Where Kids Dreams Come True

Regulation: 3290.151(a)/3290.192(2)

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

Noncompliance Area: On October 23, 2025, during the renewal inspection, the file reviewed for staff person #1 did not contain a 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. 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: 3290.24(e)

Description: Emergency plan

Noncompliance Area: On October 23, 2025, during the renewal inspection, the emergency plan was not posted in the facility in a conspicuous location. When asked the emergency plan was not produced.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: On October 23, 2025, during the renewal inspection, Staff Person #1 had not completed the required pre-service training within 90 days of their hire date. Staff person #1 did not complete Health and Safety training. (See code sheet for the hire date.)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10 or (g)1-10. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, a Primary Staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On October 23, 2025, during the renewal inspection, the file reviewed for staff person #1 did not contain a Child abuse clearance. (See code sheet for hire date)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a childcare position at the facility. 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 #1 may not work in a childcare position at the facility.

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: During the renewal inspection on 10/24/24 the emergency contact form reviewed for child #1 did not include an emergency contact.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3290.124(a)/3290.181(c)

Description: Each child emergency contact person/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection on 10/24/24 the emergency contact form and fee agreement for child #2 was not reviewed/updated within 6-month time period.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. 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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 10/24/24 the emergency contact form reviewed for child #2 did not include the address and telephone number of the child's physician.

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: During the renewal inspection on 10/24/24 the emergency contact form reviewed for child #1 did not contain the home 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)(4)

Description: Written consent

Noncompliance Area: During the renewal inspection on 10/24/24 the emergency contact form reviewed for child #2 did not include written consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 10/24/24 the emergency contact form reviewed for child #2 did not include 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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection on 10/24/24 the file reviewed for staff person #1 did not contain required health and safety update.

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During the renewal inspection on 10/24/24 the file reviewed for staff person #1 and staff #2 did not contain 12 hours of annual professional development 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 10/24/24 the file reviewed for staff person #1 contained a child abuse clearance dated 10/06/19 and FBI clearance dated 10/09/19 which is more than 60 months old.

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. Staff person #1 may not work in a childcare position at the facility.

Regulation: 3290.31(g)(10)

Description: Health and Safety Training - Pediatric first aid/CPR

Noncompliance Area: During a renewal inspection conducted on 1/12/24, the Certification Representative reviewed Staff #1 content of records. Staff # 1 completed Pediatric First Aid with the correct program, however the instructed of the course is not PQAS certified.

Correction Required: Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During a renewal inspection conducted on 1/12/24, the Certification Representative reviewed Staff #1 content of records. Staff # 2 content of records had an expired FBI Clearance dated 02/03/2017 and did not provide a current FBI Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 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: During a renewal inspection conducted on 1/12/24, the Certification Representative conducted a walkthrough of the facility, and checkered the smoke alarm in the family home and detected the smoke alarms are 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: 3290.124(b)(4)/3290.182(3)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 children's file and the emergency contact forms for child #1, child #2 and child #3 didn't have consent for emergency 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)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 children's file and the files for child #1, child #2 and child #3 did not include the name of the children's medical insurance or 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection, certification representative reviewed 5 children's file and the emergency contact forms for child #1 and child #5 doesn't have an address for 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.

Regulation: 3290.124(c)/3290.171

Description: Excursions/Transportation Consent

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility vehicle files and there was no emergency contact information inside of the vehicle.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. The operator shall obtain written consent from the parent for transportation by the facility staff.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: During the renewal inspection, certification representative did a facility walkthrough and there was no emergency transportation plan posted.

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(b)(2)/3290.131(e)(1)

Description: Updated toddler/preschool health report: every 12 months/Parent written verification from Doctor.

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 children's file and the file for child #1 did not include a health assessment or immunization information.

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. 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: 3290.176

Description: Transportation First Aid Kit

Noncompliance Area: During the renewal inspection, certification representative inspected the facility vehicle and there was no transportation first aid kit.

Correction Required: A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3290.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 children's files and the files for child #1,child #2 and child #3 did not include a written consent for special diet/meds.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3290.182(5)

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

Noncompliance Area: During the renewal inspection, certification representative reviewed 3 children's file and the file for child #1,child #2 and child #3 doesnt have written consent for minor first aid.

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: During the renewal inspection, certification representative reviewed 3 children's file and the file for child #1,child #2 and child #3 doesnt have 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: 3290.24(a)(2)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan was not updated to include continuity of care or an evacuation plan per announcement c-22-04,issued 4/19/22.

Correction Required: The facility shall have an emergency plan that provides for accommodations for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by §  3290.94 (relating to fire drills).

Regulation: 3290.24(a)(3)/3290.24(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include a method to contact parents or a method for staff to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, certification representative reviewed the facility files and the emergency plan did not include information on how staff are to respond in the event of a lock down, shelter in place, evacuation and did not include accommodations for infants, toddlers, children with disabilities and 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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the renewal inspection ,certification representative conducted a facility walk through and there were no evacuation routes on each floor.

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: 3290.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 5 CHILDREN'S FILES AND THE FILES FOR CHILD #1,CHILD #2,CHILD #3 AND CHILD #4 CONTAINED THE ORIGINAL AGREEMENT BETWEEN THE PARENT AND THE PROVIDER.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED THE EMERGENCY PLAN AND THERE WERE NO ACCOMODATIONS FOR INFANTS, TODDLERS, 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(c)

Description: Training regarding plan

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED 2 STAFF FILES AND THE FILE FOR STAFF #1 AND STAFF #2 DID NOT CONTAIN 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: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE REVIEWED FILES FOR STAFF #1 AND HOUSEHOLD MEMBER #3. THERE IS NO NSOR OR CHILD ABUSE CLEARANCE FOR HOUSEHOLD MEMBER #3 AND STAFF #1 DID NOT HAVE A DISCLOSURE STATEMENT OR A DATE OF HIRE IN THEIR FILE.

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: 3290.69

Description: Heat Source

Noncompliance Area: DURING THE RENEWAL INSPECTION, CERTIFICATION REPRESENTATIVE CONDUCTED A FACILITY WALK THROUGH AND THE WATER TEMPERATURE IN THE CHILDREN'S BATHROOM WAS AT 132° F.

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: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, FACILITY PERSON #1 LEFT 4 CHILDREN IN THE VEHICLE ALONE WITH FACILITY PERSON #2, AND DID NOT HAVE ANY DOCUMENTATION TO QUALIFY FACILITY PERSON #2 AS A STAFF MEMBER.

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). Children must be supervised at all times.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, FACILITY PERSON #1 STATED THAT THERE WAS A CAT UPSTAIRS IN THE HOME, AND WAS NOT ABLE TO PROVIDE A CURRENT VETERINARIAN'S CERTIFICATE OF RABIES IMMUNIZATION.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE AGREEMENT OF CHILD #2 DID NOT SPECIFY THE AMOUNT OF THE FEE TO BE CHARGED PER DAY OR PER WEEK, OR THE DATE OF THE CHILD'S ADMISSION.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date of the child's admission.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE AGREEMENTS OF CHILDREN #2 AND #4 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: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE RECORD OF CHILD #4 DID NOT INCLUDE EMERGENCY CONTACT INFORMATION.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE EMERGENCY CONTACT INFORMATION OF CHILD #2 DID NOT INCLUDE THE ADDRESS OR TELEPHONE NUMBER 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE EMERGENCY CONTACT INFORMATION OF CHILD #1 WAS NOT UPDATED AT LEAST ONCE IN A 6 MONTH PERIOD (DATE OF SIGNATURE 9-9-18).

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: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE RECORDS OF CHILDREN #4 AND #5 DID NOT CONTAIN HEALTH REPORTS WITHIN 60 DAYS FOLLOWING THE FIRST DAY OF ATTENDANCE AT THE FACILITY.

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: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, CERTIFICATION REPRESENTATIVE OBSERVED FACILITY PERSON #1 CHANGE THE DIAPER OF CHILD #5, AND DID NOT WASH THEIR OWN HANDS OR THE CHILD'S HANDS AFTER COMPLETION.

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: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, CERTIFICATION REPRESENTATIVES OBSERVED 2 OUT OF 4 CHILDREN IN CARE FROM 10:05 UNTIL 12:30 PM WITHOUT DIAPERS BEING CHECKED OR CHANGED.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE RECORD OF FACILITY PERSON #4 DID NOT INCLUDE A HEALTH ASSESSMENT OR TB TEST.

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.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, FACILITY PERSON #1 STATED THAT WHILE THEY WERE IN THE VEHICLE THAT MORNING, STAFF #2 HELD CHILD #2 ON THEIR LAP, INDICATING THAT PROPER SAFETY RESTRAINTS WERE NOT USED DURING TRANSPORTATION PRACTICES (PROVIDER WAS TRANSPORTING CHILDREN ON AN EXCURSION AT THE TIME OF INSPECTION, APPROXIMATELY 10:00 AM, AND RETURNED TO THE FACILITY TO COMPLETE INSPECTION.)

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. 4581 (relating to restraint systems). Safety restraints installed in the vehicle at the time of manufacturing shall be used by all occupants.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, IT WAS OBSERVED THAT THERE WAS NOT AN OPERABLE SMOKE DETECTOR IN THE BASEMENT BECAUSE THERE WAS NOT AN ALARM PRESENT IN THE BASEMENT AS PER STAFF #1, AND THERE WAS NOT AN OPERABLE SMOKE DETECTOR ON THE MAIN LEVEL BECAUSE THE BATTERY WAS DEAD. THIS CONDITION AT THE FACILITY POSES A THREAT TO THE HEALTH AND SAFETY OF THE CHILDREN.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE OPERATOR DID NOT HAVE AN INDIVIDUAL RECORD FOR CHILD #5.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE RECORD OF CHILD #3 DID NOT CONTAIN A COPY OF AN INITIAL AGREEMENT BETWEEN THE PARENT AND OPERATOR.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE OPERATOR DID NOT HAVE AN INDIVIDUAL RECORD FOR FACILITY PERSON #2 OR FACILITY PERSON #3 (HOUSEHOLD MEMBER).

Correction Required: An individual record is required for each facility person.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, THE RECORD OF STAFF #4 DID NOT INCLUDE IDENTIFICATION OF THE FACILITY PERSON'S NAME, ADDRESS OR TELEPHONE NUMBER.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, PROVIDER DID NOT HAVE ANY CLERANCE INFORMATION ON SITE FOR FACILITY PERSON #2 OR #3 (HOUSEHOLD MEMBER). STAFF #2 WAS ALONE IN THE VEHICLE WITH 4 CHILDREN AT THE TIME OF INSPECTION.

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 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 #2 may not work in a child care position at the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, CERTIFICATION REPRESENTATIVE OBSERVED AN ELECTRICAL OUTLET WITHOUT A PROTECTIVE RECEPTACLE COVER IN THE MIDDLE DOWNSTAIRS ROOM OF THE FACILITY.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, CERTIFICATION REPRESENTATIVE OBSERVED A PLUG IN AIR FRESHENER IN THE MAIN CHILD CARE SPACE THAT WAS 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.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, CERTIFICATION REPRESENTATIVE OBSERVED A BROWN INSECT CRAWL UP THE WALL BEHIND THE COUCH IN THE MAIN CHILDCARE SPACE, AS WELL AS IN THE KITCHEN AREA.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, FACILITY PERSON #1 STATED THAT THEY DID NOT HAVE EMERGENCY CONTACT INFORMATION WITH THEM WHILE TRAVELING IN THE VEHICLE THE MORNING OF INSPECTION (PROVIDER WAS ON AN EXCURSION WHEN CERTIFIACTION REPRESENTATIVE ARRIVED AT THE FACILITY AND RETURNED TO FACILITY TO COMPLETE INSPECTION).

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3290.73(c).When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, CERTIFICATION REPRESENTATIVE OBSERVED A LARGE HOLE IN THE CEILING OF THE MIDDLE SPACE ON THE MAIN LEVEL OF THE HOME.

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: DURING RENEWAL INSPECTION ON NOVEMBER 6, 2019, CERTIFICATION REPRESENTATIVE OBSERVED PEELING PAINT BEHIND THE TOILET IN THE BATHROOM, AND ON THE DOOR LEADING TO THE BASEMENT.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 10, 2018, THE AGREEMENTS OF CHILDREN #2, 3, 4, AND 5 DID NOT SPECIFY THE PERSONS DESIGNATED BY A PARENT TO WHOM THE CHILD MAY BE RELEASED, OR THE DATE OF THE CHILD'S ADMISSION.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 10, 2018, THE EMERGENCY CONTACT INFORMATION OF CHILDREN #2, 3, AND 5 DID NOT INCLUDE HEALTH INSURANCE POLICY NUMBERS.

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: DURING RENEWAL INSPECTION ON DECEMBER 10, 2018, THE EMERGENCY CONTACT INFORMATION OF CHILD #1 DID NOT INCLUDE THE NAME, ADDRESS OR TELEPHONE NUMBER 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: DURING RENEWAL INSPECTION ON DECEMBER 10, 2018, EMERGENCY CONTACT AND AGREEMENTS OF ALL 5 CHILDREN WERE NOT UPDATED AT LEAST ONCE IN A 6 MONTH PERIOD.

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: DURING RENEWAL INSPECTION ON DECEMBER 10, 2018, THE RECORD OF CHILD #1 DID NOT CONTAIN AN AGREEMENT.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 10, 2018, THE RECORD OF STAFF #1 DID NOT INCLUDE DOCUMENTATION AT LEAST 6 HOURS OF CHILDCARE TRAINING.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 10, 2018, CERTIFICATION REPRESENTATIVE OBSERVED AN ELECTRICAL OUTLET IN THE MAIN CHILD CARE SPACE WITHOUT A PROTECTIVE RECEPTACLE COVER IN PLACE.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON DECEMBER 10, 2018, PROVIDER WAS UNABLE TO PROVIDE EVIDENCE THAT FIRE EVACUATION DRILLS ARE CONDUCTED AT LEAST FOUR TIMES A YEAR.

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

Noncompliance Area: AT TIME OF INSPECTION ON 12-14-17, THERE WAS NOT COMPLETE EMERGENCY INFORMATION ON FILE AT THE FACILITY FOR CHILD #1, #2, AND #3.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: AT TIME OF INSPECTION ON 12-14-17, CHILD #1, #2, AND #3 DID NOT HAVE A HEALTH ASSESSMENT ON FILE AT THE FACILITY, ONLY AN IMMUNIZATION RECORD WAS ON FILE FOR EACH CHILD.

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 TIME OF INSPECTION ON 12-14-17, STAFF PERSON #1 AND #2 DID NOT HAVE A HEALTH ASSESSMENT AND NEGATIVE TB SCREENING ON FILE AT THE FACILITY.

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.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: AT TIME OF INSPECTION ON 12-14-17, EACH ENROLLED CHILD DID NOT HAVE AN AGREEMENT ON FILE AT THE FACILITY.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: AT TIME OF INSPECTION ON 12-14-17, THE CURRENT CERTIFICATE OF COMPLIANCE WAS NOT POSTED IN THE FAMILY CHILD CARE HOME.

Correction Required: The facility's current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: AT TIME OF INSPECTION ON 12-14-17, STAFF PERSON #1 HAD NOT COMPLETED THE REQUIRED 6 HOURS OF ANNUAL CHILD CARE TRAINING.

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

Noncompliance Area: AT TIME OF INSPECTION ON 12-14-17, THERE WERE LYSOL WIPES ON THE TABLE THAT WERE 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.

Noncompliance Area: AT TIME OF INSPECTION ON 12-14-17, THE FIRST AID KIT DID NOT HAVE 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.

Noncompliance Area: AT TIME OF INSPECTION ON 12-14-17, THE AREAS AROUND THE BOTTOM OF THE CLOSET HAD SOME FOAM SEALER AND SHARP EDGES THAT COULD BE A SAFETY HAZZARD TO THE CHILDREN.

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.