My Nanas Child Care

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Pack and plays were not labeled with children names.

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.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: During the renewal inspection on 5/20/2026, staff 1's cat did not have updated rabies vaccines on file. The rabies vaccine on file was from 2024 and the paperwork stated that it would expire in 1 year.

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.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Children 1 and 2 did not have an updated children service report on file. Please see LIS for dates of admission and dates of birth.

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: Child 2 did not have health insurance information documented on the emergency 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.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: Child 1, who is a preschool age child, did not have an updated health assessment on file. The health assessment was last updated on 5/8/2024. Please see LIS for date of birth and date of admission.

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

Description: Age and training/Age and training

Noncompliance Area: During the annual renewal inspection on 5/20/2026, staff person 1 has not completed Pediatric first aid and CPR training on or before expiration of the most current certification. This is evidenced by the previously documented Pediatric first aid and CPR training on file expiring 2/19/2026. Documentation of updated Pediatric first aid and CPR training through an approved PQAS trainer and curriculum is not on file. Staff person 1 has completed Pediatric first aid and CPR training, however the training was not completed through a Pennsylvania Quality Assurance System (PQAS) approved curriculum and the trainer has not provided documentation that they are PQAS-certified in that training curriculum. The organization was the National CPR foundation.

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. Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children at a minimum by, a family childcare home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the kitchen, toxics were accessible to children in cabinets that were unlocked. Toxics included various cleaners. The kitchen is accessible to the children when accessing the bathroom used by the daycare.

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)(1)

Description: Every 60 days

Noncompliance Area: During the renewal inspection on 5/20/2026, it was observed that the last fire drill was documented on May 9th, 2025 making it more than 60 days since the last fire drill. Staff 1 states that she lost the documentation that had the updated fire drills on them.

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 the renewal inspection on 5/20/2026, it was observed that the smoke detector on the third floor was not interconnected with the other smoke detectors. It was also observed that the last fire alarm test was May 9th, 2025 making it more than 30 days since the last fire alarm test.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: There were two pack n' plays in the childcare space. Neither one was labeled with a child's name. As per provider, one child will occasionally use one.

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.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: Staff 1 had three dogs present. 1 dog, named Mama, did not have a rabies vaccine 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.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 1 had a completed child service report, but it was not reviewed with the parent. There was no documentation that it was reviewed with the parent and the parent signature was not on the report.

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: 3290.24(b)/3290.24(d)

Description: Emergency plan/Emergency plan

Noncompliance Area: The last update to the emergency plan that was on file was from March 15th, 2020. There was no emergency plan drill on file.

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

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff 1 did not have 12 hours of annual childcare training on file. Staff 1 only had 7.5 hours on file.

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

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: As per provider, she would take the children outside in the backyard for the children to get air sometimes. The backyard had broken wooden boards from the wooden fence throughout the yard.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 1 did not have a child service report on file. Please see LIS 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: 3290.131(b)(2)

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

Noncompliance Area: Child 1, who is preschool age, did not have an updated health assessment on file. The last health report on file was dated 3/21/2023.

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: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have electronic access to the regulations available to the parents.

Correction Required: 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(f)

Description: Emergency plan

Noncompliance Area: In the emergency plan, the facility did not have a letter explaining the emergency procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The facility did not have evacuation routes posted in the attic or basement of the facility.

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: During the renewal inspection on 5/23/3034, it was observed that the facility did not have alarms tested within 30 days. Per facility, the alarms were tested within 30 days but they were not documented.

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)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During renewal inspection conducted 5/10/2023, the following was missing from children's fee agreements: Child #1: Fee amount. Date fee is to be paid. Child #2: Fee amount. Date fee is to be paid. An acceptable plan of correction was received with a correction date of 6/3/2023. When certification representative returned for unannounced monitoring on 6/13/2023, the following was missing from children's fee agreements: Child #1: Fee amount. Date fee is to be paid. Child #2: Fee amount. Date fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

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

Description: Signed /Admission date

Noncompliance Area: During renewal inspection conducted 5/10/2023, the following was missing from children's fee agreements: Child #1: Date of admission. Signed by parent. Child #2: Date of admission. Signed by parent. Child #3: Date of admission. Child #4: Date of admission. An acceptable plan of correction was received with a correction date of 6/3/2023. When certification representative returned for unannounced monitoring on 6/13/2023, all dates of admission were added to children's fee agreements. The following was missing from children's fee agreements: Child #1: Signed by parent. Child #2: Signed by parent.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3290.124(b)(2)/3290.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection conducted 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Name, address, and phone number of physician/medical care. Health insurance policy number. Child #2: Phone number of physician/medical care. Child #3: Health insurance coverage and policy number. Child #4: Health insurance coverage and policy number. Child#5: Health insurance coverage and policy number. An acceptable plan of correction was received with a correction date of 6/3/2023. When certification representative returned for unannounced monitoring on 6/13/2023, the following was missing from children's emergency contact forms: Child #1: Name, address, and phone number of physician/medical care. Health insurance policy number. Child #2: Phone number of physician/medical care. Child #3: Health insurance coverage 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. 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)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Parent's work address and work phone number. Child #2: Parent's work address and work phone number. Father's phone number. Child #5: Parent's work address and work phone number. Father's information (address, phone number, work address and work telephone number). Release person(s) address(es). An acceptable plan of correction was received with a correction date of 6/3/2023. When certification representative returned for unannounced monitoring on 6/13/2023, the following was missing from children's emergency contact forms: Child #1: Parent's work address and work phone number. Child #2: Parent's work address and work phone number. Father's phone number. Child #5: Release person(s) address(es).

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3290.182(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: During renewal inspection conducted 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Consent for emergency medical care. Consent for first-aid by facility staff. Child #2: Consent for emergency medical care. Consent for first-aid by facility staff. Child #3: Consent for emergency medical care. Consent for first-aid by facility staff. Child #4: Consent for emergency medical care. Consent for first-aid by facility staff. Child #5: Consent for emergency medical care. Consent for first-aid by facility staff. Child #6: Consent for emergency medical care. Consent for first-aid by facility staff. An acceptable plan of correction was received with a correction date of 5/12/2023. When certification representative returned for unannounced monitoring on 6/13/2023, the following was missing from children's emergency contact forms: Child #1: Consent for emergency medical care. Consent for first-aid by facility staff. Child #2: Consent for emergency medical care. Consent for first-aid by facility staff.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection conducted 5/10/2023, smoke alarms were tested more than 30 days the following instances: 10/14/2022-11/23/2022. Per the log, fire detection systems were last tested on 3/13/2023. An acceptable plan of correction was received with a correction date of 5/10/2023. When certification representative returned for unannounced monitoring on 6/13/2023, fire detection systems were last tested on 5/10/2023.

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: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: During renewal inspection conducted 5/10/2023, dog's (Falcor) last rabies vaccine expired on 2/14/2023.

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.

Regulation: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During renewal inspection conducted 5/10/2023, the following was missing from children's fee agreements: Child #1: Fee amount. Date fee is to be paid. Child #2: Fee amount. Date fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

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

Description: Signed /Admission date

Noncompliance Area: During renewal inspection conducted 5/10/2023, the following was missing from children's fee agreements: Child #1: Date of admission. Signed by parent. Child #2: Date of admission. Signed by parent. Child #3: Date of admission. Child #4: Date of admission.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3290.124(b)(2)/3290.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection conducted 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Name, address, and phone number of physician/medical care. Health insurance policy number. Child #2: Phone number of physician/medical care. Child #3: Health insurance coverage and policy number. Child #4: Health insurance coverage and policy number. Child#5: Health insurance coverage 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. 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)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Parent's work address and work phone number. Child #2: Parent's work address and work phone number. Father's phone number. Child #5: Parent's work address and work phone number. Father's information (address, phone number, work address and work telephone number). Release person(s) address(es).

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 5/10/2023, there is no flu shot on file for Child #6.

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). Child #6 will be dismissed from care by close of business 5/10/2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 5/10/2023, emergency contact form and fee agreement for Child #6 were last updated on 9/11/2022, which is past 6 months.

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(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: During renewal inspection conducted 5/10/2023, the following was missing from children's emergency contact forms: Child #1: Consent for emergency medical care. Consent for first-aid by facility staff. Child #2: Consent for emergency medical care. Consent for first-aid by facility staff. Child #3: Consent for emergency medical care. Consent for first-aid by facility staff. Child #4: Consent for emergency medical care. Consent for first-aid by facility staff. Child #5: Consent for emergency medical care. Consent for first-aid by facility staff. Child #6: Consent for emergency medical care. Consent for first-aid by facility staff.

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(d)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 5/10/2023, facility did not have annual emergency drill on file.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 5/10/2023, operator admitted that she did not send the emergency plan to the local municipality (Allentown).

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(g)

Description: Age and training

Noncompliance Area: Staff person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by June 3, 2023.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection conducted 5/10/2023, smoke alarms were tested more than 30 days the following instances: 10/14/2022-11/23/2022. Per the log, fire detection systems were last tested on 3/13/2023.

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: On renewal inspection conducted 5/10/2022, certification representative observed children using unlabeled pack-n-plays. An acceptable plan of correction was received on 5/10/2022 with a correction date of 5/10/2022. When certification representative returned for unannounced monitoring on 6/16/2022, rep observed children using unlabeled pack-n-plays and cots.

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: 3290.22(c)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: On unannounced monitoring conducted 6/16/2022, renewal inspection summary was not posted in the facility.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department next to the facility's certificate of compliance in a conspicuous location used by parents. The inspection summary must remain posted until an agent of the Department verifies that each noncompliance item noted on the inspection summary has been corrected.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: On renewal inspection conducted 5/10/2022, facility reported that they have not conducted an annual emergency drill. An acceptable plan of correction was received on 5/10/2022 with a correction date of 5/20/2022. On unannounced monitoring conducted on 6/16/2022, emergency drill was still not conducted or documented.

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

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: On renewal inspection conducted 5/10/2022, certification representative observed children using unlabeled pack-n-plays.

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)(2)

Description: Date fee to be paid

Noncompliance Area: On renewal inspection conducted 5/10/2022, fee agreement for Child #1 did not specify the date on which the fee is to be paid.

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

Regulation: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: On renewal inspection conducted 5/10/2022, Emergency contact information for Child #1 was missing enrolling parent's work address and phone number and release person(s) address(es).

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

Description: Written emergency plan posted

Noncompliance Area: On renewal inspection conducted 5/10/2022, facility did not have a written plan identifying the means of transporting a child to emergency care and the facility 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(a)/3290.131(e)

Description: Within 60 days/Immunization record

Noncompliance Area: On renewal inspection conducted 5/10/2022, there was not an initial health report or immunization record on file for Child #2, Child #3, or Child #4.

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.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.

Regulation: 3290.135(a)(3)/3290.135(b)

Description: Disposable diapers/Surfaces cleaned

Noncompliance Area: On renewal inspection conducted 5/10/2022, operator reported using a cloth diapering mat for children who wear diapers. Mat is unable to be sanitized. Facility's hands-free garbage can used for diapering is broken.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: On renewal inspection conducted 5/10/2022, facility did not develop policy/procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

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

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: On renewal inspection conducted 5/10/2022, facility did not have individual files for Child #2, Child #3, or Child #4.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: On renewal inspection conducted 5/10/2022, facility did not have individual files for Child #2, Child #3, or Child #4.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility. Operator must attend a Technical Assistance session with Certification Representative to watch the DHS vodcast regarding children's files on 5/20/2022. The session will be conducted virtually and the operatory may not be providing care for children during the session.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On renewal inspection conducted on 5/10/2022, emergency contact information and financial agreement for Child #1 were last updated on 9/6/2021, which is past 6 months.

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: On renewal inspection conducted 5/10/2022, emergency contact information for Child #1 did not contain 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.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: On renewal inspection conducted 5/10/2022, facility's emergency plan did not provide accommodations for infants, toddlers, or children with disabilities.

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: On renewal inspection conducted 5/10/2022, facility reported that they have not conducted an annual emergency drill.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On renewal inspection conducted 5/10/2022, records for Staff #1 and Household Member #2 did not contain signed disclosure statements. Staff #1 FBI Clearance is dated 5/8/2017 and is expired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Staff #1 may not work in a child care position at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On renewal inspection conducted 5/10/2022, records for Staff #1 and Household Member #2 did not contain signed disclosure statements. Staff #1 FBI Clearance is dated 5/8/2017 and is expired.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Staff #1 will not provide child care.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: On renewal inspection conducted 5/10/2022, first-aid kit was missing soap and gloves.

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: On renewal inspection conducted 5/10/2022, facility's fire detection documentation log reflected that smoke detectors were tested on 2/17/2022 and again on 3/25/2022, which is past 30 days.

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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that Child #1 (DOB 1/30/2021) and Child #2 (DOB 8/21/2016) did not have a health assessments on file. Children began care in July 2021. The operator acknowledged that the violation is accurate. An acceptable plan was received from the provider during verification on 4/1/2022. Child #1 has a current health assessment on file. Child #2 does not have an initial health assessment on file.

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: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that there was not an emergency contact form on file for Child #2. The operator acknowledged that the violation is accurate.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that Child #1 (DOB 1/30/2021) and Child #2 (DOB 8/21/2016) did not have a health assessments on file. Children began care in July 2021. The operator acknowledged that the violation is accurate.

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: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that Staff #1 did not have a current physical on file. The staff had proof of a doctor appointment scheduled and will provide documentation after the appointment. The operator acknowledged that the violation is accurate.

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: 3290.18/3290.31(g)(10)

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

Noncompliance Area: During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that Staff #1 did not have a valid pediatric first aid / CPR certification. The operator acknowledged that the violation is accurate.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During inspection completed by Allentown Bureau of Health on 2/7/2021, it was found that fire drills are not being held/documented. The operator acknowledged that the violation is accurate.

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: During an unannounced monitoring, provider acknowledged that she has not been testing her smoke detector every 30 days and documenting.

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.