Tonya Dockery

Regulation: 3290.113(e)

Description: Restraints prohibited

Noncompliance Area: During the renewal inspection on 01/29/26 child #1 was observed sleeping while strapped in a car seat.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 01/29/26 the emergency contact form reviewed for child #2 did not include health insurance coverage 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: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection on 01/29/26 staff person #2 was observed working unsupervised with (2) children without having completed the required clearances, pre-service training, including mandated reporter training and Pediatric First Aid and CPR.

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: During the renewal inspection on 01/29/26 the fee agreement reviewed for child #2 was not reviewed/updated within 6-monht time period. Fee agreement dated 03/14/25.

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: 3290.191

Description: Individual Records

Noncompliance Area: During the renewal inspection on 01/29/26 provider was unable to produce file for staff person #2 upon request.

Correction Required: An individual record is required for each facility person.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: During the renewal inspection on 01/29/26 the file reviewed for staff person #1 did not include 12 hours of annual childcare training.

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

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

Description: Age and training

Noncompliance Area: During the renewal inspection on 01/29/26 the file reviewed for staff person #1 contained an expired first aid/cpr certification.

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(4)

Description: Comply with CPSL/Required training

Noncompliance Area: During the renewal inspection on 01/29/26 the file reviewed for staff person #1, hired (see code sheet) contained a child abuse history clearance dated 08/11/20 which is more than 60 months old. There is no application in the file for an updated child abuse clearance. No file to review for staff person #2. Provider was unable to produce PA state criminal clearance, child abuse clearance, DHS FBI clearance, NSOR certificate, mandated reporter training or disclosure statement for staff person #2.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services) A facility person's record shall include records of training required by the Department. A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. Staff person #1 and staff person #2 may not work in a childcare position at the facility.

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: During the renewal inspection on 02/13/25 the file reviewed for child #1, child #2, child #3, child #4 and child #5 did not contain date of 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: During the renewal inspection on 02/13/25 the emergency contact form reviewed for child #2 did not include child's PCP name, address or telephone number. The emergency contact form reviewed for child #3 and child #5 did not include PCP's 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: During the renewal on 02/13/25 the emergency contact form reviewed for child #2, child #3 and child #4 did not include the health insurance coverage or 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(e)/3290.181(c)

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

Noncompliance Area: During the renewal inspection on 02/13/25 the emergency contact form and fee agreement reviewed for child #2, child #3, child #4 and child #5 were not reviewed within 6-month time period.

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: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: During the renewal inspection on 02/13/25 the file reviewed for child #2, child #3, child #4 and child #5 did not contain a health report

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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During the renewal inspection on 02/13/25 the file reviewed for staff person #1 did not contain 12 hours of annual childcare 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: 3290.73(c)

Description: Has all items

Noncompliance Area: During the renewal inspection on 02/13/25 the first aid kit reviewed did not contain tweezers, tape or 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.

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: During the renewal inspection on 03/20/24 the file reviewed for child #1 did not contain 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(a)

Description: Within 60 days

Noncompliance Area: During the renewal inspection on 03/20/24 the file reviewed for child #1 did not contain a health report.

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(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: During the renewal inspection on 03/20/24 the health report reviewed for child #3 was not updated with 12 months. Health report reviewed was dated 05/20/21.

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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.182(2)

Description: Application, admission, withdrawal dates

Noncompliance Area: During the renewal inspection on 03/20/24 the fee agreement reviewed for child #1 and child #3 did not contain date of admission.

Correction Required: A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: During the renewal inspection on 03/20/24 the emergency contact form reviewed for child #3 did not contain signed parental consent for 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: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection on 03/20/24 the facility's current certificate of compliance was not posted.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection on 03/20/24 the file reviewed for staff person #1 did not contain FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a childcare position at the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The smoke alarm in the basement was not operable nor was it properly installed. In addition, the smoke detectors were not interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms in accordance with. 35 P.S. § 1223.6(f.1)(1.1).

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. Ensure that the smoke detectors are properly installed and interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms in accordance with 35 P.S. § 1223.6(f.1)(1.1).

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: The refrigerator lacked an operable thermometer.

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. Obtain an operable thermometer and place it in the refrigerator. Ensure that it maintains a temperature of 45° F or below.

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

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

Noncompliance Area: One staff person's record did not contain a health assessment on file at the facility including negative TB skin testing at initial employment. (#1)

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. Obtain and submit a current up-to-date health assessment for the identified staff person including negative TB skin testing. Ensure that health assessments contain the required information and are completed within the required timeframes.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan did not include a statement about the continuity of operations emergency preparedness and response planning as outlined in 45 CFR § 98.41(a)(1)(vii), including the Robert T. Stafford Disaster Relief and Emergency Assistance Act.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Amend the facility emergency plan to include this information.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations for infants, 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. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: One staff person's record did not contain written verification of required health and safety training. PA UPdate (#1)

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Obtain and submit written verification of the required health and safety training for the identified staff persons.

Regulation: 3290.32(d)

Description: Age and training

Noncompliance Area: A review of staff records indicated there were no staff persons trained in pediatric first aid and CPR training. Operator's record did not contain written verification of completed pediatric first aid and CPR. (#1)

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. Obtain completed pediatric first aid and CPR training for the identified staff person. Submit written verification of the completed training. T

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: The outdoor front steps handrailing was in disrepair. It was not secured and presented a visible hazard.

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. Replace or repair the railing. Submit written verification of the repairs and ensure that all surfaces in the facilty remain in good repair and free of visible hazards.