Small Impressions

Regulation: 3290.151(a)(1)/3290.192(2)

Description: Health assessment/Health assessment, TB test

Noncompliance Area: During a renewal inspection conducted on 05/58/25, the Certification Representative reviewed Staff's #1 content of records. Staff's #1 content of records did not have an initial Health Assessment.

Correction Required: The operator shall submit a health assessment to the Department prior to issuance of an initial or renewal certificate of compliance. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During a renewal inspection conducted on 05/28/25, the Certification representative reviewed the emergency plan and discovered the emergency plan was not sent to the local municipality.

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

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: During renewal inspection conducted on 05/28/25, the Certification Representative reviewed the emergency plan. The emergency plan did not indicate an annual update.

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: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: During a renewal inspection conducted on 05/28/25, the Certification Representative reviewed Staff's # content of records. Staff's #1 content of records contained an expired pediatric first aid.

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During a renewal inspection conducted on 05/28/25, the Certification Representative reviewed the content of records of Staff #1. Staff #1 content of records did not include 12 hours of 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: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: During a renewal inspection conducted on 05/29/24, the Certification Representative conducted a walkthrough of the family home and asked the provider to test the fire alarm. The provider provided un-interconnected smoke alarm instead of an interconnected alarm system.

Correction Required: 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: 3290.14(b)/3290.18

Description: Building Codes/General Health and Safety

Noncompliance Area: AT THE TIME OF INSPECTION, THE PROVIDER DID NOT HAVE A POLICY AND PROCEDURE TO IDENTIFY THE PREVENTION OF SHAKEN BABY SYNDROME, ABUSIVE HEAD TRAUMA, AND CHILD MALTREATMENT.

Correction Required: The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: AT THE TIME OF INSPECTION, THE CERTIFICATION REPRESENTATIVE OBSERVED THE BATHROOM ANF FROM CHILDCARE WAS NOT KEPT CLEAN.

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

Noncompliance Area: ON THE DATE OF INSPECTION, IT WAS OBSERVED THAT THE OPERATOR HAS A FIRE EXTINGUISHER THAT IS EXPIRED.

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

Noncompliance Area: AT THE TIME OF INSPECTION THE OPERATOR DID NOT HAVE VERIFICATION OF THE EMERGENCY PLAN BEING SENT TO THE COUNTY EMERGENCY MANAGEMENT AGENCY.

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

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED AN INFESTION OF INSECTS AT THE FACILITY.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED CHILDREN FURNITURE NOT IN GOOD REPAIR IN THE BACK ROOM.

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.

Noncompliance Area: AT THE TIME OF INSPECTION THE EMERGENCY CONTACT FORM FOR CHILD #1 WAS NOT UPDATED AT LEAST ONCE IN A 6-MONTH PERIOD.

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.

Noncompliance Area: AT THE TIME OF INSPECTION THE EMERGENCY PLAN DID NOT PROVIDE A SHELTER IN PLACE FOR CHILDREN DURING AN EMERGENCY.

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

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATIION OBSERVED AN INFESTATION OF INSECTS IN THE FACILITY.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: AT THE TIME OF INSPECTION THE FIRST AID KIT DID NOT CONTAIN SOAP OR 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.

Noncompliance Area: AT THE TIME OF INSPECTION THE FACILITY WAS NOT KEPT CLEAN.

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

Noncompliance Area: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED PEELED PAINT IN THE FRONT, MIDDLE AND BACK ROOM OF THE FACILITY.

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

Noncompliance Area: At the time of the inspection, the following hazards were identified in the back room: 1) a screw sticking out of the faucet area on the dramatic play kitchen. 2.) television was not mounted and posed a tipping hazard 3.) the blue shelf had chipped paint along it. 4.) the changing table had the red rubber corner edge strip hanging off and was not attached. 5.) the blue table's edges had severe damage to them potentially causing splinters. In the front room, the foam seats were ripped exposing the interior cushion. In the middle room, the stuffed animals were in need of a cleaning.

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.

Noncompliance Area: At the time of the inspection, there was no health assessment on file for child #1 (DOB 7-17-12).

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: At the time of the inspection, there was no immunization record on file for child #2 (DOB 6-24-14).

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

Noncompliance Area: At the time of the inspection, there was chipped paint on the walls throughout the front room.

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

Noncompliance Area: At the time of the inspection, the refrigerator was dirty on the inside bottom as if something had spilled and was not cleaned up.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: At the time of the inspection, there was no evidence of a written plan of daily activities and routines, including a time for free play established for each group.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: At the time of the inspection, there was nothing specifying the persons designated by a parent to whom the child may be released on the agreements of child #1-3.

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

Noncompliance Area: At the time of the inspection, there was no date of admission on the agreements for child 2 &3.

Correction Required: An agreement shall specify the date of the child`s admission.

Noncompliance Area: At the time of the inspection, there was no work address and phone number of the enrolling parent on the emegency contact form for child #1.

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

Noncompliance Area: At the time of the inspection, there was no address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form for child #1-3.

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: At the time of the inspection, there was no 6 month update to the emeregency contact form and financial agreement once in a 6 month period for child # 1 & 2.

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.

Noncompliance Area: At the time of the inspection, there was no copy of the applicable regulations for the facility posted.

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: At the time of the inspection, the Child Abuse Clearance on file for staff #1 was a volunteer clearance and not specifically for employment.

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

Noncompliance Area: At the time of the inspection, there were evidence of live roaches on the floor in the child care space.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: At the time of the inspection, ther carpets throughout the child care space were stained and dirty.

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

Noncompliance Area: At the time of the inspection, there were no evacuation routes posted.

Correction Required: Fire evacuation plans shall be developed and posted.

Noncompliance Area: At the time of the inspection, there was no evidence of fire drills being conducted.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.