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.