Kattys Child Care

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #1, #2, and #3 emergency contact information does not include the telephone number of the child's physician or source of medical care. Child #2 emergency contact information does not include the name 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: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: Pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) for facility person #2 expired on 6.17.25.

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)

Description: Comply with CPSL

Noncompliance Area: Mandated reporter training for facility person #1 expired on 2.5.25. An updated mandated reporter training was obtained on 2.10.25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3290.192(2)

Description: Health assessment, TB test

Noncompliance Area: Facility person #2 does not have documentation of an updated health assessment on file. Last health assessment was dated 2/4/2020.

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.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: Documentation of the facilities parent letter did not include lockdown procedures and accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: Facility person #1 did have documentation of 12 clock hours of annual childcare 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: Documentation shows that the fire detection system was not tested every 30 days. 8.26.24 - 9.27.24 (32 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: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Upon inspection of the children's files, it was found that an initial health assessment was not on file for child #1.

Correction Required: The operator shall require the parent of an enrolled child 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.

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: Upon inspection of the facility emergency plan, it was found that specific plans for shelter of children during a lock-down were not detailed in the written plan.

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(d)

Description: Emergency plan

Noncompliance Area: Upon inspection of the facility's documentation, it was found that an annual emergency drill was not completed in 2021 or 2022 [to date of inspection].

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

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: Child #1 and #5's agreements did not specify the amount of the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3290.123(b)

Description: Parent receives original

Noncompliance Area: Child files #1, #2, #3, and #4's files contained the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #2 and #5's emergency contact information did not include the enrolling parent's work phone number.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #1 and #5's emergency contact information did not include the 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.

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: Child #2's initial health assessment was obtained after 90 days (60 day requirement modified during Covid pandemic) from admission date. Admission date of 5/10/21. Initial health assessment dated 9/1/21. Child #4's date of admission was 1/27/20 and this child's initial health assessment was dated 9/23/20 which is beyond the 90 days permitted during the Covid pandemic.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3290.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: Staff #2's adult health assessment did not include the results of an examination for communicable diseases.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3290.151(c)(4)

Description: Information re: medical problems

Noncompliance Area: Staff #2's health assessment did not include information on medical problems that might threaten the health of children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3290.182(6)

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

Noncompliance Area: Child #2's emergency contact form did not address whether or not consent was needed for transportation, walking excursions, swimming and wading. Child #3, #4, and #5's emergency contact forms did not address whether or not consent for swimming and wading were needed.

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

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Desitin cream was accessible to children in changing table drawer (corrected during inspection). Hand sanitizer was accessible to children on staff desk in child care room (corrected during inspection).

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)(9)

Description: Written record

Noncompliance Area: The operator did not document the names of the facility persons who participated in the fire drill

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: The testing of smoke detectors exceeded the every 30 day requirement. A test was completed on 1/16/21 and then on 2/28/21. A test was completed on 3/31/21 and then on 5/10/21.

Correction Required: 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: No smoke detector in the attic/converted bedroom space.

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

Noncompliance Area: Crayons did not have proof of non toxic.

Correction Required: Arts and crafts materials shall be nontoxic.

Noncompliance Area: The transportation first aid kit did not have water or 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.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.

Noncompliance Area: A space heater was utilized in the childcare space without approval from the local fire department.

Correction Required: Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions.

Noncompliance Area: Dishes used by the children were washed/rinsed but not sanitized.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Noncompliance Area: During a inspection summary followup on 12/6/18, children's rest equipment was placed 2 feet on 3 sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: HHM 1 and 2 moved into the home September 2018 and did not have required clearances on file. PA criminal history clearance, child abuse, and FBI were requested on the day of inspection with the child abuse and state police clearances being completed. FBI fingerprint appointment scheduled for 10/23/18.

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 moved into the facility following the date of the previous application for a registration certificate.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.

Noncompliance Area: Upon arrival on the day of inspection, a preschool child was observed napping in the childcare room. Provider and 2 other children were in the dining area of the kitchen. The preschooler was unable to be properly supervised as the room opening is not more than 50% and he was on the floor out of sight.

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: Child 3 and 4 did not have physicals on file; both children enrolled August 2018.

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: Child 5 did not have physical signed by physician; only immunizations attached; no notation of physical completed.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: Child nor staff washed hands prior to receiving snacks/drinks.

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: HHM 1 was preparing food for the children. HHM 1 does not have a current physical/tb.

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.

Noncompliance Area: No written infant statement of formula and feeding provided by parent of enrolled infant.

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

Noncompliance Area: An adult visitor to the childcare space did not have an individual record.

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

Noncompliance Area: SLEEP MATS WERE RIPPED, EXPOSING FOAM.

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: INDIVIDUAL HHM #1 DID NOT HAVE COMPLETED FBI CLEARANCE. DATE OF BIRTH 9/17/99--18 YR OLD.

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

Noncompliance Area: THE DAILY SCHEDULE DID NOT INCLUDE ACTIVITIES/ROUTINES FROM OPEN TO CLOSE.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: DAILY SCHEDULE NOT POSTED IN CHILDCARE ROOM 2.

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

Noncompliance Area: A PLAN OF TRANSPORTING A CHILD TO EMERGENCY CARE AND STAFFING PROVISIONS AND FIRE EXIT DIAGRAM WERE NOT POSTED IN CHILDCARE ROOM 2.

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: NO FIRE EVACUATION PLAN IN ROOM 2

Correction Required: Fire evacuation plans shall be developed and posted.