Leanne Prencipe Family Child Care Home

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

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

Noncompliance Area: The file of child #1 lacked an emergency contact form with the parent's written 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: 3290.182(5)

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

Noncompliance Area: The file of child #1 lacked an emergency contact form with the 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: 3290.24(g)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was not documentation the emergency plan was sent to the local municipality and to the county emergency management agency annually.

Correction Required: 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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of staff #1 and #2 lacked updated NSOR clearances

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of child #2 lacked an emergency contact form with the complete address 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: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file of child #2 lacked an emergency contact form with the complete work address of the enrolling parent.

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

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: The file of child #1 lacked an emergency contact form with the information on the child's special needs, or "NA" if not applicable.

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.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file of child #1 lacked an emergency contact form with the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #2 lacked an emergency contact form with the complete 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.

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

Description: Age and training

Noncompliance Area: The file of staff #1 had documentation of renewing the CPR certificate after the expiration of the previous certificate due to the fact they were dated: expires 3-2024 and 4-6-24.

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 files of staff #1 and #2 lacked disclosure statements.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. 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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Observed child file #3 contained a child service report which was completed more than 6 months after the child's first day of attendance at the facility.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Observed child file #1 and #2 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

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: 3290.133(3)

Description: Name on bottle

Noncompliance Area: Observed the first aid kit contained triple antibiotic ointment which was not labeled with the name of the person for whom it was intended.

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.

Regulation: 3290.151(a)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Observed staff file #1 contained an updated health assessment which was dated more than 26 months after the previous valid health assessment.

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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Observed the facility did not have documentation of the operators shaken baby, abusive head trauma, and child maltreatment policy.

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

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: Observed the facility did not have documentation of an annual review of the emergency plan.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Observed the fire alarm testing log revealed that one time in the previous 12 months the fire alarms were tested more than 30 days apart. The testing dates were 6/16/23-7/21/23.

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: 3290.131(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 #1 who is a preschool aged child contained a health assessment and a review of the vaccinations date of 4-22-2021 and 8-16-2022 which exceeded the mandatory 12 months to receive an updated health assessment and vaccinations. The file for child #2 who is a preschool aged child contained a health assessment and a review of the vaccinations date of 9-21-2021 and 10-31-2022 which exceeded the mandatory 12 months to receive an updated health assessment and vaccinations.

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)/3290.182(1)

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

Noncompliance Area: The file for child #1 contained an Influenza Vaccine date of 11-2-2020 and has not received an updated Influenza Vaccine.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: The emergency plan did not contain a continuity of care section which was due by the mandatory date of 7-1-2022

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 policy and procedure to share with families that would recognize the potential signs of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and addressing the prevention and identification of child mistreatment.

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: Based on conversations with the operator, there was not an initial emergency drill conducted by the required date of 12-19-2021. The first documented facility emergency drill was conducted on 1-30-2022.

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

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed child file #1, 2, 3, and 4 did not contain the complete 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.

Regulation: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: Observed staff file #1 contained an update health assessment which was dated more than 24 months after the previous valid health assessment.

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.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed toothpaste, labeled keep out of the reach of children, accessible to children on the sink counter in the bathroom used by the 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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Observed the facilities documented fire drill log revealed that one time, 12/4/20-4/16/21, that the fire drills were conducted 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: Observed the facility did not have documentation of testing the fire alarms at least every 30 days. Observed the facility did not have documentation of the purchase date/receipts for the 10 year lithium battery smoke alarms.

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: Observed the agreement for child file #1 did not include the date of the child's admission.

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

Noncompliance Area: Observed child file #2 did not contain written verification of ongoing flu vaccines 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.

Noncompliance Area: Observed staff file #1 contained updated state police and child abuse clearances which were dated more than 60 months after the previous valid clearances. Observed staff file #1 contained a CPSL required mandated reporter training which was obtained more than 60 months after the previous valid mandated reporter training. Observed facility person #2 and #3 contained state police and child abuse clearances which were dated more than 60 months after the previous valid clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 and facility person #2 and #3 have all required valid clearances at this time.

Noncompliance Area: Observed an electrical outlet which did not have a protective receptacle cover in the child care activity room.

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

Noncompliance Area: Observed a curling iron and hair straightener, which could be a source of heat exceeding 110 degrees, accessible to children in the bathroom.

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.

Noncompliance Area: Observed a metal/plastic bucket full of lego's on top of some plastic stackable drawers creating a fall hazard.

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.

Noncompliance Area: Observed the emergency contact information for child #3 did not contain 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.

Noncompliance Area: Observed child file #2, a young toddler, contained an updated health assessment which was dated more than 6 months after the previous valid health assessment. Observed child file #4, a young toddler, contains a most recent health assessment which is dated 11 months ago.

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: Observed child file #1, an older toddler, contains a most recent health assessment which is 15 months old.

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: Observed child file #1, 3, and 4 did not contain written verification of ongoing flu vaccines 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.

Noncompliance Area: Observed the operator did not have a plastic-lined, hands-free covered can at the area where diapers are changed.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: Observed a tube of toothpaste labeled keep out of the reach of children, accessible to children on the sink counter in the bathroom.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Observed a gate at the entrance to the facility had rough edges on the bottom of the gate. Observed a bottom rail of fence support had a peeling cover.

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.

Noncompliance Area: Observed in the play room on the floor, a basket of lego blocks with a diameter of less than 1 inch, accessible to an older toddler.

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.

Noncompliance Area: Observed child file #1 and #2 did not contain written consent signed by a parent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.

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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Observed child file #2 and #3 did not contain the address of the release person.

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: Observed child file #1 contained an initial health assessment which is dated more than 60 days following the first day of attendance at the facility. Observed child file #2, who has been in attendance for more than 60 days, does not contain a complete initial 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: Observed by the couch in the middle room, an electrical outlet on an extension cord which did not have a protective receptacle cover.

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

Noncompliance Area: Observed a cracked toy bin with rough edges in the main child care 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.

Noncompliance Area: Observed child file #1 did not contain the address of the release person.

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: Observed Carmex medicated lip balm accessible to children in an unlocked bathroom vanity drawer.

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

Noncompliance Area: Observed staff file #1 contained an updated health assessment which was dated more than 25 months after the previous valid health assessment.

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: Observed an electrical outlet next to the table in the main child care area, which did not have a protective receptacle cover.

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

Noncompliance Area: Observed the emergency phone numbers were not posted by the telephone in the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.