Shirley Gray

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: At the time of renewal inspection, verification of a veterinarian's certificate of current rabies immunization for the cat at the facility was not provided.

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: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #1 did not include the work address and phone number of the enrolling parent.

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

Regulation: 3290.124(b)(4)/3290.182(3)

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

Noncompliance Area: At the time of renewal inspection, a record of child #1 didn't contain signed parental consent for emergency medical care. Written consent is required prior to admission.

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: 3290.151(a)/3290.192(2)

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

Noncompliance Area: At the time of renewal inspection, file of staff person #1 included a health assessment from 2/24/23 that was not valid since it was conducted more than 24 months ago. Also, file did not include TB test.

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: 3290.182(5)

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

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

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: At the time of renewal inspection verification that provider emailed a copy of the emergency plan to the local emergency management agency was not observed.

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: At the time of renewal inspection, file of staff person #1 included only 11hours of child care training.

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

Regulation: 3290.31(f)(4)(i)/3290.32(d)

Description: Age and training/Age and training

Noncompliance Area: At the time of renewal inspection, staff person #1 Pediatric First aid and CPR expired in March 2025. No staff with current Pediatric First aid and CPR was observed at the facility.

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. One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #1 did not include a current state criminal history check and state child abuse and NSOR certificate, mandated reporter and Disclosure statement. Pa State police clearance, Pa child abuse clearance, NSOR and mandated reporter training were conducted more than 60 months ago.

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 child care position at the facility.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of renewal inspection, verification that fire drill is conducted at least every 60 days was not observed. The last fire drill logged on file was dated 6/20/25.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection documentation of smoke detector testing of every 30 days was not observed. Last testing was on 6/20/25.

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: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: At the time of renewal inspection file of child #1 did not include an updated child health report. Child health report on file was from 12/4/23

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: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: At the time of renewal inspection, file of staff person #1 did not include 12 hours of annual training. Staff person #1 had only 1 hour of annual training.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of baby shaken syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. At the time of renewal inspection, file of staff person #1 did not include Pennsylvania Health and Safety Update 2022 1 hour professional development training required by OCDEL within the prescribed timeframe which is by December 30, 2022.

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

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of renewal inspection, a record of child #1 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.24(a)(1)/3290.24(b)

Description: Emergency plan/Emergency plan

Noncompliance Area: At the time of renewal inspection, emergency plan did not include lock-down and was last reviewed in 2022.

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. The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection observed that emergency drill was not conducted annually, written documentation was not available.

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: At the time of renewal inspection on verification that subsequent plan updates of the emergency plan are sent to the local municipality and to the county emergency management agency was not observed.

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: 3290.94(a)(4)/3290.95(b)

Description: Hypothetical locations/Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection observed that hypothetical locations of the fire are not rotated around the facility for each drill, and documentation of smoke detector testing of every 30 days was not observed.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. 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(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Child 1's health report did not state that child 1 was free from communicable disease and able to participate in child care.

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: 3290.151(a)/3290.151(a)(2)

Description: Within 3 months, then 12 months/12 months prior to service and every 24 months thereafter

Noncompliance Area: Staff 1 had a physical that was more than 24 months old on file at the time of the inspection.

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.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During review of the files during the renewal inspection, staff 1 only had proof of 4 hours of annual training, staff was missing proof of 8 hours of annual training.

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

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

Description: Age and training

Noncompliance Area: Staff 1 had an expired Pediatric CPR on file.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: CHILD 1, 2, 3, AND 4 DID NOT HAVE A CURRENT HELTH REPORT ON FILE AT THE TIME OF THE INSPECTION.

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.