Waltz Day Care

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: During the inspection, the kitchen refrigerator did not contain a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the inspection, the emergency contact information did not include the work address or phone number for the enrolling parents for Child #1, #2, #3 and #4.

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: During the inspection, the file did not include the written consent signed by a parent for emergency medical care for Child #1, #3, #4 and #5.

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: During the inspection, the emergency contact did not include the health insurance policy number for Child #1, #2 and #5.

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: During the inspection, the emergency contact information did not include the release person's address for Child #4.

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(d)

Description: Written emergency plan posted

Noncompliance Area: During the inspection, the operator had not written or posted a plan which identifies the means of transporting a child to emergency care and the facility 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: During the inspection, records showed that the emergency contact information and the financial agreement were not updated at least once in a 6-month period for Child #1, #2, #3, #4, and #5. Financial agreement had not been updated since 10/28/24 for Child #1 and Child #2; 8/11/23 for Child #3 and 7/19/23 for Child #5.

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: 3290.133(4)

Description: Locked

Noncompliance Area: During the inspection, the operator and family members' burn relief spray, first aid spray and pain-relieving spray as well as other personal medications were accessible to children on the kitchen shelf and on the shelving unit leading to the basement childcare space.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3290.151(b)

Description: Conducted by physician or CRNP

Noncompliance Area: During the inspection, the 5/27/25 health assessment for Staff #1 was signed by a CMA and not a by a physician, physician's assistant or CRNP or other equivalent professional title.

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature shall include the individual's professional title.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the inspection, the emergency plan did not include continuity of operations.

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

Regulation: 3290.182(1)

Description: Initial and subsequent health assessments

Noncompliance Area: During the inspection, the file for Child #1 and Child #2 did not contain initial and subsequent health reports.

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

Regulation: 3290.182(5)

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

Noncompliance Area: During the inspection, the file did not contain signed parental consent for administration of minor first-aid procedures by facility staff for Child #1, #3, #4 and #5.

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: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the inspection, the instructions for contacting the regional childcare office were not posted at the facility.

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: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the inspection, the operator had not provided the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: During the inspection, the facility's emergency plan did not include accommodations for infants and toddlers.

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: During the inspection, the emergency plan was not being reviewed annually. No documentation of last review was on file.

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: During the inspection, the operator had not been conducting annual emergency drills and there was no documentation on file.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During the inspection, a copy of the emergency plan had never been sent 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)(4)(i)

Description: Age and training

Noncompliance Area: During the inspection, the pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) certification for Staff #1 was dated 11/24/25 with the previous certification expiring 9/30/25.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3290.31(i)

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

Noncompliance Area: During the inspection, the file for Staff #1 did not contain documentation of Health and Safety training; therefore, the training could not be verified.

Correction Required: All staff persons shall complete the professional development under subsection §3290.31(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: During the inspection, the Child Abuse, State Police Clearance and DHS FBI Clearances for Household Member #2 were expired and had not yet been updated within 60 months as required under the CPSL.

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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the inspection, the last fire drill was conducted on 4/10/26 with the previous drill taking place on 6/25/25.

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

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the inspection, evacuation routes were not posted on either floor of the facility.

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

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: During the inspection, the operator was not and had not been testing the fire detection system every 30 days. There was no documentation on file of any testing ever being conducted.

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)).