Khrystal Lindsay Fcch

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 6-17-2026 during a Renewal inspection, the emergency contact form of child #1 did not include health insurance coverage and a 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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 6-17-2026 during a Renewal inspection, the file of staff person #1 had an expired FBI clearance.

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 childcare position at the facility.

Regulation: 3290.72

Description: Emergency Numbers Posted

Noncompliance Area: On 5-29-2025 during a Renewal inspection, the numbers to the nearest hospital, police and fire department were not posted.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: On 7-1-2024 during a Renewal inspection, a container with black beans was on top of the black bin with drawers.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: On 7-1-2024 during a Renewal inspection, child service reports were not completed for children #1, #2, #3, #4, #5, and #6.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 7-1-2024 during a Renewal inspection, the medical policy numbers for children #1, #5 and #6 were not listed on the emergency contact forms.

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

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 7-1-2024 during a Renewal inspection, the emergency contact of child #5 did not include the name, address and telephone number of a 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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On 7-1-2024 during a Renewal inspection, protective receptacle covers were missing in the electrical outlets by the stairs and by the children's playhouse.

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: On 7-1-2024 during a Renewal inspection, a black storage bin with drawers contained hair products such as JAM.

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: 3290.71

Description: Telephone

Noncompliance Area: On 7-1-2024 during a Renewal inspection, the facility's telephone was not operable.

Correction Required: A facility shall have an operable telephone. A facility that has an unpublished telephone number shall make the number available to the parent, the release persons of the children in care, an agency that oversees or funds the facility and the appropriate regional office of the Department.

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: On 7-1-2024 during a Renewal inspection, the facility did not have interconnected fire detectors.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #1 and 5 did not have a child service report completed within the last 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).

Regulation: 3290.124(e)

Description: Updated every 6 months

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency contact information for child #4 did not have a parent signature.

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.

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

Description: Updated toddler/preschool health report: every 12 months/Child's health history

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #1, 2, and 5 did not have a health report dated within the last 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A health report shall include a review of the child's health history.

Regulation: 3290.131(e)(1)/3290.131(e)(2)(i)

Description: Parent written verification from Doctor./Religious belief/strong personal objection

Noncompliance Area: At the time of the renewal inspection the certification representative observed that child #1, 2, 4, and 5 did not have an influenza immunization in 2022 or 2023. No exemption letter was observed for child #1,2. 4, and 5.

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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the facility did not have a written policy and procedure for the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. Also, the facility had an emergency plan that did not identify the duties of the provider during an emergency. And the facilities emergency plan did not outline the continuity of operations during and after an emergency . Finally, staff #1 did not have the health and safety update training completed..

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

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: AT THE TIMEOF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT PROVIDE FOR ACCOMMODATIONS OF TODDLERS AND CHILDREN WITH DISABILITIES IN THE EMERGENCY PLAN.

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(d)

Description: Emergency plan

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATIO REPRESENTATIVE OBSERVED THAT THE OPERATOR DID NOT HAVE DOCUMENTATION FOR THE COMPLETION OF THE EMERGENCY DRILL.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE OPERATOR DID NOT PROVIDE A COMPLETED NATIONAL SEX OFFENDER REGISTRY .

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: Facility Person # -- may not work in a child care position at the facility.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #5 DID NOT HAVE AN AGREEMENT ON FILE AND CHILD #3 DID NOT HAVE THEIR AGREEMENT SIGNED BY THE OPERATOR.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #1-4 DID NOT HAVE A CHILD SERVICE REPORT COMPLETED.

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 THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #5 DID NOT HAVE AN EMERGENCY CONTACT FORM COMPLETED.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FOR CHILD #1 DID NOT ADDRESS THE PARENT'S HOME AND WORK ADDRESS AND WORK TELEPHONE NUMBER. CHILD # 2 DID NOT ADDRESS THE PARENT'S WORK ADDRESS OR TELEPHONE NUMBER.

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

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORM FOR CHILD # 3 DID NOT HAVE THE CHILD'S MA COVERAGE AND POLICY NUMBER INCLUDED AND CHILD #4 DID NOT HAVE THE MA POLICY NUMBER INCLUDED

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 THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE "EMERGENCY TRANSPORTATION PLAN" WAS NOT POSTED IN THE FACILITY.

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. (REFERED TO AS THE "EMERGENCY TRANSPORTATION PLAN")

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE HEALTH REPORT FOR CHILD # 2 & 3 HAD NOT BEEN UPDATED IN THE LAST 12-MONTH PERIOD. DATES WERE #2 10/18/17 & #3 8/24/17 AND THEY BOTH ONLY CONSISTED OF AN IMMUNIZATION RECORD.

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: AT TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE HEALTH REPORT FOR CHILD # 4 & 5 DID NOT INCLUDE A SIGNED, WRITTEN REPORT, THAT INCLUDED A REVIEW OF THE CHILD'S HEALTH HISTORY.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.A health report shall include a review of the child's health history.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #3 & 4 HAD AN EMERGENCY CONTACT FORM AND FEE AGREEMENT THAT HAD NOT BEEN UPDATED IN THE LAST 6-MONTH PERIOD.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY DID NOT HAVE AN EMERGENCY PLAN POSTED INSIDE OF THE FACILITY.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY HAD ONLY 1 FIRE DRILL CONDUCTED EACH YEAR, IN THE LAST 3 YEARS. RECORDED DATES ARE: 7/19/17, 1/25/18, & 3/11/19.

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

Noncompliance Area: During the inspection on 5/17/18 the file record for child #1 did not include a completed financial agreement form.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: During the inspection on 5/17/18 the file records for child #1 and 2 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable and the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include 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.

Noncompliance Area: During the inspection on 5/17/18 the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

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: During the inspection on 5/17/18 the file records for child#1 and 2 did not include a 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.

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.

Noncompliance Area: During the inspection on 5/17/18 the file records for child #1 did not include signed parental consent for emergency medical care for the child .

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.

Noncompliance Area: During the inspection 5/17/18 the emergency plan did not include 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..

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..

Noncompliance Area: During the inspection 5/17/18 the file records for staff person # 1 did not include an biennial minimum of 12 clock hours of child care training.

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

Noncompliance Area: During the inspection on 5/17/18 the first-aid kit in the facility was missing gloves.

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: The facility lacked verification of a veterinarian's certificate of current rabies immunization for a cat at the facility.

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. Obtain and provide written verification of the current veterinarian's certificate of rabies immunization for the cat.

Noncompliance Area: Two children's records did not contain a health report completed within the past 12 months. (#1 and #2)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all childrens records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: One staff persons record did not contain a health assessment completed within the past 24 months. (#1)

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. Obtain and submit a current up-to-date health assessment for the identified staff person. Ensure that health assessments are completed within the required timeframes.

Noncompliance Area: There was no written documentation verifying the annual review of the emergency plan.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan. Review the emergency plan and submit written documentation for verification.

Noncompliance Area: One staff persons record did not contain written verification of annual emergency plan training. (#1)

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. Obtain and submit written verification of annual emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment and annually.

Noncompliance Area: One staff persons record did not contain written verification of biennial minimum 12 hours of child care training.(#1)

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training. Obtain and submit written verification of biennial minimum 12 hours of child care training for the identified staff person.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Several records reviewed did not contain the required CPSL hiring documents. (#1- STATE POLICE more than 60 months old) (#2-HH member- STATE POLICE is for a volunteer purposes only and cannot be accepted; no CHILD ABUSE)(#3-HH member-STATE POLICE is for a volunteer purposes only and cannot be accepted, no CHILD ABUSE)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: 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. Household members cannot be present when children are in care until the required clearances have been completed and submitted. Obtain and submit a copy of the completed CPSL clearances as specified for the identified staff and household members.

Noncompliance Area: The first aid kit in the young toddler classroom lacked tweezers and bandages.

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. Replenish the first aid kit and ensure that all first kits has the required contents as specified in this regulation.

Noncompliance Area: The carpet in the main room was stained and in need of cleaning, replacment or removal.

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. Clean the carpet, replace or remove the carpet and ensure that surfaces in the facility are kept clean.