Mother V Daycare Llc

Regulation: 3290.105(a)/3290.118

Description: Clean, age appropriate/Infant sleep position

Noncompliance Area: An elevated bouncy seat is being used for infant sleep in-lieu of appropriate rest equipment.

Correction Required: 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. 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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child service report have not been completed in the past six months for children # 1-5.

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 agreements on file for children #4 and #5 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)(4)/3290.182(5)

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

Noncompliance Area: The emergency contact information on file for children #2 and #4 did not contain signed written consent for emergency medical care. The files also did not include signed written consent for minor first-aid procedures by facility staff. The parent wrote n/a.

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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: An initial health report was not on file for child #5. The child has been enrolled for more than 60 days. (CORRECTED ON SITE)

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.

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: The health reports on file for children #1, #3, and #4 were past due to be updated. Child #1 (older toddler) - The health report on file was more than a year old (dated 5/2024). Child #3 (preschooler) - The health report on file was more than a year old (dated 11/2023). Child #4 (preschooler) - The health report on file was more than a year old (dated 9/2023).

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.

Regulation: 3290.131(e)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #5 has been enrolled for more than 60 days. The child's record did not include documentation that the child was administered immunizations in accordance with the ACIP guidelines. The record did not include documentation of the Hepatitis A immunization. The facility had not implemented dismissal policies in accordance with the Department of Health regulation in 28 PA Code § 27.77. (CORRECTED ON SITE)

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. 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: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: A child's hands were not washed after a diaper change.

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

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: The facility did not have a written statement from the parent giving the formula and feeding schedule for the enrolled infant.

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

Regulation: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: Unlabeled bottles were observed at the facility.

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

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility's current certificate of compliance was not posted at the facility. (CORRECTED ON SITE)

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.

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: According to the log on file at the time of inspection, more than 30 days lapsed between the following manual tests of the fire detection system: 3/22/25 to 4/23/25, 5/23/25 to 6/23/25, 7/20/25 to 9/11/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). To verify operability, a family child care home shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The child service reports were not complete for children 3 and 4 (ex. only a portion of the form completed).

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 agreement on file for child 3 did not specify the persons 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.