Monica Grants Day Care

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement form for Child #3 lacked the date of the child's admission.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form for Child #1 and Child #2 lacked the work address and work phone number for 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(e)/3290.181(c)

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

Noncompliance Area: The most recent emergency contact review on file for Child #1 is dated 2/16/25, more than 6 months prior to the date of inspection. The most recent emergency contact review on file for Child #2 is dated 12/13/24, more than 6 months prior to the date of inspection. The most recent emergency contact review on file for Child #5 is dated 1/2/25, more than 6 months prior to the date of inspection.

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

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The file for Child #2, enrolled more than 60 days, lacked an initial health report form. The file for Child #3 and Child #4 contained a health report form dated 12/26/25, more than 60 days after the child's admission date. (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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent agreement form review on file for Child #1 is dated 2/16/25, more than 6 months prior to the date of inspection. The most recent agreement form review on file for Child #2 is dated 1/28/25, more than 6 months prior to the date of inspection. The most recent agreement form review on file for Child #5 is dated 1/27/25, more than 6 months prior to the date of inspection.

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.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: The facility's 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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The most recent alarm test documented on the facility's fire detection log is dated 12/5/25, more than 30 days prior to the date 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 subsection (a) are met.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: The agreement form for child #3 was not signed by the operator.

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

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement forms for Child #3 and Child #4 lacked a 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 forms for Child #3 and Child #4 lacked a date for the fee to be paid.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The agreement form for Child #3 did not specify services to be provided to the family and the child.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The agreement form 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. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact form for Child #2 lacked the address of the child's physician. The emergency contact form for Child #3 and Child #4 lacked the address and phone number of 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: The emergency contact form for Child #2 lacked the work address and work phone number for 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(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The emergency contact form for Child #2, Child #4, and Child #5 lacked a signature for parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for Child #3 and Child #4 lacked 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form for Child #2 and Child #3 lacked the address of the release persons. The emergency contact form for Child #3 lacked the phone number of the release persons.

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 for Child #1 and Child #5 contained emergency contact forms that were not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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(b)(2)/3290.182(1)

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

Noncompliance Area: The file for Child #1, an older toddler, contained a health report form dated 12/5/23, more than 12 months prior. The file for Child #5, a preschooler, contained a health report form dated 10/3/22, more than 12 months prior.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3290.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health report form for Child #5 did not identify if 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: The facility's emergency plan did not contain a policy regarding Continuity of Operations.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file for Child #1, Child #2, and Child #5 contained an agreement form that was not updated within 6 months of the previous update. (SEE LIS CODE SHEET)

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.

Regulation: 3290.182(5)

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

Noncompliance Area: The emergency contact form for Child #2, Child #4, and Child #5 lacked signed parent 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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The most recent emergency drill log on file at the facility is dated 4/3/23, more than 12 months prior.

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

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: The facility's first aid kit lacked tweezers, scissors, and soap.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The two most recent dates documented on the facility's fire detection log were 12/12/24 and 1/14/25, 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: 3290.103

Description: Small Toys and Objects

Noncompliance Area: In the main childcare space, silver and purple beads (less than 1 inch in diameter) were observed in the art drawers and accessible to children still 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.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the main childcare space, a surge protector was observed without outlet covers and 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: In an unlocked cabinet under the bathroom sink, Eucerin Baby Cream, Lysol Toilet Bowl Cleaner, Purrell Hand Sanitizer, and CBD Gummies were observed and 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: 3290.14(b)

Description: Building Codes

Noncompliance Area: On 1/30/24, child #1 and child #2, who are under the age of 2.5 years, were observed in care. The facility's Certificate of Occupancy includes the following permitted use restriction; Up to six children ages 2.5 and older, operating Monday through Friday 7:00AM to 6:00PM.

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.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for child #3 did not contain a current child service report. The files for children #2 and #4 contained service reports dated more than 6 months apart but are current at tis time.

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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact form for child #5 did not include the 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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The emergency contact form and agreement for child #3 have not been reviewed and signed by the parent in the last 6 months. The emergency contact forms and agreements for children #1, #2, and #4 were updated late, but are current now.

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(b)(2)/3290.182(1)

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

Noncompliance Area: The file for child #5 does not contain a current health report. The files for children #3 and #4 contained health reports which were conducted late, but are now 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.

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 #1 contained an expired health assessment.

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

Description: Emergency plan

Noncompliance Area: Documentation of submitting the emergency plan to the local municipality and to the county emergency management agency was not presented for review during the inspection. Changes were made to the plan in 2023.

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

Regulation: 3290.31(f)(1)(iii)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for staff #1 lacks 2 hours of annual training. The file contained 10 of the 12 required annual training hours completed between 12/31/22 and 12/31/23.

Correction Required: Training conducted in conferences or workshops is acceptable and may count toward the annual requirement for 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An electrical outlet accessible to children 5 years of age or younger lacked a protective cover. The outlet was located near the baseboard, under the TV, in the main child care room.

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

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted on the basement floor or top floor.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Documentation of the 30 day tests of the fire alarm system indicated multiple consecutive tests were conducted more than 30 days apart between March 2023 and January 2024.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility's three smoke detectors were not fully interconnected. During the demonstration, the units on the main floor and the top floor alerted together, however the basement unit did not. The basement unit did alert on its own.

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)(3)

Description: Services provided

Noncompliance Area: The files for children #2 and #5 contained service reports which lacked documentation of being shared with the parent.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for child #1 contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #2 contained an emergency contact form which did not include the work addresses and telephone 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(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #4 contained an emergency contact form which did not include 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child #4 contained an emergency contact form which did not include the phone number of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The file for child #2 contained an emergency contact form and agreement last updated on 1/03/22. The file for child #5 contained an emergency contact form and agreement last updated on 9/20/21. The file for child #3 contained an agreement last updated on 1/24/20.

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.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The file for child #1, enrolled for over 60 days, did not contain a health report.

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)(2)/3290.182(1)

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

Noncompliance Area: The files for children #3 and #5, both preschool age, contained health reports which have not been updated in over 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3290.131(c)

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

Noncompliance Area: The file for child #2 contained a health report which was not signed by a physician, physician's assistant or a CRNP. The health report was dated 3/15/22.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #2 contained an immunization record which lacked documentation of receiving the influenza vaccine in 2022. A written exemption was not on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility did not have a written policy for prevention of shaken baby syndrome, abusive head trauma and maltreatment of children as required by Announcement C-22-03.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan did not include details regarding continuity of operations as required in Announcement C-22-04.

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

Regulation: 3290.182(5)

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

Noncompliance Area: The file for child #3 did not contain a signature for 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: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility' emergency plan did not include 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 of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of conducting an emergency drill in 2021 or 2022.

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: The file for staff #1 contained 10 hours of annual training completed between 12/19/21 and 12/19/22 and 2 hours of training completed after 12/19/22. Hours of training are now current.

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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: An open bag of ice melt was observed on the porch near the steps.

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)(4)

Description: Hypothetical locations

Noncompliance Area: The same hypothetical location was documented for consecutive fire drills conducted on 11/28/22 and 12/05/22.

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: Based on the facility's 30-day test log, the last documented test of the smoke detectors occurred 12/22/22.

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.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The child file for Child #1 contained a financial agreement form that lacked the name(s) of the person(s) designated by the parent to whom the child may be released to.

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

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The child file for Child #1 contained an emergency contact information form that lacked the addresses for two of the designated release persons listed.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Staff person #1 self reported that an annual emergency drill had not been conducted for 2021.

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

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

Description: Age and training/Verification of professional development shall be kept in facility person's file

Noncompliance Area: The staff file for Staff person #1 lacked documentation of having completed pediatric first-aid and CPR.

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. All staff persons shall complete the professional development under subsection (g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department.

Regulation: 3290.32(d)

Description: Age and training

Noncompliance Area: At time of inspection Staff person #1, who was the only person on site with four children in care, did not have a current certificate of pediatric first-aid and CPR.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the kitchen cleaning products labeled "Keep Away/Out of Reach of Children" were observed to be stored in an unlocked cabinet underneath the kitchen sink. A lock was observed on the cabinet door however at time of inspection the lock was not in use allowing the toxics to be 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: 3290.74(a)

Description: Requirements

Noncompliance Area: Downstairs in the basement, in the child care playroom that contains all the children's toys that the children play with, the baseboard heater was observed to have a detached metal piece exposing sharp edges causing a safety hazard. In the TV room where children spend time in care, an electrical plate and outlet located to the left of the TV stand, and accessible to the children in care, was observed to be partially detached from the wall causing a safety 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.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Downstairs in the basement, in the child care playroom that contains all the children's toys that the children play with, damaged plaster was observed along the base of the chalkboard painted wall.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon review of the fire drill log, it was observed that the fire drills that occurred on 4/10/21 and 8/11/21 were conducted more than 60 days.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Upon review of the 30 day fire system test log, it was observed that the fire system tests conducted on 4/10/21 and 8/11/21 were 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.

Noncompliance Area: The child file for Child #1, who has been enrolled in care since 9/8/18, lacked completed and updated child service reports on file at least once in a 6 month period; the date of the only completed child service report on file was dated 11/25/19. The Child file for child #2, who has been enrolled in care since 5/13/19, lacked a child service report. The child file for Child #3, who has been enrolled in care since 6/17/19, contained a child service report on file however it was not dated thus making it difficult to determine if the child service report was completed within the 6 month time frame.

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 child file for Child #1, Child #2, and Child #3 contained a financial agreement form that lacked the name(s) of the person(s) designated by a parent to whom the child may be released.

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

Noncompliance Area: The child file for Child #2 contained an emergency contact information form that lacked the addresses of four of the individuals designated by the parent to whom the child may be released to. The child file for Child #3 and Child #4 contained an emergency contact information form that lacked the address of one of the individuals designated by the parent to whom the child may be released to.

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 child file for Child #2, who has been enrolled in care since 5/13/19, contained an initial health report dated 11/7/19 which was more than 60 days following the first day of attendance at the facility.

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 child file for Child #1, who is a an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 11/19/17. The child file for Child #4, who is a preschool aged child, contained a copy of their immunization status which lacked an annual influenza vaccination as 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: At approximately 10:05am the operator was observed to have given a snack to Child #1 and the child began consuming the snack without having his hands washed prior to being given the snack to eat.

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

Noncompliance Area: The child file for Child #1 contained a financial agreement and an emergency contact information form that were reviewed by the parent however one of the dates in which the forms were to have been reviewed was unreadable making it difficult to determine when the forms were reviewed and if they were reviewed at least once in a 6 month period.

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. 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.

Noncompliance Area: There was no documentation in writing that the facility's emergency plan was reviewed by the operator in 2019 as evidence by the facility only having documentation of the current emergency plan dated 1/1/20.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: Downstairs in the basement, in the child care playroom, a protective receptacle cover was observed to be missing from the following electrical outlets accessible to children 5 years of age or younger: the electrical outlet located on the wall underneath the window and the electrical outlet on the wall to the right of the doorway.

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

Noncompliance Area: In the kitchen the following cleaning products labeled "Keep Away/Out of Reach of Children" were observed to be stored in an unlocked cabinet underneath the kitchen sink; a bottle of Clorox a bottle of Lysol, a can of Raid, and a bottle of rug cleaner. A lock was observed on the cabinet door however at time of inspection the lock was not in use allowing the toxics to be 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: Downstairs in the basement, in the child care playroom that contains all the children's toys that the children play with, a single light bulb fixture on the ceiling which is used to provide sufficient light in the playroom was observed to not be operable as evidence by the fixture was hanging from the ceiling, by the electrical wires, and when the light switch was turned to 'ON' the light did not illuminate causing the playroom to have insufficient lighting, both natural and artificial, for the children to be able to see while using the playroom causing a safety hazard. Staff person #1 self reported that the light fixture in the playroom has not been operating since around Halloween time back in October 2019 when a child who was in care at the time broke the fixture.

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: A handgun located on the second floor of the residence was observed to not be contained in a locked cabinet; the handgun was inside a portable secured lock box case that was kept stored underneath a bedroom night stand.

Correction Required: If the facility is located in a residence, weapons and firearms shall be contained in a locked cabinet.

Noncompliance Area: Ammunition located on the second floor of the residence was observed to not be contained in a locked area separate from the handgun present at the facility; the ammunition was observed to be stored in a separate box underneath a bedroom night stand next to the portable secured lock box case that contained the handgun.

Correction Required: If the facility is located in a residence, ammunition shall be contained in a locked area separate from weapons and firearms.

Noncompliance Area: The child file for child #1, #2, #3, #4, and #5 contained a financial agreement and emergency contact information form that were not reviewed and updated, at least once in a 6-month period, by the parent. The date of last review and update by the parent was 7/1/18.

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: Outside in the front yard one of the metal bars on the dome climber was observed to be missing a screw allowing the metal bar to be semi detached causing the play equipment to not be in good repair.

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: Outside in the front yard a dome climber used by the children was observed to be embedded and not mounted over a loose-fill or unitary playground protective surface covering as required by the United States 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: Toys were observe to be present in a Pack 'n Play playard while an infant was sleeping in the playard.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: The child file for child #1 contained an emergency contact information form that lacked the health insurance coverage and policy number for 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.

Noncompliance Area: The child file for child #2 contained an emergency contact information form that lacked 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.

Noncompliance Area: The facility lacked a written feeding schedule from the parents of infant child #1 and infant child #3.

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

Noncompliance Area: Bottles for infant child #1 were observed to not be labeled with the infant child's name.

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

Noncompliance Area: The child file for child #1 contained an emergency contact information form that lacked signed parental consent for emergency medical care for the child.

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.

Noncompliance Area: The child file for child #1 contained an emergency contact information form that lacked 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.

Noncompliance Area: The staff file for staff person #1 lacked proof of education on file.

Correction Required: The operator shall have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department at the time of registration renewal.

Noncompliance Area: Outside in the front yard where children play the following spray bottles labeled 'Keep Out of Reach of Children' were observed on the patio table in the yard accessible to children: Triazicide insect killer, Cutter backyard bug control and a degreaser.

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: In the office a portion of the ceiling was observed to be cut out due to water damage and replaced with temporary dry wall to cover the opening however the temporary dry wall was observed to not be securely attached to the ceiling causing the ceiling to not be in good repair.

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: A Pack 'N Play Playard was observed to lack the name of the child for whom it is used by.

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: At approximately 9:30am Child #1 was observed to be asleep in a car seat. Child #1 remained asleep in the car seat until approximately 9:48am once it was brought to Staff person #1's attention. Staff person #1 stated that the child was brought into the facility asleep in the car seat and staff person #1 decided to leave the child in the car seat as to not wake him. There is no medical reason documented on file by child #1's pediatrician that indicates the child should not be placed in the recommended sleeping position 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.

Noncompliance Area: The child file for child #3, who has an enrollment date 1/20/16, and child #4, who has an enrollment date of 8/6/15, lacked completed child service reports every 6 months. Child service reports were on file for child #3 and #4 but lacked a date in which they were completed. The child file for child #5, who has an enrollment date of 3/7/16, contained child service reports that were not completed every 6 months. The child service report dates on file were 2/22/17 and 1/3/18. The child file for child #6, who has an enrollment date of 1/5/15, lacked child service reports.

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 child file for child #1 contained a financial agreement form that lacked the child's admission date.

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