Javonne Beason

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: Observed on the stand under the television a dish containing various coins less than 1 inch in diameter accessible to children still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

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

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

Noncompliance Area: Observed the files for child #1 and child #2 contain emergency contact information that is lacking signed parental consent for emergency medical care.

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: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: Observed a partially consumed bottle was lacking the name of the infant to whom it belonged.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3290.182(5)

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

Noncompliance Area: The files for child #1 and child #2 contain emergency contact information lacking signed parental consent for administration of minor first aide procedures by staff.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: Observed at the base of the toilet used by children in care 2 exposed protruding bolts posing a hazard to the 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: 3290.111(b)

Description: Posted in area used by parents

Noncompliance Area: A written plan of daily activities was not posted in a traffic area used by parents.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: There were no child service reports to provide information to the family about the child's growth and development on file for Child #1, 2, 3, and 4 who have all been enrolled for more than 6 months(See LIS 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: 3290.124(b)(4)/3290.182(3)

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

Noncompliance Area: The emergency contact information for child #2 and 4 did not contain written consent signed by a parent for emergency medical care.

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(e)/3290.181(c)

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

Noncompliance Area: The most recent 6-month review signature for the emergency contact form on file for Child #4 is dated 3/6/24 which is more than 6 months ago. The most recent 6-month review signature for the emergency contact form on file for child #3 is dated 9/28/24 which is more than 6 months ago.

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)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: The most recent health assessment on file for Child #3, who is a Young Toddler age child(See LIS Code sheet), is dated 5/21/24, which is more than 6 months ago.

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.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: The most recent health assessment on file for Child #4, who is a preschool age child(See LIS Code sheet), is dated 1/26/24, which is 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.

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

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: The immunization record on file for Child #3, who is a young toddler age child (See LIS code sheet), includes 2 of 3 DTAP vaccines recommended by the ACIP for a child this age and 2 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age.

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: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: There was not a plastic-lined, hands-free covered can available in the diapering room for the soiled diapers to be discarded in immediately.

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: 3290.135(b)

Description: Surfaces cleaned

Noncompliance Area: The diaper changing surface was not cleaned after each use nor was other surface covering used.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signature for the financial agreement form on file for Child #4 is dated 3/6/24 which is more than 6 months ago. The most recent 6-month review signature for the financial agreement form on file for child #3 is dated 9/28/24 which is more than 6 months ago.

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(5)

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

Noncompliance Area: The file for child #2 and 4 did not contain 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted in a conspicuous location used by the parents.

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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: One protective outlet cover was missing from the electrical outlet cover under the TV.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form in the file for child #1 lacked the phone number of the child's physician.

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 in the file for child #3 lacked the addresses of 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 and parent agreement form in the files for children #1, #2 and #4 have not been reviewed and updated within the last 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: 3290.182(6)

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

Noncompliance Area: The emergency contact forms in the files for children #1 and #4 lacked signed parental consent for transportation and walking excursions.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The operator has not conducted an emergency drill within the last 12 months. The most recent documentation on file is dated 4/20/23.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 does not have current FBI clearance results. This is evidenced by the previously documented FBI clearance on file being dated 9/12/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility.

Regulation: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: The windows in the play space on the second level of the facility were not constructed, modified or adapted to limit the opening to 6 or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint and damaged plaster was observed on the wall between the kitchen and dining room of the facility.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility's documentation of testing the fire detection system exceeded 30 days from 8/18/23 to 9/19/23, 10/16/23 to 11/20/23, and 1/4/24 to 2/9/24.

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: 3290.151(a)/3290.192(2)

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

Noncompliance Area: SECOND CITATION: The file for staff person #2 lacked documentation of a health assessment being conducted within 12 months prior to providing initial service in a child care setting.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: SECOND CITATION: In the living room under the children's table, a piece of the tile flooring was observed to be broken off. Under the piece of tile, wood was observed to be broken exposing the children to splinters and was not in good repair.

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: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement forms on file for children #3, #4, and #5 lacked the child's arrival and departure times.

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

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement on file for child #2 lacked the date of the child's 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 for child #1 lacked a copy of the written agreement form between the parent and the operator.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for child #1 lacked the enrolling parent's work address. The emergency contact form on file for child #2 lacked the enrolling parent's work telephone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: The emergency forms on file for children #1, #3, #4 and #5 lacked information of the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed for an emergency.

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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for child #1 lacked the address and the telephone number of the individual designated by the parent to whom the child may be released. The emergency contact form on file for child #2 lacked the address 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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The files for children #3, #4, and #5 lacked written documentation that the parent reviewed and updated the emergency contact form and the financial agreement within the last 6 months. The most recent documentation on file that the parent reviewed the emergency contact and agreement forms for children #3, #4, and #5 are dated 10/22/21.

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)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: The files for children #3 and #4 lacked an updated health report conducted within 6 months of previous health report. The most recent health forms on file for children #3 and #4 are dated 10/22/21.

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.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: The file for child #5 lacked an updated health report conducted within 12 months of previous health report. The most recent health form on file is dated 12/16/21.

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: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: The garbage can near the diapering area on the second level was not hands-free.

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(a)/3290.192(2)

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

Noncompliance Area: The file for staff person #2 lacked documentation of a health assessment being conducted within 12 months prior to providing initial service in a child care setting.

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: 3290.151(c)(1)/3290.192(2)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: The file for staff person #1 was observed to have documentation of a health assessment that was not renewed before the expiration date of the most current certification. The health assessments on file for staff #1 are dated 3/11/21 and 3/13/23.

Correction Required: An adult health assessment must include a physical examination. 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: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff person #2 lacked documentation of a tuberculosis screening at initial employment. (See LIS CODE SHEET). The tuberculosis screening on file for staff person #2 is dated 3/24/23.

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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster). The file for staff person #1 was observed to lack documentation of completion of the following pre-service training: Pennsylvania Health and Safety Update 2022.

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

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #2 lacked documentation of emergency plan training at the time of initial employment. (See LIS CODE SHEET).

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 did not conduct or have documentation of an annual emergency drill on file for the year of 2022.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

Correction Required: Staff persons shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #2 will have until 5/2/23 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by a staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 does not have current PA State Police and PA Child Abuse clearance results. This is evidenced by the previously documented PA State Police clearance on file being dated 1/5/18 and the PA Child Abuse clearance results being dated 1/23/18. Staff person #1 cannot work in the facility until the PA State Police and PA Child Abuse clearance results are submitted and verified.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 cannot work in the facility until the PA State Police and PA Child Abuse clearance results are submitted and verified.

Regulation: 3290.64(b)

Description: Toxic use- no contamination

Noncompliance Area: In the kitchen, Lysol disinfectant spray and other cleaning materials that state "keep out of reach of children" were observed on the kitchen counter and on top of the refrigerator near food and food preparation areas.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: In the living room under the children's table, a piece of the tile flooring was observed to be broken off. Under the piece of tile, wood was observed to be broken exposing the children to splinters and was not in good repair.

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: 3290.106

Description: Refrigerator

Noncompliance Area: The refrigerator on the lower level lacked an operating thermometer.

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.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for child #1 lacked documentation of persons designated by a parent to whom the child may be released on the agreement.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #2 lacked documentation on the emergency form of the name and telephone number of the child's physician.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for child #2, #3, and #4 lacked documentation of the enrolling parent's work address and work phone number. The file for child #4 lacked documentation of the enrolling parent's home telephone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #2 lacked documentation of the release person's name, address and telephone designated by the parent to whom the child may be released. The file for child #3 lacked documentation of the release person's address 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: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: The two children present in the child care facility did not wash their hands prior to eating lunch. Per the operator, the children use sanitizing wipes prior to eating lunch.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The file for staff #1 lacked documentation of pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) when one or more children are in care.

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

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A copy of instructions for contacting the appropriate regional child care office was not posted in a conspicuous location used by parents in the facility.

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: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provided parents of each child enrolled in the facility with information on how to access the regulations electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facilities emergency plan lacked information on accommodations of 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(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #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: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for staff person #1 was observed to have documentation of mandated reporter training being completed more than 60 months apart.

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

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: The bedroom on the upper level lacked a protective receptacle cover that 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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the bathroom on the upper level, a bottle of Lysol was accessible to children. In the main room, a container of oil by the front door was accessible to children. An unlocked cabinet located in the bathroom on the upper level contained a bottle of Amlodipine Besylate, Lisinopril, Aspirin, Hydrogen Peroxide, Isopropyl Alcohol, and pain relief medications which were accessible to children.

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: 3290.65(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: In the bathroom on the upper level, it was observed that used nasal tissues were not in a closed, lined receptacle.

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

Regulation: 3290.66(b)

Description: No cigarette butts

Noncompliance Area: The bedroom on the upper level had a cigarette butt on the window sill which is child care space.

Correction Required: Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: Two bedroom door handles on the upper level were broken and not attached to the door.

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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility lacked documentation of fire drills conducted at least once every 60 days.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The smoke detector on the upper level was chirping and a determination could not be made if the smoke detector was operable. The facility lacked documentation of proof of purchase for the interconnected smoke detection system. The facility lacked documentation testing of the fire alarm system every 30 days.

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: The Fee Agreement in the file for Child #2 did not contain the names of the release persons.

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

Noncompliance Area: The Emergency Contact Forms in the files for Child #4 and #5 did not include the address of the child's physician.

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

Noncompliance Area: The Emergency Contact Forms in the files for Child #1, #3 and #4 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits. The Emergency Contact Form in the file for Child #2 did not include the policy number for a child under a family policy or Medical Assistance benefits.

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: The Emergency Contact Form in the file for Child #5 did not include the release person's address.

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: The initial health report in the file for Child #1 was conducted more than 60 days after the child's first day in attendance. The initial health report in the file for Child #2 was conducted more than the 90 days allowed during COVID-19 for initial health report. The health reports in each of these child file are current.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, 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.

Noncompliance Area: The facility did not have a written Health and Safety Plan required during COVID-19 Pandemic as per Announcement C-20-08.

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

Noncompliance Area: The file for Staff Person #1 did not include an NSOR Certificate. This is the only staff person working at the facility.

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 Person #1 may not work in a child care position at the facility.

Noncompliance Area: Observed chalk in the upstairs playroom, which had a diameter of less than one inch, which presented a potential choking hazard for children who are still placing objects in their mouths.

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. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: Observed Child #1 sleeping on a couch on her stomach.

Correction Required: 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.

Noncompliance Area: The emergency contract forms in the files for Child #1, 2 and 3 did not contain written parental consent for emergency medical care.

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.

Noncompliance Area: The emergency contact forms in the files for Child #1, 2 and 3 did not include health insurance coverage and policy numbers for the children.

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: The files for Child #1, 2 and 3, who have been enrolled for more than 60 days, did not include initial health reports.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, 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.

Noncompliance Area: The immunization records in the files for Child #1 and Child #3 were not in accordance with the schedule recommended by the ACIP. Child #1: Ten months old. Late for: 2nd and 3rd DTaP, 2nd IPV (Polio), 2nd Hib, late for 3rd PCV13. No record of rotavirus. Child #3: 2nd dose of Rotavirus, 3rd and 4th doses DTaP, 3rd dose IPV (Polio), Hib and PCV13 Make-up schedules.

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.

Noncompliance Area: The emergency contact forms in the files for Child #1, 2 and 3 did not include 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Observed loose television cables across upstairs floor, dangling in stairwell and along the wall leading to television set in the downstairs living room. Observed loose computer cords and electric wires from computer in dining room to connection point on the other side of the room. These created potential tripping and hazardous conditions for children who may be in care. Observed unsecured flat screen television on the floor of the nap room. Observed unsecured flat screen television resting on a chair in the living room. These created possible toppling hazards for children who may be in care.

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

Noncompliance Area: The facility did not have an emergency plan.

Correction Required: The facility shall have an emergency plan.

Noncompliance Area: A bag of ice melt was observed on the floor near the living room door, which would be accessible if children were in care.

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.

Noncompliance Area: None of the windows in the upstairs child care areas (fun room and nap room), were limited to opening six or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: The first aid kit for the facility lacked scissors, tweezers and soap.

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.