My Little Visions Day Care Inc

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: On 11/24/25, during the renewal inspection, no evidence was found that the emergency plan included accommodations for children with disabilities or 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(d)

Description: Emergency plan

Noncompliance Area: On 11/24/25, during the renewal inspection, the provider acknowledged that there was no emergency drill conducted annually.

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

Regulation: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: On 12/17/24, during the renewal inspection, child #1 did not have an update health assessment in the individual child record.

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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: On 12/17/24, during the renewal inspection, staff person #1 did not have evidence of the 1-hour health and safety updated training in the staff records.

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

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: On 12/7/24, during the renewal inspection, there was no evidence of an operability checks on the fire system every 30 days or an annual fire system inspection.

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)).

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: On 1/22/24, during the renewal inspection, staff person #1 did not have evidence of the annual minimum of 12 clock hours of child care training in their individual staff records.

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: 3290.31(g)

Description: Age and training

Noncompliance Area: On 1/22/24, during the renewal inspection, staff person #1 did not have evidence of an completed health and safety training/ updated health and safety training in individual staff record.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 1/22/24, during the renewal inspection, staff person #1 did not have record of the NSOR in their individual records.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: On 1/22/24, during the renewal inspection, the providers 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 fire system was not interconnected.

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)).

Regulation: 3290.131(e)(2)(i)

Description: Religious belief/strong personal objection

Noncompliance Area: Certification rep reviewed child #1 file and observe the file did not contain a written exemption immunization form written, signed and dated statement from the child's parent or guardian for refusing the flu vaccine.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.151(c)(1)/3290.192(2)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: Certification rep reviewed staff #2 file and observed staff #2 does not have on file an initial Physical Examination 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. Staff #2 hire date 11/08/22; start date12/14/22.

Correction Required: An adult health assessment must include a physical examination. 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: 3290.182(6)

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

Noncompliance Area: Certification reviewed child #1 file and observed parental consent for swimming and wading are missing on the emergency contact form.

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

Regulation: 3290.192(3)

Description: CPSL information

Noncompliance Area: Certification rep reviewed staff #2 file and observed staff #2 file did not have a signed disclosure statement.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: Certification rep reviewed emergency plan and observed it did not have a plan that provides shelter of children during an emergency including 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: Certification rep reviewed staff #1 and #2 file and observed staff files did not include 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: 3290.31(f)

Description: Age and training

Noncompliance Area: Certification rep reviewed and observed staff #1 file and observed staff #1 did not have 12 hours of training within the year or previous year.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Certification reviewed staff #2 file and observed staff #2 has not completed the following required pre-service training within 90 days of their date of hire: Health and Safety training and Pediatric first aid and CPR training by an approved PQUAS trainer. Hire date 11/08/22; Start date 12/14/22.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed staff #2 file and observed staff #2 did not have a State Criminal clearance on file and did not complete the mandated reporter training within 90 days of hire. Staff #2 hire date 11/08/22; start date12/14/22.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 12-13-2019 THE FILE OF CHILD # 4 IS MISSING THE PHONE NUMBER OF THE CHILD'S PHYSCIAN/SOURCE OF MEDICAL CARE, THE HOME AND WORK TELPHONE NUMBER AND ADDRESS OF THE ENROLLING PARENTS.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 12-13-2019 THE FILE OF CHILD # 4 IS MISSING THE INFORMATION ON THE CHILD'S SPECIAL NEEDS.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 12-13-2019 IN THE BASEMENT CHILD CARE SPACE, LYSOL SPRAY AND CLOROX WIPES ARE ON THE CHANGING TABLE SHELF ACCESSIBLE TO 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 12-13-2019 THE CARPET ON THE ON THE STAIR LEADING TO THE BASEMENT CHILD CARE SPACE ARE TORN AND FRAYED AND MAY CAUSE A TRIPPING HAZARD.

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: ON 1/18/19 CERTIFICATION SUPERVISOR CONDUCTED A RENWAL INSPECTION. THE FILE OF CHILD #2 INCLUDED THE MOST RECENT HEALTH ASSESMENT DATED 1/5/17.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

Noncompliance Area: ON 1/18/19 CERTIFICATION SUPERVISOR CONDUCTED A RENEWAL INSPECTION. THE FILE OF STAFF #2 DID NOT INCLUDE A TB TEST.

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

Noncompliance Area: ON 1/18/119 CERTIFICATION SUPERVISOR CONDUCTED A RENEWAL INSPECTION. THE FILE OF STAFF #1 AND #2 DID NOT INLCUDE 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.

Noncompliance Area: ON 1/18/19 CERTIFICATION SUPERVISOR CONDUCTED A RENEWAL INSPECTION. THE FILE OF STAFF #2 HIRE DATE 4/2014 DID NOT INCLUDE A STATE POLICE CLEARANCE.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 -- may not work in a child care position at the facility.

Noncompliance Area: ON 1/18/19 CERTIFICATION SUPERVISOR CONDUCTED A RENEWAL INSPECTION. THERE WAS PEELING PAINT ON THE BACK WALL NEAR THE LAUNDRY AREA.

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

Noncompliance Area: ON 1/18/19 CERTIFICATION SUPERVISOR CONDUCTED A RENEWAL INSPECTION. FIRE DRILL LOGS WERE REVIEWED, THE LAST FIRE DRILL WAS CONDUCTED ON 2/19/18.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: During the inspection on 5/24/18 the file record for child #5 did not include the date of the child's admission specified on the financial agreement.

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

Noncompliance Area: During the inspection on 5/24/18 the file records for child#2,3.4 and 5 did not include a 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.

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.

Noncompliance Area: During the inspection on 5/24/18 the file record for child #1 did not include an initial health report. The file records for child #3 and 4 did not include subsequent health reports.

Correction Required: A child's record must contain initial and subsequent health reports.

Noncompliance Area: During the inspection the file record for staff person #1 did not include the name, address and telephone number of the facility person.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Noncompliance Area: During the inspection on 5/24/18 the file records for staff person #1 did not include a health assessment. The file record for staff person #2 did not include a TB test.

Correction Required: 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.

Noncompliance Area: During the inspection on 5/24/18 the file records for staff person #1 and 2 did not include 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.

Noncompliance Area: During the inspection staff person #1 was observed being alone with the children for approximately 2 minutes. Staff person #1 went upstairs for approximately 20 seconds leaving the children unsupervised.

Correction Required: A volunteer shall be 16 years of age or older and shall be directly supervised at all times.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).

Noncompliance Area: During the inspection the file record for staff person #1 did not include a state police clearance and FBI clearance. The file record for staff person #2 did not include a FBI clearance and mandated reporter training.

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, mandated reporter training and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: At the time of the renewal inspection, the children's records did not have an agreement signed by the parent indicating admission date, hours of care, fees or services provided to the parents.

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

Noncompliance Area: At the time of the renewal inspection, the children's records did not have child service forms used to describe their growth and development.

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: At the time of the renewal inspection, the emergency contact form for child #1 and #8 did not contain the health insurance coverage and 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.

Noncompliance Area: At the time of the renewal inspection, the emergency contact information form for some of the children did not contain the addresses 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.

Noncompliance Area: At the time of the renewal inspection, the written medical transportation plan was not developed or posted in the child care space or in the emergency bag.

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.

Noncompliance Area: At the time of the renewal inspection, the children's files did not contain written emergency contact forms or agreement of care forms that were reviewed and signed by the parent at least every 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 informationA 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.

Noncompliance Area: At the time of the renewal inspection, the children's records either did not have a health assessment at all or the health assessment in the file was not current and therefore the immunizations were not current either.

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.A child`s record must contain initial and subsequent health reports.

Noncompliance Area: At the time of the renewal inspection, the emergency contact form for child # 1,3 and 8 did not have written parental consent for emergency medical care or administration of minor first aid procedures.

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.

Noncompliance Area: At the time of the renewal inspection, the emergency plan was not updated annually and the operator did not have the emergency plan posted in the facility at a conspicuous location.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan. The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: At the time of the renewal inspection, the file of staff #1 did not have current first aid training and therefore there was noone competent in first aid techniques in the facility when day care children are in care.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: At the time of the renewal inspection, the first aid kit was missing tweezers and soap.

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.

Noncompliance Area: At the time of the renewal inspection, the fire evacuation plans and the written plan of daily activities was not posted in a traffic area used by parents.

Correction Required: Fire evacuation plans shall be developed and posted.The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: At the time of the renewal inspection, the fire drill log could not be located and the provider stated that she has not completed fire drills four times a year.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.