Trina Day Care

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: Child 5 did not have a fee agreement on file.

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

Regulation: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: Child 4 did not have a fee amount or date to be paid on the fee agreement.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 2, 3 and 4 did not have the child services provided section filled out on the fee agreement.

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)(3)/3290.124(b)(6)

Description: Parent home/work address, phone/Insurance coverage information

Noncompliance Area: Child 5 did not have a home phone number for the enrolling parent or a health policy number on the emergency contact form.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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Noncompliance Area: During the renewal inspection on 1/8/2026, it was observed that children 1 and 2 had outdated emergency forms and fee agreements. Child 1's emergency form was last updated 11/20/2024 and fee agreement was last updated on 1/6/2024. Child 2's emergency form was last updated 5/10/2024 and fee agreement was last updated on 10/22/2024. All were updated more than 6 months ago.

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)/3290.131(d)(5)

Description: Within 60 days/Immunization record

Noncompliance Area: Child 4 did not have a health assessment or immunizations on file. Please see LIS for date of admission.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection on 1/8/2026, the facility did not have a shaken baby syndrome policy on file.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The provider's written policy must include but is not limited to: Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

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: Children 3 and 4 did not have permission for emergency medical care and minor first aid.

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(f)

Description: Emergency plan

Noncompliance Area: The facility did not have a letter on file for the parents of enrolled children explaining the emergency procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff 1 had 4.5 hours of childcare training on file during the year. Staff 1 has worked at the facility for more than 1 year.

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: Staff 1 and 2 had outdated NSOR clearances on file. Both NSOR clearances were last updated on 6/11/2020, making it more than 5 years since the last update.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff persons 1 and 2 may not work in a childcare position at the facility until all required clearances are obtained. 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. Staff persons 1 and 2 may not work in a childcare position at the facility until all required clearances are obtained. TIERED LIS: 1. Facility will not provide childcare until all required clearances are obtained. This portion of the plan shall have an immediate correction date. 2. Staff 1 and 2 will obtain all required clearances in order to resume childcare at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: There were toxics accessible to the children in the upstairs bathroom. The cabinet under the sink was unlocked and had various materials that had keep out of reach on the bottle. There was also Lysol cleaner resting on a towel rack, which was to the right of the bathroom entrance. The Lysol cleaner was 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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the renewal inspection on 1/8/2026, the last fire drill was conducted on 11/1/2025, making it more than 60 days since the last fire drill.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Facility did not have evacuation posted routes on the first, second or third floor.

Correction Required: 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: During the renewal inspection on 1/8/2026, it was observed that the last fire alarm test was on 12/1/2025, making it more than 60 days since the last fire alarm test.

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 subsection (a) are met.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection, it was observed that the pack n' plays were not labeled. One was actively being used during the renewal inspection.

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: Children 2, 3 4 and 5 did not have the services provided section filled out on the fee agreement. Child 5 also did not have an updated child service report filled out. There was one on file dated for 07/2024. However, it was blank.

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: Child 3 did not have the health care policy number documented on his fee agreement.

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(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Child 1's health assessment did not have a statement on file stating that he is able to participate in child care and is free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: Child 3 did not have an infant feeding schedule on file.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child 5 did not have an updated fee agreement on file. The last fee agreement on file was dated 1/21/2024, making it more than 6 months past due.

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(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: Child 3 did not have permission for emergency medical care or minor first aid on file.

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(d)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, it was observed that there was no emergency plan drill documented.

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

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: During the renewal inspection, it was observed that there was no soap in the first aid kit.

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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the renewal inspection on 1/6/2025, it was observed that there was no fire drills documented throughout the year. As per operator's daughter, the log is missing.

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: During the renewal inspection on 1/6/2025, it was observed that there was no fire alarm testing documented throughout the year. As per operator's daughter, the log is missing.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility was not able to demonstrate the smoke detectors were all interconnected on each floor, including the basement, first, second and third floor.

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: 3290.121(a)

Description: Review policies and procedures

Noncompliance Area: During renewal inspection conducted 1/9/2024, operator admitted that facility does not have a parent handbook containing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. An acceptable plan of correction was received with a correction date of 1/31/2024. When certification representative returned for unannounced monitoring on 4/3/2024, facility did not have a parent handbook containing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During renewal inspection conducted 1/9/2024, there were no Child Service Reports (CSRs) on file for child #1 or child #2. All previously mentioned children have been enrolled and attending the facility for over 6 months (see LIS code sheet for dates of admission). An acceptable plan of correction was received with a correction date of 1/31/2024. When certification representative returned on 4/3/2024, there were no Child Service Reports (CSRs) on file for child #1 or child #2. All previously mentioned children have been enrolled and attending the facility for over 6 months (see LIS code sheet for dates of admission).

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: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection conducted on 1/9/2024, facility's emergency plan did not include a continuity plan for operations in times of an emergency. An acceptable plan of correction was received with a correction date of 3/30/2024. When certification representative returned for unannounced monitoring on 4/3/2024, facility's emergency plan did not include a continuity plan for operations in times of an emergency.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily 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.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During unannounced monitoring conducted 4/3/2024, facility's fire drill log indicated that last fire drill was conducted on 1/3/2024, which is past 60 days.

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: During renewal inspection conducted 1/9/2024, facility's fire detection testing log indicated that smoke alarms were tested past 30 days on the following occasions: 5/3/2023-6/3/2023, 6/3/2023-7/4/2023, 9/1/2023-10/3/2023, 12/1/2023-1/2/2024. An acceptable plan of correction was received with a correction date of 1/9/2024. When certification representative returned for unannounced monitoring on 4/3/2024, facility's fire detection testing log indicated that smoke alarms were last tested on 1/21/2024. Smoke alarms were tested during inspection and were operable.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection conducted 1/9/2024, an older toddler was put to sleep in a high chair and was not moved to a cot until after certification representative advised that children cannot sleep in chairs.

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: 3290.121(a)

Description: Review policies and procedures

Noncompliance Area: During renewal inspection conducted 1/9/2024, operator admitted that facility does not have a parent handbook containing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During renewal inspection conducted 1/9/2024, the following information was missing from children's fee agreements: Child #1: Fee amount. Date fee to be paid. Child #2: Date fee to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During renewal inspection conducted 1/9/2024, there were no Child Service Reports (CSRs) on file for child #1, child #2, or child #4. All previously mentioned children have been enrolled and attending the facility for over 6 months (see LIS code sheet for dates of admission).

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)(4)/3290.123(a)(6)

Description: Arrival/departure times/Admission date

Noncompliance Area: During renewal inspection conducted 1/9/2024, the following information was missing from children's fee agreements: Child #1: Arrival and departure times. Date of admission. Child #2: Date of admission. Child #3: Date of admission.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the date of the child's admission.

Regulation: 3290.123(a)/3290.123(a)(5)

Description: Signed /Designated release persons

Noncompliance Area: During renewal inspection conducted 1/9/2024, the following information was missing from children's fee agreements: Child #1: Release person(s). Signed by operator.

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

Regulation: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 1/9/2024, the following information was missing from children's emergency contact forms: Child #1: Father's home and work addresses and telephone numbers. Mother's work address and work telephone number. Child #2: Father's home and work addresses and telephone numbers. Mother's work address and work telephone number. Release persons' addresses. Child #3: Father's home and work addresses and telephone numbers. Mother's work telephone number. Release persons' addresses. Child #4: Father's work address and work telephone number. Mother's work telephone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection conducted 1/9/2024, the following information was missing from children's emergency contact forms: Child #1: Health insurance 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)/3290.131(e)

Description: Within 60 days/Immunization record

Noncompliance Area: During renewal inspection conducted 1/9/2024, there was no initial health assessment or immunization record on file for child #1 or child #2. Both children have been attending facility for over 60 days (see LIS code sheet for date of admission).

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 facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

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

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection conducted 1/9/2024, child #5 did not receive Hep A vaccine. Child #5 is an older toddler (see LIS code sheet for date of birth). There is no exemption on file.

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 #5 must be dismissed from care by close of business 1/9/2024 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.133(3)

Description: Name on bottle

Noncompliance Area: During renewal inspection conducted 1/9/2024, facility had unlabeled diaper cream.

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.

Regulation: 3290.135(b)

Description: Surfaces cleaned

Noncompliance Area: During renewal inspection conducted 1/9/2024, diaper surfacing area was covered with a cloth cover which cannot be cleaned after each use by wiping the surface. Cloth is not changed with each use.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection conducted on 1/9/2024, facility's emergency plan did not include a continuity plan for operations in times of an emergency.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily 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.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 1/9/2024, the following fee agreements were not updated within the past 6 months: Child #1: Fee agreement last updated 5/1/2023. Child #4: Fee agreement last updated 11/10/2022.

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(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: During renewal inspection conducted 1/9/2024, consent for emergency medical care and consent for minor first-aid was not signed by parent of child #2.

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: 3290.73(c)

Description: Has all items

Noncompliance Area: During renewal inspection conducted 1/9/2024, facility's first-aid kit was missing 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.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: During renewal inspection conducted 1/9/2024, facility's fire drill log does not include the names of the facility persons who participated in fire drills.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection conducted 1/9/2024, facility's fire detection testing log indicated that smoke alarms were tested past 30 days on the following occasions: 5/3/2023-6/3/2023, 6/3/2023-7/4/2023, 9/1/2023-10/3/2023, 12/1/2023-1/2/2024.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection conducted 1/9/2024, facility did have OSHA-approved smoke detectors installed in the home; however, could not demonstrate that they operate in an interconnected fashion.

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: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: fee amount and date fee is to be paid. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's fee agreement.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(5)/3290.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: Date of admission. Release persons. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's fee agreement.

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

Regulation: 3290.123(a)/3290.123(a)(4)

Description: Signed /Arrival/departure times

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: signed by parent and operator. Arrival and departure times. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's fee agreement.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the child's arrival and departure times.

Regulation: 3290.124(b)(2)/3290.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from emergency contact form: Child #1: name, address, and phone number of child's physician/medical care. Health insurance coverage and policy number. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from emergency contact form: Child #1: work address and work phone number of child's mother. Address of child's father. Child's father is also listed as a release person. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's emergency contact form.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: During renewal inspection conducted 2/1/2023, facility did not have a written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted in a conspicuous location. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, emergency transportation plan was not posted in a conspicuous location in 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: 3290.18

Description: General Health and Safety

Noncompliance Area: During unannounced monitoring conducted 2/27/2023, facility person #2 was observed to be caring for children unsupervised. Facility person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Mandated Reporter training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, facility person #2 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 person(s) available to supervise facility person #2, facility person #2 may not work in a child-care position at the facility.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 2/1/23, Child #1's emergency contact form was last updated 5/9/2022. An acceptable plan of correction was received with correction date of 2/23/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's emergency contact form.

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(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: During renewal inspection conducted 2/1/2023, Child #1's record did not contain signed parental consent for emergency medical care or minor first-aid procedures by facility persons. An acceptable plan of correction was received with correction date of 2/17/2023. When certification representative returned for unannounced monitoring on 2/27/2023, aforementioned information was still missing from Child #1's emergency contact form.

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: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Per OCDEL Announcement C-22-06, all current child care staff who completed the previous health and safety pre-service training modules, listed below, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 Versión en español: Actualización de Salud y Seguridad de Pennsylvania 2022) by December 30, 2022. Facility person #1 shall complete the required one-hour 2022 update to the health and safety training by March 14, 2023.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Per OCDEL Announcement C-22-06, all current child care staff who completed the previous health and safety pre-service training modules, listed below, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 Versión en español: Actualización de Salud y Seguridad de Pennsylvania 2022) by December 30, 2022. Facility person #1 shall complete the required one-hour 2022 update to the health and safety training by March 14, 2023.

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: During renewal inspection conducted 2/1/2023, thermometer in the refrigerator was inoperable.

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.

Regulation: 3290.123(a)(1)/3290.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: fee amount and date fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following children did not have Child Service Reports (CSRs) completed within the past 6 months. Children have attended for longer than 6 months (see LIS code sheet): Child #1: no CSRs on file. Child #2: no CSRs on file. Child #3: no CSRs on file. Child #4: last CSR on file is dated 2/10/2021. Child #5: last CSR on file is dated 2/13/2018.

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)/3290.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: Date of admission. Release persons.

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

Regulation: 3290.123(a)/3290.123(a)(4)

Description: Signed /Arrival/departure times

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from children's fee agreement: Child #1: signed by parent and operator. Arrival and departure times.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the child's arrival and departure times.

Regulation: 3290.124(b)(2)/3290.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from emergency contact form: Child #1: name, address, and phone number of child's physician/medical care. Health insurance coverage and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following was missing from emergency contact form: Child #1: work address and work phone number of child's mother. Address of child's father. Child's father is also listed as a release person.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: During renewal inspection conducted 2/1/2023, facility did not have a written plan identifying the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted in a conspicuous location.

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)/3290.131(b)(2)

Description: Updated infant health report: every 6 months/Updated toddler/preschool health report: every 12 months

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following children need updated health assessments on file: Child #1: last health assessment on file is dated 7/7/2022. Child #1 is a young toddler (see LIS code sheet). Child #2: last health assessment on file is dated 4/22/2021. Child #2 is a preschool aged child (see LIS code sheet).

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. 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: 3290.131(e)(1)/3290.131(e)(3)

Description: Parent written verification from Doctor./Dismissal policy

Noncompliance Area: During renewal inspection conducted 2/1/2023, the following children did not have proof of immunizations in accordance with the schedule recommended by the ACIP: Child #2 does not have proof of influenza vaccine on file. There is no exemption on file.

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. 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 #2 must be removed from care by close of business on 2/1/2023 until either the vaccination record is updated according to the ACIP recommended schedule or the parent provides an exemption letter.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 2/1/23, Child #1's emergency contact form was last updated 5/9/2022.

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(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: During renewal inspection conducted 2/1/2023, Child #1's record did not contain signed parental consent for emergency medical care or minor first-aid procedures by facility persons.

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(d)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 2/1/2023, there was no emergency drill log on file at the facility.

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: During renewal inspection conducted 2/1/2023, facility person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Per OCDEL Announcement C-22-06, all current child care staff who completed the previous health and safety pre-service training modules, listed below, prior to October 4, 2022, are required to complete the Pennsylvania Health and Safety Update 2022 Versión en español: Actualización de Salud y Seguridad de Pennsylvania 2022) by December 30, 2022. Facility person #1 shall complete the required one-hour 2022 update to the health and safety training by February 23, 2023.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection conducted 2/1/2023, facility person #1 had PSP clearance request dated 3/7/2019 on file. There were no results for PSP clearance on file in the facility. Facility person #1 obtained appropriate PSP clearance during inspection dated 2/1/2023.

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 child care position or be present while child care is occurring at the facility until appropriate PSP clearance results are on file.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: During renewal inspection conducted 2/1/2023, facility's first-aid kit was missing tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3290.92(a)

Description: Portable space heaters

Noncompliance Area: During renewal inspection conducted on 2/1/23, a portable space heater was being used in the facility. The City of Allentown does not allow portable heaters in any type of daycare.

Correction Required: Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During renewal inspection conducted 2/1/2023, facility did not have evacuation routes posted in the attic or basement.

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: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: Child #1, 2 & 3 are missing the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: Child #5 does not have an updated immunization record to reflect Hep B #3 and MMR #2.

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.

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

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

Noncompliance Area: Household member #2 does not have a health assessment or tuberculosis screening on file. Household member is in the childcare space while children are in care.

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: Child #6 & 7 do not have an individual record on file.

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

Regulation: 3290.181(c)/3290.181(d)

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

Noncompliance Area: Child #1 does not have an updated emergency contact. Child #2 & 3 does not have an updated financial agreement.

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)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Household member #1 has an expired state police and child abuse on file. State police clearance dated 3/28/16. Household member #2 turned 18 on 1/24/22 and does not have all 4 required clearances on file.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: The cots are not labeled for individual use.

Correction Required: (a) 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: Child #1 is missing the services to be provided to the family and the child.

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)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #1 is missing 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1 & 3 are missing the work addresses and telephone numbers of the enrolling parent.

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

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

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

Noncompliance Area: Child #3 is missing written consent signed by a parent 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(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #2 & 4 are missing the health insurance 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: Child #2, 3 & 4 are missing the name, 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: 3290.124(e)

Description: Updated every 6 months

Noncompliance Area: Child #3 does not have an updated emergency contact on file.

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: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: Child #5 does not have an updated immunization record to reflect Hep B #3 and MMR #2.

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.

Regulation: 3290.151(c)(1)/3290.151(c)(2)

Description: Physical examination/Mantoux TB

Noncompliance Area: Household member #3 does not have a health assessment or Tuberculosis screening on file. Household member is in the childcare space while children are in care.

Correction Required: An adult health assessment must include a physical examination. 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: Child #6 & 7 do not have an individual record on file.

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: Child #2 & 4 do not have an updated agreement on file.

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(5)

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

Noncompliance Area: Child #1 & 3 are missing signed parental consent for administration of 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: 3290.182(8)

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

Noncompliance Area: Child #3 does not have an initial agreement on file.

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: 3290.192(4)

Description: Required training

Noncompliance Area: Primary staff #1 does not have proof of 12 hours of annual professional development training on file.

Correction Required: A facility person's record shall include records of training required by the Department.