Wendy L Ruth

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information forms on file for children #1,#2,#3 does not have the address or phone number listed for children' physicians.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency information contact forms on file for children #1,#2,#3 does not list 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(e)/3290.181(c)

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

Noncompliance Area: The emergency contact form and agreement on file for child #1 was not updated every 6 months between 11/18/24 to 12/3/25. The emergency contact form and agreement on file for child #2 was not updated every 6 months between 11/18/24 to 12/3/25. The emergency contact form and agreement on file for child #3 was not updated every 6 months between 11/18/24 to 12/3/25.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: Operator has 10 hours documentation of annual child care training.

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

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement on file for child #2 did not specify the admission date.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information form on file for child #1 did not include health insurance coverage and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff #1 had 2 clock hours of annual training on file.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information form on file for child #1, #2, #3, #4 does not list 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: The emergency contact information form on file for child #2, #3, #4 does not list the addresses of individuals designated by the parent to whom the child may be released to.

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: 3290.131(b)(2)/3290.182(1)

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

Noncompliance Area: Child #4 did not have on file a health report within the last 12 months.

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: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: Upon inspection of the facility's posted documents, it was found that a written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency was not posted or developed.

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: Upon inspection of each child's file, it was found that the emergency contact forms had not been reviewed within the past six months for child #1 [9.5.21] and #2 [9.14.21]. ALSO, the financial agreement had not been reviewed during the past 6 months for child #1 [9.5.21], child #2 [9.14.21], child #3 [3.3.22 and child #4 [2.10.22.

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)

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

Noncompliance Area: Upon inspection of the children's files, it was found that the last health assessment for child #4 was dated 10.4.21 [expired 10.4.22].

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

Description: Immunization record/Immunization record

Noncompliance Area: Upon inspection of the children's files, it was found that the immunization record for child #4 did not have record of an influenza, varicella or MMR vaccination. There was not an acceptable exemption note on file for the child.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3290.18

Description: General Health and Safety

Noncompliance Area: Upon inspection of the facility documents on file, it was found that a Policy and Procedure for Shaken Baby/Head Trauma was not created or posted.

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

Regulation: 3290.192(3)

Description: CPSL information

Noncompliance Area: Upon inspection of facility person files, it was found that a copy of the disclosure statement was not on file for either staff person #1 or household person #2.

Correction Required: 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 #--- may not work in a child care position at the facility.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon inspection of the facility fire safety records, it was found that drills had been conducted on the following dates: 10.2021, 2.10.22, 4.26.22, 7.18.22, 11.21.22, which has exceeded the required drills every 60 days or less.

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)

Description: System in compliance

Noncompliance Area: Upon inspection of the facility fire safety records, it was found that testing of the detection system was conducted on the following dates: 12.25.21, 1.21.22, 2.10.22, 3.21.22, 4.17.22, 5.23.22, 6.1.22, 7.18.22, 8.15.22, 9.26.22, 10.29.22, 11.24.22, 12.25.22 - several of which exceeded the maximum of 30 days between required tests.

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)).

Regulation: 3290.151(a)(2)

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

Noncompliance Area: On 3/10/22, it was observed that staff person 1 had a health assessment on file that expired on 2/17/20. A new health assessment was not on file.

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: 3290.31(g)(10)

Description: Health and Safety Training - Pediatric first aid/CPR

Noncompliance Area: On 3/10/22, it was observed that staff person 1 did not have current pediatric first aid and CPR certification on file. Certification expired on 2/25/22.

Correction Required: Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: On 3/10/22, it was observed that the proof of purchase for the smoke detectors was not on file.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.