Sanfords Family Day Care

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Rest equipment in the living room was not labeled with each child's name for individual use.

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: 3290.111(b)

Description: Posted in area used by parents

Noncompliance Area: At the time of inspection, the facility lacked a posting of the written plan of daily activities in a traffic area used by parents.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The financial agreement form on file for Child #1 and Child #4 lacked the fee amount to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The financial agreement form on file for Child #4 lacked the date the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The most recent child service reports on file for Child #1 (1/30/25) and Child #5 (2/10/25) are date more than 6 months prior. The files for Child #3 and Child #4 lacked a child service report within the last 6 months.

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: The financial agreement form on file for Child #4 lacked persons to whom the child may be released to.

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

Regulation: 3290.123(b)/3290.182(8)

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

Noncompliance Area: The file for Child #1, Child #2, Child #3, and Child #4 contained the original financial agreement when the parent is to receive the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact forms on file for Child #1 lacked the name of the child's physician or source of medical care. The emergency contact forms on file for Child #2 and Child #3 lacked a complete address for 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact forms on file for Child #1 and Child #4 lacked the enrolling parent's work address and telephone number.

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: The emergency contact form on file for Child #1, Child #2, Child #3, and Child #5 lacked the parent's signature giving the facility written consent to obtain 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(d)

Description: Written emergency plan posted

Noncompliance Area: The facility lacked a posted emergency transportation plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The two most recent emergency contact forms that were reviewed and updated by the parent for Child #1 (7/30/25 & 2/4/26), Child #2 (6/3/25 & 2/2/26), Child #3 (6/3/25 & 2/2/26), Child #4 (7/30/25 & 2/4/26), and Child #5 (2/6/25 & 2/3/26) are dated more than 6 months apart.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan lacked policies regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04. Electrical cords were observed to be accessible on the floor of the living room, which could be harmful to children.

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: The two most recent financial agreement forms that were reviewed and updated by the parent for Child #1 (6/30/25 & 2/4/26), Child #2 (6/3/25 & 2/3/26), and Child #3 (6/3/25 & 2/2/26) are dated more than 6 months apart.

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: The emergency contact form on file for Child #1, Child #2, Child #3, and Child #5 lacked the parent's signature giving the facility written consent to administer 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: The file for Child #5 lacked an initial financial agreement form between the parent and the operator.

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: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have their current certificate of compliance posted in a conspicuous location used by parents. The certificate that was posted expired on 5/27/25.

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: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan lacked accommodations for children with disabilities and children with chronic medical conditions.

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

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The facility's most recent annual review of the emergency plan is dated 2/10/25, more than 12 months prior.

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: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: SECOND CITATION, PREVIOUSLY CITED ON 2/17/26: The file for Staff #1 contained 0 of 12 annual training hours within the training period of 12/2024-12/2025.

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(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for Staff #1 contained 0 of 12 annual training hours within the training period of 12/2024-12/2025.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The two most recent PA State Police clearances (12/17/20 & 1/21/26), Child Abuse clearances (12/18/20 & 1/23/26), and NSOR certificates (2/12/20 & 2/21/25) on file for Staff #2 were dated more than 60 months apart.

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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An outlet in the kitchen by the table and an outlet next to the couch in the living room lacked protective electrical covers.

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: A bottle of toilet bowl cleaner and a container of Lysol Wipes, labeled 'Keep Out of the Reach of Children', was observed in an unlocked cabinet under the kitchen sink and 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: 3290.73(c)

Description: Has all items

Noncompliance Area: The first aid kit lacked tweezers and tape.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: A damaged couch was observed in the living room that contained exposed wood that could cause injury and was accessible to children. A metal heating vent, accessible to children, was observed to be bent resulting in sharp edges which could cause injury.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Damaged paint and plaster were observed under the windows in the dining room, on the living room walls, and on the walls in the entry way. Peeling paint was observed on the walls in the first floor stairwell.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The fire drill log on file included fire drills conducted 1/6/25-3/7/25, 3/7/25-7/11/25, and 7/11/25-9/11/25, more than 60 days apart.

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

Regulation: 3290.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The facility's fire drill log contained consecutive hypothetical locations for the fire used for the fire drill.

Correction Required: The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The fire alarm 30-day test log includes test dates 4/4/25-5/5/25, 7/4/25-8/4/25, and 10/3/25-11/3/25, more than 30 days apart. The most recent documented fire alarm testing was dated 1/2/26, more than 30 days prior. At the time of inspection, the facility lacked an interconnected and OSHA approved fire alarm in the basement. The third floor interconnected and OSHA approved fire alarm was determined to not be operable at the time of inspection.

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: 3290.113(g)

Description: Supervision of children

Noncompliance Area: During the renewal, it was confirmed that Staff #2 is responsible for children for more than 16 hours in a 24-hour period.

Correction Required: When a family child care home operator provides services for 24 hours per day, the operator may not work for a period of more than 16 hours in a 24-hour time period. The operator must secure a designated staff person to ensure that there is appropriate supervision as required in subsection (a).

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The files for Child #1, Child #3, and Child #4 lacked Child Service Reports within 6 months of their enrollment date and every 6 months after (SEE IS CODE SHEET). The two most recent Child Service Reports on file for Child #2 are dated 2/13/24 and 2/4/25, more than 6 months apart. The most recent Child Service Report on file for Child #5 is dated 2/13/24, more than 6 months prior.

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: The Financial Agreement form on file for Child #3 lacked persons to whom the child may be released to.

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

Regulation: 3290.123(a)/3290.182(8)

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

Noncompliance Area: The file for Child #4 lacked a Financial Agreement form.

Correction Required: An agreement shall be signed by the operator and the parent. 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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The Emergency Contact forms on file for Child #2 and Child #4 lacked the address 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact forms on file for Child #2, Child #3, and Child #4 lacked the enrolling parent's home address, work address, and work telephone number.

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: The Emergency Contact forms for Child #1, Child #2, Child #3, and Child #4 lacked written parental consent for the facility to obtain 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)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact form for Child #4 lacked the address and phone numbers for all listed release persons. The Emergency Contact form for Child #5 lacked the addresses for all listed release persons.

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)/3290.181(c)

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

Noncompliance Area: The most recent 6-month review signatures on file for the Emergency Contact and Financial Agreement forms for Child #1 (3/12/24-2/4/25), Child #2 (3/12/24-1/30/25), Child #3 (3/18/23-1/30/25 & 2/4/25), Child #4 (2/20/23), and Child #5 (1/16/23-2/13/24) are dated more than 6 months apart or prior.

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(b)(2)/3290.182(1)

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

Noncompliance Area: The most recent health assessment on file for Child #4 (Preschool Age) is dated 2/20/23, more that 12 months prior. The two most recent health assessments on file for Child #5 (Preschool Age) are dated 11/22/22 and 2/9/24, more than 12 months apart.

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: 3290.131(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: The file for Child #4 (Preschool Age) lacked updated written verification of ongoing administered vaccines: 1 dose of DTAP and 1 dose of Hepatitis A without a letter of exemption in the file. Child #4 must be dismissed from care by close of business on 2/6/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3290.131(d)(8)

Description: Age appropriate screenings complete

Noncompliance Area: The health assessment on file for Child #2 lacked a statement from the physician that age-appropriate screenings were conducted since the time of the previous health report.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

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: The most recent health assessments on file for Staff #1 and Staff #2 are dated 11/12/20, more than 24 months prior.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility files lacked a copy of the Shaken Baby, Child Maltreatment and Abusive Head Trauma policies. The facility files lacked Continuity of Operations added to the Emergency Plan.

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 forms for Child #1, Child #2, and Child #3 lacked written parental consent for the facility to administer minor first aid procedures.

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(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's Emergency Plan lacked 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.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The facility's Emergency Plan lacked documentation that the plan is reviewed and updated annually by the operator.

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(d)

Description: Emergency plan

Noncompliance Area: The facility lacked 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(f)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan lacked a letter to parents explaining the emergency procedures for the following topics: shelter and lockdown, evacuation, method to contact parents during an emergency, method to inform parents the emergency has ended and instructions on how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities and chronic medical conditions.

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: 3290.24(g)

Description: Emergency plan

Noncompliance Area: At the time of inspection, the facility did not have documentation that the current emergency plan was sent to local municipality and to the 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(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for Staff #1 contained 7 of 12 annual training hours within the training period of 12/19/23-12/19/24. The file for Staff #2 contained 0 of 12 annual training hours within the training period of 12/19/23-12/19/24.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The most recent State Police (dated 10/22/19) and Child Abuse (dated 6/12/19) clearances on file for Staff #1 are date more than 60 months prior. The file for Household Member #3 lacked an FBI clearance and an NSOR certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a 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 #1 may not work in a child care position at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Household Member #3 lacked a disclosure statement.

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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the dining room, the wall outlet next to the table was missing protective electrical covers.

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

Regulation: 3290.65(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: A bathroom garbage can was observed containing soiled training diapers without a plastic can liner.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3290.69

Description: Heat Source

Noncompliance Area: In the kitchen, the stove was observed to be accessible to children and did not contain protective guards, a gate, knob covers or had the knobs removed.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: The vinyl flooring the bathroom was lifting away from the floor next to the toilet, which could be hazardous to children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Regulation: 3290.92(c)

Description: Manufacturer's instructions

Noncompliance Area: A space heater was observed in use in the living room and a copy of the manufacturer's instructions were not available at the facility at the time of inspection.

Correction Required: The manufacturer's instructions for use shall be kept in an accessible area in the facility.

Regulation: 3290.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The facility's fire drill log contained consecutive hypothetical locations of the fire for the fire drills from January 2024 through December 2024.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The fire alarm 30-day test log includes dates 1/5/24-2/9/24, 2/9/24-4/9/24, 5/12/24-6/13/24,7/12/24-8/12/24, 8/12/24-9/12/24, and 10/11/24-11/12/24, more than 30 days apart. The most recent 30-date testing is 1/6/25, more than 30 days prior.

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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The file for children #1, #2, #3 and #5 contain agreements and emergency contact forms that were updated late. #1, #2, #3 were dues 9/2023 and were updated 2/2024; #5 was due 10/2022 and was updated 3/2024.

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(b)(2)/3290.182(1)

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

Noncompliance Area: The file for child #2, a YT lacks an updated health assessment. It was due 11/2023.

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: 3290.131(d)(5)/3290.182(1)

Description: Immunization record/Initial and subsequent health assessments

Noncompliance Area: The files for children #2 and #3 lack a review of the child's immunized status according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. A child's record must contain initial and subsequent health reports.

Regulation: 3290.131(e)(3)

Description: Dismissal policy

Noncompliance Area: The facility has not implemented 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), for children #2 and #3 who lack updated immunizations.

Correction Required: 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).

Regulation: 3290.18/3290.32(d)

Description: General Health and Safety/Age and training

Noncompliance Area: Staff persons # 1 and #2 were observed to be caring for children unsupervised. Staff persons #1 and #2 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 8/2023.

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

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: The file for child #4 lacks signed parental consent for emergency medical care and minor first aid for the child.

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: The facility has not conducted 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: 3290.31(f)(4)(i)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The files for staff #1 and #2 lack current first aid training. The training that is on file expired 8/2023.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility did not conduct fire drills between 2/2023 and 1/2024.

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 facility has an interconnected fire detection system however, it does not meet the Act 42/Act 62 requirements regarding an OSHA approved testing laboratory.

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)

Description: Signed

Noncompliance Area: The agreement for child #5 was not signed by the operator.

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

Regulation: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: The file for child #3 lacks arrival and departure times.

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

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for child #3 lacks an 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(e)/3290.181(c)

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

Noncompliance Area: The files for children #1 - #4 lack a parental update in writing on the emergency contact information and the financial agreement. Child #1 was due 5/2022, child #2 and child #3 were due 2/2020, child #4 was due 10/2022.

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

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

Noncompliance Area: The files for staff #1 and #2 lack current health assessments. The health assessments were due 11/12/22.

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)/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: The file for child #5 lacked signed parental consent for emergency medical care and minor first aid for the child.

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(g)

Description: Emergency plan

Noncompliance Area: The operator did not send a copy of the emergency plan and subsequent plan updates to the local municipality and to the 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(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for staff #2 lacks 4 hours of the annual child care training hours for the 12/2021-12/2022 period. The file for staff #1 lacks 2 hours of the annual child care training hours for the 12/2021-12/2022 period.

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 persons #1 and #2 have not completed the following required pre-service training as of 12/2022 (see LIS code sheet). Health and safety update

Correction Required: Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) Staff persons #1 and #2 will have until _3/31/23__to complete the required training. Until such time as the required training has been completed, staff persons #1 and #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 persons #1 and #2 staff persons #1 and #2 may not work in a child-care position at the facility.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The file for child #1 lacks an initial health report. Child #1 has been enrolled for over 60 days.

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: 3290.131(e)(3)/3290.182(1)

Description: Dismissal policy/Initial and subsequent health assessments

Noncompliance Area: The file for child #1 lacks immunization requirements in accordance with the Department of Health regulations.

Correction Required: 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).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: The file for staff #2 lacks 2 of the annual child care training hours.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 lacks a current FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility until a valid clearance is on file. . 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 lacks updated mandated reporter training. The training was due 11/3/21.

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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Observed cleaners in a low area in the bathroom that were 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: 3290.74(a)

Description: Requirements

Noncompliance Area: Observed a sharp vent cover in the entry area.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint on the roof of the front porch.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: 3rd violation: There was not a TB screening on file for staff person #1, who was observed at the facility at the time of the inspection. Previously cited on 9/22/21 and 12/14/21.

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.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: There was no record of current rabies immunization for staff person #1's dog, who was at the facility at the time of the inspection.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: 2nd citation: There was not a health assessment on file for staff person #1, who was observed at the facility at the time of the inspection. Previously cited on 9/22/21.

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.

Regulation: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: 2nd citation: There was not a TB screening on file for staff person #1, who was observed at the facility at the time of the inspection. Previously cited 9/22/21.

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.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: 2nd citation: At approximately 2:55 pm, staff person #1 answered the front door of the facility, leaving child #1 through #5 sleeping and unsupervised in both the living room and dining room, as they could not see, hear, direct or assess any of the children while at the door. Child #1, #2 and #3 are not related to the operator. Upon entering the facility, staff person #1 then sat on the couch in the living room and could not supervise child #2 and #3, both sleeping in the dining room, as child #2 was sleeping behind a large armchair and child #3 was sleeping towards the rear of the dining room behind a yellow vinyl piece of children's furniture. At approximately 3:49 pm, staff person #1, who was the only staff person supervising child #1, #2, #3 and #6 in the living room and dining room, walked into the hallway, leaving the 4 unrelated children with individual #4, who is not a staff person. Staff person #1 was not was not able to supervise any of the 4 children as they could not see, hear, direct or assess any of the children from where they were standing in the hallway. At approximately 3:57 pm, staff person #2, who was the only staff person supervising child #1, #2, #3 and #6 in the living room and dining room, walked into the hallway, leaving the 4 unrelated children unsupervised as they could not not see, hear, direct or assess any of the children from where they were standing in the hallway. Previously cited on 11/5/21.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: There was no record of current rabies immunization for staff person #1's dog, who was at the facility at the time of the inspection.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.151(a)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: There was not a health assessment on file for staff person #1.

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.

Regulation: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: There was no TB screening on file for staff person #1.

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.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: The file for staff person #1, who returned to working with children on 11/29/21, did not include training in the facility's emergency plan.

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(i)

Description: Verification of professional development shall be kept in facility person's file

Noncompliance Area: 2nd citation: Based on conversation with the staff person #2 during the on site inspection, staff person #3 was working on completing the 10 hour Health and Safety training, but wasn't sure if had been completed. Previously cited on 9/22/21.

Correction Required: All staff persons shall complete the professional development under subsection (g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1, who was observed caring for children at the time of the inspection, did not include a signed disclosure statement or an NSOR certificate. Based on conversation with #1 they have been working on and off for several years, but most recently began caring for children again on 11/29/21. The facility does not have a provisional hire waiver.

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: 3290.32(a)/3290.192(4)

Description: Comply with CPSL/Required training

Noncompliance Area: 2nd citation: Based on conversation with staff person #2 during the on site inspection, staff person #3 was working on updated Mandated Reporter training, but wasn't sure if it had been completed. Previously cited on 9/22/21.

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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Based on the fire detection testing log posted on the bulletin board, and on conversation with staff person #2, the last testing of the detectors was on 10/22/21, which was more than 30 days ago.

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.