Promise & Possibilities Learning Academy Llc

Regulation: 3290.131(d)(5)

Description: Immunization record

Noncompliance Area: On 11-5-2025 during a Renewal inspection, health reports containing immunization records were not on file for children #1 and #2.

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

Regulation: 3290.32(a)/3290.192(4)

Description: Comply with CPSL/Required training

Noncompliance Area: On 11-5-2025 during a Renewal inspection, the file of staff person #1 did not include the updated Disclosure form.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: On 11-5-2025 during a Renewal inspection, there were 3 air fresheners (1 on children's cubbies, 1 on water fountain, 1 wallflower in bathroom) throughout the facility.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: On 11-5-2025 during a Renewal inspection, the base board near the door by the stairs was lifting.

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: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: On 11-5-2025 during a Renewal inspection, there was paint chipping near the stairs by the shelf with foam sensory paint and the wall on the left side upon entrance had chipping/peeling paint.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection child #1 emergency contact did not include the parents home address and work phone number on file.

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

Regulation: 3290.151(a)/3290.192(2)

Description: Within 3 months, then 12 months/Health assessment, TB test

Noncompliance Area: During the renewal inspection cert rep observed staff #2 did not have a current health assessment 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection The Shaken Baby Syndrome Policy did not include the prevention and identification of 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: During the renewal inspection cert rep observed child #2 did not have an individual record on file.

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

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: During the renewal inspection staff #1 did not have a current pediatric first aid and CPR on file.

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.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During the renewal inspection staff #1 and 2 did not have the annual minimum of 12 clock hours of child care training on file.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection cert rep observed staff #2 did not have a current FBI clearance on file.

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

Regulation: 3290.62

Description: Outside Walkways

Noncompliance Area: During the renewal inspection cert rep observed the outside entrance way area had leaves and debris.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Regulation: 3290.94(a)(1)/3290.95(a)

Description: Every 60 days/System in compliance

Noncompliance Area: During the renewal inspection cert rep observed the last fire drill was done on 9/16/2024 and the last time the fire safety system was tested was 10/18/2024.

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. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During the renewal inspection the fee agreement for child #1-4 did not include the services to be provided.

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: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection the fee agreement did not include the designated release person for child #1-4 on file.

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

Regulation: 3290.123(a)(7)

Description: Services considered extra

Noncompliance Area: During the renewal inspection the fee agreement for child #1-4 did not specify extra services.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Regulation: 3290.123(b)

Description: Parent receives original

Noncompliance Area: During the renewal inspection certification rep observed the original agreement was not given to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: During the renewal inspection there was no written statement giving the formula and feeding schedule for infants in care.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3290.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: During the renewal inspection child #1-4 emergency contact did not contain signed parental consent for transportation on file.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact form in the file for Child #3 did not include the release person's address.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3290.131(b)(2)/3290.182(1)

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

Noncompliance Area: The most recent updated health reports in the files for Child #1 and #3, who are preschool children, exceeded 12 months between reports. The file for Child #5, a preschool child, did not include an updated health report conducted within the past 12 months.

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: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: The most recent immunization records in the files for Child #2 and #4 did not contain documentation of a flu shot administered in the past year or a letter of exemption from the parent of physician.

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.

Regulation: 3290.151(a)/3290.192(2)

Description: Within 3 months, then 12 months/Health assessment, TB test

Noncompliance Area: The initial health assessment in the file for Staff Person #4 was conducted after the staff person's first day in child care.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster).

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent parent updates for the emergency plan and fee agreement in the file for Child #1 exceeded 6 months between updates: 7/27/21-6/29/22. The emergency plan and fee agreement in the file for Child #5 has not been updated in the past six months (7/28/21).

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: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have information on how to access the regulations in this chapter electronically 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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility did not conduct an emergency drill for the period 12/19/20-12/19/21.

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: The operator did not have documentation that a copy of the emergency plan and subsequent plan updates were sent to the local municipality and to the county emergency management agency.

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(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for Staff Person #3 did not contain documentation of 12 hours of annual training for the period 12/19/20-12/19/21. The file for Staff Person #3 contained only 4.5 hours of training for this period.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #1 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (10 Hour Building Blocks Heath and Safety Training).

Correction Required: Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #1 and 3 will have until 12/28/22 to complete the required training. Until such time as the required training has been completed, staff person #1 and 3 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 and 3, staff person #1 and 3 may not work in a child-care position at the facility.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 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 10/31/17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 12/28/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 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 staff person #2 staff person #2 may not work in a child-care position at the facility.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Observed one electrical outlet near the entrance that lacked a protective electrical cover.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed paint and floor buffing solution, which were accessible to children, in the back storage room, which was not locked.

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)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted on the first or second floors 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.