Melissa A Solt Family Child Care Home

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: In the main play space, doll clothes measuring less than an inch were observed to be accessible to toddlers in care. Corrected on site by moving the clothing

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child #1 had a child service report completed on 9/1/24 and was not updated. Child #2 had a child service report completed on 6/7/24 and was not updated. Child #3 had a child service report completed on 12/20/23 and was not updated.

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: 3290.161(c)

Description: Potentially hazardous food refrigerated

Noncompliance Area: Perishable foods were observed in multiple lunch boxes that were not refrigerated. Ice packs were observed in the lunchboxes, however the perishable foods were not stored in the refrigerator.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 and #2 did not have a signed disclosure statement on file. Staff #1 and #2 may not work in a child care position until the disclosure statement is completed and on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 and #2 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work in a child care position at the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Fire detection testing was documented as completed greater than 30 days apart on the following occasions: 12/13/25-1/13/25, 1/13/25-2/19/25, 4/11/25-5/12/25, and 7/11/25-8/11/25

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: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: The outdoor climbing structure was observed to have loose screws that could be removed by hand at the top of the ladder. The screws were observed to be accessible to children.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: Agreement form for child #2 and #3 was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: Agreement form for child #1, #2, and #3 did not list persons to whom the child can be released.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Emergency contact form for child #1 was observed to be missing the address and phone number for the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact form for child #1 was observed to be missing the father's address and the mother and father's work address. Emergency contact form for child #4 was observed to be missing all information on the child's father.

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: Emergency contact form for child #4 was observed to be missing information on the child's disability.

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: Emergency contact form for child #1 and #4 was observed to be missing the child's health insurance policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Shaken baby policy on file was missing information on the recognition of potential signs/symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying/fussing/distraught child, and the prevention and identification of child maltreatment.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Fire detection testing was observed to be completed greater than 30 days on the following occasions: 10/16/23-11/29/23, 12/18/23-1/20/24, 2/16/24-3/20/24, 3/20/24-4/26/24, 6/18/24-7/24/24, and 8/13/24-9/17/24

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: 3290.18

Description: General Health and Safety

Noncompliance Area: Record for Staff #1 did not contain evidence of completion of the one-hour update required by 12/30/2022 for the Health and Safety Training.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Records for Children #2 and #3 did not contain the health insurance 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: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: Records for Child # 1 did not contain health assessments past the initial.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3290.131(e)

Description: Immunization record

Noncompliance Area: Records for Child #1 did not contain evidence of influenza vaccination in 2021, and no exemption was found in the file.

Correction Required: 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: 3290.102(f)

Description: No hazardous toys/equipment

Noncompliance Area: A Rock 'n Play, recalled in 2019, was observed at the facility, intended for the use of a child at the facility.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility.

Regulation: 3290.118

Description: Infant sleep position

Noncompliance Area: An infant was observed to be sleeping in a swing at the time of inspection. The swing does not allow for infants to be in the sleeping position recommended by the American Academy of Pediatrics, as infants are not flat on their backs while in use.

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: 3290.134(a)/3290.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: It was observed that children's hands were not washed after diaper changes, and staff person #1's hands were not washed between diapering each child.

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

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: On 9/28/21, the file of facility person #1 did not contain documentation of mandated reporter training within the past 60 months. Updated training dated 10/20/21 was later provided.

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

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: The proof of purchase of the facility's interconnected smoke detectors was not on file, as required under Act 62. A written affirmation statement was already on file at the time of inspection.

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.