Jamie Miller Family Child Care Home

Regulation: 3290.111(b)

Description: Posted in area used by parents

Noncompliance Area: The written plan of daily activities was not posted at the facility.

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

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreements for children #2 and #3 did not include the fee amount.

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

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreements for children #2 and #3 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for children #2 and #3, enrolled for over 6 months, did not include documentation of sharing the department's approved form regarding the child's growth and development (child service report) with the parents .

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)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreements for children #1, #2, and #5 did not specify the date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for child #1 did not include the name of the child's physician or source of medical care. The emergency contact forms for children #2 and #5 did not include the addresses of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #5 did not include the address for 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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The emergency contact forms and agreements for children #2 and #3 have not been reviewed, signed, and dated by the parents in more than 6 months.

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(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The file for child #3 contained an initial health report dated more than 60 days after their first day in attendance. The health report on file is now current.

Correction Required: The operator shall require the parent of an enrolled child 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: 3290.131(b)(1)/3290.182(1)

Description: Updated infant health report: every 6 months/Initial and subsequent health assessments

Noncompliance Area: The file for child #2, and young toddler at the time of the inspection, did not include a health report conducted in the past 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

Regulation: 3290.151(a)/3290.192(2)

Description: Within 3 months, then 12 months/Health assessment, TB test

Noncompliance Area: The file for facility person #2 did not contain a health assessment or the results of a 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 on file at the facility. 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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan does not specify the role of a volunteer during an emergency. Facility person #2 was identified by the operator as a volunteer.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/08/21.

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

Regulation: 3290.182(8)

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

Noncompliance Area: The file for child #4 did not contain an agreement.

Correction Required: 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: 3290.192(4)

Description: Required training

Noncompliance Area: Based on records from previous file reviews, staff #1 completed health and safety training on 8/9/21, however, the operator does not have a record in the staff file and was unable to present documentation for review.

Correction Required: A facility person's record shall include records of training required by the Department.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate was not posted.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.24(e)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan was not posted.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: The operator lacked a letter for parents explaining the emergency procedures as outlined in the facility's emergency plan.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff person #1 has not completed 12 clock hours of child care training for 12/2024 -12/2025. The 12 training hours completed in June 2026 may not to be counted as they were completed as a correction for the previous year (12/2023 -12/2024).

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained 4 expired clearances dated as follow; state police 2/08/21, child abuse 2/08/21, FBI 2/01/21, NSOR 2/02/21. Staff #1 was observed caring for children. The file for facility person #2 did not contain any clearances or a disclosure statement.(SEE LIS CODE SHEET)

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 Persons #1 and #2 may not work in a child care position at the facility.

Regulation: 3290.51

Description: Maximum Number of Children

Noncompliance Area: On 5/28/26, seven (7) children unrelated to the operator were observed in care.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to either the legal entity or the staff person. At any one time, the related children of either the legal entity or the staff person, but not both, may be excluded in determining compliance with this section.

Regulation: 3290.52(1)

Description: No infants, five toddlers

Noncompliance Area: On 5/28/26, six (6) toddlers were observed in care; three young toddlers and 3 older toddlers.

Correction Required: The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If no infants are in care, five toddlers are permitted.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The files for children #1 and #2 lack 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. (child service report)

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: The files for children #1 and #5 lack health insurance coverage and a 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #5 lacks the address and telephone number 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: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The files for children #3 and #4 lack initial health assessments. The health assessments were due 3/1/2025.

Correction Required: The operator shall require the parent of an enrolled child 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: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: The file for child #2 contains a health assessment that was obtained late. It was due 1/2022 and obtained 5/2024.

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

Regulation: 3290.131(e)(3)/3290.182(1)

Description: Dismissal policy/Initial and subsequent health assessments

Noncompliance Area: The files for children #3 and #4 lack immunizations. The immunizations were due 3/1/2025. Child #3 and #4 are still enrolled in care.

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

Regulation: 3290.131(e)/3290.182(1)

Description: Immunization record/Initial and subsequent health assessments

Noncompliance Area: The files for children #3 and #4 lack initial immunization records. The immunizations were due 3/1/2025.

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

Regulation: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The hands free waste can used for soiled diapers was not working properly at the time of the inspection.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The file for child #5 lacks 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.

Regulation: 3290.192(4)

Description: Required training

Noncompliance Area: Based on the certification representative's previous records, health and safety training was conducted and verified on 8/9/21, however, the operator does not have a record in the staff file or anywhere else of the training.

Correction Required: A facility person's record shall include records of training required by the Department.

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: The emergency plan lacks a continuity of operations statement.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The operator has not completed an emergency drill within the past 12 months (annually).

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: Staff person #1 has not obtained an annual minimum of 12 clock hours of child care training for 12/2023 -12/2024 Staff person #1's record does not include records of training required by the Department.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: The operator or designated staff person who is responsible for compliance with this chapter did not 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 every 60 days over the past year consistently. The operator did not have a copy of any fire drills that were conducted since 12/2023.

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.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: At 1:35pm naptime supervision and ratio was conducted at the facility. One child was in one room, another child was in another room and 4 unrelated and 1 related child were located in another room. The provider could not see, hear, direct, and assess all of the children from the room that they were sitting in.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: An exposed screw was observed on the play sink in the play space which can be a danger to children.

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: 3290.113(f)

Description: Supervision of children

Noncompliance Area: The operator did not have an electronic monitor, camera, mirror or other device to see, hear, direct and assess the children when leaving the room. At 9:50 am the operator was observed to leave the childcare space and go through the kitchen to the bathroom to wash their hands. At 10:35 the operator was observed a second time to leave the childcare space and go to the bathroom to wash their hands.

Correction Required: When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for Child #1 was observed not to contain a child service report within 6 months of enrollment (SEE IS CODE SHEET).

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)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreement on file for Child #2, #3, and #4 were all missing the date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.123(b)/3290.182(8)

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

Noncompliance Area: The file contained the original copy of the agreement for Child #1,#2,#3,#4, and #5.

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: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for child #4 was missing signed parental consent for emergency medical care for the child.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for child #2, #3 and #5 were all missing an address for the release person listed.

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(e)/3290.181(c)

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

Noncompliance Area: The Emergency Contact forms and Fee Agreements for Child #1 were reviewed and signed by the parent on 3/12/23, which is more than 6 months since the last review.

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(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Child #5 had a start date of 7/17/23 and did not have an initial health assessment on file until 5/2/24 which is passed the 60 days following their first date of enrollment.

Correction Required: The operator shall require the parent of an enrolled child 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: 3290.131(b)(2)/3290.181(c)

Description: Updated toddler/preschool health report: every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1 had an initial health assessment dated 8/2/22 and did not have an updated health assessment util 5/13/24, which is dated more than 12 months apart.

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. 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: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The trash can on site, used for disposing diapers, was not a hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3290.151(c)(2)/3290.192(2)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff person #1 did not include a previous health assessment to the current health assessment of 5/29/24. There was also no proof of Mantoux test results completed.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department. 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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility did not have a policy that addresses recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fusing, or distraught child, or the prevention and identification of child maltreatment. The facility was missing continuity of operations in their Emergency plan.

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

Regulation: 3290.182(5)

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

Noncompliance Area: The file for child #2 and child #4 was missing signed consent for administration of minor first-aid procedures by facility staff, in which the facilitator confirmed they would administer minor first-aid if needed.

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: 3290.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The record for child #4 was missing signed parental consent for transportation, walking excursions, swimming and wading.

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

Regulation: 3290.24(a)(3)

Description: Contact when arises

Noncompliance Area: The facility did not have an emergency plan that addressed methods to contact parents.

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.

Regulation: 3290.24(a)(4)

Description: Contact when ended

Noncompliance Area: The facility did not have an emergency plan that addressed methods to contact and inform parents that the emergency has ended or to provide them with instructions on how to reunite with their children.

Correction Required: 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.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan on site at the facility does not include accommodations for infants, toddlers, children with disabilities, or children with chronic medical conditions during an emergency.

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: The operator did not have a log or proof that they reviewed or updated the emergency plan annually.

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: The file for Staff #1 lacked documentation of annual Emergency Plan training.

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(d)

Description: Emergency plan

Noncompliance Area: The facility lacked an emergency drill log or proof that the drills have been completed annually.

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for Staff #1 lacked all 12 hours of required annual training completed between 12/19/22-12/19/23, as per Announcement C-21-09.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: The fencing in the outdoor space was observed to be broken with nails protruding from the surface which could be unsafe for children to play around.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were two protective outlet covers missing under the desk in the second childcare space which were accessible to children 5 years of age or younger.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Below the sink with no lock, 6 cans of Lysol were observed as well as one jug of Fabuloso cleaner, both of which are to be kept out of reach of children. In the unlocked child accessible cabinet by the bathroom a Gold Bond Hand Cream, Aquafor hand cream and Williams Hand Wipes all labeled "keep out of reach of children" were observed.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: There were exposed wires observed behind the cots in the childcare space that could cause a hazard to children.

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

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling and cracked paint was observed on the wall under the Dr. Seuss shelf.

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

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The evacuation route was not posted in the facility in a conspicuous location on each floor.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: In the Main Activity Area, red and blue, plastic bins had cracked corners which posed a cutting hazard.

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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #2 and #3 lacked the Health Insurance/MA 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact forms for children files #2, #3 and #4 lacked the address of the listed release person.

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(e)/3290.181(c)

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

Noncompliance Area: The file for children #1, #2, #3, #4 and #5 contained an emergency contact form that was not updated within 6 months of the previous update.

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)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: The Updated Child Health Assessment for Children #2 and #4 were lacking from the child file.

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

Regulation: 3290.131(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: Child file #4 (OT) lacked updated written verification of ongoing administered vaccines: 2 Doses of Hepatitis B, 1 Dose of DTAP, 1 Dose of Pneumococcal, 2 Doses of Hepatitis A and no Influenza immunization for 2022 or 2023 with no exemption letter in the 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 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.

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

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: The immunization record of Child #1 (YT) lacked a yearly Influenza shot with no Letter of Exemption in File.

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 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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The file for Staff #1 lacked completion of the UPDATED 1 Hour Health and Safety Training on or before 12/30/2022.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for children #1, #2, #3, #4 and #5 contained a Financial Agreement form that had updates more than six months apart.

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: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The provider did not have their current certificate of compliance posted.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: A copy of the facility's current Emergency Plan was not posted in a conspicuous place.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The facility files lacked proof of the Emergency Plan and subsequent plan updates being sent to the local municipality and 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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Main Room, behind the book rack under the television, one protective receptacle cover was missing which was accessible to children 5 years of age or younger.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility's fire alarm test report last documented test was 01/02/2023. Facility files lacked proof of purchase for the non-Interconnected smoke detection system.

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)(2)

Description: Date fee to be paid

Noncompliance Area: The Fee Agreement Form for Child #2 lacked the "Date Fee to be Paid."

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: The Fee Agreement Form for Children #2, #3, #4, #5 lacked the Date of Admission.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact Form for Child #2 lacked the Health Insurance/MA Coverage information.

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(d)

Description: Written emergency plan posted

Noncompliance Area: The facility did not have the Emergency Transportation Plan posted in a conspicuous place.

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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: The files for child #3 (OT) had an initial health assessment more than 60 days from the first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: The most current updated Child Health Assessment in the file for Child #3, an OT, is dated more than 12 months ago.

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

Regulation: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: Child file #2 (OT) lacked updated written verification of ongoing administered vaccines: a yearly (2021) Influenza shot with no Letter of Exemption in the File. Child file #4 (YT) lacked updated written verification of ongoing administered vaccines: 1 Dose of DTAP, 1 Dose of Pneumococcal and lacked a yearly (2021) Influenza shot with no Letter of Exemption in the File.

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.

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

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: The immunization record in the file for Children #2 (OT), #3 (OT) and #5 (OT) were dated more than 60 days after initial enrollment.

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 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.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most current Emergency Contact and Financial Agreement Forms were dated prior to 01/06/2022, which is the date COVID regulatory suspensions were lifted.

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: 3290.182(2)/3290.182(8)

Description: Application, admission, withdrawal dates/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The file for child #1 lacked the Fee Agreement Form.

Correction Required: A child's record must contain the dates of application, admission and withdrawal of the child. 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: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not have the regulations or current Certificate of Compliance posted and had not provided parents with the information on how to access the regulations electronically and instructions for contacting the appropriate regional child care office posted at the same location.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.24(e)

Description: Emergency plan

Noncompliance Area: A copy of the facility's current Emergency Plan was not posted in a conspicuous place.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The disclosure statement for Staff person #1 lacked the date it was signed.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted every 60 days with the last documented fire drill dated 11/03/2021.

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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Facility files lacked proof of purchase for the non-interconnected fire detection system.

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.