Marys Little Lambs Day Care

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The most recent child service report on file for Child #1 and Child #2 are dated 4/8/24 which is more that 6 months ago.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: The file for Staff Person #1 includes 7 annual training hours from 12-20-23 to 12-20-24. The missing five hours of childcare trainings were borrowed from the 2025 trainings.

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

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed that there was an electrical outlet in the living room and bathroom that was lacking a receptable cover.

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

Regulation: 3290.31(f)(4)(i)/3290.31(g)(10)

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

Noncompliance Area: The file for Staff Person #1 included verification of Pediatric First Aid/CPR training dated 4/9/24, after the expiration date of 3/31/24.

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. Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for Staff Person #1 included 4 of 12 required training hours completed between 12/19/22-12/19/23.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The 30-day fire detection log on file included test dates of 3/15/24-4/15/24, which is more than 30 days apart.

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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed that two electrical outlets above the sink in the bathroom did not have protective receptacles covers and were assessible to children under 5 that were in care.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed that a can of shaving cream which was labeled keep out of the reach of children was accessible in the shower in the bathroom that the children use.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed two children sleeping in Pack n Plays which were not labeled with the child's name.

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: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: The file for child #1 lacks verification of a current Influenza vaccine administered in accordance with the schedule recommended by the ACIP.

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: 3290.18/3290.24(c)

Description: General Health and Safety/Training regarding plan

Noncompliance Area: The facility's emergency plan was not updated by the 7/0/22 to include volunteer training, a plan for practice drills, and a plan for 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 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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed accessible Tylenol, and pain relief medication in the unlocked cabinet above the toilet in the bathroom.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: The file for child #1 contained an influenza vaccine date of 11-23-2020 and has not been updated since.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: In the outdoor play space, a large white sharp piece of aluminon siding was lying on the ground and could cause a tripping hazard and/or a laceration to occur in a child..

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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The fire detection system was tested on 1-10-2022 and 2-14-2022 which exceeded the mandatory 30 days to test the fire detection system.

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.