Latausha Bonner

Regulation: 3290.105(f)

Description: 2 feet apart

Noncompliance Area: At approximately 1245pm it was observed that 4 cots and 1 pack and play were in use and did not have at least 2 ft of space on 3 sides.

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.

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: The refrigerator did not contain a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3290.118

Description: Infant sleep position

Noncompliance Area: At approximately 1135am it was observed that Child #1(See LIS Code sheet) was placed in a swing to sleep which is not the sleeping position recommended by the American Academy of Pediatrics.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child #2's two most recent child service reports are dated 6/2025 and 1/2026 which are more than 6 months apart.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #2's file did not contain the phone number of one of the individuals designated by the parent to whom the child may be released. Child #3's file did not contain the address of one 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(e)/3290.181(c)

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

Noncompliance Area: Child #2's two most recent 6-month review signatures for the emergency contact form on file are dated 9/8/25 and 4/21/26, which are more than 6 months apart. Child #4's two most recent 6-month review signatures for the emergency contact form on file are dated 1/2/25 and 4/21/26 which are more than 6 months apart.

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(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The initial health assessment on file for Child #2 is dated 4/17/26 which is more than 60 days after enrollment(See LIS 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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.131(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: The immunization record on file for Child #1, an infant age child(See LIS Code Sheet), includes 0 of 1 DTAP vaccines recommended by the ACIP for a child this age; 0 of 1 HIB vaccines recommended by the ACIP for a child this age; 0 of 1 Pneumococcal vaccines recommended by the ACIP for a child this age; and 0 of 1 Polio vaccines recommended by the ACIP for a child this age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3290.135(b)

Description: Surfaces cleaned

Noncompliance Area: At approximately 1130am it was observed that the diaper changing surface was only wiped with a baby wipe and not a sanitizing solution between changes.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #2's two most recent 6-month review signatures for the financial agreement on file are dated 9/8/25 and 4/21/26, which are more than 6 months apart. Child #4's two most recent 6-month review signatures for the financial agreement on file are dated 1/2/25 and 4/21/26 which are more than 6 months apart.

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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the kitchen on a low shelf near the door way accessible to children was Purell Hand Sanitizer and Hemz Candy Cane Lane Lotion both stated keep out of children.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The fire alarm testing log contained the following dates 1/2/26-2/2/26 and 3/2/26-4/2/26 which at more than 30 days apart.

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 subsection (a) are met.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 10am on 6/10/25, Staff #1 placed a young toddler age child on the diapering table and walked away to gather supplies leaving the child alone unsupervised on the diaper table.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #1's file did not contain the address of the child's 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)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Child #2 and 3's files did not contain 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. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The most recent 6 month review signature for the emergency contact form on file for Child #4 and #5 is dated more than 6 months after the previous 6 month review signature. Both dated 2/5/24 and 1/2/25.

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(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Child #1 and 2 files did not contain an initial health assessment within 60 days of enrollment(See LIS 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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.131(b)(2)/3290.181(c)

Description: Updated toddler/preschool health report: every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent health assessment on file for Child #4 is dated 2/26/24 which is more than 12 months ago. The most recent health assessment on file for Child #5 is dated 2/6/24 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. 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(5)

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

Noncompliance Area: Child #1 and 3's files did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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: 3290.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: Child #1 and 3's file did not contain signed parental consent for transportation, walking excursions, swimming and wading.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: Staff file #1 lacked 12 of the 12 hours of annual child care training required from 12/2023 to 12/2024.

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: Household member Staff #2 did not have a State Police Clearance, a Child Abuse Clearance, a DHS FBI Clearance, or an NSOR certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED DOCUMENTS: Household member # 2 may not be in the child care facility while children are in care.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the bathroom near the sink and in the front room under a side table were Febreze plug ins that state keep out of reach of children.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: Outside on the right side of the back porch is an exposed screw that is accessible to children. Along the side of the garage is a white door that is broken and falling away from the garage accessible to children. Along the back of the house part of the foundation is crumbling when touched.

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.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Due to the crumbling foundation along the back of the house there was also peeling paint accessible to children.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The fire alarm testing log contains the following dates 1/2/25-2/2/25, 3/2/25-4/2/25, and 5/2/25-6/2/25 which are more than 30 days apart.

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: The rest equipment was not labeled with the child's name and used only by the named child while enrolled in the program.

Correction Required: 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: 3290.106

Description: Refrigerator

Noncompliance Area: The thermometer in the refrigerator was broken and reading 58 degrees. The refrigerator was at 38 degrees when tested with another thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child #3 and 4 Child Service Reports were completed more than 6 months apart. Child #3 dates 1/1/23-1/1/24, Child #4 dates 1/1/23-1/1/24. Child #5 Child Service Report was completed more than 6 months after child's enrollment (See LIS code sheet.) Child #5 date 1/1/24.

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: Child #1 file did not contain the enrolling parents work address or work phone number.

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

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Child #1 and #5 file did not contain signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #5 file was missing the full addresses for 2 release persons.

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: Child #1 file emergency contact information had not been reviewed and updated since 6/17/2022, which is longer than 6-months prior. Child #5 file emergency contact information has not been reviewed an updated since 5/25/23, which is longer than 6-months prior.

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(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Child #4 file contained an initial health report dated 10/3/22, which was longer than 60 days following the first day of attendance at the facility.(See LIS 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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.131(b)(2)/3290.181(c)

Description: Updated toddler/preschool health report: every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent health assessment on file for Child #1, who is a preschool age child(See LIS code sheet), is dated 6/9/22, more than 1 year prior. The most recent health assessment on file for Child #2, who is a preschool age child(See LIS code sheet), is dated 3/24/23, more than 1 year prior. The most recent health assessment on file for Child #5, who is an older toddler(See LIS code sheet), is dated 5/8/23, more than 1 year prior. The two most recent health assessments on file for Child #3, who is a preschool age child(See LIS code sheet), are dated 10/3/22 and 2/26/24, more than 1 year apart. The two most recent health assessments on file for Child #4, who is a preschool age child(See LIS code sheet), are dated 10/3/22 and 2/26/24, more than 1 year apart.

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 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(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The immunization record on file for Child #1 includes 2 of 3 Hepatitis B vaccines; 2 of 4 DTAP vaccines; 2 of 4 HIB vaccines; 1 of 4 Pneumococcal vaccines; 2 of 3 Polio vaccines; and 0 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age(See LIS code sheet). The immunization record on file for Child #4 includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age(See LIS code sheet).

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Did not have a policy to address recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, or the prevention and identification of child maltreatment.

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: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first aid/CPR training. This is evidenced by the previously documented pediatric first aid/CPR training expiration date of 1/2024. Staff person #1 is the only staff person at the facility.

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 trainings are completed, staff person #1 must be supervised, when interacting with children, by a family childcare home staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a childcare position at the facility.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #1 file contained a financial agreement was last reviewed and updated on 3/22/23, which is longer than 6 months prior. Child #5 file contained a financial agreement that was last reviewed and updated on 5/25/23, which is longer than 6 months prior.

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(5)

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

Noncompliance Area: Child #1 and #5 file did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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(f)(4)(i)

Description: Age and training

Noncompliance Area: Staff #1 had not completed pediatric first aid/CPR on or before the expiration of the most current certification. Expiration of most current pediatric first aid/CPR was dated 1/2024. Staff person #1 is the only staff person at the facility.

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.

Regulation: 3290.32(d)

Description: Age and training

Noncompliance Area: Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 1/2024. Staff #1 is the only staff person at the facility.

Correction Required: 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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Four Protective receptacle covers for electrical outlets where missing. Two by the playroom entrance and two by the children's table in the kitchen.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: A bottle of bleach which stated keep out of "reach of children" was in a kitchen cabinet with no lock under the sink accessible to children. A bottle of Mean Green Super Strength Degreaser which stated "keep out of reach of children" was in a cabinet between the stove and refrigerator that had not been locked accessible to children.

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: 3290.69

Description: Heat Source

Noncompliance Area: One child safety protective knob cover for the stove was broken and missing causing a stove knob on the front to be accessible to children.

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.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted 5/1/23-1/1/24 and 3/1/24-5/1/24, more than 60 days apart.

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: The fire alarm 30-day test log includes test dates 6/1/23-1/1/24, 1/1/24-2/1/24, and 3/1/24-4/1/24, more than 30 days apart.

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: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: A cat, at the facility, did not have a current rabies immunization, as confirmed by The Anna Shelter.

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: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #1, did not contain the enrolling parent's home address.

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

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the file for Child #2, did not contain the release person's phone number.

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: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The Immunization Record, in the file for Child #1, did not contain documentation of the Influenza vaccination. The Immunization Record, in the file for Child #3, did not contain documentation of the Influenza or Hepatitis A vaccinations. The Immunization Record, in the file for Child #4, did not contain documentation of the Influenza, MMR, Varicella, or Hepatitis A vaccinations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1, Child #3, and Child #4 must be dismissed from care by close of business on 6.16.23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.151(a)/3290.192(2)

Description: Within 3 months, then 12 months/Health assessment, TB test

Noncompliance Area: The two (2) most recent Health Assessments in the file for Staff #1 exceeded the 24-month renewal requirement.

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.

Regulation: 3290.161(d)

Description: Fresh fruit/vegetables refrigerated

Noncompliance Area: Twelve bananas were located on top of the microwave, which had not been refrigerated, as confirmed by the operator.

Correction Required: Fresh fruits and vegetables that are not used on the day of purchase shall be refrigerated.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The file for Staff #1 contained documentation of the 6-hour Health & Safety training on 11.20.17, but the 1-hour update was not completed by 12.30.22. However, a 10-hour, Health & Safety - Updated training was completed on 6.1.23.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: As confirmed by the operator, an emergency drill had not been conducted.

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

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

Description: Age and training

Noncompliance Area: The file for Staff #1 contained documentation of Pediatric First-Aid/CPR on 8.10.20 and 12.29.22, which exceeded the expiration date of the previous certificate.

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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained documentation of State Police Clearances dated 6.22.17 and 9.27.22, Child Abuse Clearances dated 6.13.17 and 9.27.22, and FBI Clearances dated 6.23.17 and 9.28.22, which exceeded the 60-month renewal requirement.

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: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: In living room #2, a hard plastic Minnie Mouse toy, had a broken arm which posed a scraping/cutting hazard for children in care.

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: 3290.103

Description: Small Toys and Objects

Noncompliance Area: In living room #1, small green stones and rocks, less than 1 inch in diameter, were located in a decorative display on an end table, and they were accessible to children who are still placing objects in their mouths. Three of the five children in care were ages one and two.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The Agreement, in the file for Child #1, did not contain the arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreement, in the file for Child #1, did not contain the name(s) of the release person(s).

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #3, did not contain the enrolling parent's work address or work phone 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 form, in the file for Child #1, did not contain 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.

Regulation: 3290.131(a)/3290.131(c)

Description: Within 60 days/Written and signed by physician, PA, CRNP.

Noncompliance Area: The Health Assessment, in the file for Child #2, did not contain a date, written or digitally, of the physician, physician's assistant, or CRNP signature. An initial/current Health Assessment could not be determined since the one in the file was not dated.

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. A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3290.131(e)(1)/3290.182(1)

Description: Parent written verification from Doctor./Initial and subsequent health assessments

Noncompliance Area: The Immunization Record, in the file for Child #3, did not contain documentation of a specific required immunization according to 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. 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: The Emergency Contact form, in the file for Child #1, did not contain signed parental consent for emergency medical care and administration of 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.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Based on a conversation with the operator, no information was provided to the parents, of enrolled children, on how to access the regulations electronically.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for Staff #1 did not contain any of the required 12 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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A protective cover was missing from the top outlet on the arched wall in living room #2, which was accessible to children 5 years of age or younger.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Boulder Clean (28 oz) and Clorox Bleach Foamer (30 oz), which both stated, "Keep out of reach of children," were located in an unlocked, bottom kitchen cabinet, and were accessible to children in care. Clorox bleach (1 gal), which stated, "Keep out of reach of children," was located on the kitchen floor against the wall, and was accessible to children in care. Cortisone 10 cream, which stated, "Keep out of reach of children," was located on an end table in living room #1, in a pen/pencil holder, and was accessible to children in care.

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)(5)

Description: Evacuation routes posted

Noncompliance Area: An evacuation route was not located on the top level of the house.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: A proof of purchase was not available for the interconnected fire detection system.

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.