Kandyz Kubz

Regulation: 3290.131(a)(4)

Description: Initial health report for school age

Noncompliance Area: During the renewal inspection on 03/12/25 the file reviewed for child #1 did not contain updated health report.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations).

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection on 03/12/25 provider did not have a policy addressing shaken baby syndrome and abusive head trauma.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During the renewal inspection on 03/12/25 emergency drill log did not reflect annual emergency drills conducted at facility. Last drill dated 12/28/23.

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

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: During the renewal inspection on 03/12/25 provider was unable to test operability of interconnected fire 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)).

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During file review at renewal inspection, the emergency information for child #1 did not include the addresses of the individuals 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: 3290.18

Description: General Health and Safety

Noncompliance Area: During paperwork review at renewal inspection, the facility's emergency plan had not been updated to meet Federal requirements under 45 CFR § 98.41(a)(1)(vii), which includes having a plan for Continuity of Operations.

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: During file review at renewal inspection, the agreement form and emergency contact form for child #1 had not been reviewed/updated within the past 6 months. Last signature and date on both forms was 7/14/23.

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(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: During file review at renewal inspection, the file for child #1 did not include signed parental consent for emergency medical care or for the administration of minor first aide 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: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: During paperwork review at renewal inspection, the facility's emergency plan did not include lockdown procedures, or how the facility will handle evacuation accommodations for infants/toddlers, children with disabilities or chronic medical conditions.

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. 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(f)

Description: Emergency plan

Noncompliance Area: During paperwork review at renewal inspection, the letter that is given to parents regarding the facility's emergency plan did not include the lockdown procedures, or the procedures that will be followed to accommodate infants/toddlers, children with disabilities or chronic medical conditions during an emergency or evacuation.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During walkthrough at renewal inspection, fire system in FCCH was not interconnected by Bluetooth or hardwiring method, and it could not be verified that the smoke detectors were tested by a NRTL recognized by OSHA.

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: 3290.14(b)

Description: Building Codes

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and there was no certificate of occupancy on file at the facility and no shaken baby and child maltreatment policy per Announcement C-22-03 that was issued on January 24,2022.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information Llockdown and did not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations 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(b)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files, and the emergency plan was not updated to include continuity of operations per announcement c-22-04, issued 4/19/22.

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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 5 CHILDREN'S FILES AND THE AGREEMENT/CHILD SERVICE REPORT FOR CHILD #1, CHILD #2 AND CHILD #3 DID NOT INCLUDE AN ADDRESS FOR THE 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: 3290.131(d)(1)/3290.131(d)(4)

Description: Child's health history/Acute or chronic health problem

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 5 CHILDREN'S FILES AND THE FILE FOR CHILD #2 CONTAINED A HEALTH ASSESSMENT FROM 2019 THAT NEEDS TO BE UPDATED AND THE FILES FOR CHILD #1 AND CHILD #4 DID NOT CONTAIN A HEALTH ASSESSMENT.

Correction Required: A health report shall include a review of the child's health history. A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY PLAN AND THERE WERE NO ACCOMODATIONS FOR SHELTERING IN PLACE OR LOCKDOWN PROCEDURES.

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(a)(3)/3290.24(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY PLAN AND THERE WERE NO METHODS TO CONTACT PARENTS,INFORM THEM HOW TO REUNITE WITH THEIR CHILDREN OR TO INFORM THEM THAT AN EMERGENCY HAS ENDED.

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

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY PLAN AND THERE WERE NO ACCOMODATIONS FOR INFANTS, TODDLERS, CHILDREN WITH DISABILITIES OR 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: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILE FOR STAFF #1 AND STAFF #2 DID NOT CONTAIN 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: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY PLAN AND THERE WAS NO EMERGENCY DRILL LOG.

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: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY PLAN AND THERE WAS NO LETTER 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: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILES OF STAFF #2 AND STAFF #3 DID NOT HAVE THE MINIMUM 12 HRS OF ANNUAL CHILDCARE TRAINING THAT IS REQUIRED.

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: 3290.31(i)

Description: Verification of professional development shall be kept in facility person's file

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILES FOR STAFF #1 AND STAFF #2 DID NOT CONTAIN THE 10 HR HEALTH AND SAFETY TRAINING.

Correction Required: All staff persons shall complete the professional development under subsection (g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILE FOR STAFF #2 DID NOT CONTAIN THE NSOR CLEARANCE .

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Staff Person # 2 may not work in a child care position at the facility.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND SOME OF THE ELECTRICAL SOCKETS IN THE CHILD CARE SPACE DID NOT HAVE RECEPTACLE COVERS.(CORRECTED ON SITE)

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: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALKTHROUGH AND THERE WERE CANS OF HOUSE PAINT ACCESSIBLE TO CHILDREN ON THE KITCHEN FLOOR NEAR THE CHILDCARE SPACE.

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: 3290.69

Description: Heat Source

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH AND THE WATER TEMPERATURE IN THE CHILDREN'S BATHROOM WAS AT 130° F.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, THE REST MATS WERE LABELED WITH NUMBERS, BUT THE NUMBER LIST DID NOT HAVE A DESIGNATED MAT FOR EACH SPECIFIC CHILD.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, THE RECORDS OF CHILDREN #1, 2, AND 4 DID NOT INCLUDE THE DEPARTMENTS 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) WITHIN 6 MONTHS.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, THE AGREEMENTS OF CHILDREN #1, 2, AND 3 DID NOT SPECIFY THE DATE OF THE CHILD'S ADMISSION.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, THE EMERGENCY CONTACT INFORMATION OF CHILDREN #1 AND 4 DID NOT INCLUDE 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, THE EMERGENCY CONTACT INFORMATION OF CHILD #4 DID NOT INCLUDE 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, THE EMERGENCY CONTACT INFORMATION AND FINANCIAL AGREEMENTS OF CHILDREN #1 AND 2 WERE NOT UPDATED AT LEAST ONCE IN A 6 MONTH PERIOD, THE FINANCIAL AGREEMENT OF CHILD #3 WAS NOT UPDATED AT LEAST ONCE IN A 6 MONTH PERIOD, AND THE EMERGENCY CONTACT INFORMATION OF CHILD #4 WAS NOT UPDATED AT LEAST ONCE IN A 6 MONTH PERIOD.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, THE IMMUNIZATION RECORDS OF CHILDREN #1, 2 AND 4 DID NOT INDICATE THAT THEY HAVE RECEIVED THE INFLUENZA VACCINE IN ACCORDANCE WITH THE RECOMMENDATIONS OF THE ACIP, AND DID NOT CONTAIN EXEMPTION DOCUMENTATION FROM THE PARENT OR PHYSICIAN.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.Exemption from immunization for reasons of medical need must be documented by a written, signed and dated statement from the child's physician, physician's assistant or CRNP. The statement shall be kept in the child's record.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, CERTIFICATION REPRESENTATIVE OBSERVED A BOTTLE ON THE CUBBIES IN THE FACILITY THAT WAS NOT LABELED WITH THE CHILD'S NAME OF WHOM IT BELONGED TO.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, IT WAS OBSERVED THAT THERE WAS NOT AN OPERABLE SMOKE DETECTOR ON THE MAIN LEVEL OF THE HOME BECAUSE THE BATTERY WAS DEAD/WAS NOT WORKING. THIS CONDITION AT THE FACILITY POSES A THREAT TO THE HEALTH OR SAFETY OF THE CHILDREN.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of Compliance with 34 Pa. Code 403.23 is required. The operator will demonstrate operable smoke detectors to an agent of the department.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, THE RECORD OF CHILDREN #1 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, THE RECORD OF CHILD #4 DID NOT INCLUDE A COPY OF THE INITIAL AGREEMENT BETWEEN THE PARENT AND OPERATOR.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, CERTIFICATION REPRESENTATIVE OBSERVED AN ELECTRICAL OUTLET THAT WAS ACCESSIBLE TO CHILDREN WITHOUT A PROTECTIVE RECEPTACLE COVER IN PLACE UNDER THE TELEVISION.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, CERTIFICATION REPRESENTATIVE OBSERVED A LOOSE BALUSTER IN NEED OF REPAIR UNDER THE RAILING LEADING TOWARDS THE UPSTAIRS.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, CERTIFICATION REPRESENTATIVE OBSERVED CHIPPED PAINT ON THE BLUE WALL OF THE MAIN CHILDCARE SPACE.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 4, 2020, CERTIFICATION REPRESENTATIVE OBSERVED CHILD #3 USE THE TRAINING CHAIR LOCATED BETWEEN THE KITCHEN ENTRY WAY AND THE LUNCH TABLE, BOTH AREAS OF COOKING AND EATING. THE TRAINING CHAIR WAS NOT SANITIZED AFTER USE.

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.Toilets and training chairs shall be located in rooms separate from rooms used for cooking or eating

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, CERTIFICATION REPRESENTATIVE OBSERVED CHILDREN #2 (OLDER TODDLER) AND CHILD #3 (YOUNG TODDLER) IN THE PLAY PENS FROM APPROXIMATELY 9:59 AM UNTIL THE FIRST CHILD WAS REMOVED AT 11:02 AM, AND THE CHILDREN WERE PLACED BACK IN MULTIPLE TIMES THROUGHOUT THE DURATION OF THE INSPECTION WITH LITTLE TO NO STIMULATION.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, CERTIFICATION REPRSENTATIVES OBSERVED STAFF #1 LEAVE CHILDREN #2 AND #3 UNATTENDED DOWNSTAIRS WHILE SHE WENT UPSTAIRS FROM 1:09 TO 1:13 PM.

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). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE VETERAN'S CERTIFICATE OF RABIES IMMUNIZATION WAS EXPIRED AS OF 2-6-19.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE EMERGENCY CONTACT INFORMATION OF CHILD #1 DID NOT INCLUDE 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE EMERGENCY CONTACT INFORMATION OF CHILDREN #1 DID NOT INCLUDE THE HEALTH INSURANCE POLICY NUMBER, AND THE EMERGENCY CONTACT INFORMATION OF CHILD #2 DID NOT INCLUDE THE HEALTH INSURANCE COVERAGE OR POLICY NUMBER FOR A CHILD UNDER A FAMILY POLICY OR MEDICAL ASSISTANCE BENEFITS, IF APPLICABLE.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE EMERGENCY CONTACT INFORMATION OF CHILDREN #1 AND #2 WERE NOT UPDATED AT LEAST ONCE IN A 6 MONTH PERIOD (PREVIOUS DATED SIGNATURE WAS 11-26-17), AND THE FINANCIAL AGREEMENTS OF CHILDREN #1, 2 AND 3 WERE NOT UPDATED AT LEAST ONCE IN A 6 MONTH PERIOD (CHILDREN #1 AND 2 WERE DATED 11-27-17, AND CHILD #3 WAS DATED 1-18-17).

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE RECORD OF CHILD #3 (DOB: 6-28-17) DID NOT CONTAIN AN UPDATED HEALTH REPORT WITHIN 6 MONTHS OF PREVIOUS HEALTH REPORT (DATED 1-26-18).

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE RECORD OF CHILD #2 (DOB:3-29-16) DID NOT CONTAIN A HEALTH REPORT CONDUCTED WITHIN 12 MONTHS OF PREVIOUS HEALTH REPORT (DATED 1-26-18).

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #1 CHANGE THE DIAPERS OF CHILD #2 AND THEN CHILD 3, AND DID NOT WASH THE HANDS OF THE CHILDREN OR THEIR OWN HANDS AFTER COMPLETION.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, CERTIFICATION REPRESENTATIVE OBSERVED STAFF #1 CHANGE THE DIAPER OF CHILD #2, AND THEN CHILD #3 WITHOUT CLEANING THE SURFACE BETWEEN USES.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE HEALTH ASSESSMENT OF STAFF #3 DID NOT INCLUDE THE PHYSICIAN'S ASSESSMENT OF THE PERSON'S SUITABILITY TO PROVIDE CHILDCARE (ASSESSMENT ADDRESSED SUITABILITY TO PROVIDE CARE FOR INDIVIDUALS WITH SPECIAL NEEDS ONLY).

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE RECORD OF CHILD #1 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, A COPY OF THE APPLICABLE REGULATIONS UNDER WHICH THE FACILITY IS CERTIFIED WERE NOT POSTED IN A CONSPICUOUS LOCATION USED BY PARENTS WITH INSTRUCTIONS FOR CONTACTING THE APPROPRIATE REGIONAL DAYCARE OFFICE, AND STAFF #1 STATED THAT THEY WERE NOT AWARE THAT THEY WERE REQUIRED TO PROVIDE THE PARENT OF EACH CHILD ENROLLED IN THE FACILITY WITH A COPY OF THE CHAPTER.

Correction Required: The facility's current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same locationThe operator shall provide the parent of each child enrolled in the facility with a copy of this chapter.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE RECORD OF FACILITY PERSON #2 DID NOT CONTAIN AN FBI CLEARANCE, OR REQUEST FOR FBI CLEARANCE AS REQUIRED UNDER THE CPSL. STAFF #1 STATED THAT THIS PERSON WAS SOMEONE SHE INTENDS TO HIRE, BUT ALSO STATED THAT THIS PERSON HAS COME IN TO THE FACILITY ON PREVIOUS OCCASIONS TO HELP OUT WITH THE CHILDREN.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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 #2 may not work in a child care position at the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, CERTIFICATION REPRESENTATIVE OBSERVED 6 ELECTRICAL OUTLETS UNCOVERED ON THE SMALL BLUE WALL IN THE FRONT SPACE OF THE FACILITY, AND 3 ELECTRICAL OUTLETS ON AN ELECTRICAL STRIP UNDER THE TELEVISION THAT DID NOT HAVE PROTECTIVE RECEPTACLE COVERS IN PLACE, AND 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, CERTIFICATION REPRESENTATIVE OBSERVED CLEANING MATERIALS IN AN UNLOCKED CABINET IN THE KITCHEN, WHICH WAS UNLOCKED AND 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, THE FIRST-AID KIT IN THE CHILD CARE SPACE DID NOT CONTAIN TWEEZERS.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON MARCH 13, 2019, STAFF #1 TOOK THE CHILDREN ON A WALK TO THE CAR, AND THEN UP AND DOWN THE BLOCK WITHOUT BRINGING A FIRST-AID KIT OR EMERGENCY CONTACT INFORMATION WITH THEM.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3290.73(c).When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE NAP MATS AND PACK AND PLAYS WERE NOT LABELED FOR THE USE OF AN INDIVIDUAL CHILD.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION THERE WAS NOT A CURRENT CERTIFICATE OF RABIES IMMUNIZATION ON FILE AT THE FACILITY FOR THE CAT THAT LIVES IN THE HOME.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD #1, #2, AND #3 DID NOT INCLUDE THE HEALTH INSURANCE POLICY NUMBER.

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

Noncompliance Area: AT TIME OF RENEWAL INSPECTION A WRITTEN FORMULA AND FEEDING SCHEDULE FOR INFANTS WAS NOT BEING OBTAINED FROM THE PARENTS.

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

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR CHILD #1 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE. THE FILE FOR CHILD #1 AND #2 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR THE ADMINISTRATION OF FIRST AID PROCEDURES.

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

Noncompliance Area: AT TIME OF INSPECTION ON 2-17-17, STAFF PERSON #1 WHO IS THE OWNER OPERATOR OF THE FCCH, TOLD CERTIFICATION REPRESENTATIVE THAT NO ONE IS CURRENTLY RESIDING IN THE HOME.

Correction Required: The Department may refuse to renew or may revoke a certificate of registration to an operator for noncompliance with the registration law or this chapter.

Noncompliance Area: AT TIME OF INSPECTION ON 2-17-17, CHILD SERVICE REPORTS HAD NOT BEEN COMPLETED FOR CHILD #1, #2, OR #3.

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

Noncompliance Area: AT TIME OF INSPECTION ON 2-17-17, THE AGREEMENT FOR CHILD #1, #2, #3, DID NOT CONTAIN THE PERSONS TO WHOM THE CHILD MAY BE RELAEASED, AND THE EMERENCY CONTACT FORMS DID NOT CONTAIN THE RELEASE PERSON'S NAME, ADDRESS OR PHONE NUMBER.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. 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: AT TIME OF INSPECTION ON 2-17-17, THE EMERGENCY CONTACT FOR CHILD #1, #2, #3 DID NOT INCLUDE THE NAME , ADDRESS, AND PHONE NUMBER OF THE CHILD'S PHYSICIAN. IN ADDITION, THE HEALTH INSURANCE AND POLICY NUMBER WERE NOT INCLUDED.

Correction Required: Emergency contact information must include the name, address and telephone number of the child`s physician or source of medical care.Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: AT TIME OF INSPECTION ON 2-17-17, THERE WAS NOT A WRITTEN PLAN IDENTIFYING THE MEANS OF TRANSPORTING A CHILD TO EMERGENCY CARE AND THE STAFF PROVISIONS THAT WOULD TAKE 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.

Noncompliance Area: AT TIME OF INSPECTION ON 2-17-17, THE FILE OF CHILDREN #1, #2, AND #3 DID NOT INCLUDE SIGNED WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE OR FOR MINOR FIRST AID BY FACILITY STAFF.

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

Noncompliance Area: AT TIME OF INSPECTION ON 2-17-17, THE EMERGENCY PLAN DID NOT INCLUDE AN AREA FOR SHELTER IN PLACE, OR THE NAME AND ADDRESS OF THE SHELTER AWAY LOCATION.

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

Noncompliance Area: AT TIME OF INSPECTION ON 2-17-17, THE EMERGENCY PLAN DID NOT INCLUDE A METHOD OF CONTACTING PARENTS WHEN AN EMERGENCY ARISES, OR A METHOD OF CONTACTING PARENTS TO INFORM THEM THAT THE EMERGENCY HAS ENDED AND HOW TO BE SAFELY REUNITED WITH CHILDREN

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

Noncompliance Area: AT TIME OF INSPECTION ON 2-17-17, THE FILE FOR STAFF PERSON #1 DID NOT CONTAIN A DISCLOSURE STATEMENT.

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.

Noncompliance Area: AT TIME OF INSPECTION ON 2-17-17, FIRE DRILLS WERE NOT BEING CONDUCTED AND RECOREDED 4 TIMES A YEAR AS REQUIRED

Correction Required: Fire evacuation drills shall be conducted at least four times a year.