Ms Cherry Tiny And Tots

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file for Child #1 lacked a child service form that provides information to the family about the child's growth and development in the context of the services being 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: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #2 contained Emergency Plan trainings that were dated more than 12 months apart.

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: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained Mandated Reporter Training that was not obtained within 60 months of the previous clearance.

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: In the Front Hallway to the facility, there was Wizard Spray labeled, "keep out of the reach of children," that was observed to be located on the ground and was accessible to children.

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: 3290.65(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A trash receptacle in the kitchen contained human secretions (dirty used cups and water bottles) and the bathroom trash receptacle contained human secretions (tissues) that were not contained in closed, plastic-lined receptacles.

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

Regulation: 3290.78(c)

Description: Location

Noncompliance Area: Cert Rep observed two training chairs located in the kitchen space that is used for cooking and eating.

Correction Required: Toilets and training chairs shall be located in rooms separate from rooms used for cooking or eating.

Regulation: 3290.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: In the front hallway of the facility, there were four rest cots and a stroller that obstructed the fire exit from the facility.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3290.124(c)

Description: Excursions

Noncompliance Area: The facility excursion bag that accompanies the staff person when leaving the facility lacked an emergency contact form for Child #1.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff 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 (1/21/20)

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by, an (family childcare home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: In an unlocked low drawer in the children's restroom, there was a pair of sharp scissors that were accessible to the children in care.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The last documented emergency drill was held 6/6/2024 which exceeded 12 months.

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

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff 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 (1/21/20).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, an (family childcare home staff person) who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Although the file for Staff #1 contained current a State Police Clearance and a National Sex Offender Certificate at the time of Renewal Inspection, it was observed that Staff #1 did not obtain a State Police Clearance and a National Sex Offender Certificate within 60 months of the previous clearance. The file for Staff #1 contained a Child Abuse Clearance and an FBI Clearance that had not been updated in the previous 60 months. Although the file for Staff #2 contained current National Sex Offender Certificate at the time of Renewal Inspection, it was observed that Staff #2 did not obtain a National Sex Offender Certificate within 60 months of the previous clearance.

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 may not work in a childcare position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed Scrubbing Bubbles labeled, "Keep out of reach of children," in the bathtub of the children's restroom that was accessible to the children in care.

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: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: Observed the window on the second floor in the Children's Restroom that was accessible to children was not modified to limit the opening to 6 inches or fewer.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Based on Smoke Detection testing documentation, the last documented test was 6/9/25 which exceeds 30 days.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The files for Child #1 and Child #2 lacked a child service form that provides information to the family about the child's growth and development in the context of the services being 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: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The Emergency Contact From in the file for Child #1 lacked written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.131(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 #2, a Preschooler, contained Health Reports that had been updated in an interval greater than 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: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: Although the file for Staff #2 contained a Health Assessment at the time of the Renewal Inspection, it was observed that the Health Assessment was not obtained prior to caring for children.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility.

Regulation: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Although the file for Staff #2 contained tb screening at the time of the Renewal Inspection, it was observed that the tb screening was not obtained prior to caring for children.

Correction Required: 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: Observed sharp knives that were in a low drawer in the Kitchen and an oscillating fan that was in the Playroom, both were accessible to the children in care and posed a cutting hazard.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facilities Emergency Plan did not address Continuity of Operations.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facilities Shaken Baby Policy lacked information on the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma and did not address 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: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1, employed for more than 90 days, was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (Health and Safety Basics).

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an (family childcare 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 #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 facilities emergency plan lacked accommodations for a lockdown at the facility.

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 Emergency Plan lacked plans for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

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(c)

Description: Training regarding plan

Noncompliance Area: The file for Staff #1 lacked documentation of emergency plan training within the first 90 days of hire.

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(f)

Description: Emergency plan

Noncompliance Area: The parent letter regarding the emergency plan lacked information about accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The Emergency Plan Delivery documentation that was submitted during the renewal inspection lacked information on the local municipality that the emergency plan was shared

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): (Health and Safety Basics).

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 will have until 8/13/24 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 an (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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Playroom, there was an electrical outlet that lacked a protective receptacle cover. This outlet was accessible to children 5 years of age and younger.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Based on Smoke Detection Log Testing documentation, smoke detectors were last tested on June 21, 204 which was more than 30 days prior to the inspection.

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: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for children # 1 and 3 lacked the work addresses and work telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: The file for child # 1 contained an emergency contact form and an agreement form that has not been renewed since the admission date of 4/6/22.

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 information. 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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: The file for child # 4 lacked an initial health report. The children have been in care longer than 60 days.

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: 3290.131(a)/3290.131(e)

Description: Within 60 days/Immunization record

Noncompliance Area: The files for children # 2 and 3 lacked an initial health report. The children have been in care longer than 60 days.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The file for staff #2 lacked the one-hour updated health and safety training course, Pennsylvania Health and Safety Update 2022 by the deadline of 12/30/22.

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

Regulation: 3290.31(a)(2)

Description: Age and training

Noncompliance Area: The file for staff # 1 lacked a high school diploma or a general educational development certificate that proofs her education level.

Correction Required: Have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department no later than the submission of the second renewal application.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: The file for staff # 2 lacked 6 out of 12 required hours of annual childcare training, from 12/19/21 to 12/19/22.

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: The file for staff # 1 lacked FBI clearances and proof of application.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 should be removed.

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: There was a broken pizza toy creating rough edges in the play room accessible to children.

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: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child # 1 lacked the addresses and telephone numbers of the enrolling parent on the emergency contact form.

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

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: The file for child # 2 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation on the emergency contact form.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files for child #1 and 2 lacked the address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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: 3290.182(6)

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

Noncompliance Area: The file for child #2 lacked signed parental consent for transportation, walking excursions, swimming and wading on the emergency contact form.

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

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.

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(c)

Description: Training regarding plan

Noncompliance Area: The file for staff #1 lacked annual emergency plan training. The last emergency plan training was conducted 7/6/20.

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: The facility lacked documentation of an annual emergency drill.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: A copy of the updated Emergency Plan and subsequent plan was not sent to the local municipality and 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)

Description: Age and training

Noncompliance Area: The file for staff # 1 lacked annual minimum of 12 clock hours of child care training. The file contained 10 hours of documented training obtained between 12/19/20 to 12/19/21.

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

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: The first-aid kit in the play room lacked soap, bandages, tape, gloves, tweezers and scissors.

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)(5)

Description: Evacuation routes posted

Noncompliance Area: The evacuation route was not posted on the second floor, third floor and the basement.

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 fire detection system tests were greater than 30 days apart from March 18 to April 18.

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.