Melissa Ebersole Family Child Care Home

Regulation: 3290.115(a)(2)

Description: Above-ground pool inaccessible

Noncompliance Area: Observed a hot tub, near the outdoor play area used by children, which had a protective top cover which was not locked.

Correction Required: An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Regulation: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: Observed child file #1 and #2 did not contain updated written verification of ongoing vaccines administered to an infant, toddler or preschool child 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: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed staff file #1 contained updated mandated reporter training which was completed more than 60 months after the previous valid mandated reporter training (8/6/20 and 4/29/26). Observed staff file #1 contained a criminal background check receipt and not the actual criminal background certified clearance.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Observed at the time of the inspection, the fire alarms were operable but were not operating interconnected on both floors of the facility.

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: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Observed the agreement for child #3 did not specify the date of the child's admission.

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

Regulation: 3290.123(b)

Description: Parent receives original

Noncompliance Area: Observed child files #1, #2, #3, #4, and #5 contained original agreements.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Observed child file #1 did not contain the correct health insurance coverage and policy number for the child.

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: 3290.166(1)

Description: Written statement

Noncompliance Area: Observed the facility did not have a specific infant and formula feeding schedule from the parent for an infant receiving care.

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

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Observed the emergency contact form for child #2 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full address 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: 3290.115(a)(2)

Description: Above-ground pool inaccessible

Noncompliance Area: Observed the aboveground swimming pool was not made inaccessible due to the fact the gate lacked a lock. At the time of the observation, no lock or locking mechanism was on the gate latch.

Correction Required: An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file of child #1 lacked an emergency contact form with the name of the child's physician or source of medical care.

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

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full address 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: The file of child #2 lacked documentation of parent reviewing the emergency contact form and financial agreement every 6 months due to the fact the last date on file was 9/2022.

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: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file of staff #1 lacked documentation of completing the annual minimum of 12 clock hours of child care training.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The smoke detection system was not tested every 30 days due to the fact the dates listed on the log were 3-18-22 and 4-18-22.

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.

Noncompliance Area: The files of Children #1, #3, and #4 lacked a Child Service Report updated every 6 months. Child #1 with an admission date of 1/16/17 had Child Service Reports dated 12/15/19, 1/4/20, and 6/3/20. Child #3 had a Child Service Report dated 1/4/19. Child #4 had a Child Service Report dated 12/4/19 with the previous one dated 1/18/19.

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: The file of Child #5 lacked the telephone number of the child's physician or source of medical care on the 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: The files of Children #1, #3, and #4 lacked a reviewed and updated emergency contact form and financial agreement which should have been reviewed at least once in a 6-month period. Child #1 had an emergency contact form reviewed on 6/3/20 with a previous review on 6/4/19. Child #1 had a financial agreement reviewed on 6/4/19, 1/6/20, and 6/3/20. Child #3 had an emergency contact form reviewed on 6/3/20 with a previous review on 1/4/19. Child #3 had a financial agreement reviewed on 6/4/19, 1/6/20, and 6/3/20. Child #4 had an emergency contact form and financial agreement reviewed on 2/2/19, 12/4/19, and 6/21/20.

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: The file of Child #2 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #2 had a start date of 9/16/19 with an initial health report dated 12/13/19.

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: The file of Child #2 lacked a current influenza immunization 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.

Noncompliance Area: Staff #1 lacked verification of the mandated reporter training renewed every 5 years. Staff #1 had documentation of mandated reporter training completed on 6/29/15.

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: Observed stones with a diameter of less than 1 inch at the back of the deck which were accessible to children because the fencing is loose.

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.

Noncompliance Area: The file of Child #1 lacked a Child Service Report updated every 6 months. The file of Child #1 contained a Child Service Report dated 1/4/19 with a previous one dated 12/5/18. Child #1 had an admission date of 8/8/16.

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: The file of Child #1 lacked the child's arrival and departure times on the agreement.

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

Noncompliance Area: The file of Child #1 lacked the persons designated by a parent to whom the child may be released on the agreement.

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

Noncompliance Area: The file of Child #3 lacked the telephone number of the individual designated by the parent to whom the child may be released 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: The file of Child #1 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #1 contained a health report dated 5/4/18 with a previous one dated 10/13/16.

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.

Noncompliance Area: The file of Child #5 lacked Hepatitis B immunizations in accordance with the schedule recommended by the ACIP. The file of Child #5 lacked the 4th Pneumococcal immunization in accordance with the schedule recommended by the ACIP. The file of Child #5 lacked the MMR and Varicella Immunizations in accordance with the schedule recommended by the ACIP. The file of Child #5 lacked the 2nd Hepatitis A immunization 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.

Noncompliance Area: Observed cracked vinyl siding at the bottom of the house beside the deck creating rough edges in the outdoor play space.

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.

Noncompliance Area: Observed torn rest equipment with exposed foam. Observed a blue, white, green, and pink house with a cracked faucet and knobs creating rough edges in the outdoor play space.

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

Noncompliance Area: Observed stones with a diameter of less than 1 inch under the deck which were accessible to children in care in the outdoor play space.

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.

Noncompliance Area: Observed a pack 'n play which was not labeled for the use of a specific child and used only by the specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The files of Children #3 and #4 lacked the amount of the fee to be charged per day or per week on the agreement.

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

Noncompliance Area: The files of Children #2 and #3 lacked Child Service Reports completed and updated every 6 months. The file of Child #2 contained a Child Service Report dated 12/15/17 with a previous one dated 5/18/17. The file of Child #3 contained a Child Service Report dated 12/15/17 with a previous one dated 2/8/17.

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: The file of Child #3 lacked the arrival and departure times on the agreement.

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

Noncompliance Area: The files of Children #1 and #3 lacked the persons designated by a parent to whom the child may be released on the agreement.

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

Noncompliance Area: The files of Children #1, #2, #3, #4, and #5 contained the original copies of the agreement The facility did not make a copy for the files and give the original to the parent.

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

Noncompliance Area: The file of Child #2 lacked the complete work address of the enrolling parent 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: The file of Child #2 lacked the telephone number of the individual designated by the parent to whom the child may be released 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: The files of Children #2, #3, and #5 lacked a health report at least every 6 months for an infant or young toddler. The file of Child #2 contained a health report dated 8/8/17 with a previous one dated 11/28/16. The file of Child #3 contained a health report dated 3/12/18 with a previous one dated 2/8/17. The file of Child #5 contained a health report dated 8/11/17.

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

Noncompliance Area: The file of Child #3 lacked a statement on the health report that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: 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: The facility lacked a plastic-lined, hands-free covered can in the diaper changing area.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The facility lacked a written statement giving the formula and feeding schedule for an infant from the parent.

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

Noncompliance Area: Observed electrical cords by the sofa and end table and the electrical cord to the baby swing which were not secured creating a potential strangulation hazard in the living room. Observed knives in a butcher block holder on the kitchen countertop to the left of the stove which were accessible to children.

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

Noncompliance Area: Observed Body Wash, Head 'N Shoulders, and Garnier Fructis Damage Eraser in the bathroom shower which were accessible to children in care. Observed Airwick Plug-In to the left of the bathroom sink which was accessible to children in care.

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: Observed windows in the living room which were not modified or 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.

Noncompliance Area: Observed landscaping stones with a diameter of less than 1 inch in diameter under the pool deck which were accessible to children who are still placing objects in their mouth. The area under the pool deck is accessible from the outdoor play space.

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.

Noncompliance Area: Observed an infant in care which lacked a suitable rest equipment for napping. The infant is placed in a swing for napping and lacked a statement with a medical reason signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

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.

Noncompliance Area: The file for child #2 lacked the services to be provided to the family and the child on the agreement form. The file for child #2, with an admission date in 08/2016 lacked information on the child's growth and development every 6 months; a child service report on file was completed on 04/23/2017.

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: The file for child #3 lacked the child's departure time on the agreement form.

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

Noncompliance Area: The files for children #1 and #3 lacked the names of the persons designated by a parent to whom the child may be released on the agreement form.

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

Noncompliance Area: The files for children #1 and #3 lacked the telephone number of child's physician or source of medical care on the emergency contact form. The file for child #5 lacked the complete address of the child's physician or source of medical care on the 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: The file for child #5 lacked the work telephone number of the enrolling parent 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: The files for children #1, #3 and #5 lacked the complete address of the individuals designated by the parent to whom the child may be released 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: The file for child #2, with an enrollment date in 08/2016, lacked a review of the emergency contact and financial agreement forms every 6 months; a recent review was documented on 04/03/2017. The for child #5, lacked a review of the emergency contact and financial agreement form every 6 months; a recent review was documented on 05/15/2017 with a previous review dated 10/16/2016.

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

Noncompliance Area: The file for child #5 lacked an updated health report at least every 12 months for a preschool child; the most recent health report on file is dated 07/17/2015.

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.

Noncompliance Area: The files for children #3, #4 and #5 lacked a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease on the health report.

Correction Required: 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: The file for child #3 lacked a copy of the child's immunization record on the health report.

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.

Noncompliance Area: The file for staff person #1 and individuals #6, #7 and #8 lacked a copy of the disclosure statement as required under the CPSL.

Correction Required: 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: The facility lacked a posting with instructions for contacting the appropriate regional day care office in a conspicuous location used by parents.

Correction Required: The facility's current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: Observed shampoo, conditioner, body wash and other bath items in the bathtub which were accessible in the bathroom used by the children in care.

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: Observed lighters in an unlocked drawer located in the kitchen.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: The first-aid kit lacked 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.

Noncompliance Area: Observed full panel glass doors located in the dining room which lacked a visual strip or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.