Victoria E Garth Family Child Care Home

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: Child #5, with a date of enrollment of (see LIS code sheet) had an initial health assessment dated 5/5/22, which is more than 60 days following the first day of attendance at the facility.

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

Regulation: 3290.131(b)(2)

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

Noncompliance Area: The most recent health report for Child #5, a preschooler is dated 5/5/22.

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

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

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The records for staff person #3 did not include results of a tuberculin skin test.

Correction Required: 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. 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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan did not address continuity of operations.

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

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: Staff person #2 has not completed emergency plan training and has been employed for more than 90 days.

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: There was one emergency drill documented and on file at the facility. It was dated 4/28/23.

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: Staff person #1 did not obtain 12 clock hours of child care training between 12/2022 and 12/2023.

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: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and safety training and first-aid and CPR.

Correction Required: Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #2 will have until 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff 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 available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2 (see LIS code sheet) lacks an NSOR. Staff person #2 did not obtain the following clearances prior to date of hire: PA State Police, PA Child Abuse, and DHS FBI. Staff person #2 now currently has PA State Police, PA Child Abuse, and DHS FBI.

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

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff #2 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 15 days from POC requested date to complete the mandated reporter training. Until such time as the required training has been completed, staff 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 staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Documentation showed that there were times when time between fire drills exceeded 60 days. The dates were: 5/30/23-7/30/23, 7/30/23-9/30/23, 9/30/23-11/30/23, and 1/30/24-3/30/24.

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: The fire detection log dates indicate that testing of the fire detection system exceeded 30 days on the following dates: 5/30/23-6/30/23, 7/30/23-8/30/23, 8/30/23-9/30/23, 9/30/23-11/30/23, 12/30/23-1/30/24. The most recent test was completed on 4/20/24.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: The files for Staff #1 and #2 lacked completion of the UPDATED 1 Hour Health and Safety Training on or before 12/30/2022.

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

Regulation: 3290.182(5)

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

Noncompliance Area: The Emergency Contact Form for Child #1 lacked a signature for "Consent for 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: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The facility files lacked proof of the Emergency Plan and subsequent plan updates being sent to the local municipality and county emergency management agency.

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(g)

Description: Age and training

Noncompliance Area: Staff person #3 --- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety 10 Hour Training.

Correction Required: Staff person #3 - will have until July 1, 2023 to complete the required training. Until such time as the required training has been completed, staff person #3--- must be supervised, when interacting with children, by a family childcare home staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #--, staff person #3-- may not work in a child-care position at the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility files lacked proof of purchase for the interconnected smoke detection system.

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: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: The two most recent Emergency Plan Trainings for Staff #2 were dated more than 12 months apart.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff Person's #1 (9 hours) and #2 (0 hours) lacked a minimum of 12 hours of childcare 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: Staff person #2 worked at the facility for more than 90 days without obtaining training in the 10 required health and safety training topics.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: The two most recent Child Abuse Clearances for Staff #2 were dated more than 60 months apart. The disclosure statement for Staff #1 lacked a witness signature.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The Facility file lacked proof of purchase for the interconnected smoke detection system.

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.