The Little Explorers Treehouse

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: Certification representative conducted a renewal inspection. There was a sink cabinet on the 1st floor in poor repair.

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: 3290.118

Description: Infant sleep position

Noncompliance Area: Certification representative conducted a renewal inspection. At the time of inspection, an infant was sleeping in a bouncy seat with a coat and hat on. (Corrected on site).

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #2 did not include a CSR assessment.

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(a)(5)

Description: Designated release persons

Noncompliance Area: Certification representative conducted a renewal inspection. The fee agreement for child #2 and #4 did not specify the persons 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: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Certification representative conducted a renewal inspection. The fee agreement for child #1, #2, #3, #4 and #5 did not have the child admission date.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #2 and #3 did not include the physician address.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #4 and #5 did not include the insurance coverage 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #2 did not include the release personal 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: 3290.124(e)

Description: Updated every 6 months

Noncompliance Area: Certification representative conducted a renewal inspection. The emergency contact forms for child #2 was outdated.

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.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #2 did not include emergency plan training.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Certification representative conducted a renewal inspection. The facility did not have documentation of an emergency drill.

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: Certification representative conducted a renewal inspection. The emergency plan had not been 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: 3290.31(a)(2)

Description: Age and training

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #2 did not include proof of education.

Correction Required: Have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department no later than the submission of the second renewal application.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #1 needs 6 more clock hours of childcare training.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification representative conducted a renewal inspection. The record for staff person #2 did not include the required child abuse clearance.

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

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Certification representative conducted a renewal inspection. There were outlets on extension cord uncovered in the childcare space.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Certification representative conducted a renewal inspection. There was a cabinet unlocked with toxic cleaning supplies located in the 2nd floor bathroom.

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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Certification representative conducted a renewal inspection. Evacuation routes were not posted on each floor of the facility.

Correction Required: Evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: Certification representative conducted a renewal inspection. The fee agreement for child #1, #4 and #5 was not signed by the operator.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #1 and #4 did not include a CSR child assessment.

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(a)(5)

Description: Designated release persons

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #4 and #5 did not specify 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: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Certification representative conducted a renewal inspection. The fee agreement for child #1, #2, #3, #4 and #5 did not specify 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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #4 did not include the name, address or 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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #1, #2, #3, #4 and #5 did not include health insurance coverage policy numbers.

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: Certification representative conducted a renewal inspection. The record for child #4 did not include the name, address or 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(a)/3290.131(b)(2)

Description: Within 60 days/Updated toddler/preschool health report: every 12 months

Noncompliance Area: Certification representative conducted a renewal inspection. The record for child #1, #4 and #5 did not include an initial or updated health assessment.

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. 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: 3290.151(a)/3290.151(c)(2)

Description: Within 3 months, then 12 months/Mantoux TB

Noncompliance Area: On January 29, 2025, certification representative conducted a renewal inspection. The record for facility person #4 did not include a health assessment or Tuberculosis screening by the Mantoux method.

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. An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Regulation: 3290.174(a)

Description: Insured

Noncompliance Area: Certification representative conducted a renewal inspection. At the time of inspection, the provider did not have proof of insurance or vehicle registration.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Regulation: 3290.176

Description: Transportation First Aid Kit

Noncompliance Area: Certification representative conducted a renewal inspection. The vehicle used to transport the children did not have a first aid kit or emergency contact information for the children being transported.

Correction Required: A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

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: Certification representative conducted a renewal inspection. The record for child #3 and #4 did not include signed parental consent for emergency medical care or signed parental consent for administration of minor first-aid procedures.

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(b)

Description: Emergency plan

Noncompliance Area: Certification representative conducted a renewal inspection. The emergency plan on file at the facility had not been updated annually.

Correction Required: 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(c)

Description: Training regarding plan

Noncompliance Area: Certification representative conducted a renewal inspection. The record for facility person #1, #2, #3 or #4 did not included updated emergency plan training.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Certification representative conducted a renewal inspection. At the time of inspection, the facility had not completed an annual emergency drill.

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: Certification representative conducted a renewal inspection. The facility did not have documentation that 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: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: Certification representative conducted a renewal inspection. The CPR first aid training for staff person #2 and #3 was expired.

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: Certification representative conducted a renewal inspection. The record for staff person #2 did not include an NSOR clearance. In addition, the record for volunteer person #4 did not include PA state police clearance, child abuse clearance, DHS FBI clearance, NSOR clearance or a disclosure statement.

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 #4 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 #2 and #4 may not work in a child care position at the facility.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: Certification representative conducted a renewal inspection. At the time of inspection there were electrical outlets unplugged. (Corrected on site).

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Certification representative conducted a renewal inspection. There was Lysol and other toxic cleaning supplies on lower shelf in reach of the children. (Corrected on site).

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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Certification representative conducted a renewal inspection. The facility did not have evacuation routes in the basement or 2nd floor of the facility.

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: 3290.103/3290.113(a)

Description: Small Toys and Objects/Supervised at all times

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. At the time of the inspection staff person #2 was out of ratio working with 9 children with the youngest child being 6months old. As the staff person #2 answered the door to let families in, a 6-month-old infant was had a reading book in her mouth and unsupervised she started to eat the paper pages.

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. 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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The rest equipment was not labeled with children names.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The record for child #3 did not include an updated CSR assessment.

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(a)(5)

Description: Designated release persons

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The fee agreement for child #4 did not specify 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: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The fee agreement for child #2, #3, #4 and #5 did not specify the children's admission date.

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

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

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The record for child #1 did not include signed parental consent 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: 3290.124(c)/3290.176

Description: Excursions/Transportation First Aid Kit

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The vehicle used to transport the children did not have a first aid kit available or emergency contact information specific to each child on the excursion.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3290.151(a)/3290.151(c)(2)

Description: Within 3 months, then 12 months/Mantoux TB

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The record for staff person #4 did not include a health assessment or Tuberculosis screening by the Mantoux method.

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. An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The facility did not have establish or maintain an individual record for child #1.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The fee agreement for child #2 was outdated.

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: 3290.182(4)/3290.182(5)

Description: Consent for administration of medications or special dietary needs/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The record for child #1 did not include signed parental consent for special dietary needs or for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs. 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: 3290.182(6)

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

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The record for child #1 did not include signed parental consent for transportation and walking excursions.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The facility did not complete an emergency drill or have an emergency drill log at the time of inspection.

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: On January 18, 2024, certification representative conducted a renewal inspection. The facility emergency plan had not been sent to their 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: 3290.31(f)

Description: Age and training

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The record for staff person #3 only had 10hrs 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(g)

Description: Age and training

Noncompliance Area: On January 18, 2023, certification representative conducted a renewal inspection. The record for staff person #1, #2 and #3 did not have the 10hr health and safety training.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The record for staff person #4 did not include a PA state police clearance, an FBI fingerprint or an NSOR clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 may not work in a child care position at the facility.

Regulation: 3290.52(2)

Description: One infant, four toddlers

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. At the time of inspection staff person #2 was working alone with 9 unrelated children with the youngest child being 6 months old.

Correction Required: The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If one infant is in care, four toddlers are permitted.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. There were toxic hand soaps and hand sanitizers in reach of the children located in the childcare space. (Corrected on site).

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: 3290.73(c)/3290.73(d)

Description: Has all items/On excursions

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. First aid kit #1 was missing a bottle of water. In addition, first aid kit #2 was missing tweezers, scissors, soap and gloves.

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. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3290.73(c).

Regulation: 3290.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. There was a shelf blocking the back exit door. In addition, there were bags and items blocking the basement exit door. The door was locked and there was no key available to open it at the time of inspection. (Corrected on site).

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The facility did not have evacuation routes posted in a conspicuous location on each floor of the facility.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: On January 18, 2024, certification representative conducted a renewal inspection. The facility did not have documentation showing that the fire alarm system is being checked 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)). 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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On January 23, 2023 during the renewal inspection, the file of Child #1 did not contain evidence of an updated emergency contact form, the form on file did not have a date.

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: 3290.123(a)/3290.181(d)

Description: Signed /Dated signature affixed

Noncompliance Area: ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM AND FEE AGREEMENT FORM OF CHILD #1, CHID #2, CHILD #3, CHILD #4 AND CHILD #5 DID NOT CONTAIN PARENTAL SIGNATURES AND DATE, FEE AGREEMENT WAS NOT SIGNED BY OPERATOR

Correction Required: An agreement shall be signed by the operator and the parent. 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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #2, CHILD #3 AND CHILD #5 DID NOT CONTAIN HEALTH COVERAGE INFORMATION AND 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: 3290.131(a)(3)

Description: Initial health report dated older toddler/preschool < 1 year.

Noncompliance Area: ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE FILE OF CHILD #2 AND CHILD #4 DID NOT CONTAIN EVIDENCE OF AN UPDATED HEATH ASSESSMENT CHILD #2 WAS DATED 7/13/2020; CHILD #4 WAS DATED 11/5/2020

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

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

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

Noncompliance Area: ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE FIE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF AN UPDATED HEALTH ASSESSMENT, THE HEALTH ASSESSMENT ON FILE WAS DATED 2/5/2020

Correction Required: 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: 3290.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1, CHILD #2, CHILD #3, CHILD #4 AND CHILD #5 DID NOT CONTAIN PARENTAL CONSENT FOR OBATINING EMERGENCY MEDICAL CARE

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.

Regulation: 3290.182(5)

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

Noncompliance Area: ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1, CHILD #2, CHILD #3, CHILD #4 AND CHILD #5 DID NOT CONTAIN PARENTAL CONSENT FOR ADMINISTERING 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: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: ON FEBRUARY 17, 2022 DURING THE RENEWAL INSPECTION, TE FILE IF STAFF #1, STAFF #2 AND STAFF #3 DID NOT CONTAIN EVIDENCE OF AN ANNUAL MINIMUM OF 12 CLOCK HOURS OF CHILD CARE 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.