Kelli Rydboms Kare A Lot 2

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form on file for child #1 was observed not to have documentation on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

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 or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The emergency contact form on file for Child #1 and Child #2 were observed not to include information the child's special need or disability.

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 or CRNP, which is needed in an emergency situation.

Regulation: 3280.20/3280.115(a)(3)

Description: General Health and Safety/Above-ground pool inaccessible

Noncompliance Area: On the day of inspection, it was observed that the lock was not secure on the fence of the above ground pool.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Regulation: 3280.20/3280.71

Description: General Health and Safety/Heat Source

Noncompliance Area: It was observed in the kitchen, a gas range used for cooking was accessible to children.

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

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: It was observed that the evacuation route was not posted in a conspicuous location.

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

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1 lacks a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

Correction Required: Child #1 must be dismissed from care by close of business of provider notification and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for staff #5 lacks the one hour health and safety training that was required by 12/30/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: There was more than 24 months between the previous and most current and updated health assessments on file for staff #1 and 2. The file for staff #4 lacks an initial health assessment.

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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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. 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: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: The file for staff #4 lacks a TB screening by the Mantoux method at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for staff #4 lacks two written, nonfamily references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The operator did not provide the parent of each child enrolled a letter explaining shelter in place and shelter away from the facility, lockdown, evacuation, method to contact parents as soon as reasonably possible when an emergency situation arises and method to inform parents emergency has ended and how they can safely be reunited with their children, accommodations for infants, 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. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: There was more than 60 months between Child Abuse clearances on file for staff #3. Dates are as follows: 6/11/18 and 7/18/23. The file for staff #4, who was a provisional hire, lacked verification of DHS FBI fingerprint on or before initial start date in a childcare position. There are no DHS FBI and NSOR clearances on file. SEE IS CODE SHEET.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 4 may not work in a child care position at the facility. 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.

Regulation: 3280.34(b)(1)/3280.192(2)(ii)

Description: HS/GED + 30 credits/Exp, educ., training prior to facility

Noncompliance Area: The file for staff #4, who holds the title of primary staff person, lacked 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff person #1,2, 4, 5, 6, and 7--- did not complete the following required pre-service training within the required time frame for all staff who were hired prior to the implementation of the new regulations which were in effect as of 12/19/20. (See LIS CODE SHEET). Health and Safety training was to be completed by 6/17/21 and the six hour training was acceptable from 9/30/16-6/30/18. Current health and safety training is now on file for staff 1, 2, 4, 5, 6 and 7. Staff #1- 5/1/22, Staff #2 took the six hour training on 9/27/16. The ten hour health and safety training is now on file and dated 5/1/22. Staff #4 - 8/2/22, Staff #5 - 8/8/22, Staff #6 - 5/11/22 and Staff #7 -5/2/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff persons #1, 2, 3, 4, 5. 6 and 7 did not have Pediatric CPR/FA with an approved PQUA trainer by 4/29/22. All staff now have the approved training with an approved PQUA instructor and it is dated 10/4/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.