Lisa Strong Family Home Daycare

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The parent of child #1 has not reviewed and updated 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. This is evidenced by the review date of 2/1/2025 affixed at the bottom of the emergency contact form and the financial agreement. This exceeds a 6-month period.

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: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #1 and Household member #2 do not have valid NSOR certificates on file. This is evidenced by each NSOR certificate dated 11/6/2019, which is more than 60 months ago and; therefore, not in compliance with the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff person #1 may not provide child care services until the results of an updated NSOR certificate have been received and are on file.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: It was observed on 9/22/2023 the first-aid kit does not contain sterile gauze pads and tape.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: The provider does not have a written policy regarding the Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment.

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: The provider has not conducted an emergency drill.

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: Staff Person #1 has only obtained 3 clock hours of child care 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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The operator who is responsible for compliance with section 1016(c) of the act (62 P.S. § 1016(c)) is not manually testing the smoke detectors at least once every thirty (30) days.

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

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: The operator does not have proof of purchase of the interconnected fire detection system that is hardwired into the home and is therefore not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

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))

Noncompliance Area: The aboveground swimming pool barrier fence, both at the bottom of the stairs from ground level and on the upper part of the deck, was observed to measure less than 48 inches in height, as required by the guidelines of the United States Consumer Product Safety Commission. The gate measures 40 inches in height.

Correction Required: An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Noncompliance Area: The agreement for child #1 did not specify the child's arrival or departure times.

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

Noncompliance Area: The written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency was observed not to be conspicuously posted at the facility.

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: It was observed that after a child's diaper was changed, neither the child's hands nor the operator's hands were washed.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: The last documentation of first aid training on file for facility person #1 expired 8/2019. Per staff report, new training was obtained on 9/21/19, but there was not documentation on file at the time of inspection.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: Cleaning products were observed to be accessible to children in the room next to 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: Peeling paint was observed on the gate of the fence barrier to the pool deck.

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

Noncompliance Area: Small rubber bands and pieces of a measurement set less than 1 inch in diameter were observed to be accessible to toddler children, both of which were corrected on site.

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: The last child service report on file for child #3 was 10 months old at the time of inspection, and an updated child service report was not on file. There was a current child service report on file for child #4 at the time of inspection, however it was dated more than 9 months from the previous child service report. There was a current child service report on file for child #5, however it was dated more than one year after the child's admission date, and a previous child service report was not on file.

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

Noncompliance Area: The emergency contact form for child #5 did not include an address for release persons listed.

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: There was a current, updated health assessment on file for child #5, a young toddler, at the time of inspection, however it was dated 8 months after the previous health assessment.

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

Noncompliance Area: The emergency contact forms for children #1 - 4 were current and updated at the time of inspection, however they were dated 7 months from the previous updates.

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: At the time of inspection, a broken doll bed was observed in the child care space (DOLL BED CORRECTED ON SITE). On the outside play space, a cracked toy bin was observed to have sharp plastic.

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: It was observed that rice, small wooden toys, and bird seed were accessible to infants and toddlers in the child care space. It was also observed that in a drawer in the kitchen, parts to a bike pump were accessible. All of these items were less than 1 inch in diameter. (ALL CORRECTED ON SITE)

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: At the time of inspection, individual #1, who resides in the home more than 30 days in a calendar year, did not have clearances on file, and that individual had attained 18 years of age since the last inspection.

Correction Required: At renewal, the legal entity shall submit clearances required by the CPSL for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year if the individual attained 18 years of age following the date of the previous application for a registration certificate.

Noncompliance Area: The agreement for child #1 did not specify the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: The emergency contact form for child #1 had incomplete addresses for release persons. The emergency contact form for child #2 had missing addresses for release persons. (CORRECTED ON SITE)

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: It was observed that the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in a conspicuous location, and a copy was not available to accompany a staff person leaving on an excursion with the children.

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: It was observed that there were infants in care, and a written schedule had not been provided by the parents giving the formula and feeding schedules for the infants.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: At the time of inspection, it was observed that swiffer wipes with cleaning fluid on them were in a closet accessible to children. (CORRECTED ON SITE)

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: At the time of inspection, it was observed that the telephone number of the nearest hospital, police department, fire department, and ambulance were not posted 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.

Noncompliance Area: On 7/17/17, there were 7 unrelated children in care (children 2,3,4,5,6,7,8) (child 1 is related). Correction made on 7/21/17. 6 unrelated children were in care(children 2,3,4,5,6,7 )(child 1 is related).

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.