Harkins family daycare

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: At approximately 10am it was observed that an infant was in a swing sleeping alone in the living room while the staff member was in the back room with an older toddler and a preschool age child.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Regulation: 3290.118

Description: Infant sleep position

Noncompliance Area: At approximately 10am it was observed that an infant was sleeping in a swing which is not the sleeping position recommended by the American Academy of Pediatrics.

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: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Child #1's file did not contain an initial health assessment within 60 days of enrollment.

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: 3290.135(b)

Description: Surfaces cleaned

Noncompliance Area: At approximately 11:15am staff #1 was observed changing a child's diaper on a blanket which could not be cleaned after each use.

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: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person/facility person #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 11/16/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child 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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the living room on the stand under the tv was hand sanitizer that stated keep out of reach of children accessible to children.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The fire alarm testing log contains the following dates 5/12/25-6/12/25 and 7/12/25-8/12/25 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 subsection (a) are met.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for child #1 and 5 did not contain the enrolling parent's work address or work telephone 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: The files for child #1, 2, and 5 did not contain the information on the child's special needs.

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(c)

Description: Excursions

Noncompliance Area: Emergency contact information specific to each child was not present in the vehicle when transporting children.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: A written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency was not conspicuously posted.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: Child #2's initial health assessment was dated 10/19/23 which is more than 60 days after date of enrollment(See LIS Code Sheet). Child #4's initial health assessment is dated 11/8/23 which is more than 60 days after date of enrollment(See LIS Code Sheet).

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(b)(1)/3290.181(c)

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

Noncompliance Area: Child #4's, a young toddler age child(See LIS Code Sheet), current health assessment is dated 11/8/23 which is more than 6 months ago.

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. 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(b)(2)/3290.181(c)

Description: Updated toddler/preschool health report: every 12 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Child #2's, a preschool age child(See LIS Code Sheet), two most recent health assessments are date 10/19/23 and 11/13/24 which are more than 12 months apart.

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 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(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: The immunization record on file for Child #4, a young toddler age child(See LIS Code Sheet), includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 4 HIB vaccines recommended by the ACIP for a child this age; and 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age, 0 of 1 MMR vaccines recommended by the ACIP for a child this age, and 0 of 1 Varicella vaccines recommended by the ACIP for a child this age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3290.173(c)

Description: Manufacturer's instructions used

Noncompliance Area: Manufacturer's instructions for use of safety restraints were not present in the vehicle.

Correction Required: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times.

Regulation: 3290.176

Description: Transportation First Aid Kit

Noncompliance Area: A first aid kit was not present in the vehicle when transporting children.

Correction Required: A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: In a drawer that was not locked next to the stove were sharp knives accessible to children.

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

Regulation: 3290.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: The files for child #1, 2, 3, 4, and 5 did not contain signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The two most recent dates documented for reviewing the emergency plan are 1/8/23 and 10/22/24 which are more than 12 months apart.

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 two most recent dates documented for Staff #1's emergency plan training are 1/8/23 and 10/22/24 which is more than 12 months apart.

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: 3290.24(e)

Description: Emergency plan

Noncompliance Area: The emergency plan was not posted in the facility at a conspicuous location.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: The letter provided to the parent of each enrolled child explaining the emergency procedures did not contain accommodations for infants, toddlers, children with disabilities, and child with chronic medical conditions.

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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the living room next to the couch was a pink power strip that was missing protective outlet covers accessible to children.

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: The bathroom cabinet under the sink was not locked and contain toxics accessible to children. In the bathroom next to the sink was a plug in Febreze air freshener that stated "keep out of reach on children" accessible to children.

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

Regulation: 3290.72

Description: Emergency Numbers Posted

Noncompliance Area: Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the telephones in the facility.

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: The facility's first aid kit was missing band aids and tape.

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: The wooden outside fence was splintered in multiple places accessible to children.

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 alarm testing log contained the following dates 2/1/24-3/3/24, 5/1/24-6/2/24, and 8/30/24-9/30/24 which are 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: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Agreement, in the file for Child #3, did not contain the fee amount.

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, in the file for Child #3, did not specify 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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The Emergency Contact form and Agreement, in the file for Child #1, did not contain documentation of parental review/update in a 6-month period. The Agreement, in the file for Child #2, did not contain documentation of parental review/update in a 6-month period.

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(c)

Description: Written and signed by physician, PA, CRNP.

Noncompliance Area: The Health Assessment, in the file for Child #3, did not contain the signature of a physician, physician's assistant, or CRNP, the title, or a date.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The Emergency Plan did not contain information pertaining to Continuity of Operations.

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

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: There were no protective receptacle covers in the three (3) electrical outlets, on the surge protector on the right wall, which were accessible to children 5 years of age or younger.

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

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: A Cane Corso dog had a rabies vaccine which expired in October of 2022.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Th Emergency Contact form, in the file for Child #1, did not contain the phone 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: 3290.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The Health Reports, in the file for Child #2 and Child #3, did not include a statement that the child is able to participate in childcare 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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Based on a conversation with the operator, a Shaken Baby Policy was not developed or implemented.

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

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Based on a conversation with the operator, information was not provided to the parent of each enrolled child with information on how to access the regulations electronically.

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.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The Emergency Plan did not address accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for Staff #1, did not contain 12 clock hours of childcare training, as only 8 clock hours were in the file.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: Six wooden, vertical fence slats, and three horizonal fence slats, with protruding screws and nails, in the back play area, were broken/splintered, which created a cutting/scraping hazard for children in care.

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: 3290.32(c)

Description: Convicted or awaiting trial

Noncompliance Area: As observed by two (2) certification representatives, Staff #1 permitted Individual #2, who was charged with physical violence and a felony, and pled guilty, to be present in the facility during the hours of operation. Based on the Provider Survey, this Child Care is open 24/7, which was submitted by Staff #1.

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Regulation: 3290.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: The outdoor play area contained an embedded swing/slide structure with wood mulch in some areas. The require 9" of mulch was not present under the embedded structure as a playground protective surface covering, as much of the dirt/mud was observed.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3290.123(a)/3290.182(8)

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

Noncompliance Area: There were no Agreements for Child #1, Child #2, Child #3, and Child #4.

Correction Required: An agreement shall be signed by the operator and the parent. 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(a)/3290.182(3)

Description: Each child emergency contact person/Consent for emergency medical care required prior to admission

Noncompliance Area: There were no Emergency Contact forms for Child #1, Child #2, Child #3, and Child #4.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: There were no Health Assessments for Child #1, Child #2, Child #3, and Child #4.

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: 3290.181(a)

Description: Each child

Noncompliance Area: There were no files for Child #1, Child #2, Child #3, and Child #4.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: As confirmed by the operator, no emergency drill has ever been conducted.

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

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: A protective receptacle cover was missing from the top outlet, on the blue wall, in the living room, and was accessible to children 5 years of age and younger.

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: Biofreeze, Water Clarifier/Tetra, Glofish Water Conditioner, and Quick Start Aquarium Cycle were located on a stand to the right of the fish aquarium, all of which stated, "Keep out of reach of children," and were accessible to children in care. Two (2) spray bottles of toxic cleaner were located outside on the deck floor, and were accessible to children in care. One (1) bottle of lighter fluid was located outside on a porch table, near the grill, and 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.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: According to the Fire Drill Log, and confirmed by the operator, a fire drill had not been conducted since 12.9.21.

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: Evacuation routes were not posted on the second story or basement levels of the house.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: According to the Fire Detection System Testing Log, the system had not been tested since 12.9.21.

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: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The initial health report in the file for Child #1 was conducted more than 90 days after the child's enrollment.

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

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

Noncompliance Area: The file for Staff Person #1 did not include an updated health assessment conducted within the past 24 months.

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: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: The facility's Emergency Plan did not include lockdown procedures or accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Some of the documented fire drills exceeded more than 60 days between drills: 7/1/21-9/2/21 and 9/2/21 - 11/28/21.

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)(4)

Description: Hypothetical locations

Noncompliance Area: The hypothetical location for was the same for each documented fire drill.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Some of the fire system checks documented in the fire drill log exceeded 30 days between checks: 7/10/21-8/10/21, 8/10/21-9/11/21, 9/11/21-10/12/21.

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: 3290.14(b)

Description: Building Codes

Noncompliance Area: In the city of Erie, occupancy permits expire annually. The operator did not take the necessary steps to renew the occupancy permit.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

Noncompliance Area: The most recent updated health reports in the file for Child #2, a preschool child, exceeded 12 months between reports. The most recent health report on file is current.

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.

Noncompliance Area: An infant feeding schedule provided by the parent was not in the file for Child #1, an infant.

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

Noncompliance Area: The NSOR Certificate in the file for Staff Person #1 was dated after the deadline of 7/1/20 required by the CPSL. The NSOR Certificate in the file for Staff Person #1 is current.

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: The file for Staff Person #1 did not include documentation of Mandated Reporter Training conducted within the past 60 months: 7/1/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Noncompliance Area: Observed three electrical outlets in the living room that lacked protective receptacle covers.

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

Noncompliance Area: The fire evacuation plan was not posted.

Correction Required: Fire evacuation plans shall be developed and posted.

Noncompliance Area: Based on review of the fire drill log, three fire drills had been conducted for the last full year prior to the date of the renewal inspection (11/13/20): 1/24/20, 6/1/20, 11/7/20.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: The most recent child service reports in the files for Child #1 through #4 exceeded six months between reports: 1/15/19-11/1/19. The first child service report in the file for Child #5 was dated more than 6 months after the child's first day in care: Enrolled: 1/15/19. First CSR: 11/1/19. The most recent Child Service Reports in the files for all five children are current.

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 most recent parental updates for the emergency contact forms and fee agreements in the files for Child #1 through #4 exceeded six months between updates: 1/15/19-11/1/19. The first parental update for the emergency contact form and fee agreement in the file for Child #5 was dated more than 6 months after the child's first day in care: Enrolled: 1/15/19. First updates: 11/1/19. The most recent parental updates in the files for all five children are current.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: The first-aid certification in the file for Staff Person #1 expired on 11/4/19. A recent first aid training, conducted on 11/17/2019 was from an online course, which does not meet the department requirement for in-person training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable. A facility person's record shall include records of training required by the Department.

Noncompliance Area: The First-aid certification for Staff Person #1 expired on 11/4/17. Since Staff Person #1 is the only staff person at the facility, one or more persons competent in first-aid techniques were not present at the facility when day care children were in care on 11/18/19.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: Observed one electrical outlet that lacked a protective receptacle cover near the couch in the living room.

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

Noncompliance Area: Observed flaking plaster on the wall opposite the windows in 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.

Noncompliance Area: The file for Child #3, who has been enrolled for more than 60 days, did not include an initial health assessment.

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

Noncompliance Area: The immunization record in the file for Child #1 did not include documentation of a flu shot within the past 12 months (2016). The immunization records in the file for Child #2 and Child #4 did not include documentation of any flu shots. Documentation for the following immunizations in the file for Child #2, an Older Toddler, are not in accordance with the schedule recommended by the ACIP: DTaP: 3rd and 4th doses, HiB: 3rd and/or 4th doses, PCV13: 3rd and 4th doses, IPV: 3rd dose, Rotavirus, 2nd dose. The file for Child #3, who has been enrolled for more than 60 days did not include an immunization record.

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 in the outdoor play space: wooden beams used for foundation for embedded equipment that had not been used were propped against the house, which created a possible toppling hazard, a concrete slab by the fence, which posed a possible tripping hazard.

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: The windows in the living room and front entrance lacked visual strips 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.

Noncompliance Area: An embedded play set consisting of swings and sliding boards was located in the back yard. The play set was not mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the US Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: Observed on the floor in the living room, two posting magnets, which measured less than one inch in diameter. This creates a potential choking hazard for children who may still be placing objects in their mouths.

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 for Staff Person #1 did not include an initial health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility. 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.

Noncompliance Area: The file for Staff Person #1 did not include an initial tuberculosis screening.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department. 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.

Noncompliance Area: The flat screen television in the living room was not secured to the stand. This creates a possible tipping hazard for children who may be in care.

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

Noncompliance Area: The facility did not have an emergency plan.

Correction Required: The facility shall have an emergency plan.

Noncompliance Area: Sections of the wooden fence surrounding the back yard were collapsing. Several nails were protruding inward where a section of fence was missing. A rose bush with thorns was observed near the left side of the fence. Sections of the aluminum storage shed in the back yard had rough, sharp rusty edges. A lawnmower, fire pits, a microwave oven, and broken fencing was present in the back yard.

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: The door which opens directly into the stairwell to the basement with no landing beyond the door did not have a lock which restricted the door from opening.

Correction Required: If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected.