Karens Munchkins Childcare

Regulation: 3290.121(a)

Description: Review policies and procedures

Noncompliance Area: A renewal inspection was conducted on 4/8/26. The parent handbook did not contain a general daily schedule or supervision policy.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.123(a)(3)/3290.124(b)(6)

Description: Services provided/Insurance coverage information

Noncompliance Area: A renewal inspection was conducted on 4/8/26. Child(ren) #2-#5 did not have a child service report completed every 6 months. Child(ren) #2-#5 had Progress Reports completed that the provider made. The providers Progress Reports are not OCDEL approved assessments. Child #2's emergency contact form did not contain the health insurance policy number.

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). 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: 3290.151(a)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: A renewal inspection was conducted on 4/8/26. Staff person #1 did not update their health assessment every 24 months as required by regulation. This is evidenced by the current health assessment on file dated 4/3/26 and the previous health assessment is dated 2/20/24.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

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: A renewal inspection was conducted on 4/8/26.Child(ren) #1 and #2's files did not contain signed parental consent for emergency medical care or 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: 3290.24(f)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted on 4/8/26. The operator's communications letter to parents regarding the facilities emergency plan did not include the lock down procedures or the special accommodations for toddlers, children with disabilities and children with chronic medical conditions.

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: 3290.131(b)(2)

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

Noncompliance Area: A renewal inspection was conducted on 4/11/25. Child(ren) #1-3 did not have an updated health report completed in the last 12 months. The last health report on file for child #1 is dated 4/26/23, child #2 is dated 6/29/23, and child #3's is dated 8/21/23. (See LIS sheet for DOA's).

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: 3290.18/3290.24(a)(5)

Description: General Health and Safety/Emergency plan

Noncompliance Area: A renewal inspection was conducted on 4/11/25. The facility's emergency plan does not address continuity of operations and does not provide for accommodations of infants and toddlers.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Fee Agreement for children # 1 and # 3 did not contain child's date of admission.

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

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

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

Noncompliance Area: Emergency Contact Form for Children # 1 and # 2 did not contain work information for parents. Emergency Contact Form for Children # 1 and # 2 did not contain address for release persons.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency Contact form for Child # 3 did not contain 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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Renewal Inspection on 4/3/24, facility had operable, wireless and interconnected smoke detectors, that were not OSHA approved. Act 42 of 2022, signed into law July 7, 2022, amended the Fire and Panic Act at 35 P.S. § 1223.6, and requires all certified family child care homes to have interconnected smoke alarms approved, at the time of installation, by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor to test and certify smoke alarms.

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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency Contact Form for Child # 1 did not contain the name, address or telephone number for child's physician. Emergency Contact Form for Children # 2 and # 3 did not contain address and telephone number for children'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: Emergency Contact Form for child # 2 did not contain address and telephone number for release persons.

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: 3290.182(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: emergency Contact Form for Children # 1 and # 2 did not contain signed parental consent for emergency medical care and the administration of minor first-aid by 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: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Fee Agreement for Children # 1 , # 4 and # 5 did not contain child's Date of Admission.

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

Regulation: 3290.124(b)(6)/3290.124(b)(7)

Description: Insurance coverage information/Name/address/phone release person

Noncompliance Area: Emergency Contact form for children # 1 and # 5 did not contain health insurance name and policy number. Emergency Contact Form for Child # 4 did not contain 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. 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: 3290.151(a)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: File for Staff # 1 did not contain an updated health assessment. Health assessment in file is dated 1/8/20.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Emergency Contact Form and Fee Agreement for Child # 2 were not updated every 6 months, last update was 8/31/21.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: An unannounced Renewal inspection was conducted on 4/13/22. At that time, the thirty day testing log was observed and showed that the testing of the system had not been conducted every thirty days. The date of testing ranged from 12/6/21 to 2/4/22. Act 62 requires documentation of testing of the fire detection system every thirty 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.