My First Steps Family Daycare

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: A renewal inspection was conducted from 5/6/2026 to 5/20/2026. At that time, a sample of children's files was reviewed. There was no Child Service Report (CSR) on file for Child #4, who has been attending the facility for over 6 months (see LIS code sheet for date of admission).

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)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted from 5/6/2026 to 5/20/2026. At that time, a sample of children's files was reviewed. The following information was missing from the emergency contact form of Child #4: Name of child's physician, health insurance information and policy number.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: A renewal inspection was conducted from 5/6/2026 to 5/20/2026. At that time, a sample of children's files was reviewed. Emergency contact form for Child #5 did not include release persons' addresses.

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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: A renewal inspection was conducted from 5/6/2026 to 5/20/2026. At that time, a sample of children's files was reviewed. The initial health assessment on file for Child #4 was dated 12/28/2025, which exceeded 60 days from the child's first day of attendance at the facility (see LIS code sheet for date of admission).

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: 3290.133(6)

Description: Written consent

Noncompliance Area: A renewal inspection was conducted from 5/6/2026 to 5/20/2026. At that time, the facility did not have written parental consent on file for the administration of medication to Child #1.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Regulation: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: A renewal inspection was conducted from 5/6/2026 to 5/20/2026. At that time, staff files were reviewed. Staff Person #1 does not have a health assessment on file at the facility. Staff Person #1 was observed to be interacting with and caring for children during the inspection.

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

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: A renewal inspection was conducted from 5/6/2026 to 5/20/2026. At that time, a sample of children's files was reviewed. Emergency contact forms for Child #1, Child #2, Child #3, Child #4, and Child #5 did not contain signed parental consents for minor first-aid or emergency medical care.

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: 3290.73(c)

Description: Has all items

Noncompliance Area: A renewal inspection was conducted from 5/6/2026 to 5/20/2026. At that time, the facility's first-aid kit did not contain 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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection was conducted from 5/6/2026 to 5/20/2026. At that time, the facility's fire drill log reflected that more than 60 days elapsed between fire drills conducted on 2/27/2026 and 4/29/2026.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: During an allocated unannounced inspection conducted on 12/29/25, none of the bottles were labeled.

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

Regulation: 3290.191

Description: Individual Records

Noncompliance Area: During an allocated unannounced inspection conducted on 12/29/25, facility person #2 who is the cook at the family home, did not have a file

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During an allocated unannounced inspection conducted on 12/29/25, Staff person #1 did not have an NSOR clearance on file and Facility Person #2 did not have any clearances on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. Staff person #1 and Facility person #2 will not work at the facility. 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. The CPSL was revised on 9/18/2018 to include a requirement that all clearances be updated and on file at least every 60 months. The Child Protective Services Law (CPSL) was revised to include the requirement for the National Sex Offender Registry (NSOR) Clearance effective 9/30/2019. The CPSL also states that anyone hired after 9/30/19 was required to have the NSOR clearance to work in childcare. Current staff must have the NSOR clearance no later 7/1/20. CPSL was revised to include new hires that have resided out of Pennsylvania with in the 5 previous years must obtain State Police and Child abuse clearances from the state that they have resided. Staff person #1 and Facility person #2 will not work at the facility.

Regulation: 3290.51

Description: Maximum Number of Children

Noncompliance Area: During an allocated unannounced inspection conducted on 12/29/25, 10 children were observed in care.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to either the legal entity or the staff person. At any one time, the related children of either the legal entity or the staff person, but not both, may be excluded in determining compliance with this section.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During an allocated unannounced inspection conducted on 12/29/25, the fire drill log was reviewed. Fire drills are not being conducted every 60 days. The most recent fire drill was conducted on 9/25/25.

Correction Required: 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: During an allocated unannounced inspection, the fire detection log was reviewed. Smoke detectors are not being tested very 30 days. Smoke detectors have not been tested since 9/25/25.

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)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.