Ms Leslies Family Childcare

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: During the renewal inspection conducted 2/24/25, upon request there was no verification available for review to verify the facility notified local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group childcare facility.

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the renewal inspection conducted 2/24/25, there were no evacuation routes posted in a conspicuous location on each floor of the facility.

Correction Required: The primary staff person 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: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During the renewal inspection period, Certification Representative reviewed the file for child #4. The file did not contain verification of the Department's approved form to provide information to the family about the child's growth and development.

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 § 3280.124(f).

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection period, Certification Representative reviewed the files for child #1, #2, #3, #4, and #5. The files did not contain verification that the financial agreement was updated 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.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: During the renewal inspection period, Certification Representative reviewed the files for staff person #1 and #2. The files did not contain verification of two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: During the renewal inspection period, Certification Representative reviewed the file for staff person #2. The file did not contain verification of an annual 12 clock hours of childcare training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training.

Noncompliance Area: Operator has a cat but does not have current rabies certificate on file.

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.

Noncompliance Area: Child #1 has a health report but current immunizations are not attached.

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

Noncompliance Area: Children # 1, 2, & 3 do not have complete required physician info on their emergency contact forms

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

Noncompliance Area: Child #3 does not have health insurance policy number on their emergency contact form.

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: Children # 1, 2, & 3 do not have complete required info for release persons on their emergency contact forms.

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: Staff person #1 has a physical that does not address communicable diseases nor suitability to work in child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months. (#2)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all children's records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: The facility did not obtain from the parent a written formula and feeding schedule for an infant. (#3)

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Obtain from the parent a written formula and feeding schedule for the identified child. Ensure that written formula and feeding schedules are obtained from the parent of all enrolled infants.

Noncompliance Area: One facility person's record did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. (#4)

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Obtain and submit the required written references as specified for the identified staff person. Ensure that all facility staff records contain written references as specified.

Noncompliance Area: One staff person's record did not contain written verification of annual minimum 6 hours of child care training. (#1, #2 and #4)

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. Obtain and submit written verification of annual minimum 6 hours of child care training for the identified staff person.

Noncompliance Area: One staff person's record did not contain written verification of education and/or experience for their primary staff position. (#3)

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. Obtain and submit written verification of education for the indicated staff person.

Noncompliance Area: On 3/2/2018, at approximately 2pm, two staff persons (#1 and #2) were observed caring for a mixed-age group of 7 infants (birth -12 months) (young and older toddlers (one and two year olds) and preschool age ( 3 years -1st day of K) in the lower level child care space. At approximately 3;30pm, staff person #1 was observed caring for a mixed age group of 7 young/older toddlers/preschool age children in the lower level. Staff person #3 verified the ages of the children.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 12; Young toddlers 1:5 with a maximum group size of 12; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 12; Young school-age children 1:12 with a maximum group size of 12; Older school-age children 1:15 with a maximum group size of 15. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b). The legal entity must arrange for all facility staff to receive 2 hours of staff/child ratio training (hands-on/in-person) through the PA Key to include understanding mixed-age groupings. Submit written verification of the completed training for all facility staff persons.

Noncompliance Area: Children were observed napping in the upper and lower level classroom and there was not at least 2 feet of space on three sides of the cots.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use. Ensure that there is 2 feet of space on three sides of resting equipment when in use. Notify all staff of this requirement and submit written notification that includes the signature of each staff person.

Noncompliance Area: Two children's records did not contain a child service report that had been completed within the past 6 months. (#3 and #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 3280.124(f). Complete and submit a cpy of the current up-to-date child service report for the indicated children. Revise and submit written policies and procedures regarding the completion of child service reports to ensure ongoing compliance.

Noncompliance Area: One child's emergency contact information did not include the health insurance policy number. (#1, #3 and #4)

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. Obtain the health insurance policy number for the identified child. Ensure that all childrens records include the health insurance information as specified in this regulation.

Noncompliance Area: Children were observed being cared for in the lowel level classroom and their emergency contact information was not present in the classroom.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. Ensure that emergency contact information is present in all child care spaces in which children are receiving care.

Noncompliance Area: The facility's written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in each child care space

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Post the plan in each classroom and ensure that it that it accompanies staff persons who leave on excursions with children.

Noncompliance Area: Two children have been enrolled for more than 60 days and their record did not contain a current, up-to-date health report. They only contained immunization records (#1)-enrolled for more than 6 months) (#3- enrolled for more than 1 year)

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. Obtain and submit a current up-to-date health report for the indicated children. Revise written policies and procedures to ensure that children's initial health reports are completed and provided as specified in this regulations. Submit a written copy of the revised policies and procedures.

Noncompliance Area: One child's record did not contain a health report completed within the past 6 months. (#3)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that all childrens records include a current up-to-date health report as specified in this regulation.

Noncompliance Area: Several children's records did not contain emergency contact and/or financial agreement information that had been reviewed and updated within the past 6 months. (#1, #3, #4 and #5)

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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Revise and submit written policies and procedures to ensure that childrens emergency contact and financial agreement information is updated at least every 6 months or as soon as the information changes.

Noncompliance Area: Several children's records did not contain signed parental consent for emergency medical care and/or for administration of minor first-aid procedures by facility staff. (#1, #2, #3, #4 and #5)

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. Obtain and submit written verification of signed parental consents for the identified children as specified in the regulation. Ensure that all children's records contain the required parental consents prior to admission.

Noncompliance Area: One staff person's record did not contain verification of age. (#1and #4).

Correction Required: A facility person`s record shall include verification of age. Obtain and submit written verification of age for the identified staff persons. Ensure that all facility staff records contain written verification of age.

Noncompliance Area: There was no written documentation verifying the annual review of the emergency plan.

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 and kept on file at the facility. Review the emergency plan and submit written documentation for verification.

Noncompliance Area: One staff person's record did not contain written verification of annual emergency plan training.

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. Obtain and submit written verification of annual emergency plan training for the identified staff person. Ensure that all facility staff/new hires receive emergency plan training at the time of initial employment, on an annual basis and at the time of each plan update as specified.

Noncompliance Area: One staff person's record did not contain written verification of annual minimum 6 hours of child care training. (#2)

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. Obtain and submit written verification of annual minimum 6 hours of child care training for the identified staff person.

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#4- hired 1/18/16- no signed DISCLOSURE STATEMENT)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).. LACKING REQUIRED HIRING DOCUMENTS: 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. Facility Person #4 may not work in a child care position at the facility until the signed DISCLOSURE STATEMENT has been completed. Obtain and submit a copy of the completed DISCLOSURE STATEMENT for the identified staff person. Ensure that the new DISCLOSURE STATEMENT form is used for all new hires and that all staff records contain a signed DISCLOSURE STATEMENT in accordance with the CPSL.