Susan Gianoni Family Child Car

Regulation: 3290.14(a)/3290.14(b)

Description: Building codes/Building Codes

Noncompliance Area: It was observed that the legal entity did not 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. The occupancy permit expired on 3/31/25.

Correction Required: A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)). 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.

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The file for child #2 lacked an agreement that specified the persons designated by a 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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The file for child #1 lacked emergency contact information and a financial agreement that was updated 6 months from the previous update. The updates in the file were dated 12/1/23 and 7/30/24.

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: 3290.182(5)

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

Noncompliance Area: The file for child #2 lacked parental consent for administration of minor first-aid procedures by facility staff 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for household member #1 lacked a State Police clearance and a Child Abuse clearance that were completed 60 months from the prior State Police clearance. The State Police clearances in the file are dated 7/9/19 and 9/30/24. The Child Abuse clearances in the file were dated 7/15/19 and 10/7/24.

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: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: Observed cracks in the top of one of the little tyke sliding board sets in the outdoor play area.

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

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: Observed a tear in one of the cushions of the living room couch, which exposed the inner foam. This creates a potential choking hazard for children who may still be placing objects in their mouths.

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

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreements in the files for Child #3 and #4 did not include the names of the release persons.

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

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: The file for Child #4 did not include an emergency contact form.

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

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

Description: Immunization record/Dismissal policy

Noncompliance Area: The most recent immunization records in the files for Child #1 and #2 did not include documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child # 1 and #2 must be dismissed from care by close of business (DATE of provider notification) and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.182(8)

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

Noncompliance Area: The fee agreements in the files for Child #1, 2, 3 and 4 were the original documents.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The current Certificate of Compliance was not posted at the facility.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed a can of cement compound on the back porch and cleaning products in an unlocked cabinet under the sink, which were 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: 3290.74(a)

Description: Requirements

Noncompliance Area: Observed in the outdoor play areas: three corners of aluminum siding which were missing corner moldings, which created sharp edges, a broken piece of molding on the garage, and a shovel and mop handle in the back yard. Observed exposed wires at the bottom of the washing machine in the kitchen.

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.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling, flaking paint on the garage door and the garage door frame in the outdoor play area.

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

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: An evacuation route was not posted in the basement or the attic.

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: 3290.113(f)

Description: Supervision of children

Noncompliance Area: On 1/31/23 at approximately 12:45 PM, Staff Person #1 was observed in the kitchen cleaning up after lunch while four of the children were in the living room. Staff Person does not have an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

Correction Required: When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: The rabies vaccine for the two pets at the facility had expired. Cat: 1/5/21. Dog: 7/2/22.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The Child Service Report in the file for Child #1 (enrolled 3/13/22) was conducted more than 6 months after enrollment (1/23/23). The most recent Child Service Reports in the files for Child #2, #3, and #4 exceeded 6 months between reports: 1/20/22-1/23/23.

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)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact forms in the files for Child #2 and #3 lacked the full address of the release persons.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: An emergency transportation plan was not posted at the facility.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

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

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

Noncompliance Area: The most recent updated health reports in the file for Child #2, a young toddler, exceeded 6 months between reports.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The emergency plan for the facility did not include requirements for continuity of operations (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).

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The first parental update (1/4/23) for the emergency contact form and the fee agreement in the file for Child #1 was more than 6 months after the child's enrollment (3/13/22). The most recent parental updates for the emergency contact form and fee agreements in the files for Child #2, 3 and #4 exceeded 6 months between updates: Child #3 and #4: 1/20/22-1/4/23. Child #5: 1/18/22-9/26/22.

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: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: The most recent mandated reporter trainings in the file for Staff Person #1 exceeded 60 months between trainings: 5/9/15-1/17/22.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The Fire Drill/Fire System Check log documented four times when fire system checks exceeded 30 days between checks: 7/15-8/16, 8/16-9/16, 9/16-10/18 and 12/16-1/23.

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: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The old regulations were posted in the facility. The facility was lacking information on how to access the regulations electronically.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.24(a)

Description: Emergency plan

Noncompliance Area: The facility was lacking a posted emergency plan.

Correction Required: The facility shall have an emergency plan.

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

Description: Age and training

Noncompliance Area: The file for Staff #1 contained Pediatric First Aid that expired 9/17/21.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #1 contained a Child Abuse Clearance that was dated 6/14/16 and an FBI clearance that was dated 8/5/16, both of which are more than the 60 months required in the CPSL. The file for Household Member #2 contained a Child Abuse Clearance that was dated 6/14/16 that was more than the 60 months required in the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and 2 -- may not work in a child care position at the facility.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 and 2--- may not work in a child care position at the facility.

Regulation: 3290.32(d)

Description: Age and training

Noncompliance Area: The file for Staff #1 contained Pediatric First Aid that expired 9/17/21, therefor no staff in the FCCH is certified in pediatric first aid and CPR.

Correction Required: 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: 3290.95(a)

Description: System in compliance

Noncompliance Area: The fire drill log documented testing of smoke detectors every 60 days instead of every 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))

Noncompliance Area: The file for Child #3, a 5 year old child contained 2 health assessments that were more than 12 months apart.

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.

Noncompliance Area: The file for Child #1 contained an immunization record that was lacking 2-3 doses of Rotavirus and the annual influenza vaccine. The file for Child #2 contained an immunization record that was lacking 2 doses of Hepatitis A. The file for Child #3 contained an immunization record that was lacking the annual influenza immunization.

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.

Noncompliance Area: There were foam squares observed in the playroom with bite marks in them.

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

Noncompliance Area: The file for Child #4 was lacking the address and phone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The file for Child #4 contained an Emergency Contact Form that was lacking the address and phone number of the child's release people.

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: The file for Child #1, who was a young toddler age child, contained 2 Health Assessments that were more than 6 months apart.

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

Noncompliance Area: The file for Child #3, that was a preschool aged child, contained two Health Assessments that were more than 12 moths apart.

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.

Noncompliance Area: The files for Child # 2 and 3 contain Emergency Contact forms that were lacking signed consent from the parent for transportation from the facility staff.

Correction Required: The operator shall obtain written consent from the parent for transportation by the facility staff.

Noncompliance Area: The files for household member #1, and household member #2, were lacking FBI clearances. On-line registration for FBI clearances occured on 2/20/17.

Correction Required: At renewal, the legal entity shall submit clearances required by the CPSL for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year if the individual attained 18 years of age following the date of the previous application for a registration certificate.

Noncompliance Area: All of the observed financial agreements were the originals.

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

Noncompliance Area: The file for child #1, currently preschool aged and enrolled as an infant, contained only an initial health report and lacked any 6 month and 12 month updates. The file for child #3, preschool aged, contained a current health report that was conducted more than 12 months following the previous health report. The file for child #4, an older toddler, contained a health report that was conducted more than 12 months following the previous health report. Child files #3 and #4 are current.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: In the first-aid kit there were packets containing ibuprofin and neosporin not labeled with the name of the individual for whom it was intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Child files #1, #2, #3, #4 and #5 all contained emergency contact forms and financial agreements that exceeded 6 months between the current parental reviews and the previous review.

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: An electrical outlet in the bathroom that was accessible to the children was lacking a protective cover.

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

Noncompliance Area: The first-aid kit was lacking scissors and soap.

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: A heat register in the dining room being used for child care had chipping and peeling paint.

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

Noncompliance Area: The facility was lacking a posted fire evacuation plan.

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