child # 1,3 and 4 did not include a current health assessment.

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

Noncompliance Area: During the inspection on 4/13/18 the file records for child #1,2,3 and 5 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Observed that play equipment was missing materials for dramatic role playing and cognitive development.

Correction Required: Play equipment and materials shall include materials for dramatic role playing. Play equipment and materials shall include toys and materials for cognitive development.

Noncompliance Area: Observed that play equipment was missing materials for visual development and auditory development.

Correction Required: Play equipment and materials shall include toys and materials for visual development. Play equipment and materials shall include toys and materials for auditory development.

Noncompliance Area: Observed that play equipment was missing materials for tactile development.

Correction Required: Play equipment and materials shall include toys to handle and manipulate and art materials for tactile development.

Noncompliance Area: Observed that high chair did not have a T-shaped safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: Written plan of daily activities and routines was not developed and posted.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: Child #2 and #3's agreements were not signed by the parents.

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

Noncompliance Area: Child #1, #2, #3, #4 and #5 did not have 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.

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: Child #4 and #5's agreements did not have arrival and departure times.

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

Noncompliance Area: Child #2, #4 and #5's agreements 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.

Noncompliance Area: Child #1, #2, #3, #4 and #5's agreements did not specify the date of child's admission.

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

Noncompliance Area: Child #1's emergency contact information did not include the address for 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.

Noncompliance Area: Child #1, #2, #3 and #5's emergency contact information was not updated in a 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

Noncompliance Area: Child #3's health report was not signed by a physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: Staff person #1 was observed not washing her hands or childrens hands after diapering.

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

Noncompliance Area: Child #2, #3 and #4 did not have agreements updated in a 6-month period.

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.

Noncompliance Area: Staff person #1 and #2 did not have disclosure forms on file.

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.

Noncompliance Area: The regulations were not posted in a conspicuous location.

Correction Required: The facility`s current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: Emergency plan did not provide for shelter in place and shelter at locations away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises..The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3290.94 (f) and (g) (relating to fire drills).

Noncompliance Area: Emergency plan did not provide for contact of parents at beginning and end of emergency situation.

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

Noncompliance Area: Staff person #1 and #2 did not review and did not do training on emergency plan.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan. 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.

Noncompliance Area: Emergency plan was not posted in a conspicuous location and was not provided to parents of enrolled children.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location. 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.

Noncompliance Area: Staff person #1 and #2 did not have mandated reported training on file.

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

Noncompliance Area: Trash recepticle located on backyard porch did not have a lid.

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

Noncompliance Area: First-aid kit did not have tweezers and gloves included.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.