Tami S Henderson Family Child Care Home

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a broken blue toy bin with rough edges in the indoor play area. Observed a wooden outdoor play kitchen which had a detached board with exposed nails and loose plexiglass.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Observed child file #2, who has been in attendance for more than 6 months, 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 § 3290.124(e).

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Observed the emergency contact information for child file #1 did not contain the health insurance coverage and policy number. Observed the emergency contact information for child file #3 did not contain the health insurance coverage information.

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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: Observed child file #1 contained an initial health assessment which was dated more than 12 months after the child's first day of attendance at the facility.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3290.131(e)(2)(i)

Description: Religious belief/strong personal objection

Noncompliance Area: Observed child file #1 did not contain a letter of exemption from immunizations due to a strong person objection written, signed, and dated 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: 3290.181(c)/3290.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: Observed child file #1 and #2 did not contain documentation of parental review of the emergency contact information and the financial agreement within the previous 6 months.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Observed staff file #1 contained a most recent child abuse clearance which was dated more than 60 months ago (12/29/20).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -1- may not work in a childcare position at the facility until a valid child abuse clearance is obtained.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed insect killer and spray lube accessible to a young school age child on a shelf in the indoor play area used by 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: 3290.64(c)

Description: Toxic plants not permitted

Noncompliance Area: Observed one small pokeweed plant growing inside the outdoor play area used by children.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: Observed a plastic bag accessible to children, who are still placing objects in their mouth, under a deck in the outdoor play area.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Observed a pack n play which was used by an infant in care, was not labeled with the child's name.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.124(b)(4)/3290.182(5)

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

Noncompliance Area: Observed the emergency contact form for child file #1 did not contain written consent signed by a parent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.

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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: Observed the most recent health assessments for child file #2 and #3 were dated more than 13 months after the previous valid health assessment.

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: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed a soiled rolled up diaper on the floor of the child care room at the time of arrival for the inspection.

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: 3290.166(1)

Description: Written statement

Noncompliance Area: Observed the facility did not have a written statement from the parent giving the formula and feeding schedule for the infant in care.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Observed staff file #1 contained only 11.5 hours of child care training during the previous complete annual training year.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed sunscreen accessible to children on a stroller in the playroom. Observed diaper cream accessible to children on a couch in the child care room. Both items listed are labeled "keep out of the 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: 3290.64(c)

Description: Toxic plants not permitted

Noncompliance Area: Observed poison ivy and poke weed inside the back fence of the outdoor play area.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: Observed exposed bolts on the front fence on both sides of the house and on both sides of the entrance gate.

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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Observed the documented fire drills revealed that one time in the previous 12 months (8/13/24-11/12/24) the fire drills were completed more than 60 days apart.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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: Observed the fire alarm testing log revealed that one time in the previous 12 months (2/22/25-3/25/25) the fire alarm testing was conducted 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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a toy bin in the play area which had rough edges on a damaged handle.

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 plastic bags accessible to toddlers hanging on a low hook in the play area used by the children.

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)(3)

Description: Services provided

Noncompliance Area: Observed child file #2, who has been in attendance for more than 6 months, 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 § 3290.124(e).

Regulation: 3290.123(b)

Description: Parent receives original

Noncompliance Area: Observed child files #2, #3, and #4 contained original agreements.

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

Regulation: 3290.124(b)(4)/3290.182(5)

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

Noncompliance Area: Observed the emergency contact form for child file #3 did not contain written consent signed by a parent for emergency medical care or signed parental consent for administration of minor first-aid procedures by facility staff.

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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Observed the emergency contact information for child file #3 did not contain the health insurance coverage and policy number for the child.

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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed the emergency contact information for child file #2 did not contain the address and telephone number of the individual 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: 3290.131(b)(2)

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

Noncompliance Area: Observed child file #1 contained an updated health assessment which was dated more than 12 months after the previous valid health assessment.

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: 3290.181(c)/3290.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: Observed child file #2, who has been in attendance for more than 6 months, did not contain documentation of parental review of the emergency contact information and agreement forms.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3290.64(c)

Description: Toxic plants not permitted

Noncompliance Area: Observed in the outside play area, a poke weed plant and poison ivy were growing inside the play area fence.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: Observed a cat in the child care space and another at in the home. There was no documentation of the cats having current rabies immunizations.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person was observed to be caring for children unsupervised. Staff person had not completed the required 1 hour Health and Safety training prior to caring for children unsupervised.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was not documentation the Emergency Plan was sent to the local municipality.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Observed documentation of testing the smoke detector more than 30 days apart due to the following dates: 2-20-23 to 3-23-23 is 31 days.

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

Regulation: 3290.131(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: Second citation, previously cited on 7-9-22. The file of child #1 lacked documentation of receiving the Influenza vaccine or a signed and dated exemption statement from the child's parent or guardian.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.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: 3290.31(g)

Description: Age and training

Noncompliance Area: Second citation. Previously cited on 7-9-22. Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet):3290.31(g)(10).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10.

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: Observed beads attached to a pacifier used by child #1, a young toddler. The beads were less than 1 inch in diameter.

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: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: Second citation, previously cited on 7-1-22 During the renewal inspection, it was observed that the provider left the children unsupervised when she came upstairs to prepare lunch and left an older school age child and pre-school age child downstairs to clean up the crayons. The provider also left the 5 child care children: 1 older school age, 1 pre school age, and 3 toddlers alone upstairs in the kitchen/dining area while the provider went downstairs out to the garage to get frozen food in the freezer. On 7-16-22 observed lack of a monitor with a screen set up for provider to use during her restroom break and/or to make lunch.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Regulation: 3290.113(f)

Description: Supervision of children

Noncompliance Area: Second citation, previously cited on 7-1-22. At the time of the renewal inspection, there was not 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: 3290.131(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: The file of child #2 lacked documentation of receiving the Influenza vaccine or a signed and dated exemption statement from the child's parent or guardian.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The Emergency Plan lacked accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: An emergency plan drill was not done by 12-19-21. The only drill documented was dated 5/2022.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet):3290.31(g)(10).

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of the date of hire: Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 7-16-22 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, (by a family child care home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The smoke detection system was not checked every 30 days due to the fact documentation showed the following dates: 1-25-22 to 2-25-22, which is 31 days; 3-25-22 to 4-25-22, which is 31 days.

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