Seymour Care

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1 is missing the parents 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: Child #1 is missing signed parental consent 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: 3290.123(a)

Description: Signed

Noncompliance Area: Child #2 is missing the operator's signature on the agreement form.

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

Regulation: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: Child #2 is missing the amount of the fee to be charged.

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

Regulation: 3290.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: Child #2 is missing the child's arrival and departure times.

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

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Child #2 is missing the child's date of admission.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: Child #2 is missing the name, address, and telephone number of the child's physician.

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: Child #2 is missing the parents 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)

Description: Written consent

Noncompliance Area: Child #3 is missing signed parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #2 is missing health insurance information.

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 #1 is missing the address of the individual 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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Operator has not conducted an emergency drill annually.

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

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Child #1's agreement and emergency contact was reviewed and signed by parent on 7/26/23 and then again on 7/1/24 which exceeds the requirement of parents reviewing every 6 months.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: It was observed during an inspection on 3/14/2024, that the last fire alarm test was on 2/1/2024, making it more than 30 days since the last fire alarm test. It was also observed that the facility did not have interconnected fire alarms on site. The facility did have 10-year lithium-ion smoke detectors, that were operational.

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: 3290.111(b)

Description: Posted in area used by parents

Noncompliance Area: The facility did not have a written daily schedule posted in the child care space.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 3 did not have a child service report on file.

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)(2)/3290.124(b)(3)

Description: Physician name, address, phone/Parent home/work address, phone

Noncompliance Area: Child 2 did not have the phone number of the physician on file. Child 2 also did not have the parents work address and phone number on file. The home phone number also was not on file.

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 the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child 2 did not have a health insurance policy number on file.

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 1 did not have the release person address on the emergency contact form.

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: Children 2 and 3 had outdated emergency contact forms and fee agreements. Child 2's emergency contact form and fee agreement was last updated 3/1/2022. Child 3's emergency contact form and fee agreement was last updated 9/29/2022.

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

Description: Updated toddler/preschool health report: every 12 months/Parent written verification from Doctor.

Noncompliance Area: Children 1, 2 and 3 did not have updated flu shots or exemption letters on file. Child 3 did not have an updated health assessment. The last health assessment on file for child 3, who is a preschool age child, was dated 11/5/2021.

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. 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. Children 1, 2 and 3 will not be in childcare until exemption letters are obtained or updated immunizations are obtained.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility was not able to produce a Shaken Baby, Syndrome, Abusive Head Trauma, and Child Maltreatment policy.

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

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The facility did not have an updated emergency plan on file. The emergency plan was last reviewed on 7/21/2021.

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 did not have an emergency drill on file.

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

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff 1 and 2 did not have 12 hours of annual training. Staff 1 and 2 had approximately 5 1/2 hours on file.

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 #1, 2 and 3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022

Correction Required: Staff person #1,2 and 3 shall complete the required one-hour 2022 update to the health and safety training by 8/10/2023.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person 2 did not have proof of the mandated reporter training on file. Staff 1 and 2 did not have the NSOR clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person 1 will have until 8/10/2023 to complete the mandated reporter training. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children, by a primary care staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 may not work in a child care position at the facility until the NSOR 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. Facility Person #1 and 2 may not work in a child care position at the facility until the NSOR clearances are obtained.

Regulation: 3290.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: The facilities basement exit did not have a clear exit. On the facility's emergency plan, the facility's basement is one of the emergency exit points.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility did not have proof of conducting fire drills since 8/4/2022.

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 did not have proof of conducting fire alarm testing since 8/4/2022.

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)

Description: Amount of fee

Noncompliance Area: Children 2 and 3 did not have a fee amount documented on the fee agreement. Child three also did not have the date to be paid on file.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The physician information for children 1 and 2 was missing. Child 1 did not have the address documented for the physician. Child 2 did not have the physician phone number documented.

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: Child 1 was missing the business number and address for 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)(7)

Description: Name/address/phone release person

Noncompliance Area: Child 3 did not have the release person's address on file.

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: 3290.18/3290.32(a)

Description: General Health and Safety/Comply with CPSL

Noncompliance Area: Staff persons 1 and 2 was observed to be caring for children unsupervised. Staff persons #1 and 2 have not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 9/21/2016 for staff 1 and 9/17/2016 for staff 2. The facility also did not have a shaken baby syndrome policy on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff persons 1 and 2 will have until 7/26/2022 to complete the mandated reporter training. Until such time as the required training has been completed, staff persons 1 and 2 must be supervised, when interacting with children, by an (AGS, primary staff person, or 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 persons 1 and 2, staff persons 1 and 2 may not work in a child-care position at the facility.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The emergency plan that was on file was last dated from 2018.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The annual inspection occurred on 7/11/2022. According the fire alarm testing records, the fire alarm was last tested on June 4th of 2022. That makes it more than 30 days since the last 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 § 3290.95(a) are met.