Kiddie U Family Day Care

Regulation: 3290.124(b)(4)

Description: Written consent

Noncompliance Area: At the time of the inspection the record of child #1 did not contain the 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.

Regulation: 3290.124(c)

Description: Excursions

Noncompliance Area: At the time of the inspection the facility's excursion bag did not contain the emergency contact information specific to each child

Correction Required: 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.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection the records of children #2 and #3 did not have the required updates in over 6 months' time.

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)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: At the time of the inspection the record of child #1 did not contain 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.

Regulation: 3290.182(5)

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

Noncompliance Area: At the time of the inspection the record of child #1 did not contain signed parental consent for emergency medical care for the child.

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: 3290.31(g)

Description: Age and training

Noncompliance Area: At the time of the inspection the record of staff person #2 did not include the required health and safety training

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

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection the record of staff person #1 did not contain a current Pennsylvania State police clearance

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: At the time of the inspection the record of the operator was lacking the proof of the 12 clock Hours of childcare training for the current annual cycle.

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

Regulation: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: On 7/18/23, at time of renewal, Child #1 file did not contain an updated health report, including updated immunizations. The last health report on file is dated 10/4/21.

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. A child's record must contain initial and subsequent health reports.

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: On 7/18/23, at time of renewal, Child #1 and Child #2 file did not contain signed parental consent for emergency medical care and administration of 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(d)

Description: Emergency plan

Noncompliance Area: On 7/18/23, at time of renewal, no documentation of an annual emergency drill was observed on file at the facility.

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

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: On 7/26/22, two cribs and 6 cots used as rest equipment was not labeled with the child's name.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.131(a)(3)/3290.182(1)

Description: Initial health report dated older toddler/preschool < 1 year./Initial and subsequent health assessments

Noncompliance Area: On 7/26/22, Child #1 and Child #2 file did not contain updated health assessments. Child #1 last health assessment was dated 3/8/21. Child #2 last health assessment was dated 7/9/19.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: On 7/26/22, children at the facility did not wash hands 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: On 7/26/22, Shaken Baby Syndrome, Abusive Head Trauma and Child Maltreatment policy was not on file at the facility.

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: On 7/26/22, Child #1 file did not contain updated emergency contact information. (last update was dated 3/17/21)

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: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: On 7/26/22, the facility's emergency plan did not include accommodations for infants and toddlers in the event of an emergency.

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: On 7/26/22, no record of a documented annual emergency drill was on file at the facility.

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

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: On 7/26/22, the file belonging to Staff #1 did not contain 12 annual hours of child care training.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: On 7/26/22, Staff #3 file did not contain required professional development health and safety topics.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of the date of hire:

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 7/26/22, Staff #2 file did not contain proof of registration for FBI Clearance. Staff #3 file did not contain the correct PA Criminal Clearance required by CPSL. (The PA Criminal clearance was for volunteers)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 -- 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. Facility Person #2--- may not work in a child care position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: On 7/26/22, bug spray instructing to keep out of reach of children was observed accessible to children on the desk.

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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 7/26/22, no evidence of fire drills conducted at least once every 60 days was not observed at the facility.

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: On 7/26/22, no evidence of 30 day fire detection test log was observed at the facility. The fire detection system was tested during the inspection.

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: ON 10/6/20, A BOTTLE OF MEDICINE WAS OBSERVED ACCESSIBLE TO CHILDREN IN AN UNLOCKED GLASS CABINET LOCATED ON THE FIRST FLOOR WHERE CHILDREN WERE RECEIVING CARE.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: ON 10/6/20, AN UPDATED HEALTH ASSESSMENT WAS NOT OBSERVED IN THE FILE BELONGING TO STAFF #1. THE LAST ASSESSMENT WAS DATED 2/27/18.

Correction Required: 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.

Noncompliance Area: ON 10/6/20, RESULTS OF NSOR (NATIONAL SEX OFFENDER REGISTRY) WERE NOT OBSERVED IN THE FILES BELONGING TO STAFF #1, STAFF #2 AND STAFF #3. AN UPDATED CHILD ABUSE CLEARANCE WAS NOT OBSERVED IN THE FILE BELONGING TO STAFF #2 (CLEARANCE DATED 3/28/15). MANDATED REPORTER TRAINING WAS NOT OBSERVED IN THE FILE BELONGING TO STAFF #3.

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

Noncompliance Area: On 12/27/19, Child #1 (11 month old infant) was observed asleep in a crib with a large stuffed toy bear. Two feet apart on three sides was not observed around the crib while Child #1 was sleeping.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: On 12/27/19, operator did not demonstrate that the smoke detectors on the first and second floors were operable because they were taken down by provider to replace batteries and not reinstalled appropriately.

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 Chapter 403.23 is required.

Noncompliance Area: On 12/27/19, an uncovered electrical outlet was observed accessible to children in the back play room.

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

Noncompliance Area: On 12/27/19, toilet bowl cleaner, automotive oil and toxic materials were observed accessible to children in the bathroom.

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: On 7/30/19, a pack n play was not labeled for individual use. Additionally, during the inspection, an infant was observed sleeping in the pack n play that contained a standard bed pillow, an elephant shaped pillow, a package of diaper wipes and hand sanitizer.

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.Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: On 7/30/19, pa criminal clearance and fbi clearance were not observed in the file belonging to household member #1.

Correction Required: At initial application for a certificate of registration, the legal entity shall submit clearances required by the CPSL for the legal entity and for each individual 18 years of age and older who resides in the facility at least 30 days in a calendar year.

Noncompliance Area: On 7/30/19, a financial agreement was not observed on file for Child #4.

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.An agreement shall be signed by the operator and the parent.

Noncompliance Area: On 7/30/19, health insurance coverage and policy number was not observed in the file belonging to Child #1.

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: On 7/30/19, the address of the designated release persons were not observed in the file belonging to Child #1, Child #2 and Child #5.

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: On 7/30/19, updated emergency contact information and Financial agreement was not observed in the files belonging to Child #1, #2, #3 and #5

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: On 7/30/19, updated health assessments were not observed in the file belonging to Child #1 (last assessment 9/20/17), #2 (last assessment 7/16/18) and #3 (last assessment 4/12/17).

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 child's record must contain initial and subsequent health reports.

Noncompliance Area: On 7/30/19, an initial health assessment including tb test result was not observed in the file belonging to facility person #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.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.

Noncompliance Area: On 7/30/19, an individual record was not observed for Child #6.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: On 7/30/19, no evidence of the annual update to facility's emergency plan was observed on file. The last update was dated 7/13/18.

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.

Noncompliance Area: On 7/30/19, facility person #1 is listed as a volunteer. Verification of age was not observed in the file belonging to facility person #1.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times.

Noncompliance Area: On 7/30/19, facility person is listed as a volunteer. PA Criminal clearance was not observed on file for facility person #1.

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

Noncompliance Area: On 7/30/19, at approximately 10:25am, ten unrelated children were observed at the facility. (1 infant, 3 OT, 3 PS and 3 S/A).

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.

Noncompliance Area: On 7/30/19, an uncovered electrical outlet accessible to children was observed in the bathroom.

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

Noncompliance Area: On 7/30/19, hand sanitizer, Lysol and hand cream instructing to "keep out of reach of children" was observed accessible to children on the provider's desk. Bug spray was observed in the unlocked white cabinet accessible to children in the play room. Hand sanitizer was observed in a pack n play accessible to a child who was sleeping inside the pack n play.

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: On 7/30/19, peeling paint was observed on the wall in the back sleeping room.

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

Noncompliance Area: The file for facility child #1 did not have written proof of a recent physical at the time of inspection on 7/27/18.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Noncompliance Area: The emergency contact information in the file for facility child #2 did not have signed permission for emergency medical care and minor first aid at the time of inspection on 7/27/18.

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: The file for staff #1 had contained 5-five hrs written proof of annual six-hours training. The file for staff #2 contained 3-hrs hrs- written proof of 6-annual training. Neither staff file had written proof of the required six-hours at the time of inspection on 7/27/18.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: At the time of inspection, the child service reports in the children's files were not signed by the parent.

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: When asked, staff #2 confirmed warming the bottle of child #5 in the microwave

Correction Required: Bottled formula may not be heated in a microwave oven.

Noncompliance Area: There were no records on site at the facility for children #1-#4 at the time of inspection.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: The emergency contact information in the file for child #6 did not have signed permission for minor first-aid or emergency contact information. The emergency contact form foe child #7 did not have signed permission for minor first-aid.

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 the time of inspection, there was no written proof of education in the file for staff #2 who was observed working as an assistant to staff #1 and caring for the children. The written proof of education in the file for staff #1-primary staffer was from Jamaica and was not translated or transcribed as required by the regulation.

Correction Required: The operator shall have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department at the time of registration renewal.A facility person`s record shall include records of training required by the Department.

Noncompliance Area: There was no signed disclosure statement in the file for (primary) staff #1 at the time of inspection on 9/1/17.

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 FBI, 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: Upon arrival to the facility ten children were observed in care at the familiy child care facility. The provider later divulged that three of the children were her grandchildren. Yet, the total number of children still exceed six.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.

Noncompliance Area: The water temperature at the sink in the restroom used by the facility children to wash their hands was 112 degrees.

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.