Sanders Family Daycare

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: Child #1's financial agreement did not contain the parent's signature.

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

Regulation: 3280.123(a)(1)

Description: Amount of fee

Noncompliance Area: Child #1's financial agreement did not contain the amount of fee to be charged.

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

Regulation: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: Child #1 and 2's financial agreement did not contain the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1 and 2's financial agreement did not contain the services to be provided to the family and child. Child #2 and 4's file did not contain a child service report.

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 § 3280.124(f).

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: Child #1's financial agreement did not contain the child's arrival and departure times.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child #1's financial agreement did not contain individuals designated by the 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.

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #1 and 2's financial agreement did not contain the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #1's file did not contain the address and phone number 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.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1's file did not contain the enrolling parent's work address or work phone number. Child #2's file did not contain the enrolling parent's work phone number. Child #4's file did not contain the enrolling parent's work address.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #1's file did not contain health insurance policy number for the 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.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #1's file did not contain the addresses of the individuals designated by the parent to whom the child may be released. Child #2's file did not contain the addresses of 2 and one of the phone numbers of the individuals 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.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: Child #3's two most recent review signatures for the emergency contact form are dated 4/22/25 and 5/6/26 which is more than 6 months apart. Child #5's two most recent review signatures for the emergency contact form are dated 4/14/23 and 5/6/26 which is more than 6 months apart.

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

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

Noncompliance Area: Child #4, a preschool age child(See LIS Code Sheet), most recent health assessment is dated 6/20/24 which is more than 12 months ago.

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: 3280.131(d)(5)/3280.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #2, who is an infant age child(See LIS Code Sheet), includes 1 of 2 Hepatitis B vaccines recommended by the ACIP for a child this age; 0 of 3 DTAP vaccines recommended by the ACIP for a child this age; 0 of 2 HIB vaccines recommended by the ACIP for a child this age; 0 of 3 Pneumococcal vaccines recommended by the ACIP for a child this age; and 0 of 2 Polio vaccines recommended by the ACIP for a child this age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: The health assessment on file for child #1 did not include that the child is able to participate in child and is free from communicable illness.

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.

Regulation: 3280.131(e)

Description: ACIP recommended immunization record

Noncompliance Area: The file for Child #1, that was enrolled more than 60 days ago(See LIS Code Sheet), does not include an immunization record.

Correction Required: 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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #3's two most recent review signatures for the financial agreement are dated 4/22/25 and 5/6/26 which is more than 6 months apart. Child #5's two most recent review signatures for the financial agreement form are dated 4/14/23 and 5/6/26 which is more than 6 months apart.

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: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: Staff file #1 lacked 9 of the 12 hours of annual child care training required from 12/2024 to 12/2025. Staff file #2 lacked 10 of the 12 hours of annual child care training required from 12/2024 to 12/2025. Staff file #3 lacked 7 of the 12 hours of annual child care training required from 12/2024 to 12/2025.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #1's two most recent mandated reporter trainings are dated 9/18/20 and 5/7/26 which is more than 60 months apart. Staff #2's two most recent mandated reporter trainings are dated 10/5/20 and 5/7/26 which is more than 60 months apart.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1's two most recent NSOR certificates are dated 6/29/20 and 5/1/26 which is more than 60 months apart. Staff #2's two most recent NSOR certificates are dated 6/29/20 and 5/1/26 which is more than 60 months apart. Staff #3's two most recent NSOR certificates are dated 6/29/20 and 5/1/26 which is more than 60 months apart.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the middle room on a low stand accessible to children was Trueliving furniture polish and Vicks VapoCool sore Throat Spray, both stated keep out of reach of 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: 3280.76

Description: Building Surfaces

Noncompliance Area: At the back of the outside play area was one broken slat of wooden fence that was sharp and splintered accessible to children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill logs contained the following dates 10/7/25-12/8/25 which is more than 60 days apart.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire alarm testing log contained the following dates 8/29/25-9/29/25 and 11/28/25-12/29/25 which are more than 30 days apart.

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: 3280.119

Description: Infant sleep position

Noncompliance Area: At approximately 11am a sleeping infant was placed in a bouncy seat to sleep which is not the sleeping position recommended by the American Academy of Pediatrics.

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.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: Child #5's file did not contain the individuals designated by the parent to whom the child may be released on the financial agreement.

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

Regulation: 3280.124(a)

Description: Each child emergency contact person

Noncompliance Area: Child #2 file did not contain a phone number for the emergency contact.

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

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #2's file did not contain the name, address and telephone number 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.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The enrolling parents work address was missing from the files of Child #1, 2, 3, 4, and 5. The enrolling parents work phone number was missing from the files of Child #2, 4, and 5.

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

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: Child #4 and 5 were missing Information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

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 or CRNP, which is needed in an emergency situation.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #2's file did not contain the health insurance policy number for the child under a family policy or Medical Assistance benefits, if applicable. Child #4's file did not contain the health insurance coverage and policy number for the 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.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #2's file did not contain the address and telephone number of 3 individuals 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.

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: In the middle and back room there was no emergency contact information present in the child care space for children receiving care in that space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The most recent 6 month review signature for the emergency contact form on file for Child #1, #4, and #5 is dated more than 6 months after the previous 6 month review signature. Child #1 6/20/24-4/17/25, Child #4 5/20/24-5/20/25, Child #5 6/1/24-6/1/25

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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: Child #2's file contains an initial health report dated 4/25/25 which is more than 60 days following enrollment(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. A child's record must contain initial and subsequent health reports.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The immunization record on file for Child #2, a preschool age child(See LIS Code Sheet),did not include any vaccines recommended by the ACIP for a child this age.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3280.131(e)(2)(i)

Description: Exemption documentation from parent/guardian

Noncompliance Area: Child #2's file did not contain a letter of exemption from immunization for religious belief or strong personal objection equated to a religious belief must be documented by a written, signed and dated statement from the child's parent or guardian.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3280.135(a)(3)

Description: Disposable diapers

Noncompliance Area: At approximately 12pm Staff #1 changed an infant's diaper in the front room and placed the soiled diaper in a can in which that lid was on the floor next to it.

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.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not address the continuity of operations.

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.

Regulation: 3280.152

Description: Adult Hygiene

Noncompliance Area: At approximately 12pm Staff #1 changed an infant's diaper in the front room and did not wash their hands. They did use hand sanitizer which is not acceptable after changing a diaper.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The most recent 6-month review signature for the financial agreement on file for Child #1, #4, and #5 is dated more than 6 months after the previous 6 month review signature. Child #1 6/20/24-4/17/25, Child #4 5/8/24-6/1/25, Child #5 6/1/24-5/1/25

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: 3280.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: Child #4 and 5 did not contain signed parental consent for administration of medications or special dietary needs.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3280.182(6)

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

Noncompliance Area: Child #2 and 3's file did not contain signed parental consent for transportation, walking excursions, swimming and wading.

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

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: Staff file #1 lacked 2 of the 12 hours of annual child care training required from 12/2023 to 12/2024. Staff file #2 lacked 2 of the 12 hours of annual child care training required from 12/2023 to 12/2024.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.34(b)(5)/3280.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: The file for staff person #3 did not contain proof of education.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: One first aid kit in the back room was missing Band aids, soap, gloves, and tweezers.

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: 3280.76

Description: Building Surfaces

Noncompliance Area: At the back of the outside play area was one broken slat of wooden fence that was sharp and splintered accessible to children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: On the white garage door was peeling paint accessible to children.

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

Regulation: 3280.123(a)

Description: Signed

Noncompliance Area: The Agreement, in the file for Child #4, was not signed by the operator or the parent.

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

Regulation: 3280.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Agreement, in the files for Child #3 and Child #4, did not contain the fee amount.

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

Regulation: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The Agreement, in the files for Child #3 and Child #4, did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: The files for Child #4 and Child #5 did not contain a Service Report within the last 6 months.

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 § 3280.124(f).

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The Agreement in the files for Child #3 and Child #4 did not specify the arrival and departure times.

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

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: The Agreement in the files for Child #3 and Child #4, did not contain the name(s) of the person(s) 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.

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreement, in the files for Child #3 and Child #4, did not contain the date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.123(a)(7)

Description: Services considered extra

Noncompliance Area: The Agreement in the file for Child #4, did not specify the services which are to be considered as extra.

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

Regulation: 3280.123(b)

Description: Parent receives original

Noncompliance Area: The Agreement, in the files for Child #1, Child #2, Child #3, Child #4, and Child #5, were the originals, which were not provided to the parents.

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

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form, in the files for Child #1, Child #2, Child #3, and Child #5, did not contain the address of the 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.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #1, Child #4, and Child #5, did not contain the enrolling parent's home address. The Emergency Contact form, in the file for Child #1, Child #2, Child #3, and Child #5, did not contain the enrolling parent's work address. The Emergency Contact form, in the file for Child #2, did not contain the enrolling parent's work phone number.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The Emergency Contact form, in the files for Child #1, Child #2, and Child #3, did not contain the Health Insurance Policy Number.

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.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the files for Child #2, Child #4, and Child #5, did not contain the release person's address. The Emergency Contact form, in the files for Child #1 and Child #3, did not contain the release person's phone number.

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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The Emergency Contact forms and Agreements, in the file for Child #1, Child #2, Child #4, and Child #5 were not updated within a 6-month period.

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: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The two most recent Health Assessments in the files for Staff #1 and Staff #2 exceeded the 24-month renewal requirement.

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. 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: 3280.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: The Emergency Contact form, in the file for Child #4, did not contain consent for administration of medications or special dietary needs.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3280.182(6)

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

Noncompliance Area: The Emergency Contact form, in the files for Child #3 and Child #4, did not contain signed parental consent for transportation, walking excursions, swimming, and wading.

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

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: The files for Staff #1, Staff #2, and Staff #3 contained documentation of three (3) hours of Professional Development, with an additional nine (9) hours needed for each staff.

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

Regulation: 3280.31(e)(4)(i)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for Staff #1 contained documentation of Pediatric First-Aid/CPR which expired on 5.10.22, and has not been renewed. The file for Staff #2 contained documentation of Pediatric First-Aid/CPR which expired on 5.9.22, and has not been renewed.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the Middle Room, two (2) protective covers were missing from the black surge protector, which were accessible to children 5 years of age or younger.

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

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the unlocked, bathroom cabinet under the sink, were eight (8) pounds of Epsom Salt and two (2), 19 oz. Sprayway Glass Clearner containers, each of which stated, "Keep out of reach of children," and they were accessible to 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: 3280.76

Description: Building Surfaces

Noncompliance Area: In the outside, fenced, play area, six (6) wooden fence slats were cracked/broken, which created a scraping/cutting hazard for children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreement, in the file for Child #2, did not contain the date of admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact forms, in the file for Child #1 and Child #2 did not contain 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: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The Health Assessment, in the file for Child #2, was not updated since 2.28.22, which exceeded 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.

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

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The Immunization Record, in the file for Child #2, did not contain any documentation of an influenza vaccination.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for Staff #1 contained a Health Assessment dated 9.15.20, which exceeded the 24-month renewal requirement.

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. 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: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Parents of enrolled children, were not provided with information on how to access the regulations electronically and how to contact the regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.26(c)/3280.192(2)(iii)

Description: Training regarding plan/Exp, educ., training at facility

Noncompliance Area: The files for Staff #1, Staff #2, and Staff #3 contained documentation of Emergency Plan training on 2.7.22 and 5.10.23, which exceeded the 12-month requirement.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(f)(10)

Description: Age and training

Noncompliance Area: The file for Staff #3 did not contain documentation of Pediatric First-Aid/CPR.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff #3 will have until June 7, 2023, to complete the required training. Until such time as the required training has been completed, Staff #3 must be supervised, when interacting with children, by a primary staff who has completed the required training related to this citation. If there are not staff available to supervise Staff #3, Staff #3 may not work in a child care position at the facility.

Regulation: 3280.123(a)(1)

Description: Amount of fee

Noncompliance Area: The Agreement, in the file for Child #5, did not specify the amount of the fee to be charged.

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

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The Agreement, in the file for Child #2, did not specify the child's arrival and departure times.

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

Regulation: 3280.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact form, in the file for Child #5, did not contain the phone number 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.

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact form, in the files for Child #3 and Child #5, did not contain the enrolling parent's work address. The Emergency Contact form, in the file for Child #5, did not contain the enrolling parent's work phone number.

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

Regulation: 3280.124(b)(4)/3280.182(3)

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

Noncompliance Area: Emergency Contact forms, in the file for Child #1 and Child #3, did not contain 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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form, in the files for Child #1 and Child #3, did not contain the release person's address. The Emergency Contact form, in the file for Child #1, did not contain the release person's phone number.

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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The files for Child #1, Child #2, Child #3, and Child #4 did not contain documentation that the parents of the children reviewed and updated the emergency contact information and the financial agreement 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 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: 3280.131(b)(2)/3280.131(e)(1)

Description: Toddler/preschool: updated health report every 12 months/Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #5, a preschool aged child, did not contain a current health assessment or updated vaccination record, as the most recent one was dated 6.20.19.

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. 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: 3280.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The outdated Health Assessment, in the file for Child #5, did not contain a written or digital signature/date of the physician, physician's assistant, or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3280.131(e)(1)/3280.182(1)

Description: Exemption documentation from parent/guardian/Initial and subsequent health assessments

Noncompliance Area: The Immunization record, in the files for Child #3 and Child #5, did not contain documentation of specific required immunizations according to the ACIP.

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

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The file for Staff #4, did not contain documentation of completion of the Health & Safety training prior to being alone with children or within 90 days of hire.

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.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Based on a conversation with the operator, there was not a Shaken Baby Policy created nor implemented.

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.

Regulation: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: The Emergency Contact form, in the files for Child #1 and Child #3, did not contain signed parental consent for administration of minor first-aid.

Correction Required: 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: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: Based on a conversation with the operator, notice was not provided to parents on how to access the regulations electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: A copy of the emergency plan was not sent to the local municipality or the county emergency management agency, as confirmed by the owner.

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: 3280.31(e)(4)(i)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The file for Staff #2 contained documentation of training in pediatric first-aid and pediatric CPR on 7.18.17 and 5.8.22, which exceeded the expiration date.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(e)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The files for Staff #1, Staff #2, Staff #3, and Staff #4 did not contain any of the required 12 hours of annual child care training.

Correction Required: A staff person shall obtain an annual 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.31(f)(10)/3280.192(2)(iii)

Description: Age and training/Exp, educ., training at facility

Noncompliance Area: The files for Staff #3 (see IS Code Sheet) and Staff #4 (see IS Code Sheet) did not contain any documentation of training in pediatric first-aid and pediatric CPR, within 90 days of hire.

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(2)(iii)

Description: Comply with CPSL/Exp, educ., training at facility

Noncompliance Area: The file for Staff #4 (see IS Code Sheet) did not contain any documentation of Mandated Reporter training prior to being unsupervised with children in care or within 90 days of hire.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of Staff #1, Staff #2, Staff #3, and Staff #4 did not contain signed and dated Disclosure Statements.

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: 3280.75(c)

Description: Has all items

Noncompliance Area: There were no scissors located in the first-aid kit in the back room.

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: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Peeling paint was located in the back room on the front wall, where the hanging tabs were located.

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