Marielba Andino Family Child Care

Regulation: 3290.124(e)

Description: Updated every 6 months

Noncompliance Area: Child 1 had an outdated emergency form and fee agreement on file. The emergency contact form was last dated 2/27/2025. The fee agreement was last dated 3/13/2025. Please see LIS for date of admission.

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 information.

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: Child 2 had a health assessment dated 11/25/2025, which was more than 60 days past their date of admission. Please see LIS for date of admission.

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: 3290.135(e)

Description: Every 2 hours

Noncompliance Area: During the renewal inspection on 12/8/2025, staff 1 did admit to checking child 3's diaper every 3 hours.

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.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection, it was observed that the facility had an outdated certificate of compliance posted. It expired March 3rd, 2025.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: When certificate representative arrived for the renewal inspection on 12/8/2025, it was observed that the facility had smoke detectors on the kitchen table and not installed. They also were not interconnected with each other.

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 subsection (a) are met.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: The pack and play that was used by a child was not labeled with the child's name.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: Child 2 did not have an emergency form on file.

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

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child 1 did not have consent for emergency medical care and minor first aid.

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.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facilities current certificate of compliance was not posted at the facility.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not have a shelter in place policy on file.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff 1, who has current clearances, had previously expired child abuse and NSOR clearances. The child abuse clearance expired on 7/29/2024 and a new one was not obtained until 12/12/2024. The NSOR clearance expired on 12/2/2024 and was not obtained until 12/16/2024. The renewal inspection occurred on 12/18/2024.

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.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: During renewal inspection conducted 12/7/2023, certification representative was knocking on door for several minutes when facility person #1 arrived outside of the facility and welcomed rep inside. Facility person #1 advised rep that she had been moving her car and that facility person #2 was caring for the children. Upon entering the facility, facility person #2 was upstairs. Facility person #1 called to facility person #2 several times without answer. There were four (4) children unsupervised on the first floor of the facility. Two (2) of the children were eating cereal and the door to the refrigerator was open. Rep noted that the contents of the refrigerator were warm to the touch. Facility person #1 advised that facility person #2 may have been in the bathroom. Facility person #1 advised that staff have no way of supervision through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times if the facility person is in the bathroom on the second floor.

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).

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: During renewal inspection conducted 12/7/2023, certification representative was knocking on door for several minutes when facility person #1 arrived outside of the facility and welcomed rep inside. Facility person #1 advised rep that she had been moving her car and that facility person #2 was caring for the children. Upon entering the facility, facility person #2 was upstairs. Facility person #1 called to facility person #2 several times without answer. There were four (4) children unsupervised on the first floor of the facility. Two (2) of the children were eating cereal and the door to the refrigerator was open. Rep noted that the contents of the refrigerator were warm to the touch. Facility person #1 advised that facility person #2 may have been in the bathroom. Facility person #1 advised that staff have no way of supervision through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times if the facility person is in the bathroom on the second floor.

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). The legal entity must arrange for all staff to complete the training entitled "Supervising Children in Family Child Care" through Better Kid Care. The training may not be counted towards the 12 hours of training required by regulation.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: During renewal inspection conducted 12/7/2023, rabies immunization for a dog at the facility expired 12/11/2022.

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.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During renewal inspection conducted 12/7/2023, there were no child service reports (CSRs) on file for child #1, child #2, or child #3 (see LIS code sheet for date of admission).

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: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During renewal inspection conducted 12/7/2023, arrival and departure times were missing from child #1 and child #2's fee agreements.

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

Regulation: 3290.124(b)(2)/3290.124(b)(7)

Description: Physician name, address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 12/7/2023, the following was missing from children's emergency contact forms: Child #1: address of physician. Release person(s) address(es). Child #4: Release persons' last names.

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 name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection conducted 12/7/2023, home and work addresses and telephone number(s) were missing for child #4's father.

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

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: During renewal inspection conducted 12/7/2023, last health assessment on file for child #3 is dated 4/22/2021. Child #3 is preschool-aged (see LIS code sheet).

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.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 12/7/2023, child #2 and child #3 had 1 of 2 doses of Hep A vaccine. Child #2 and child #3 are preschool-aged (see LIS code sheet). There were no written exemptions on file.

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). Child #2 and child #3 will be dismissed from care by close of business December 7, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: During renewal inspection conducted 12/7/2023, health assessment on file for facility person #2 was dated 7/28/2023. Date appeared altered from original, so a phone call was made to the doctors' office. Doctors' office confirmed that facility person #2 was not seen by listed practitioner on 7/28/2023. Facility person #2 was seen by that practitioner on 1/14/2022 for a TB test and physical. There were no prior health assessments on file. Operator indicated that facility person #2 began working with children at the facility several years ago (see LIS code sheet for start date).

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: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection conducted 12/7/2023, facility's emergency plan did not address continuity of operations.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the section of their emergency plan that must address continuity of operations.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection conducted 12/7/2023, facility person #2 was observed to be caring for children unsupervised. Facility person #2 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 11/12/2023.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, facility person #2 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise faciity person #2, facility person #2 may not work in a child care position at the facility.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 12/7/2023, the following was not updated within the past 6 months: Child #1: emergency contact form last updated 12/13/2022. Fee agreement last updated 8/29/2022. Child #2: emergency contact form last updated 1/5/2023. Fee agreement last updated 8/29/2022. Child #3: emergency contact form and fee agreement last updated 3/18/2023.

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: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection conducted 12/7/2023, consent for minor first-aid and consent for emergency medical care were not signed by child #4's parent.

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.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection conducted 12/7/2023, there was no record of facility person #2 being trained on the facility's emergency plan (see LIS code sheet for start date).

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: During renewal inspection conducted 12/7/2023, facility person #2 completed 11 hours of child care training for training year 12/19/2021-12/19/2022.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Facility person #2 must take 1 hour of professional development to fulfill requirement for training year 12/19/2021-12/19/2022. Training hours taken to make up previous hours cannot be used toward training year 12/19/2022-12/19/2023.

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

Description: Age and training/Age and training

Noncompliance Area: During renewal inspection conducted 12/7/2023, pediatric first-aid/CPR on file for facility person #2 expired on 11/12/2023.

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. Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Facility person #2 will have until 1/17/2024 to complete the required training. Until such time as the required training has been completed, facility person #2 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise facility person #2, facility person #2 may not work in a child-care position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During renewal inspection conducted 12/7/2023, a bottle of Spic and Span, labeled "keep out of reach of children" was observed on the kitchen table which 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.

Regulation: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: During renewal inspection conducted 12/7/2023, a window on the third floor of the home was not adapted to limit the opening to 6 or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.92(a)

Description: Portable space heaters

Noncompliance Area: During renewal inspection conducted 12/7/2023, a portable space heater was observed in the child care space. Portable space heaters are not allowed by Allentown Bureau of Health.

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.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: During renewal inspection conducted 12/7/2023, facility's fire drill log does not include names of facility persons who participated in the fire drills.

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(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection conducted 12/7/2023, facility's fire detection testing log reflects that smoke detectors were tested past 30 days on the following occasions: 3/3/2023-4/3/2023; 5/3/2023-6/3/2023; 7/3/2023-8/3/2023; 8/3/2023-9/3/2023. Log indicated that smoke detectors were last tested on 10/3/2023.

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)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection conducted 12/7/2023, facility did not have OSHA-approved, interconnected smoke alarms installed on each floor of the home.

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. Act 42 of 2022, signed into law July 7, 2022, amended the Fire and Panic Act at 35 P.S. § 1223.6, and requires all certified family child care homes to have interconnected smoke alarms approved, at the time of installation, by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor to test and certify smoke alarms.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection conducted 12/8/2022, facility did not have a written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted in the childcare space. An acceptable plan of correction was received with a correction date of 12/21/2022. When certification representative returned for unannounced monitoring on 12/28/2022, the facility did not have a written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted in the childcare space.

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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 12/8/2022, the following emergency contact forms and fee agreements were not updated within the past 6 months: Child #2: last updated 12/8/2021. Child #4: last updated 11/16/2021. An acceptable plan of correction was received with a correction date of 12/30/2022. As of 1/10/2023, certification representative has not received acceptable correction for 6-month update for Child #4's emergency contact form and fee agreement.

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: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection conducted 12/8/2022, the following children's records did not contain signed parental consent for emergency medical care or first-aid procedures by facility staff: Child #4 and Child #5. An acceptable plan of correction was received with correction date of 12/30/2022. As of 1/10/2023, certification representative has not received proof of consent for emergency medical care or first-aid procedures by facility staff for Child #4.

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.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection conducted 12/8/2022, an unlabeled pack-n-play was being used by an older toddler.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.124(b)(3)/3290.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection conducted 12/8/2022, the following was missing from emergency contact forms: Child #1: parent's work address and work phone number. Health insurance coverage and policy number. Child #5: parent's work address and work phone number. Health insurance coverage and policy number.

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

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection conducted 12/8/2022, facility did not have a written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted in the childcare space.

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)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: During renewal inspection conducted 12/8/2022, the following health assessments are outdated: Child #2: last health assessment on file is dated 4/22/2021. Child is an older toddler (see LIS Code sheet). Child #4: last health assessment on file is dated 10/28/2021. Child is an older toddler (see LIS Code sheet).

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.

Regulation: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: During renewal inspection conducted 12/8/2022, the following children's medical records do not reflect that immunizations have been administered in accordance with the schedule recommended by the ACIP: Child #2: 3 of 4 doses of DTAP, HIB, and Pneumococcal vaccines, no record of MMR, Varicella, or Hepatitis A vaccine. No exemption on file. Child is an older toddler (see LIS code sheet). Child #3: No record of influenza vaccine on file. No exemption on file. Child is an older toddler (see LIS code sheet). Child #4: No record of influenza vaccine on file. No exemption on file. Child is an older toddler (see LIS code sheet). Child #5: 3 of 4 doses of DTAP and HIB vaccines, no record of Hepatitis A vaccine. No exemption on file. Child is an older toddler (see LIS code sheet).

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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection conducted 12/8/2022, facility did not develop a policy to identify 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. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 12/8/2022, the following emergency contact forms and fee agreements were not updated within the past 6 months: Child #2: last updated 12/8/2021. Child #4: last updated 11/16/2021.

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: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection conducted 12/8/2022, the following children's records did not contain signed parental consent for emergency medical care or first-aid procedures by facility staff: Child #4 and Child #5.

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.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 12/8/2022, emergency drill log on file at the facility was for another daycare. Provider admitted that log was not for this facility and that it was filed in her paperwork on accident. Provider did not have an emergency drill log for her facility on file.

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

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection conducted 12/8/2022, peeling paint was observed on the staircase in the childcare space. Peeling paint is accessible to children.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During renewal inspection conducted 12/8/2022, the facility's fire drill log reflected that last fire drill was conducted 9/3/2022, which is past 60 days.

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: During renewal inspection conducted 12/8/2022, facility's fire detection testing log reflected that fire detection systems were tested more than 30 days apart on the following dates: 1/2/22-2/4/22, 4/1/22-5/4/22, 6/1/22-7/8/22, 8/2/22-9/10/22, 10/1/22-11/3/22.

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: 3290.111(a)

Description: Written plan

Noncompliance Area: There was no daily activity schedule posted.

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.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Child 1 did not have a date of admission.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Children 1-3 did not have updated emergency forms and fee agreements on file. Child 1's emergency form and fee agreements needed to be updated in November 2021. Child 2 and 3's emergency form and fee agreement needed to be updated in December 2021.

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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Toxics were accessible to the children in the play area. The toxics were cleaning materials for the child care space. They were in a bin, which was in a cubby, that was within reach of 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)(5)

Description: Evacuation routes posted

Noncompliance Area: The facility did not have an evacuation route in the basement of the facility.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility did not have a receipt for the smoke detector in the basement.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff Person #1's previous FBI clearance was obtained 7/2/2015. Staff Person #1 did not renew this clearance until 11/10/2021. Staff Person #1's previous PA State Police clearance was obtained 4/4/2016. Staff Person #1 did not renew this clearance until 11/9/2021. Per the Child Protective Services Law clearances are valid for 60 months and must be renewed on or before the expiration date. Staff Person #1 continued t provide child care with expired clearances.

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.

Noncompliance Area: Child 2 did not have a date of admission on file.

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

Noncompliance Area: Child 1 did not have an updated immunization record on file. His latest immunization record was from 2017. As a result, he did not have all the necessary Hepatitis A, influenza and DTAP shots on file.

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: Child 3 did not have permission for emergency medical care or minor first aid on file.

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: Provider did not have the services provided section filled out on the fee agreement form for child 5.

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: Child 4 and 5 did not have the date of admission documented on their fee agreement.

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

Noncompliance Area: Child 4 did not have the physician contact information documented on her emergency contact form.

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: Child 1 was missing the mother's address and phone number from the emergency contact form. The father's name, phone number and address was missing. Child 2 did not have the mother's address and phone number documented on the emergency contact form. Child 5 did not have the mother's or father's address and phone number on the emergency contact form.

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

Noncompliance Area: Child 1, 2, 4 and 5 were missing their health insurance name and policy number's from their file. Child 3 was missing the health insurance 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: Child 4 did not have the person to whom the child may be released to documented on the emergency contact form.

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: Child 1 had an outdated fee agreement from 2/1/2018. The date of inspection was 8/27/2018.

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: Child 1 did not have permission for minor first aid documented on the emergency contact form.

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.

Noncompliance Area: When certification representative arrived to the facility unannounced on February 2nd, 2018 to conduct a complaint investigation it was observed that children 2 and 3, unrelated to the daycare operator, were in the provider's care and did not have a file present. During the course of the investigation, it was also found that child 1, who was also unrelated to the day care operator, was left in the care of the provider around the date of 1/19/2018 and did not have a file present. When an enrollment search was conducted for the facility through CCIS, the names of children 1-3 did not show.

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

Noncompliance Area: CHILD 2 - DOE - 9/9/15 - DID NOT RECEIVE UPDATED CHILD SERVICE REPORTS WITHIN 6 MONTHS AFTER FIRST CHILD SERVICE REPORT. CHILD 3 HAS 2 CHILD SERVICE REPORTS ON FILE DATED 3/15/16 AND 7/6/17. CHILD 3 - 10/27/15 HAS BEEN ENROLLED FOR MORE THAN 6 MONTHS AND DOES NOT HAVE A CHILD SERVICE REPORT 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: CHILD 3 DOES NOT HAVE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE ON FILE.

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.

Noncompliance Area: CHILD 3 DOES NOT HAVE HEALTH INSURANCE COVERAGE AND POLICY NUMBER LISTED ON THE EMERGENCY CONTACT FORM.

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: CHILD 1 IS DOES NOT HAVE THE RELEASE PERSONS ADDRESS LISTED ON THE EMERGENCY CONTACT FORM AND CHILD 2 DOES NOT HAVE THE RELEASE PERSONS PHONE NUMBER LISTED ON THE EMERGENCY CONTACT FORM.

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: CHILD 1 DOES NOT HAVE AN UPDATED EMERGENCY CONTACT FORM ON FILE. THE LAST UPDATE FOR CHILD 1'S EMERGENCY CONTACT FORM IS 10/14/16.

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 information. 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: CHILD 3 - DOE - 10/27/15 DID NOT HAVE A HEALTH REPORT ON FILE WITHIN 60 DAYS OF ENROLLMENT. THE HEALTH REPORT FOR CHILD 3 IS DATED 9/8/16.

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: CHILD 1'S HEALTH REPORT DOES NOT HAVE A STATEMENT THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS OR COMMUNICABLE DISEASE. CHILD 2 - DOE - 10/27/14 DOES NOT HAVE AN UPDATED HEALTH REPORT ON FILE. CHILD 2'S HEALTH REPORT IS DATED 8/23/16. CHILD 3 - DOE - 10/27/15 DOES NOT HAVE AN UPDATED HEALTH REPORT ON FILE. CHILD 2 HAS A HEALTH REPORT ON FILE DATED 9/8/16.

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 health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: On 8/2/17, inspector observed provider caring for children 1, 2 and 3 at the facility. Children 1, 2 and 3 do not have a file at the facility.

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

Noncompliance Area: On 4/5/17 while conducting a complaint investigation, inspector observed nineteen (19) children in care. Fourteen (14) of the nineteen (19) children were not related to operator. On 8/2/17 while conducting an unannounced inspection for verification, inspector observed children 1-7 children in care. Children 1 throguh 7 are unrelated to provider..

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator. The legal entity must arrange for all facility staff to receive four (4) hours of PQAS approved training regarding ratio's of children. It does not matter if the PQAS approved training is through the regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: On 4/5/17 while conducting a complaint investigation, inspector observed 12 children on the third (3rd) floor of facility. The occupancy permit on file for this facility only approves the first (1st) floor of the facility for care.

Correction Required: A certificate of registration will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements in 34 Pa. Code 403.23 (relating to child day care facilities).Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: On 4/5/17 while conducting a complaint investigation, inspector observed nineteen (19) children in care. Fourteen (14) of the nineteen (19) children were not related to operator.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator. The legal entity must arrange for all facility staff to receive four (4) hours of PQAS approved training regarding supervision and ratio's of children. It does not matter if the PQAS approved training is through the regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: On 4/7/17, while conducting an unannounced visit, inspector observed Clorox wipes labeled keep out of reach of children on the back of the toilet in the bathroom on the second floor. Clorox wipes are accessible to children. Operator admits that children use the bathroom on the second floor.

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: On 4/5/17, after conducting interviews and personal observations, it was determined that children of all ages come in and out of the family home unsupervised. Inspector observed a child coming from the bathroom on the second floor. Child was not being supervised while on the second floor. Inspector observed 12 children and a young lady in 2 rooms on the third floor.

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