Mary Smith

Regulation: 3290.131(b)(2)

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

Noncompliance Area: Continued non-compliance from (SIN-00288048) - The file for child #5, DOB 5/7/22, did not contain documentation to verify that an updated health assessment report was obtained at least every 12 months. The last health assessment on file was dated 2/27/24.

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: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The files for Children #s 1, 2, 3, 4, 5 did not contain documentation to verify that the emergency contact files were reviewed every six months, as required. The Emergency Contact form for: #1 was last reviewed 5/30/25, #2 was last reviewed 12/31/24, #3 was last reviewed 8/27/25, #4 was last reviewed 6/4/25 and #5 was last reviewed 5/30/24. The files for Children #s 1, 2, 3, 4, 5 did not contain documentation to verify that the financial agreements were reviewed every six months, as required. The Financial Agreement for: #1 was last reviewed 5/30/25, #2 was last reviewed 12/20/24, #3 was last reviewed 8/27/25, #4 was last reviewed 6/4/25 and #5 was last reviewed 5/30/25.

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.

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: The file for child #4 did not contain documentation to verify that an initial health assessment report was obtained no later than 60 days following the first day of attendance at the facility. Child #4's date of admission was 5/1/25.

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: 3290.131(b)(2)

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

Noncompliance Area: The file for child #5, DOB 5/7/22, did not contain documentation to verify that an updated health assessment report was obtained at least every 12 months. The last health assessment on file was dated 2/27/24.

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: 3290.14(a)

Description: Building codes

Noncompliance Area: The facility did not have a valid Certificate of Occupancy. Specifically, the certificate on file had house #512, crossed out and written in hand, next to it, house #736. 736 us the house number of the facility.

Correction Required: A certificate of compliance 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) and under section 1016(c) of the act (62 P.S. § 1016(c)).

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The facility files did not contain verification that the facility emergency plan is reviewed at least annually, as required.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #1 did not contain documentation to verify that Emergency Plan Training was completed annually, as required.

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: The file for Staff #1 did not contain documentation to verify that Staff #1 completed an annual minimum of 12 clock hours of childcare training, as required.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 did not include a disclosure statement.

Correction Required: A facility person's record shall include a copy of the disclosure statement.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: The facility first-aid kit did not include nonporous gloves, as required.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The facility did not have evacuation routes posted in a conspicuous location on the first floor.

Correction Required: 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: Testing revealed that the Fire detective devices were 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)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: Documentation of an updated health assessment within the last 24 months was not on file. The health assessment on file was dated 6/25/23.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. 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: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff Member 1#-- has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/11/20.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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 family child care home 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: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: Staff person # 1--- has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 09/2025. Documentation of updated Pediatric first aid and CPR training is not on file.

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. 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 family child care home 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)

Description: Comply with CPSL

Noncompliance Area: Staff Member 1#-- has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/11/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 family child care home 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: 3290.113(e)

Description: Restraints prohibited

Noncompliance Area: During the time of inspection, it was observed that child 2 was in a car seat for approximately one hour.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3290.118

Description: Infant sleep position

Noncompliance Area: During the time of inspection, it was observed that child 2 was sleeping in a car seat.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Documentation of the agreement on file for child 1 and child 2 did not include an admission date. The was corrected during the inspection.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.123(a)/3290.124(a)

Description: Signed /Each child emergency contact person

Noncompliance Area: Documentation of an agreement and emergency contact information was not on file for child 3.

Correction Required: An agreement shall be signed by the operator and the parent. Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3290.123(b)/3290.182(8)

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

Noncompliance Area: Documentation of the original agreement was on file for child 1.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Documentation of the emergency contact information on file for child 1 did not include the address of the 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: Documentation of the emergency contact information on file for child 1 and child 2, did not include the enrolling parents' home address or work address.

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

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Documentation of the emergency contact information and agreement on file for child 1 and child 3 did not include a 6 month update.

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.

Regulation: 3290.131(a)/3290.131(a)(1)

Description: Within 60 days/Initial health report dated for infant < 3 months

Noncompliance Area: Documentation on file for child 2 did not include a health assessment.

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. The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Regulation: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: Documentation on file for child 3 did not include an updated health assessment.

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 child's record must contain initial and subsequent health reports.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: During the time of inspection, it was observed that a child did not wash their hands after a diaper change.

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

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: A written statement giving the formula and feeding schedule was not on file for child 2.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Documentation of the emergency evacuation plan on file did not include a continuity of care plan.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Documentation of an annual emergency drill was not on file.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the time of inspection, it was observed that a bottle of lysol was on top of the toilet accessible to children. The lysol was moved out of the reach of children during the 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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During the time of inspection, it was observed that the blankets that the children sleep on were 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: 3290.105(b)

Description: No bed linens alone

Noncompliance Area: During the time of inspection, it was observed that children were laying on blankets during nap.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Regulation: 3290.111(b)

Description: Posted in area used by parents

Noncompliance Area: During the time of inspection, it was observed that the written plan of daily activities was not posted in a conspicuous location. This was corrected during the inspection.

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

Regulation: 3290.111(c)/3290.112

Description: Promote development/Infant/Toddler Stimulation

Noncompliance Area: During the time of inspection, it was observed that the children in care watched TV for an hour and 45 minutes. When children attempted to play with the toys, they were told that it wasn't play time yet and were instructed to sit down and watch TV.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background. Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: During the time of inspection, it was observed that when the staff member left the living room to make lunch in the kitchen, the children were left alone and unsupervised. The staff member was not able to see the children in the living room from the kitchen.

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.

Regulation: 3290.123(a)(4)/3290.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: Documentation of the agreement on file for child 2 did not contain the child's arrival and departure times or the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: Documentation of the agreement on file for child 2 and child 3 did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3290.123(b)/3290.182(8)

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

Noncompliance Area: Documentation of the original agreement was on file for child 1, child 2 and child 3.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Documentation of the emergency contact information on file for child 2 did not include the name, address and 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.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Documentation of the emergency contact form on file for child 2 did not include the child's health insurance/MA coverage or the health insurance/MA policy number. The emergency contact information on file or child 3 did not include the health insurance/ MA 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: The emergency contact information on file for child 1 and child 2 did not include the release person's address. The emergency contact information on file for child 2 and child 3 did not include release person's phone number.

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(d)

Description: Written emergency plan posted

Noncompliance Area: During the time of inspection, the transportation plan was not posted in a conspicuous location. This was corrected during the inspection.

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: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Documentation of the emergency contact form on file for child 1 was updated more than 6 months of the original date. Documentation of the agreement on file for child 1 has not been updated within the last 6 months of the original date.

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.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Child 4 and child 5 did not have documentation of health reports on file.

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

Description: Immunization record/Immunization record

Noncompliance Area: Child 4 and child 5 did not have documentation of immunization records 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 may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: During the time of inspection, it was observed that the staff member used a wet wipe to wash the child's hands after a diaper change.

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

Regulation: 3290.135(b)

Description: Surfaces cleaned

Noncompliance Area: During the time of inspection, it was observed that the staff member changed a child's diaper on the carpet.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3290.135(e)

Description: Every 2 hours

Noncompliance Area: During the time of inspection, the certification representative observed a child's diaper not being checked during the inspection which lasted approximately two hours and forty five minutes.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: During the time of inspection, it was observed that during lunch, grapes and hot dogs were not cut for toddler aged children. Certification representative asked staff member 1 to cut the food for the children. Documentation of a shaken baby syndrome policy was not on file at the facility.

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

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: Child 4 and child 5 did not have an individual record on file and the facility.

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

Regulation: 3290.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: Staff member 1 stated that they don't complete accident reports when there is an injury or an illness involving a child in care at the facility, therefore there isn't an accident file at the facility. Staff member stated that the parents are contacted but reports aren't written.

Correction Required: A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the time of inspection, it was observed that the regional child care office contact information was not posted in a conspicuous location.

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(f)

Description: Emergency plan

Noncompliance Area: Documentation of the letter that parents receive that outlines the emergency procedures was not on file.

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: Documentation of 12 annual training hours was not on file for staff member 1.

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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the time of inspection, it was observed that an outlet cover was missing by the toys in the living room.

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

Regulation: 3290.72

Description: Emergency Numbers Posted

Noncompliance Area: The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the telephone. This was corrected during the inspection.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: During the time of inspection, it was observed that the first aid kit did not contain soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: During the time of inspection, it was observed that the cabinet door in the bathroom was broken and falling off of the hinges.

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: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During the time of inspection, it was observed that paint was peeling on the door between the dining room and living room and in the baseboard of the dining room.

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: Documentation of the fire drills on file showed that fire drills were conducted on 5/11/23 and again on 7/12/23 which is 62 days; 9/20/23 and again on 11/27/23 which is 68 days; 11/27/23 and again on 2/22/24 which is 87 days; 2/22/24 and again on 4/23/23 which is 61 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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the time of inspection, it was observed that evacuation routes were note posted in a conspicuous location 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: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: Documentation of testing the fire alarm system showed that the alarms weren't being tested every 30 days. The alarms were tested on 5/11/23 and again on 7/12/23 which is 62 days; 9/20/23 and again on 11/27/23 which is 68 days; 11/27/23 and again on 2/22/24 which is 87 days; 2/22/24 and again on 4/23/23 which is 61 days.

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.

Regulation: 3290.51

Description: Maximum Number of Children

Noncompliance Area: During an unannounced visit, it was observed that the owner was caring for seven unrelated children.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to either the legal entity or the staff person. At any one time, the related children of either the legal entity or the staff person, but not both, may be excluded in determining compliance with this section.

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: During an unannounced monitoring visit, it was observed that the fire detection system was not being tested every 30 days. The last documented test date was 6/20/23.

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.

Regulation: 3290.101(a)/3290.101(b)

Description: Age appropriate/Include 6 categories of development

Noncompliance Area: During the time of inspection, it was observed that there wasn't a sufficient amount and variety of play equipment and materials appropriate to the developmental needs, individual interests and ages of the children. There was a shelf of play equipment for the five children to use that included minimal number of blocks, toy cars, crayons, a few coloring pages and a play kitchen.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at §3290.101(c)(1) - (6).

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Documentation on file for child 1, child 2, child 3, child 4, and child 5 didn't include a child service report.

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)(5)

Description: Designated release persons

Noncompliance Area: Documentation of the agreement on file for child 4 didn't include 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.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Documentation of the agreement on file for child 3, child 4, and child 5 didn't include a admission date.

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

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: Documentation of the agreement on file for child 1, child 2, child 3, child 4 and child 5 didn't specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3290.123(b)/3290.182(8)

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

Noncompliance Area: Documentation of the agreement on file for child 1, child 2, child 3, child 4 and child 5 included the original agreements between the parent and the operator.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Documentation on file for child 1, child 2, child 4, and child 5 didn't include the enrolling parents work address or the enrolling parents 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)(5)

Description: Information re: disability

Noncompliance Area: Documentation on the emergency contact information on file for child 4 and child 5 didn't include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Documentation of the emergency contact information on file for child 4 and child 5 didn't include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: Documentation of the emergency contact information on file for child 4 and child 5 didn't include the name, address and telephone number of the individual 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.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Documentation of the emergency contact and financial agreement on file for child1 and child 2 didn't include a 6-month review.

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.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Documentation of health reports were not on file for child 1, child 2, child 3, child 4 and child 5.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: Documentation of the immunization record on file for child 1, child 2, child 3, child 4 and child 5 wasn't administered in accordance with the recommendations of the ACIP. Child 1 didn't have documentation of the flu vaccine. Child 2 didn't have documentation of the fifth dose of the HIB vaccine and the flu vaccine. Child 3 didn't have documentation of the fourth dose of the Hep B vaccine, the flu vaccine, and the third dose of the Hep A vaccine. Child 4 and child 5 didn't have documentation of fourth dose of the Hep B vaccine, the fifth dose of the HIB vaccine, the flu vaccine and the third dose of the HEP A vaccine.

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).

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: During the time of inspection, it was observed that the children did not wash their hands before lunch or after being diapered.

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

Regulation: 3290.135(b)

Description: Surfaces cleaned

Noncompliance Area: During the time of inspection, it was observed that the owner changed a diaper on a blanket that the child used to nap on.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3290.151(a)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Documentation of the health assessment on file for owner didn't include and updated health assessment.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3290.165

Description: Menus

Noncompliance Area: During the time of inspection, it was observed that the owner didn't have a general menu plan and told licensing representative that she makes up the menu as she goes.

Correction Required: The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Documentation of the Pennsylvania Health and Safety Update 2022 was not on file for owner.

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

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the time of inspection, it was observed that the current certificate of compliance was not posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

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: 3290.22(b)/3290.121(a)

Description: Availability of certificate of compliance and applicable regulations/Review policies and procedures

Noncompliance Area: During the time of inspection, the owner told licensing representative that she doesn't have documentation of the facilities daily general schedule, operating hours, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements and does not review any of these at the time of application. Owner also does not provide parents with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

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. The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: Documentation of the emergency plan being reviewed annually wasn't on file.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During the time of inspection, the owner couldn't provide documentation that an annual emergency drill was conducted.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: Documentation of sending the emergency plan to the local municipality was not on file.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Documentation of 12 annual clock hours of child care training was not on file.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the time of inspection, it was observed that there was a bottle of bleach located under the bathroom sink in an unlocked cabinet. It was also observed that there was a large plastic tub of joint compound located in the living room on the floor within reach of 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: 3290.73(c)

Description: Has all items

Noncompliance Area: During the time of inspection, it was observed that the first aid kit was missing soap and gloves.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: During the time of inspection, it was observed that there was a ceiling tile falling down in the bathroom and three ceiling tiles had significant water marks on them indicating a leak. Owner stated there was a leak that she was currently having fixed.

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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the time of inspection, it was observed that fire drills were not being completed once every 60 days. The fire drills that were completed since last renewal inspection was 7/5/22, 12/13/22, and 5/11/23.

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(b)

Description: Operator or designated staff responsibility

Noncompliance Area: During the time of inspection, it was observed that there was no documentation of the fire detection system being tested every thirty days.

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.

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement form for child number 4 and 5 did not list the fee amount to be paid.

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

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The agreement form for child number 4 and 5 did not list the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement form for child number 2, 3, 4, and 5 did not specify the child's arrival and departure times.

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

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The agreement form for child number 2, 3, 4, and 5 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.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement form for child number 1, 2, 3, 4, and 5 did not specify the date of the child's admission.

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

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: Child number 3, 4, and 5, did not have any emergency contact information listed.

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