Cradle With Care Daycare Llc

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: At the time of renewal emergency transportation plan was not observed posted in facility.

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: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Certification rep reviewed staff #1 record and observed adult health assessment did not include Tuberculosis screening by the Mantoux method at initial employment in record.

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.

Regulation: 3290.191

Description: Individual Records

Noncompliance Area: Certification rep observed Individual #1 in the childcare space during childcare hours without a complete record onsite.

Correction Required: An individual record is required for each facility person.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: Certification rep observed a copy of the emergency plan and subsequent plan updates was not sent to the local municipality and to the county emergency management agency.

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: 3290.52(1)

Description: No infants, five toddlers

Noncompliance Area: At the time of renewal, certification rep observed staff #1 working alone with 2 infants, 2 3-year-olds, 1 2-year-olds 1 4-year-old and one related 4-year-old child.

Correction Required: The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If no infants are in care, five toddlers are permitted.

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: During the renewal inspection last fire drill log observed in record was 1/24/24 and last fire detection testing 2/16/24.

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: 3290.151(c)(2)/3290.192(2)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: Certification rep reviewed staff #1 record and observed initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis not in record.

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.

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

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

Noncompliance Area: Certification rep reviewed staff #1 record and observed Pediatric first aid/ CPR in record expired 7/2023.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the renewal inspection certification rep observed all second, first and basement level smoke detectors were operable but did not interconnect with one another at the time of inspection.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of renewal inspection observed that rest equipment is not labeled.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: At the time of renewal inspection, agreements were not signed by the operator.

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

Regulation: 3290.124(b)(5)/3290.124(b)(6)

Description: Information re: disability/Insurance coverage information

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #2 and #3 did not include information on child's special needs; emergency contact information of child #2, #3, #4, and #5 did not include health insurance coverage and/or policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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. 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: At the time of the inspection, emergency contact information of child #3, #4, and #5 did not include the 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: At the time of renewal inspection emergency contact form and agreement of child #1 was not updated once in a 6 months period. Last updated was conducted on 7/4/22.

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(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: At the time of renewal inspection, immunization record of child #2 did not include influenza immunization recommended by ACIP, immunization record of child #3 did not include influenza immunization and rotavisrus recommended by ACIP. A letter of exemption was not observed in the file of child #2 and #3.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: At the time of renewal inspection observed that bottles were not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of renewal inspection, a policy and procedure of the prevention and identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. At the time of renewal inspection, file of staff person #1 did not include health and safety 1 hour professional development training updates required by OCDEL within the prescribed timeframe which is by December 30, 2022.

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

Regulation: 3290.181(d)

Description: Dated signature affixed

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #2 did not include a dated signature to the record.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of renewal inspection, a record of child #4 and #5 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: 3290.24(b)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection observed that the emergency plan was not reviewed and documented annually. Last review was conducted on 12/8/21.

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: At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: At the time of renewal inspection file of staff person #1 did not include verification that staff obtained an 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: 3290.92(a)

Description: Portable space heaters

Noncompliance Area: At the time of renewal inspection observed an operable portable space in a child care space that was not allowed by local ordinance. Portable heater was operating while children were in care.

Correction Required: Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions.

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: At the time of renewal inspection documentation of smoke detector testing of every 30 days was not observed.

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)).

Regulation: 3290.111(a)/3290.111(b)

Description: Written plan/Posted in area used by parents

Noncompliance Area: At the time of renewal inspection, a written plan of daily activities and routines were not established and posted in a traffic area used by parents.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of renewal inspection, emergency contact information of child #1 did not include the work address and phone number of the enrolling parent.

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

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: At the time of renewal inspection observed that a child care space doesn't have posting of a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: At the time of renewal inspection, immunization record of child #1 did not include influenza immunization recommended by ACIP. A letter of exemption was not observed in the file of child #1.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of renewal inspection, a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma and child maltreatment was not observed.

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

Regulation: 3290.22(a)/3290.22(b)

Description: Availability of certificate of compliance and applicable regulations/Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of renewal inspection, the operator did not provide verification that the parent of each child enrolled received information on how to access the regulations in this chapter electronically and instructions for contacting the appropriate regional child care office. Instructions for contacting Southeast OCDEL office were not posted near current certificate of compliance.

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. 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(g)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection observed that the operator did not send a copy of the emergency plan to the local municipality and to the county emergency management agency.

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: 3290.94(a)(1)/3290.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: At the time of renewal inspection observed that provider did not conducted fire drill every 60 days and a written record was not maintained.

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. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: At the time of renewal inspection on 12/6/21, an operating thermometer was not placed in the refrigerator.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3290.24(a)/3290.24(e)

Description: Emergency plan/Emergency plan

Noncompliance Area: At the time of initial inspection on 12/6/21, the facility did not have an emergency plan.

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

Regulation: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: At the time of initial inspection on 12/6/21 observed laundry utility sink, washer, and dryer located against the wall. Children will have an access to the washer/dryer, sink and the spaces in between where the children can reach the plugs and hoses. These areas require fencing/gates to restrict children from unsafe areas/condition.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: At the time of initial inspection on 12/6/21 observed toxic Lysol spray on the wire shelf located near the bathroom and was accessible to children posing a potential hazard.

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)(5)/3290.94(a)(6)

Description: Evacuation routes posted/Remove all persons in one trip

Noncompliance Area: At the time of renewal inspection on 12/6/21, the evacuation routes were not posted in a conspicuous location on each floor of the facility. The operator did not have evacuation plans that provide for the removal of all persons from the facility in a single trip.

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.The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation plans provide for the removal of all persons from the facility in a single trip.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection on 12/6/21, the operator did not provide documentation of proof of purchase and date of purchase of smoke detectors.

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.