Rivera Child Care

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During the renewal inspection on 8/3/2026, staff 1 and 2 did not have 12 hours of annual childcare training on file. Staff 1 needs 7.5 hours of annual training and staff 2 needs 5.5 hours of annual training. As of 8/25/2026, staff 1 did not have the additional 7.5 hours of training on file.

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

Regulation: 3290.121(a)/3290.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: During the renewal inspection on 8/3/2026, the facility did not have a night care policy or transportation policy on file.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During the renewal inspection on 8/3/2026, child 1 did not have an updated child service report on file. The last child service report on file was dated 3/5/2025.

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)/3290.182(1)

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

Noncompliance Area: During the renewal inspection on 8/3/2026, children 1, 3 and 4 did not have initial health assessments on file. Child 2 had an outdated health assessment on file. The last health assessment was dated 7/28/2025, making it more than 1 year old.

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: 3290.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: During the renewal inspection on 8/3/2026, child 1 did not have permission for emergency medical care on file.

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.

Regulation: 3290.24(c)/3290.24(e)

Description: Training regarding plan/Emergency plan

Noncompliance Area: During the renewal inspection on 8/3/2026, the emergency plan was not posted at the facility. Staff 2 also did not have documented training in the emergency plan.

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. The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During the renewal inspection on 8/3/2026, staff 1 and 2 did not have 12 hours of annual childcare training on file. Staff 1 needs 7.5 hours of annual training and staff 2 needs 5.5 hours of annual training.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 8/3/2026, it was observed that staff 1 had a child abuse clearance that expired 7/29/2026, a state police clearance that expired 1/21/2021 and an FBI clearance that expired 7/22/2026.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #1 may not work in a child care position at the facility until all clearances are updated. 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 person # 1 may not work in a child care position at the facility until all clearances are updated. TIERED IS: 1) The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 must be removed from a child care position with direct contact and routine interaction with children until all missing clearances are completed and on file at the facility. This portion of the plan requires an immediate date of correction. 2) Staff 1 will obtain updated clearances. The date of correction for this portion of the plan will be provided by the facility.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During the renewal inspection on 8/3/2026, a power strip that was in the childcare area had uncovered outlets.

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

Regulation: 3290.64(a)/3290.74(a)

Description: Locked or inaccessible - in original container/Requirements

Noncompliance Area: During the renewal inspection on 8/3/2026, there was motor oil accessible to the children by the entrance of the play yard. In the play yard, there was a screw sticking out of the wooden fence.

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. 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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the renewal inspection on 8/3/2026, the facility was not able to provide an attestation form or receipt for the interconnected smoke detectors.

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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: On 8/6/2025, Children 1 and 2 did not have a health assessment on file. During a verification visit on 9/3/2025, it was observed that children 1 and 2 still did not have a health assessment on file. Please see LIS for dates 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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 3 did not have a completed child service report on file. Please see LIS for dates of admission and date 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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: Children 1 and 2 did not have a health assessment on file. Please see LIS for dates 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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Children 1 and 2 did not have updated emergency forms and fee agreements. The emergency form and fee agreement were last updated for child 1 on 5/21/2024. The emergency form and fee agreement for child 2 did not have a date on them. Please see LIS for dates of admission.

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: 3290.192(1)

Description: Name, address, and phone

Noncompliance Area: Staff 2 did not have an updated address in his file.

Correction Required: A facility person's record shall include the name, address and telephone number of the facility person.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff 1's NSOR clearance would have needed to be updated by 12/2/2024. Staff 1 did not update the NSOR clearance until 4/9/2025. Please see LIS for date of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). ance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Regulation: 3290.69

Description: Heat Source

Noncompliance Area: The stove was in use during inspection. The stove was accessible to the children in care and did not have a stove guard.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The last fire drill conducted was on 4/23/2025 making it more than 60 days since the last fire drill.

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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The facility did not have an evacuation route on the first 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: The last alarm test was conducted on 4/21/2025. The facility did not have a receipt or attestation on file for the fire alarm system.

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)

Description: Signed

Noncompliance Area: Child 4 did not have a fee agreement on file.

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

Regulation: 3290.151(a)/3290.151(c)(2)

Description: Within 3 months, then 12 months/Mantoux TB

Noncompliance Area: Staff 1 did not have a health assessment and TB screening on file.

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. An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: There were knives accessible in the kitchen to the children. The knives were in an unlocked drawer.

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

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: Children 1-3 did not have consent for emergency medical care and minor first aid on file.

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: 3290.22(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. Instructions for contacting the appropriate regional office also were not posted.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff 2 and 3 did not have 12 hours of annual training on file. Staff 2 needs 6 more hours of annual training, while staff 4 needs 1 more hour of annual training.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of hire. (see LIS code sheet for date of hire): Get Started in Home Based Care-Revised 2022.

Correction Required: Staff person(s) shall complete professional development in the topics of 3290.31(g) within 90 days of hire. Staff person #1 will have until 9/11/2024 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #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: Staff 1 did not have a state police, FBI or NSOR clearance on file. Staff 1 also did not have a signed disclosure statement on file.

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

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: In the outdoor play space, there were wooden board in the back that were spilt and accessible to children. The children could be poked with the boards. Also, upon entering the play space, to the left, there was broken siding that had sharp edges.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility did not have a receipt on file for the smoke detectors. There was also more than 30 days between tests. Testing occurred on 7/19/2024 and again on 8/21/2024.

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: During renewal inspection conducted 8/1/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 1/2/2023-2/10/2023-3/14/2023; 4/6/2023-5/20/2023. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility's fire detection testing log reflected that smoke alarms were tested on 6/25/2023 and 8/1/2023, which is past 30 days. Smoke alarms were not tested since 8/1/2023. When certification representative returned for unannounced monitoring on 10/23/2023, facility's fire detection testing log indicated that smoke detectors were last tested on 9/20/2023, which is over 30 days ago.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 8/1/2023, child #2 did not have proof of receiving influenza vaccine or acceptable exemption on file. An acceptable plan of correction was received with correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, child #2 did not have proof of receiving influenza vaccine or acceptable exemption 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). Child #2 will be dismissed from care by close of business 8/1/2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3290.18/3290.24(a)(5)

Description: General Health and Safety/Emergency plan

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility's emergency plan does not address volunteer emergency preparedness training, practice drills, or continuity of operations. Emergency plan does not provide for accommodations of infants and toddlers. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility's emergency plan does not address continuity of operations.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility's expired certificate of compliance was posted. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility did not have any certificate of compliance posted.

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: 3290.22(c)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During unannounced monitoring conducted 9/21/2023, operator did not post a copy of inspection summary issued by the Department on August 28, 2023.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility person #1 obtained 4.5 hours and facility person #2 obtained 7.5 clock hours of child care training for training year 12/19/2021-12/19/2022. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility person #2 obtained 10.5 clock hours of child care training for training year 12/19/2021-12/19/2022.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility person #1, facility person #2, and facility person #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility person #2 has not completed the one-hour 2022 update to the health and safety training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Facility person #2 shall complete the required one-hour 2022 update to the health and safety training by October 7, 2023.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 1/2/2023-2/10/2023-3/14/2023; 4/6/2023-5/20/2023. An acceptable plan of correction was received with a correction date of 8/25/2023. When certification representative returned for unannounced monitoring on 9/21/2023, facility's fire detection testing log reflected that smoke alarms were tested on 6/25/2023 and 8/1/2023, which is past 30 days. Smoke alarms were not tested since 8/1/2023.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During unannounced inspection conducted 9/21/2023, facility's smoke alarms were not interconnected.

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. Act 42 of 2022, signed into law July 7, 2022, amended the Fire and Panic Act at 35 P.S. § 1223.6, and requires all certified family child care homes to have interconnected smoke alarms approved, at the time of installation, by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor to test and certify smoke alarms.

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

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During renewal inspection conducted 8/1/2023, the following was missing from children's fee agreements: Child #1: Date fee is to be paid. Child #2: Fee amount and date fee is to be paid. Child #3: Fee amount and 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)(4)

Description: Arrival/departure times

Noncompliance Area: During renewal inspection conducted 8/1/2023, the following was missing from children's fee agreements: Child #2: Arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During renewal inspection conducted 8/1/2023, the following was missing from children's emergency contact forms: Child #1: Name, address, and phone number of child's physician. Child #2: Address, and phone number of child's physician. Child #3: Address, and phone number of 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)/3290.124(b)(7)

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

Noncompliance Area: During renewal inspection conducted 8/1/2023, the following was missing from children's emergency contact forms: Child #1: Release person(s) address(es). Child #2: Mother's work address and work phone number. Child #3: Parent's work address and work phone number.

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 8/1/2023, child #2 did not have proof of receiving influenza vaccine or acceptable exemption 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). Child #2 will be dismissed from care by close of business 8/1/2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3290.18/3290.24(a)(5)

Description: General Health and Safety/Emergency plan

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility's emergency plan does not address volunteer emergency preparedness training, practice drills, or continuity of operations. Emergency plan does not provide for accommodations of infants and toddlers.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations. 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: 3290.182(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 8/1/2023, the following was missing from children's emergency contact forms: Child #1: Signed parental consent for minor first-aid and signed parental consent for 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: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility's expired certificate of compliance was posted.

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: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection conducted 8/1/2023, operator did not have documentation that facility person #2 and facility person #3 have been trained on the emergency plan within the past year.

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.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 8/1/2023, operator reports having done an emergency drill within the past year but could not locate documentation.

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

Regulation: 3290.24(e)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility's emergency plan was not posted in the facility. Operator reports that she does have an emergency plan and that she dropped it off to EMA for review.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility person #1 obtained 4.5 hours and facility person #2 obtained 7.5 clock hours of child care training for training year 12/19/2021-12/19/2022.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Facility person #1 must obtain 7.5 hours and facility person #2 must obtain 4.5 hours of child care training which will be counted toward training year 12/19/2021-12/19/2022. Training hours obtained to make up previous year's training hours cannot be used toward training year 12/19/2022-12/19/2023.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility person #1, facility person #2, and facility person #3 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. Facility person #1, facility person #2, and facility person #3 shall complete the required one-hour 2022 update to the health and safety training by August 29, 2023.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection conducted 8/1/2023, operator could not locate signed disclosure statements for facility person #2 and facility person #3. Facility person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 4/25/2016.

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. Facility person#1 will have until August 29, 2023 to complete the mandated reporter training. Until such time as the required training has been completed, facility person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise facility person #1, facility person #1 may not work in a child-care position at the facility.

Regulation: 3290.65(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: During renewal inspection conducted 8/1/2023, trash can outside containing used tissues and napkins did not have a lid. Trash can is in the outdoor play space and is accessible to children.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: During renewal inspection conducted 8/1/2023, facility's first-aid kit was missing tape.

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: During renewal inspection conducted 8/1/2023, facility's fire drill log reflected that fire drills were conducted past 60 days on the following occasions: 8/9/2022-10/12/2022-12/15/2022-2/15/2023-4/20/2023.

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 renewal inspection conducted 8/1/2023, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 1/2/2023-2/10/2023-3/14/2023; 4/6/2023-5/20/2023

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.

Noncompliance Area: Child #4 does not have a fee agreement that is signed by the operator.

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

Noncompliance Area: Child #2 does not have fee amount on the agreement.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: Child #3 does not have the policy number of medical insurance 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.

Noncompliance Area: Child #4, a 2 year old, has only one dose of the Hepatitis A vaccine documented on the immunization record.

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: Rep observed a rip in the cover of the changing pad making it unable to be sanitized properly.

Correction Required: 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.

Noncompliance Area: Children #1, #2,  do not have written parental consent for emergency medical care & first aid.

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.

Noncompliance Area: The emergency plan is not posted in a conspicuous area.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Facility person #1 does not have proof of mandated reporter of abuse training in the file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: Rep observed uncovered electrical outlets in the outdoor play area near the grill.

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

Noncompliance Area: Rep observed gas grill in outdoor play space that is accessible and does not have guards on the knobs to ignite the grill.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Rep observed hole in the wall near the front window in the front room.

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: When Rep arrived at facility on 10/30/18, observed children #1 & #2 in care. Operator reported that Children #1 & #2 are enrolled. When Rep asked for those children's files, operator stated that she did not have files for them as parents had not returned the paperwork.

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

Noncompliance Area: During the investigation, the facility person #1 acknowledged that she has previously been providing overnight care for children in addition to providing care for children during the daytime hours. She acknowledged that she was the only staff person providing care at that time and that she at times was not awake.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). Children must be supervised at all times.

Noncompliance Area: Provider does not have rest equipment including the play pen labeled for the use of a specific child and used only by the specified child.

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: Inspector observed a male child in the back room where toxics are accessible alone playing playstation.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: Children 9 - DOE - 3/10/18 and child 10 - DOE - 9/21/17 have been enrolled for more than 6 months and do not have child service reports on file.

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: Child 5 and child 11 do not have arrival and departure times on file.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: Fee agreement for child 5 does 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.

Noncompliance Area: Emergency contact form for child 10 does not reference who shall be contacted in an emergency.

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

Noncompliance Area: Emergency contact form for child 10 and 11 does not include the name, address and telephone number of the child's physician or source of medical care. Emergency contact form for child 7 does not include the address of the child's physician or source of medical care.

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: Emergency contact form for child 11 does not include health insurance policy number for a child under a family policy or Medical Assistance benefits,

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: Emergency contact form for children 1, 2, 3, 5, 6, 8, and 9 does not include the address of the individual designated by the parent to whom the child may be released. Emergency contact form for child 10 does not include the name, address and telephone 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.

Noncompliance Area: Children 10 does not have updated emergency contact forms and fee agreements on file. Child 10 has a fee agreement and emergency contact form on file dated 9/19/17. Files for children 1, 3 and 7 were not updated every 6 months.

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 informationA 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: Child 6 - DOE - 9/2017, did not have a health report on file within 60 days of enrollment. Child 6 has a health report on file dated 2/17/18

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: Inspector observed prescription medication (with pills inside) on the table in the kitchen that is accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: When inspector arrived, inspector observed children coming from the second floor. Provider admitted she had children in her room on the second floor laying on cots. Provider has a CO for first floor use only.

Correction Required: A certificate of registration will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements in 34 Pa. Code 403.23 (relating to child day care facilities).

Noncompliance Area: Inspector requested all enrolled children's files. Provider failed to give inspector files for children 12, 13 and 14. Children 12, 13 and 14 are subsidy children and inspector is able to see all subsidy children enrolled.

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

Noncompliance Area: Emergency contact form for child 10 does not contain signed parental consent for administration of minor first-aid procedures by facility staff required prior to admission. Emergency contact form for child 7 and 11 do not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff which is required prior to admission. Children 12,13 and 14 do not have signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff which is required prior to admission.

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.

Noncompliance Area: Child 11 does not have a fee agreement on file.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: Emergency plan on file was not updated annually. Provider reviewed the emergency plan for facility is dated 6/1/16 and again on 8/28/18.

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. 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.

Noncompliance Area: When inspecting the second floor, inspector observed 2 outlets without protective covers that are accessible to children 5 years of age or younger. Inspector observed a preschool child coming from the second floor at time of inspection.

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

Noncompliance Area: Inspector observed toxics (Windex and Eucerin) labeled "keep out of reach of children" in the bathroom on the second floor accessible to children. Inspector observed toxics (scrub bubbles, purex and Clorox) labeled "keep out of reach of children" in the back room where inspector observed a child unsupervised. All toxics are accessible to child who was left alone in the room.

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: Provider did not conduct at least four fire drills a year. Provider conducted a fire drill 1/22/17 and 2/21/17.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: On 7/10/18 a complaint investigation was conducted. Inspector observed staff 3 hand children a cut up apple. Staff 3 did not wash her hands nor the children's hands prior to handing out snack.

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

Noncompliance Area: On 7/10/18 a complaint investigation was conducted. Inspector requested to see files for persons 1 and 2. Provider (staff 3) was unable to produce files for inspector and admitted to inspector she did not have files for persons 1 and 2 at the facility.

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

Noncompliance Area: On 7/10/18 a complaint investigation was conducted. Persons 1 and 2 do not have clearances on file. Provider admitted person 1 picks up and drops children off. Provider also admitted to not being home and person 2 being present in her absence and providing child care. Inspector asked to see files for persons 1 and 2 and provider was unable to produce a file for both persons 1 and 2. Provider admitted to not having a file on site for both person 1 and person 2.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 may not work in a child care position 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.

Noncompliance Area: On 7/10/18 a complaint investigation was conducted. Provider (staff 3) admitted person 2 was alone in her child care facility taking care of child care children. Provider (staff 3) was unable to produce a file for person 2 showing proof of persons competent in first-aid techniques. Provider also admitted person 1 was a alone transporting children. Provider (staff 3) is unable to produce a file for person 1 showing proof of competent in first-aid techniques.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: THE AGREEMENTS ON FIILE FOR CHILDREN # 1, # 2 AND # 3 DID NOT HAVE THE AMOUNT OF THE FEE OR THE DATE THE FEE IS TO BE PAID. THE FEE AGREEMENT ON FILD FOR CHILD # 4 DID NO THAVE THE DATE THE 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.

Noncompliance Area: THE FEE AGREEMENT ON FILE FOR CHILD # 1 DID NOT HAVE THE ARRIVAL OR DEPARTURE TIMES.

Correction Required: An agreement shall specify the child`s arrival and departure times.

Noncompliance Area: THE AGREEMENT ON FILE FOR CHILLDREN # 2 AND # 3 DID NOT HAVE INFORMATION FOR RELEASE PERSONS.

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

Noncompliance Area: THE FEE AGREEMENT ON FILE FOR CHILDREN # 1, # 2, AND # 3 DID NOT HAVE THE DATE OF ADMISSION.

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

Noncompliance Area: THERE WAS NO PHYSICIAN NAME OR ADDRESS LISTED ON THE EMERGENCY CONTACT FORM FOR CHILD # 1. THERE WAS ALSO NO INFORMATION REGARDING HEALTH INSURANCE POLICY NAME OR NYUMBER ON THE EMRGENCY CONTAC FORM FOR CHILD # 1.

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.