Indhira Day Care

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Children 1 and 2 did not have a child service report on file. Child 3 had a child service report last on file from 6/22/2024, making it more than 6 months since one was completed. Please see LIS for dates of birth and dates of admission.

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

Regulation: 3290.131(b)(2)/3290.131(e)

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

Noncompliance Area: Child 1 did not have an updated immunization list on file. Child 1 needed an additional Tdap shot on file. Child 3's last health assessment was dated 12/1/2023, making it more than 12 months since the last update. Child 3 is a preschooler. Please see LIS for dates of birth and dates of admission.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Children 1, 2 and 3 had emergency contact forms and fee agreements on file. Children 1 and 2 had their emergency forms and fee agreements last updated on 1/13/2025. Child 3 last had the emergency form and fee agreement last updated 11/29/2024.

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

Regulation: 3290.24(b)/3290.24(c)

Description: Emergency plan/Training regarding plan

Noncompliance Area: The emergency plan was last updated on 10/10/2023, making it more than 12 months since the last update. Staff 2 was last trained on the emergency plan on 10/11/2023, making it more than 12 months since the last training on the 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. 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(g)

Description: Emergency plan

Noncompliance Area: There was no proof on file that the emergency plan was sent to the county or local municipality.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff 1 had 3 hours of annual training on file. Staff 2 had 4.5 hours of annual training on file. Please see LIS for dates of hire.

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

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

Description: Age and training

Noncompliance Area: Staff 1 had the pediatric first aid/cpr training expire in January of 2025 and was not renewed until 3/1/2025. As a result, staff 1 did not have an updated pediatric first aid/cpr certificate from 1/2025 to 3/2025.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3290.78(b)

Description: Training chair - sanitized

Noncompliance Area: A potty chair was observed to be in the bathroom. The potty chair had pee in it. It was not observed that a child entered the bathroom right before certification representative observed the potty chair with pee in it.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the annual inspection on 8/8/2025, it was observed that the last fire alarm test was on 7/1/2025, making it more than 30 days since the last fire alarm test.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 1 did not have the services provided section on the fee agreement filled in. Child 3 did not have a child service report on file (please see LIS for date of admission).

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child 1 had the health insurance information blank.

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

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Children 2, 3 and 4 had outdated emergency forms and fee agreements. Child 2's emergency form and fee agreement was last updated 10/23/2023. Child 3's emergency form and fee agreement was last updated 3/17/2023 and child 4's emergency form and fee agreement was last updated on 11/2/2023.

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

Regulation: 3290.131(b)(2)

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

Noncompliance Area: Child 2 needs an updated updated assessment. The last health assessment on file was dated 7/24/2023.

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.

Regulation: 3290.64(a)/3290.64(c)

Description: Locked or inaccessible - in original container/Toxic plants not permitted

Noncompliance Area: In the facility's outside play space, there was a toxic plant accessible to the children. It was on top of a garbage can but high enough to where children could reach it. The plant was the Zamioculcas plant.

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. Toxic plants are not permitted in a child care space.

Regulation: 3290.78(b)

Description: Training chair - sanitized

Noncompliance Area: A potty chair was observed to be in the bathroom. The potty chair had pee in it. It was not observed that a child entered the bathroom right before certification representative observed the potty chair with pee in it.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the annual inspection on 8/1/2024, it was observed that the fire alarm in the basement was not operable.

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

Regulation: 3290.105(a)/3290.118

Description: Clean, age appropriate/Infant sleep position

Noncompliance Area: During renewal inspection conducted 1/4/2024, child #1 was observed to be sleeping in an infant swing. Certification representative advised that infants cannot sleep in swings. At this time, staff person #1 took child #2 out of a pack-n-play and placed her on a cot. Staff person #1 then took child #1 out of the swing and placed him on his belly in the pack-n-play that was previously occupied by child #2. Child #1 is an infant (see LIS code sheet for date of birth) and there is no medical documentation on file requiring that child sleeps in this position. Certification representative advised that infants cannot be placed on their bellies, and staff person #1 then placed the infant on his back in the pack-n-play.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. The legal entity must arrange for all staff persons to complete the training entitled "Safe Sleep Practices for Caregivers: Reduce the risk of SUID" through Better Kid Care. The training may not be counted towards the 12 hours of training required by regulation.

Regulation: 3290.105(a)/3290.118

Description: Clean, age appropriate/Infant sleep position

Noncompliance Area: During renewal inspection conducted 1/4/2024, child #1 was observed to be sleeping in an infant swing. Certification representative advised that infants cannot sleep in swings. At this time, staff person #1 took child #2 out of a pack-n-play and placed her on a cot. Staff person #1 then took child #1 out of the swing and placed him on his belly in the pack-n-play that was previously occupied by child #2. Child #1 is an infant (see LIS code sheet for date of birth) and there is no medical documentation on file requiring that child sleeps in this position. Certification representative advised that infants cannot be placed on their bellies, and staff person #1 then placed the infant on his back in the pack-n-play.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3290.121(a)

Description: Review policies and procedures

Noncompliance Area: During renewal inspection conducted 1/4/2024, facility's parent handbook did not include general daily schedule.

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.

Regulation: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During renewal inspection conducted 1/4/2024, fee amount and date fee is to be paid were missing from child #1's fee agreement.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During renewal inspection conducted 1/4/2024, there were no Child Service Reports on file for child #2, child #3, or child #4. All listed children have been attending the facility for over 6 months (see LIS code sheet for dates of admission).

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

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

Description: Signed /Admission date

Noncompliance Area: During renewal inspection conducted 1/4/2024, date of admission and date/signature of operator were missing from child #1's fee agreement.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 1/4/2024, the following information was missing from children's emergency contact forms: Child #1: Release persons' addresses. Child#2: Release persons' addresses and phone numbers. Child #4: Father's home phone number. Child #5: Release person's address.

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

Regulation: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 1/4/2024, the following chidlren were not immunized according to the recommendations of the ACIP: Child #4: 1 of 2 doses of Hep A vaccine. First dose was given on 5/10/2023. Child #4 is a young toddler (see LIS code sheet for date of birth). There is not an acceptable exemption on file. Child #5: 1 of 3 doses each of Rotavirus, DTAP, HIB, and Pneumococcal vaccines. 1 of 2 doses of Polio (IPV) vaccine. Child #5 is an infant (see LIS code sheet for date of birth). There is not an acceptable exemption on file.

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). Child #4 and child #5 will be dismissed from care by close of business 1/4/2024 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: During renewal inspection conducted 1/4/2024, a written statement giving the formula and feeding schedule was not on file for child #1 or child #5. Child #1 and child #5 are both infants (see LIS code sheet for dates of birth).

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

Regulation: 3290.166(5)

Description: Six-months-old held

Noncompliance Area: During renewal inspection conducted 1/4/2024, staff person #2 was feeding child #1 a bottle while child was in an infant swing. Child #1 is less than 6 months old (see LIS code sheet for date of birth).

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection conducted 1/4/2024, facility's emergency plan did not address continuity of operations.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the section of their emergency plan that must address continuity of operations.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 1/4/2024, emergency contact form and fee agreement for child #3 were last updated 5/30/2023.

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

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 1/4/2024, operator reported that parents do not get a letter explaining emergency procedures.

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

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection conducted 1/4/2024, peeling paint was observed on the wall to the right of the fireplace and on the wall behind the office chair.

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