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Regulation: 3280.131(a)

Description: Health Information

Noncompliance Area: The initial health assessment(s) for Child(ren) File(s) #2 and #3 had an initial health assessment dated 03.18.2026 and 01.05.2025, respectively, which is more than 60 days from the first day of attendance at the facility. (SEE LIS CODE SHEET)

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.

Regulation: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: The file for Child #1 (PS) reflects that the most recent Updated Health Assessment was completed more than 12 months after the Initial Health Assessment. Specifically, the initial health assessment for Child #1 was dated: 03.20.2024 and the updated health assessment was dated: 12.15.2025. (SEE LIS CODE SHEET)

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: 3280.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The two most recent health assessments for Staff #1 (Dated: 03.07.2022 and 02.21.2025) were dated more than 24 months apart. (SEE LIS CODE SHEET)

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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 contains an FBI clearance that was updated late. It was due 8/2024 and obtained 2/2025.

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.

Regulation: 3280.131(a)

Description: Health Information

Noncompliance Area: The Updated Child Health Assessment for Child #3 was dated more than 12 months apart.

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.

Regulation: 3280.131(a)/3280.131(e)

Description: Health Information/ACIP recommended immunization record

Noncompliance Area: The Initial Child Health Report and Immunizations for Child Files #1 (PS; Dated: 05/2023) (SEE LIS CODE SHEET)

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. 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: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent Child Abuse clearances for Staff #1 were dated more than 60 months apart. (SEE LIS CODE SHEET)

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

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility file was lacking proof of purchase for the fire detection 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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.131(a)(3)/3280.182(1)

Description: Initial health report for older toddler/preschool no more than 1 year/Initial and subsequent health assessments

Noncompliance Area: The file for child #2 lacks an updated health assessment.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Regulation: 3280.131(d)(5)/3280.182(1)

Description: Immunization record/Initial and subsequent health assessments

Noncompliance Area: The files for children #1 and #2 lack updated flu vaccinations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record must contain initial and subsequent health reports.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: Between 3/2021 and 3/2022, 2 fire drills exceeded 60 days.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Noncompliance Area: The file for child #1 contains a health assessment that lacks a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.A child's record must contain initial and subsequent health reports.

Noncompliance Area: The file for child #1 lacks signed parental permission for minor first aid and 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.