Laura Keiser

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: A renewal inspection was conducted on 5/15/25. Child #5 did not have a child service report completed every 6 months.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection was conducted on 5/15/25. Child(ren) #1-4's fee agreements have not been updated in the last 6 months. Child #1 had a fee agreement dated 02/26/24, child #2 had a fee agreement dated 02/29/24, child #3 had a fee agreement dated 02/26/24 and child #4 had a fee agreement dated 02/27/24. (See code sheet for DOA).

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: 3290.73(c)

Description: Has all items

Noncompliance Area: A renewal inspection was conducted on 5/15/25. The first aid kit did not contain tweezers.

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.

Regulation: 3290.121(a)

Description: Review policies and procedures

Noncompliance Area: A renewal inspection was conducted on 5/22/24. The facility's parent handbook did not contain a dismissal policy.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 5/22/24. The facility's emergency plan did not address continuity of operations in the event of an emergency.

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

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A renewal inspection was conducted on 5/22/24. The operator did not provide the parent of each child enrolled with information on how to access the childcare regulations (3290).

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: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted on 5/22/24. The facility's emergency plan did not provide information for accommodations for shelter of children during an emergency lock-down.

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.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: A renewal inspection was conducted on 5/22/24. The operator did not complete annual 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 5/22/24. The operator and HHM #2 & #3 did not have a signed disclosure statement on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's and household members record shall include a copy of the signed disclosure statement required under the CPSL.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection was conducted on 5/22/24. Cert rep observed the fire drill log to be out of compliance. The fire log indicates that the fire drills were tested more than 60 days apart, 12/15/23-3/1/24.

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: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Fee Agreements for children # 2 and # 5 did not contain child's date of admission.

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

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency Contact Form for Child # 1 did not contain address of 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(d)

Description: Written emergency plan posted

Noncompliance Area: Facility did not have a written plan posted, explaining the means of transporting a child to emergency care and 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: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: Immunization records for Children # 2, # 3 and # 4 did not contain verification of flu shot, children were in care during flu season.

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 childcare group settings). Children # 2, #3, and #4 must be dismissed from care by close of business 5/16/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Disinfex multi-purpose wipes were observed on the bottom shelf in the bathroom, in 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: 3290.123(a)/3290.123(a)(6)

Description: Signed /Admission date

Noncompliance Area: Fee Agreement for Child # 1 was not signed by operator and did not contain child's date of admission.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3290.18/3290.31(g)

Description: General Health and Safety/Age and training

Noncompliance Area: Staff #1 does not have acceptable pediatric first aid/CPR training on file. Staff #1 is the only staff at the facility.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff persons shall complete professional development in the topics listed in subsection 3290.31(g)(1-10) within 90 days of hire. Staff Person #1 will have 15 days from the date of the accepted plan to receive acceptable pediatric first aid/CPR from a PQAS trainer. Until such time as the correction is implemented, staff person must be supervised by a staff person who has completed the required pediatric first aid/CPR. If no qualified staff are available to supervise, staff #1 may not provide child care.

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: Emergency Contact Form for Child # 2 did not contain signed parental consent for emergency medical care and the administration of minor first aid by staff.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.24(d)/3290.24(g)

Description: Emergency plan/Emergency plan

Noncompliance Area: Facility did not conduct an emergency drill. Facility did not send updates to the Emergency Plan to the EMA and local police.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.