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Family Child Care ✓ Licensed

Kristene M Dubics Family Child Care Home

Seward, PA · Westmoreland County
ROUTE 711, Seward, PA 15954
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Quick Facts

Capacity
6 children
Languages
English, English
Subsidized Program
Participates
State Rating
3

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Contact Information

📞 (814) 241-5480
ROUTE 711
Seward, PA 15954
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✓ Licensed Family Child Care
Active License
License Number
CER-00247163
License Issued
Jan 7, 2026
Active Through
Jan 7, 2027
Issued By
Pennsylvania Department of Education and Public Welfare
District Office
Early Learning Resource Center for Region 4

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About the Provider

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KRISTENE M DUBICS FAMILY CHILD CARE HOME is a Family Child Care in SEWARD PA, with a maximum capacity of 6 children. It is open Monday - Friday, 7:00 AM - 5:00 PM. The provider also participates in a subsidized child care program.

Hours of Operation

  • Monday7:00 AM - 5:00 PM
  • Tuesday7:00 AM - 5:00 PM
  • Wednesday7:00 AM - 5:00 PM
  • Thursday7:00 AM - 5:00 PM
  • Friday7:00 AM - 5:00 PM
  • Saturday Closed
  • Sunday Closed

Inspection/Report History

Where possible, ChildcareCenter provides inspection reports as a service to families. This information is deemed reliable but is not guaranteed. We encourage families to contact the daycare provider directly with any questions or concerns. Reports can also be verified with your local daycare licensing office.

Inspection Date Reason Description Status
2025-10-06 Renewal 3290.123(a)(5) - Designated release persons Compliant - Finalized

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement on file for Child #2, Child #3 and Child #4 is lacking the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
Parents of child #2, #3, and #4 fixed their forms by including pick up person to their child's form.
2025-10-06 Renewal 3290.123(a)(6)/3290.182(2) - Admission date/Application, admission, withdrawal dates Compliant - Finalized

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The fee agreement on file for Child #2 and Child #4 is lacking the date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Provider Response: (Contact the State Licensing Office for more information.)
Child #2 and Child #4 had admission date placed on forms.
2025-10-06 Renewal 3290.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #2 was lacking the work addresses and telephone numbers of the enrolling parent.

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

Provider Response: (Contact the State Licensing Office for more information.)
Child #2's parents completed work addresses/phone numbers for form.
2025-10-06 Renewal 3290.124(b)(5) - Information re: disability Compliant - Finalized

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: The emergency contact form on file for Child #2 and Child #4 is lacking information on the child's special needs, as specified by the child's parent, physician, physician's assistant of 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 of CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
Parents of Child #2 and child #4 completed forms. There are no special needs for wither child so no other correction/completion is needed.
2025-10-06 Renewal 3290.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #1 and Child #2 is lacking the 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 the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
Parents of Child #1 and Child #2 corrected addresses and phone numbers of designated pick up person.
2025-10-06 Renewal 3290.24(b) - Emergency plan Compliant - Finalized

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The two most recent emergency plan review updates on file are dated 8/19/24 and 9/30/25, which are more than 12 months apart.

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.

Provider Response: (Contact the State Licensing Office for more information.)
New plan was done so that will be my date to hand one by each year. I will maintain plan before 9/30/26 next year.
2025-10-06 Renewal 3290.32(a)/3290.192(3) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent NSOR Certificates on file for Staff Person #1 are dated 2/7/20 and 10/3/25, which are more than 60 months apart. The file for Household Member #2 contained State Police Clearances dated 1/22/20 and 9/18/25, Child Abuse Clearances dated 2/20/20 and 9/25/25, DHS FBI Clearances dated 11/21/20 and 9/19/25, and NSOR Certificates dated 2/7/20 and 10/3/25, which are all more than 60 months apart,

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

Provider Response: (Contact the State Licensing Office for more information.)
Clearances/certificates were late but are up to date.
2025-05-29 Unannounced Monitoring 3290.23 - Compliance/Nondiscrimination Compliant - Finalized

Regulation: 3290.23

Description: Compliance/Nondiscrimination

Noncompliance Area: The operator is not in compliance with the requirements of the Bureau of Equal Opportunity. The Bureau of Equal Opportunity denied the operators renewal form on 5-29-25 because the operator did not submit the required information to the Bureau of Equal Opportunity.

Correction Required: A legal entity must comply with The Pennsylvania Human Relations Act (43 P. S. §§951-962.2), the Age Discrimination Act of 1975 (42 U.S.C.A. §§6101-6107), Title VI of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000d-2000d-4a). Title VII of the Civil Rights Act of 1964 (42 U.S.C.A. §§2000e-2000e-5), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C.A. §794), the Americans with Disabilities Act of 1990 (42 U.S.C.A. §§12101-12514).

Provider Response: (Contact the State Licensing Office for more information.)
I re-wrote my policies regarding civil rights. I wrote them to coincide with the new changes of the BEO. I wrote policies for The Pennsylvania Human Relations Act, the Age Discrimination Act of 1975, Title VI of the Civil Rights Act of 1964, Title VII of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990. A copy was given to each parent, staff members and my main file. All policies are to protect children, parents, and employees.
2024-10-23 Renewal 3290.124(b)(5) - Information re: disability Compliant - Finalized

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: The emergency contact form on file for Child #1 is lacking information on the child's special needs, as specified by the child's parent, physician, physician's assistant of 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 of CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
Returned to parent to correct the form. They marked none in spaces that were left open as there are none.
2024-10-23 Renewal 3290.124(b)(6) - Insurance coverage information Compliant - Finalized

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form on file for Child #4 is lacking 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.

Provider Response: (Contact the State Licensing Office for more information.)
I returned the form to the parent. They added their policy number to the form.
2024-10-23 Renewal 3290.124(b)(7) - Name/address/phone release person Compliant - Finalized

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form on file for Child #3 is lacking 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.

Provider Response: (Contact the State Licensing Office for more information.)
I returned form to parent to add the addresses of those able to pick child up.
2024-10-23 Renewal 3290.131(a) - Within 60 days Compliant - Finalized

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: The health assessment on file for Child #5 is dated 2/2/24 which is more than 60 days after the child was enrolled. (SEE IS CODE SHEET)

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
I give parents two weeks after start date for the physical. I am not sure how this happened but the parent has correct the offense by sending in a completed/signed physical. Parent also went to doctor to get a copy of his physical for that time frame. It is in the file now.
2024-10-23 Renewal 3290.131(b)(2) - Updated toddler/preschool health report: every 12 months Compliant - Finalized

Regulation: 3290.131(b)(2)

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

Noncompliance Area: The most recent health assessment on file for Child #2, who is a preschool aged child, is dated 4/14/23, which is more than 12 months ago.

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.

Provider Response: (Contact the State Licensing Office for more information.)
I contacted the parent and she is got a copy of his most recent physical.
2024-10-23 Renewal 3290.151(c)(3) - Exam communicable disease Compliant - Finalized

Regulation: 3290.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The physical on file for Staff Person #1 does not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Provider Response: (Contact the State Licensing Office for more information.)
I phoned my doctor and he would not add anything to that form but he will see me to do another physical so it is current and is the daycare staff physical form.
2024-10-23 Renewal 3290.151(c)(5) - Physician/CRNP assessment Compliant - Finalized

Regulation: 3290.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The physical on file for Staff Person #1 does not include physician's or CRNP's assessment of the person's suitability to provide child care.

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

Provider Response: (Contact the State Licensing Office for more information.)
The doctor would not add anything to that form so they scheduled me for another physical. I will use the Pa daycare staff physical form.
2023-10-23 Renewal 3290.123(b)/3290.182(8) - Parent receives original/Copy of initial and subsequent agreements. Parent receives original. Compliant - Finalized

Regulation: 3290.123(b)/3290.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The file for Child #1, Child #2, Child #3, Child #4 and Child #5 all contain the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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.

Provider Response: (Contact the State Licensing Office for more information.)
I made a note in my main file to give parents original copy.
2023-10-23 Renewal 3290.124(b)(3) - Parent home/work address, phone Compliant - Finalized

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for Child #4 is lacking the parent's work address and phone number.

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

Provider Response: (Contact the State Licensing Office for more information.)
Parents added work addresses and phone numbers.
2023-10-23 Renewal 3290.124(b)(5) - Information re: disability Compliant - Finalized

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: The emergency contact information for Child #1 is lacking information on the child's special needs, 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 of CRNP, which is needed in an emergency situation.

Provider Response: (Contact the State Licensing Office for more information.)
Parents filled out appropriate box on form.
2023-10-23 Renewal 3290.24(d) - Emergency plan Compliant - Finalized

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The latest emergency drill on file was dated 9/16/22, which is over 12 months.

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

Provider Response: (Contact the State Licensing Office for more information.)
We did an evacuation drill on 10/24/23 at 9:45 AM. We evacuated to our rental house on the next block due to a gas leak. 6 children, 2 adults were present. EVAC time took 6 min 38 sec.
2023-10-23 Renewal 3290.95(a)/3290.95(b) - System in compliance/Operator or designated staff responsibility Compliant - Finalized

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The fire detection system testing log contained dates of 3/10/23 to 4/12/23, 4/12/23 to 5/15/23, 7/11/23 to 8/14/23, and 8/14/23 to 9/14/23, all over 30 days in between testing.

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.

Provider Response: (Contact the State Licensing Office for more information.)
I made a separate chart counting every 30 days to check fire system, this will be added to drill chart as completed. The individual chare is a helpful reminder to stay in compliance.
2022-10-03 Renewal 3290.131(e)(1) - Parent written verification from Doctor. Compliant - Finalized

Regulation: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: The file for child #1, child #2, and child #4 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1 and child # 2-Parents have signed a note that they are not interested in getting their children the flu shot at this time. Child #4 has recieved her shot
2022-10-03 Renewal 3290.151(c)(2) - Mantoux TB Compliant - Finalized

Regulation: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The file for staff person #2 lacks the results of Tuberculosis screening conducted at the time of initial employment.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Provider Response: (Contact the State Licensing Office for more information.)
She received her TB test and results were negative.
2022-10-03 Renewal 3290.151(c)(3)/3290.151(c)(5) - Exam communicable disease/Physician/CRNP assessment Compliant - Finalized

Regulation: 3290.151(c)(3)/3290.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: The health assessment on file for staff person #2 lacks the results of an examination for communicable disease and the physician's or CRNP's assessment of the person's suitability to provide childcare.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Provider Response: (Contact the State Licensing Office for more information.)
She received a physical with a completed signature.
2022-10-03 Renewal 3290.166(1) - Written statement Compliant - Finalized

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: A written feeding schedule for an enrolled infant was not on file at the time of the inspection.

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

Provider Response: (Contact the State Licensing Office for more information.)
Mother provided a written feeding schedule and it is followed daily.
2022-10-03 Renewal 3290.18 - General Health and Safety Compliant - Finalized

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan was not updated by 7/01/22 to include volunteer training, a plan for practice drills, and 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.

Provider Response: (Contact the State Licensing Office for more information.)
Plan was updated 10/14/22. We will do a practice drill with volunteers once a year so they are familiar with our plan. They will receive a new updated version yearly. we will do a fire drill every month and lockdown/diaster drill every 6 months
2022-10-03 Renewal 3290.31(f)(4)(i) - Age and training Compliant - Finalized

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: A review of staff files determined that the first aid/CPR training present in the file for Staff #1 on 4/29/22 was not an approved training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Provider Response: (Contact the State Licensing Office for more information.)
CPR/First aid course approved byPQAS was completed 8-8-22
2022-10-03 Renewal 3290.32(a)/3290.192(3) - Comply with CPSL/CPSL information Compliant - Finalized

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #2 lacks documentation of application for a state police clearance and an NSOR prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL The file for staff person #2 lacks a signed disclosure statement completed at the time of initial hire required for hiring under the CPSL.

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. Facility Person #2 may not work at the facility until a valid state police clearance and NSOR are on file.

Provider Response: (Contact the State Licensing Office for more information.)
NSOR clearance received October 5, 2022 State police clearance received October 7, 2022 It will be done every five years as required by state. Staff person #2 did not enter the daycare until all her clearances were on file and her physical was complete. Her completed disclosure form is on file at the daycare.
2022-10-03 Renewal 3290.69 - Heat Source Compliant - Finalized

Regulation: 3290.69

Description: Heat Source

Noncompliance Area: Observed children eating a meal in the kitchen area which contains an unrestricted stove.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Stove knob covers have been purchased and applied to the stove knobs.
2022-10-03 Renewal 3290.94(a)(1) - Every 60 days Compliant - Finalized

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: A review of the fire drill log revealed that fire drills were conducted on 2/8/22 and 9/16/22, an interval which exceeds 60 days.

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.

Provider Response: (Contact the State Licensing Office for more information.)
A fire drill will be done monthly. A lockdown drill, national disaster drill, active shooter drill or intruder drill will be done every 6 months.
2022-10-03 Renewal 3290.95(a)/3290.95(b) - System in compliance/Operator or designated staff responsibility Compliant - Finalized

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the following intervals, testing of the fire detection devices exceeded 30 days: 1/3/22-2/19/22, 6/3/22-7/6/22, and 7/6/22-8/11/22.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Smoke alarms are checked monthly.
2021-10-19 Renewal 3290.124(b)(2)/3290.124(b)(7) - Physician name, address, phone/Name/address/phone release person Compliant - Finalized

Regulation: 3290.124(b)(2)/3290.124(b)(7)

Description: Physician name, address, phone/Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #1 lacked the complete address for their physician. The emergency contact form for Child #1 also lacked the complete addresses for the release persons listed.

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 the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will review the emergency contact form with the parent and request the missing information be added to the form.
2021-10-19 Renewal 3290.131(a) - Within 60 days Compliant - Finalized

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: The health assessment on file for Child #1 was completed in excess of 90 days (extended from 60 due to COVID) following the child's first date of enrollment.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Child #1 has a current health assessment on file at this time.
2021-10-19 Renewal 3290.24(a)(1)/3290.24(a)(5) - Emergency plan/Emergency plan Compliant - Finalized

Regulation: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: The emergency plan lacked information related to the facility's lock down procedures and 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.The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Provider Response: (Contact the State Licensing Office for more information.)
The emergency plan will be updated to include the missing information.
2021-10-19 Renewal 3290.63 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: One outlet in the kitchen area where the children eat was observed to be missing a protective receptacle cover.

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

Provider Response: (Contact the State Licensing Office for more information.)
A protective receptacle cover was placed in the electrical outlet.
2020-10-26 Renewal 3290.123(a)(5) - Designated release persons Compliant - Finalized

Noncompliance Area: The agreement form for Child #1 and #3 lacked the designated persons to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
Operator has requested that the parent add the missing information to the agreement form. Operator will assure that the agreement includes the designated release persons.
2020-10-26 Renewal 3290.124(b)(7) - Name/address/phone release person Compliant - Finalized

Noncompliance Area: The emergency contact form for Child #1 lacked the complete address for one of the release persons listed. The emergency contact form for Child #2 lacked complete addresses for the release persons listed.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Operator has provided the emergency contact forms to the family and requested the missing information be added. Operator will assure that the parent includes the name, address and telephone number of the release persons on the emergency contact form.
2020-10-26 Renewal 3290.131(a) - Within 60 days Compliant - Finalized

Noncompliance Area: The health assessment on file for Child #1 had not been completed by the child's physician. The health assessment lacked any information as to the Child's physician to indicate the assessment had been completed and the form filled out by the physician.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Provider Response: (Contact the State Licensing Office for more information.)
Operator has requested that the Caregiver provide a copy of a recent health assessment for the child. Operator will assure that all initial health assessments are completed by the child's physician, to include a signature.
2020-10-26 Renewal 3290.131(e)(1) - Parent written verification from Doctor. Compliant - Finalized

Noncompliance Area: The immunization record on file for Child #3 lacked verification that the child had received their 12-15 month HIB, Pneumococcal and Polio Vaccinations. The immunization record on file for Child #4 lacked verification that the child had received their 12-15 month Polio and their 15-18 month DTAP vaccinations.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Operator has requested that the parent provide verification of the missing immunizations for the children. Operator will request that the parent provide updated immunization records each time the child visits the physician.
2020-10-26 Renewal 3290.151(a)(2) - 12 months prior to service and every 24 months thereafter Compliant - Finalized

Noncompliance Area: The health assessments on file for Staff Person #1 exceeded 24 months between examinations.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #1 has a current health assessment on file at this time. Operator will assure that updated staff health assessments are completed every 24 months.
2020-10-26 Renewal 3290.32(a)/3290.192(4) - Comply with CPSL/Required training Compliant - Finalized

Noncompliance Area: The updates to the mandated reporter training for Staff Person #1 exceeded 60 months.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #1 is current on their mandated reporter training at this time. Operator will comply with the CPSL.
2020-10-26 Renewal 3290.73(c) - Has all items Compliant - Finalized

Noncompliance Area: The first aid kit was missing tape.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Tape will be placed in the first aid kit. Operator will assure that the first aid kit contains all needed items.
2019-10-24 Renewal 3290.105(b) - No bed linens alone Compliant - Finalized

Noncompliance Area: Although Operator does have mats the children were observed to be resting on individual labeled blankets on the floor.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will use the mats. They will be labeled for use of each child. Bed linens alone will not be used for rest equipment.
2019-10-24 Renewal 3290.115(a)(2) - Above-ground pool inaccessible Compliant - Finalized

Noncompliance Area: Since the last inspection the gate to the pool has broken and a temporary gate has been put into place. The gate and a new lock that complies with the USCPSC swimming pool barrier guidelines needs to be installed.

Correction Required: 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.

Provider Response: (Contact the State Licensing Office for more information.)
A gate and lock that complies with the USCPSC swimming pool barrier guidelines will be installed and maintained.
2019-10-24 Renewal 3290.123(a)(5) - Designated release persons Compliant - Finalized

Noncompliance Area: The agreements for Children #1 and #2 lacked the designated release persons for the children.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will review the agreements with the parent and request the missing release person information. Operator will assure that the parent includes this information at the time of admission.
2019-10-24 Renewal 3290.123(b) - Parent receives original Compliant - Finalized

Noncompliance Area: The original agreements were observed in the files for Children #1, #2, #3, #4 and #5.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will pull the original agreements, copy them and give the originals to the parent. The copy will be placed in the child's files. Operator will assure that the original is given to the parent at the time of enrollment. A copy will be maintained in the child's file.
2019-10-24 Renewal 3290.131(d)(7) - Free from contagious/communicable disease Compliant - Finalized

Noncompliance Area: The health assessment on file for Child #2 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will request that the parent contact the pediatrician and request the missing information. Operator will assure that all child health assessments include all needed information.
2019-10-24 Renewal 3290.131(e)(1) - Parent written verification from Doctor. Compliant - Finalized

Noncompliance Area: The file for Child #5 lacked verification that the child had received annual flu vaccinations as recommended by the ACIP and a written exemption was not on file.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will request that the parent provide documentation of an annual flu vaccination or a written exemption. Operator will request that the parent provide documentation each time they visit the doctor.
2019-10-24 Renewal 3290.133(6) - Written consent Compliant - Finalized

Noncompliance Area: Over the counter medications were observed in an inaccessible area for children in care, however medication logs that had been completed and signed by the parent were not on file.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will have the parent complete medication logs. Medication logs will be completed prior to receiving any medication logs.
2019-10-24 Renewal 3290.52(2) - One infant, four toddlers Compliant - Finalized

Noncompliance Area: At approximately 10:40am Operator reported to be caring for 1 infant, 3 young toddlers, 2 older toddlers and 1 preschooler. This resulted in the Operator caring for more than five related and unrelated infants and toddlers at one time.

Correction Required: The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If one infant is in care, four toddlers are permitted.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will reduce care by elimintating care to one of the toddlers. Operator will assure that she is considering her related children in the ratio of infants and toddlers which was what had created the issue.
2019-10-24 Renewal 3290.74(a) - Requirements Compliant - Finalized

Noncompliance Area: In the outdoor play space three of the wooden fence planks were observed to be broken resulting in splintering wood.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The wooden planks will be repaired. All building surfaces will be in good repair.
2018-10-01 Renewal 3290.102(a) - Clean and good repair Compliant - Finalized

Noncompliance Area: A cracked shovel with a potential pinch point was observed in the sand box in the outdoor play space.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Provider Response: (Contact the State Licensing Office for more information.)
The shovel was discarded. All toys and equipment will be in good repair.
2018-10-01 Renewal 3290.123(a)(5) - Designated release persons Compliant - Finalized

Noncompliance Area: The most recent agreement forms for Children #1, #2 and #5 lacked designated release persons to who the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will review the agreement form with the parent and request the missing release person information. Operator will assure that the parent includes the necessary release person information at the time of enrollment.
2018-10-01 Renewal 3290.133(4) - Locked Compliant - Finalized

Noncompliance Area: A bottle of zantac, a spray bottle of clarispray and two prescriptions were observed on the counter in the kitchen. Operator does care for School Age children and they do eat in the kitchen so the medications could be accessible to the older children.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The medications were moved and made inaccessible. All medications will be locked or made inaccessible to the children.
2018-10-01 Renewal 3290.151(a) - Within 3 months, then 12 months Compliant - Finalized

Noncompliance Area: The health assessment on file for Staff Person #1 exceeded 24 months between examinations.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Staff Person #1 has a current health assessment on file at this time. Operator will assure that the staff health assessments are completed every 24 months.
2018-10-01 Renewal 3290.181(c) - Emergency info/agreement updated 6 mos Compliant - Finalized

Noncompliance Area: The updates to the emergency contact form and the financial agreements for Children #1, #2, #3, #4 and #5 exceeded 6 months between signed review and update. The forms have been updated each May.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The children are current on their updates at this time. Operator will assure that the emergency contact forms and the financial agreements are updated every 6 months.
2017-10-10 Renewal 3290.105(a) - Clean, age appropriate Compliant - Finalized

Noncompliance Area: Individual rest equipment was not present for an infant receiving care at the time of the inspection. The rest equipment in place for the toddler and preschool children was not labeled for use of a 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.

Provider Response: (Contact the State Licensing Office for more information.)
A pack and play will be used for the infant in care. The rest equipment was labeled to identify the child that the rest mat belongs to. Operator will assure that individual, clean, age appropriate rest equipment is provided. The rest equipment will be labeled to identify to whom the rest equipment belongs to.
2017-10-10 Renewal 3290.124(b)(7) - Name/address/phone release person Compliant - Finalized

Noncompliance Area: The emergency contact form for Child #2 lacked addresses for the emergency contact persons listed.

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.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will review the child's emergency contact form with the parent and request that the missing address' be added to the emergency contact form. Operator will require the parent to include the name, address and telephone number of the release persons at the time of enrollment and review.
2017-10-10 Renewal 3290.131(d)(7) - Free from contagious/communicable disease Compliant - Finalized

Noncompliance Area: The health assessment on file for Child #1 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable diseases.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Provider Response: (Contact the State Licensing Office for more information.)
Operator will request that the parent provide a copy of the child's most recent health report. Operator will assure that all child health reports include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
2017-10-10 Renewal 3290.133(3)/3290.133(4) - Name on bottle/Locked Compliant - Finalized

Noncompliance Area: In the back changing room an unlabeled tube of diaper cream was observed on the dresser and could be accessible to children receiving care at the facility.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Provider Response: (Contact the State Licensing Office for more information.)
The diaper cream was labeled and made inaccessible. All medications will be labeled with the child's name and placed in an area that is locked or inaccessible to the children.
2017-10-10 Renewal 3290.166(1) - Written statement Compliant - Finalized

Noncompliance Area: A written statement giving the formula and feeding schedule was missing for an infant in care at the time of the inspection.

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

Provider Response: (Contact the State Licensing Office for more information.)
Operator will request that the parent provide a written formula and feeding schedule for the child. Operator will require the parent of an infant to provide a written formula and feeding schedule at the time of enrollment. The schedule will be updated as necessary.
2017-10-10 Renewal 3290.63 - Protective Outlet Covers 5 yrs. or less Compliant - Finalized

Noncompliance Area: In the restroom one electrical outlet was observed to be missing a protective receptacle cover. In the back changing room a power strip was observed to be missing protective receptacle covers.

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

Provider Response: (Contact the State Licensing Office for more information.)
Protective receptacle covers were placed in the electrical outlet in the restroom and the power strip was removed from the room. All electrical outlets will have protective receptacle covers when not in use.
2017-10-10 Renewal 3290.64(a) - Locked or inaccessible - in original container Compliant - Finalized

Noncompliance Area: A bottle of febreze air spray was observed on the counter top in the kitchen and could be accessible to children receiving care at the facility.

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.

Provider Response: (Contact the State Licensing Office for more information.)
The febreze spray was moved to an area that was inaccessible to the children. All cleaning materials and other toxics will be kept in an area that is locked or made inaccessible to the children.

If you are a provider and believe any information is incorrect, please contact us. We will research your concern and make corrections accordingly.

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