Kristina M Garner Family Child Care Home

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for child #1 did not include a current child service report shared with parents in the past 6 months. The most recent report for child #1 was dated and signed by the parent on 2/04/25. The files for children #2 and #5 contained reports shared with parents more than 6 months apart, but are now current.

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

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

Noncompliance Area: The files for children #2, #3, and #4 lacked current health reports. The most recent health reports on file were dated 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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/03/20.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contained an expired state police clearance dated 11/12/20 and an expired child abuse clearance dated 11/25/20. A volunteer child abuse clearance dated 10/17/24 was on file, however, is not acceptable for child care employment. Staff #1 was observed caring for children unsupervised.

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.Staff #1 may not work in a child care position at the facility.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: An evacuation map was not posted on the basement floor of the facility.

Correction Required: Evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/03/20.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by, an (AGS, primary staff person, or family child care home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Household Member #2 did not renew their child abuse clearance within 60 months. The clearance was previously obtained on 3/17/20 and was renewed on 3/23/25.

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.

Regulation: 3290.32(a)/3290.192(4)

Description: Comply with CPSL/Required training

Noncompliance Area: Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/03/20.

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.

Regulation: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: Two above ground floor windows in the child care room were not restricted to open 6 inches or less. The clips installed for that purpose were not engaged during the inspection.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: Broken plastic was observed at the door hinge area of a ride on car.

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.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: A veterinarian's certificate of current rabies vaccination was not on file for a dog at the facility. The vaccination on file expired 10/2024.

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.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: The agreement for child #3 was not signed by the operator.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The files for children 1-5, all enrolled over 6 months, lacked current documentation of child service reports shared with the parents. The files for children 1-3 contained no reports. The file for child #4 contained a signed report dated over 6 months ago on 2/06/24. The file for child #5 contained a signed report dated over 12 months ago on 2/27/23.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information for child #2 did not include the enrolling parents work address and telephone number.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact number for child #3 did not include health insurance coverage and policy number for the child.

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(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The agreement and emergency contact information for child #3 has not been updated and signed by the parent since 9/15/23.

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

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

Noncompliance Area: The files for children #1 and #3 do not contain current health reports. The most recent report on file for child #1 was dated 11/06/23. The most recent report on file for child #3 was dated 9/18/23.

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: 3290.24(b)

Description: Emergency plan

Noncompliance Area: Documentation of an annual review of the emergency plan was not on file. The last documented review was dated for January 2022.

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.

Regulation: 3290.24(e)

Description: Emergency plan

Noncompliance Area: The emergency plan was not posted.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: The letter to parents explaining the emergency procedures lacked details regarding the accommodations for infants and toddlers.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Household Member #1 did not have a current valid state police clearance. An expired clearance dated 12/05/19 was on file. Also on file was a state police clearance for the purpose of volunteering dated 10/09/24. Household Member #2, who turned 18 since the last renewal inspection, had an NSOR clearance dated after the 2024 renewal application was submitted. The clearance was dated 12/04/24 and the application was submitted 12/02/24.

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. Household Member #1 may not be present while children are in care at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: An open bag of rock salt ice melt was observed beside the front door.

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: 3290.123(a)

Description: Signed

Noncompliance Area: The agreement for child #4 was not signed by the operator.

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

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreements for children #4 and #5 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The files for children 1-4 lacked current child service reports. The last report on file for child #1 was dated 2/27/23. The files for children 2-4, enrolled for over 6 months, did not contain reports.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement for child #4 did not specify the date of the child's 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for child #5 did not include the addresses for 3 individuals 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.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The agreements and emergency contact information for children #1, #2, and #3 have not been signed and dated by the parent in the last 6 months. The most recent updates on file are as follows; child #1 6/02/23, child #2 11/01/22, and child #3 10/27/20.

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. 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: 3290.131(b)(1)/3290.182(1)

Description: Updated infant health report: every 6 months/Initial and subsequent health assessments

Noncompliance Area: The files for children #2 and #4 , both young toddlers, lacked current health reports. The most recent report on file for child #2 was dated 12/08/22. The only report on file for child #4 was not dated, therefore compliance could not be determined.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

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

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

Noncompliance Area: The file for child #3, a preschooler, lacked a current health report. The most recent health report on file was dated 11/04/22.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The last documented emergency drill was dated 12/01/22. Documentation of a 2023 drill was not presented for review at the inspection.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The log of the 30 day tests of the fire alarm system indicates 31 days between multiple tests. Tests were being conducted on the 1st of each month.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for child #2 contained an agreement which lacked the services provided. The files for children #3 and #5 did not contain current child service reports.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for child #4 contained emergency contact information which did not include the phone number child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #4 contained emergency contact information which did not include the address and telephone number of the individuals 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.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: The facility lacked a posted plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

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.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The files for child #1 and child #5 contained emergency contact information and financial agreements which have not been updated in over 6 months.

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

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

Noncompliance Area: The file for child #5 did not contain a health report conducted in 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 child's record must contain initial and subsequent health reports.

Regulation: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: The file for child #2, an 8 month old, did not include an updated immunization record. The record on file indicated only 1 dose administered of the following vaccines; Hep B, Rotavirus, DTAP, HIB, Pneumococcal, and polio and did not contain documentation of receiving the influenza vaccine. The file for child #5 did not contain documentation of receiving the influenza vaccine in 2022. Written exemptions were not on file for child #2 or child #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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan lacked details regarding continuity of business operations as required in announcement C-22-04.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility did not have a written policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment as required in Announcement C-22-03.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The file for staff #2 did not contain documentation of completing the 1-hour health and safety training update by 12/30/22 as required by Announcement C-22-06.

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

Regulation: 3290.31(f)(4)(i)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for staff #1 contained documentation of CPR/FA from an unapproved source. The course was online and did not include an in person session.

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. A facility person's record shall include records of training required by the Department.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for staff #1 contained documentation of 11 of the 12 required hours of annual training.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #2 lacked a disclosure statement.

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.

Regulation: 3290.94(a)(1)/3290.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: The operator was unable to present a fire drill log at the time of inspection therefore compliance with conducting drills every 60 days was unable to be determined.

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. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The 30 day tests of the fire detection system were conducted 31 or 32 days apart on several consecutive tests from 3-1-22 through 11-1-22. The last documented test occurred 12-1-22, a January 2023 test has not yet been documented.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: There were two pack and plays that lacked a label identifying the specific child the rest equipment was to be used for.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement form for child #1 lacked the date of the child's 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.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for child #2 lacked the name of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's posted certificate of compliance was not current. The certificate was dated 3/15/19-3/15/20.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked accommodations for infants and toddlers, children with disabilities and children with chronic medical conditions.

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(c)

Description: Training regarding plan

Noncompliance Area: The file for staff # 1 lacked Emergency plan training.

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.

Regulation: 3290.24(e)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan was not posted in a conspicuous location in the facility.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.31(f)(4)(i)/3290.32(d)

Description: Age and training/Age and training

Noncompliance Area: The file for staff #1 lacked a current pediatric CPR and first-aid certification. The previous certification expired on 11/13/2021.

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.One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: The facility lacked a written record of fire drills.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The operator did not have a written log for testing the fire detection system every 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Noncompliance Area: The immunization record for the dog present at the facility showed a rabies vaccination was due in August 2019; no documentation was furnished to show the dog has an up-to-date rabies vaccination.

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.

Noncompliance Area: The emergency contact form in the file for Child #3 lacked a policy number for the child's health insurance or medical 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.

Noncompliance Area: The emergency contact form in the file for Child #3 lacked the address for the designated release person(s).

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: The file for Child #1, start date 09/10/2019, lacked a health assessment.

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.

Noncompliance Area: The immunization record in the file for Child #2 lacked documentation of a flu vaccination in the last 12 months, 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.

Noncompliance Area: The file for Facility Person #1 contained documentation of Mandated Reporter training on 12/28/2014; lacking documentation of Mandated Reporter training in the last 60 months.

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

Noncompliance Area: On 6/18/2019, it was self reported by the operator that household member #1 had been arrested on 6/1/2019 and was currently awaiting trial on charges involving physical violence or moral corruptness.

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Noncompliance Area: The emergency contact form on file for child #1 was observed not to contain complete work information for the enrolling parent or complete contact information for the persons whom the child is authorized to released to.

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

Noncompliance Area: The file for staff person #1 was observed not to contain documentation of a health assessment being completed within the last 24 months.

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.

Noncompliance Area: The file's for children #1 - #3 were observed not to contain a child service report completed within the last 6 months. This is evidenced by the most recent child service reports being completed on 3/4/2017.

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: The emergency contact form on file for child #2 was observed not to contain documentation of complete contact information for the enrolling parent.

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

Noncompliance Area: The emergency contact form on file for child #3 was observed not to contain documentation of health insurance information.

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: The emergency contact form on file for child #2 was observed not to contain complete information for the person's whom child #2 is authorized to me released to.

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: The health report on file for child #2 a younger toddler aged child in care was observed not to have been completed within the last 6 months. This is evidenced by the most recent health report on file being dated 2/21/2017.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The health report on file for children #1 and #3 were observed not to have been completed within the last 12 months. This is evidenced by the most recent health report on file for child #1 being dated 12/2/2016 and the most recent health report on file for child #3 being dated 11/5/2015.

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: The emergency contact form and agreement form on file for children #1and #3 were observed not to have been reviewed at least every 6 months. This is evidenced by the most recent review being in December 2017 and the most recent review prior being dated March 2017.

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: The agreement on file for children #1 and #3 were observed not to have documented the services provided to the family and the child.

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: The agreement on file for child #4 was observed not to have documented the persons designated by the 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.

Noncompliance Area: The agreement on file for child #1 and #4 were observed not to have documented the children's date of admission.

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

Noncompliance Area: The emergency contact form on file for children #1, #2, and #4 were observed not to have documented the complete contact information for the person's whom the children are authorized to be released to.

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: The file for children #1 and #2 were observed not to have on file a valid health report conducted 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.