Rebecca Shingledecker Family Child Care Home

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: In the living room area (childcare space), the following toys and play equipment were observed to be in poor repair: 1. The "oven door" of the play kitchen was broken, creating potential pinch points. 2. On the plastic "animal care center," a broken corner was observed, creating a sharp edge. 3. In the cube shelf to the left of the television, a bin of magna blocks was observed to have several blocks in poor repair. The thin plastic was cracked, creating sharp edges and the potential for small magnets to become accessible to children still placing items in their mouths. 4. In the cube shelf to the left of the television, a small wooden police car was observed to be worn to the point of both the paint and the pressed wood crumbling.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: In the living room (child care space), the following was observed: 1. In the cube shelf to the left of the television, a bin of magna blocks was observed to have several blocks in poor repair. The thin plastic was cracked, creating the potential for small magnets to become accessible to children still placing items in their mouths. 2. In the cube shelf to the left of the television, a small wooden police car was observed to be worn to the point of both the paint and the pressed wood crumbling, creating a potential hazard for children still placing items in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact forms for Child #1, Child #2 and Child #3 included incomplete addresses for their respective designated release persons.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility files lacked a copy of the Shaken Baby, Child Maltreatment and Abusive Head Trauma policy.

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

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent Mandated Reporter training on file for Staff Person #1 was more than 60 months old (dated 9/25/2020).

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 contained PA State Police (9/25/2020 - 11/25/2025), PA Child Abuse (10/12/2020 - 11/25/2025) and FBI (10/19/2020 - 11/25/2025) clearances that were dated more than 60 months apart. The file for Staff Person #1 included a National Sex Offender Registry clearance that was expired (dated 10/1/2020).

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.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: An area of peeling paint approximately 2 inches wide was observed on the archway leading from the living room (childcare space) to the dining room area.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of inspection (1/16/2026), more than 30 days had elapsed since the last test of the fire detection system (12/13/2025).

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: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: The dog, Belle, lacks a current rabies immunization. The current rabies certificate on file expired 7/15/24.

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(b)/3290.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The fee agreements on file for children #1, 2, 3, 4 and 5 were the originals. Therefore, the original was not given to the parent and a copy was not placed in the child's file.

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

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

Description: Updated infant health report: every 6 months/Initial and subsequent health assessments

Noncompliance Area: There was more than six months between health reports on file for child #4, who is a young toddler. This is evidenced by reports on file dated 11/10/23 and 11/22/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

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

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan lacked a plan that provides for accommodations of infants and toddlers.

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(f)

Description: Emergency plan

Noncompliance Area: The parent letter explaining the emergency procedures lacked the update to the plan regarding lockdown and accommodations for infants, toddlers, children with chronic medical conditions and children with disabilities.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility's interconnected smoke detectors were not operable on 12/23/24. The facility's stand-alone smoke detectors, located on each floor of the home, were observed as operable on 12/23/24.

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: There was more than 30 days between manual checks of the fire detection system. Dates were 12/1/23 and then 1/2/24, 5/24/24 and then 6/24/24, 7/23/24 and then 8/23/24, 8/23/24 and then 9/23/24, 10/22/24 and then 11/22/24. A manual check of fire detection system has not been completed within the past 30 days. Last check on file is dated 11/22/24.

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)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The file for child #2 lacked an initial health report.

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. A child's record must contain initial and subsequent health reports.

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 file for child #1 lacked an updated health report. The child health report in the file is dated 8/18/22.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child #1 lacked a health report that included a review of the child's immunized status according to recommendations of the ACIP. The facility did not 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).

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).

Regulation: 3290.151(a)/3290.192(2)

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

Noncompliance Area: The file for staff person #1 lacked an updated health assessment. The health assessment in the file is dated 9/8/21.

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: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First-Aid & CPR Training in an approved curriculum with a PQAS trainer.

Correction Required: Staff person shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 12/13/22 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 childcare 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: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan does not provide for accommodations for shelter of children during a lock-down.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan does not provide for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that

Regulation: 3290.31(h)

Description: Verification of professional development

Noncompliance Area: There was no documentation of completion of the required health and safety topics numbers 1-9 as listed in the regulation 3270.31(f) on file for Facility Person #1.

Correction Required: Completion of professional development shall be documented by the signature and title of a representative of the professional development entity and include the date the professional development was completed. Documentation of the completion of the professional development under subsection (g) taken from September 30, 2016, forward satisfies this requirement.

Regulation: 3290.94(a)(1)/3290.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: The were no fire drills recorded between 12/19/20 (the effective date of the regulation) and 4/2/21.

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.The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: There was no documentation the operator had tested the smoke detectors at least every 30 days, as required by Act 62.

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: The trash can used for immediate diaper disposal after changing a child's soiled diaper was not lidded. The operator states the diaper is first discarded in this trash can, bagged, and then taken to the hands-free lidded can (the diaper genie).

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.

Noncompliance Area: The current health assessment on file for Facility Person #1 was completed more than 24 months after the prior 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 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.

Noncompliance Area: The child care program did not have a written health and safety plan that aligns with CDC guidance to minimize the risk of COVID-19 to be communicated to enrolled families.

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

Noncompliance Area: The criminal history and child abuse clearances on file for Facility Person #1 were completed more than 60 months after the previous respective clearances on file. The NSOR clearance, required as of 7/1/20, was completed on 10/1/20.

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.

Noncompliance Area: Mandated reporter training, required to be completed at least every 60 months, was completed by Facility Person #1, as per the certificates of completion on file, on 4/30/15 and 9/25/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Noncompliance Area: There was no labeled rest equipment for an preschooler enrolled at the facility.

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: Two of the enrolled children use blankets as rest equipment.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Noncompliance Area: The aboveground pool in the year was not made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Correction Required: An aboveground swimming pool which is not in use must be made inaccessible to children in accordance with the swimming pool barrier guidelines of the United States Consumer Product Safety Commission.

Noncompliance Area: The release persons were not listed on the agreement on file for child #1.

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

Noncompliance Area: The release persons' addresses were not listed on the emergency contact forms on file for children #1, #2, and #3.

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: There was no medical emergency transportation plan posted at the facility.

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.

Noncompliance Area: The health assessment on file for child #4, an young toddler was more than 6 months old.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The agreement on file for child #3 did not include the arrival and departure times.

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

Noncompliance Area: The five children's files reviewed contained the original agreements.

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

Noncompliance Area: The emergency contact form on file for child #2 did not include the health insurance information.

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: There was no health assessment on file for child #1, enrolled for more than 60 days.

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: There was a bottle not labeled with the child's name.

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

Noncompliance Area: The instructions for contacting the regional certification office were not posted in a conspicuous location.

Correction Required: The facility's current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: Observed a pack n play to lack the name of the child for whom it is intended.

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: Staff person #1 self reported that child #1 sleeps on a Boppy pillow.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Staff person #1 self reported that she became aware that child #1, whom she cared for at the facility, had gone to the emergency room for treatment.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Noncompliance Area: Staff person #1 self-reported that she became aware that child #1, whom she cared for at the facility, had gone to the emergency room for treatment.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department