Kimberly Thomas Family Child Care Home

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: The file of Household Member #1 lacked a National Sex Offender Registry Certificate updated every 60 months. The file of Household Member #1 contained a NSOR dated 8/20/20.

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

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed peeling paint on the deck railings of the outdoor play space.

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 operator or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The operator provided documentation of fire drills being conducted on 8/30/24, 10/30/24, 12/27/24, 2/25/25, 4/24/25, 6/25/25, and 8/25/25.

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

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: 2nd citation. Previously cited on 9/17/24. The operator or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The operator provided documentation of fire drills being conducted on 9/14/23, 11/2/23, 1/11/24, 3/11/24, 5/10/24, 7/9/24, and 8/30/24.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file of Child #2 lacked child service reports completed at least every 6 months. The file of Child #2 contained child service reports dated 9/18/23 and 4/15/24.

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: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: The file of Child #2 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 9/15/23 and 7/19/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The emergency contact for Child #1 was not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was signed on 9/24/23 and reviewed on 4/2/24. The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact and agreement were reviewed on 4/4/22, 9/25/23, and 4/10/24.

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: 3290.24(f)

Description: Emergency plan

Noncompliance Area: The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children with 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Household Member #1 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Household Member #1 contained a State Police Clearance dated 7/24/19, a Child Abuse Clearance dated 7/31/19, and a DHS FBI Clearance dated 8/10/19.

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: The operator or designated staff person who is responsible for compliance with this chapter did not ensure that fire drills were conducted at least once every 60 days. The operator provided documentation of fire drills being conducted on 9/14/23, 11/2/23, 1/11/24, 3/11/24, 5/10/24, 7/9/24, and 8/30/24.

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: 3290.123(a)(1)

Description: Amount of fee

Noncompliance Area: The agreement of Child #4 did not specify the amount of the fee to be charged per day or per week.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The file of Child #1, with an admission date of 10/17/22, contained a child service report that was not dated or completed. The file of Child #3, with an admission date of 11/1/21, contained a child service report that was not dated or completed. The file of Child #4, with an admission date of 10/10/22, did not contain a child service report.

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)(4)

Description: Arrival/departure times

Noncompliance Area: The agreement of Child #4 did not specify the departure time.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #3 did not include the work telephone number of 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)(6)

Description: Insurance coverage information

Noncompliance Area: Emergency contact information for Child #4 did not include health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: Child #2 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #2 had an admission date of 3/13/23 with a health report dated 7/31/23.

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)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: The files of Children #1 and #4 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #1 contained health reports dated 9/21/22 and 10/7/22. The file of Child #4 contained a health report dated 12/8/22.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: The file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained health reports dated 3/16/22 and 7/11/22.

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)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #4, a 15-month-old, lacked MMR, Varicella, and Hepatitis A immunizations according to recommendations of the ACIP. Child #4 had no documentation of MMR, Varicella, and Hepatitis A immunizations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3290.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Child #2's health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The file of Staff #1 lacked documentation of completing the Pennsylvania Health and Safety Update 2022 by December 30, 2022 (SEE LIS Code Sheet). Staff #1 had no documentation of completing the Health and Safety Update.

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 agreement for Child #3 was not reviewed and updated at least once in a 6-month period. Child #3's agreement was reviewed on 6/14/22, 1/30/23, and 6/30/23. The emergency contact and agreement for Child #4 were not reviewed and updated at least once in a 6-month period. Child #4's emergency contact and agreement were signed on 10/10/22 with no documentation of reviews and updates.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The files of Household Members #2, #3, and #4 lacked signed disclosure statements.

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: The operator or designated staff person did not ensure that fire drills were conducted at least once every 60 days. The operator provided documentation of fire drills being conducted on 9/13/22, 11/11/22, 1/10/23, 3/10/23, 5/9/23, and 7/7/23.

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 operator lacked documentation of the proof and date of purchase of the interconnected smoke alarms.

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: 2nd citation. Previously cited on 9/12/22. The emergency plan did not address continuity of operations and practice drills.

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

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: Observed screws, batteries, and coins in the left drawer under the television which were accessible to children in care.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The files of Children #1 and #2 lacked the complete address of the child's physician or source of medical care on the emergency contact form.

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 files of Children #1 and #2 lacked the complete home address of the enrolling parent on the emergency contact form. The files of Children #1, #2, #3, and #4 lacked the complete work address of the enrolling parent on the emergency contact form.

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: The files of Children #1 and #2 lacked written consent signed by a parent for emergency medical care prior to admission on the emergency contact form. Child #1 had an admission date of 8/23/21 with an emergency contact form signed on 9/24/21. Child #2 had an admission date of 8/23/21 with an emergency contact form signed on 9/24/21.

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

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The files of Children #1 and #2 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form. The files of Children #3 and #4 lacked the address of the individual designated by the parent to whom the child may be released 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: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Observed Staff #1 using a wash cloth to wipe children's hands before lunch instead of using running water and soap.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility did not have a policy that addressed the recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma, strategies for coping with a crying, fussing, and distraught child, and the prevention and identification of child maltreatment. The emergency plan did not address continuity of operations and practice drills.

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 emergency contacts and agreements for Children #1, #2, #3, and #4 were not reviewed and updated at least once every 6 months with the reinstating of this regulation on 1/6/22. The emergency contact for Child #1 was signed on 9/24/21 and reviewed on 8/24/22. The agreement for Child #1 was signed on 8/23/21 and reviewed on 8/24/22. The emergency contact for Child #2 was signed on 9/24/21 and reviewed on 8/24/22. The agreement for Child #2 was signed on 8/23/21 and reviewed on 8/24/22. The emergency contact and agreement for Child #3 was signed on 12/30/21. The emergency contact for Child #4 was signed on 11/1/21. The agreement for Child #4 was signed on 10/31/21.

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 files of Children #1 and #2 lacked signed parental consent for administration of minor first-aid by facility staff prior to admission on the emergency contact form. Child #1 had an admission date of 8/23/21 with an emergency contact form signed on 9/24/21. Child #2 had an admission date of 8/23/21 with an emergency contact form signed on 9/24/21.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: The file of Staff #1 lacked documentation of obtaining an annual 12 clock hours of child care training.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of Household Member #2 lacked a Child Abuse Clearance updated every 60 months. The file of Household Member #2 contained a Child Abuse Clearance dated 8/27/20 with the previous one dated 8/5/15.

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: The operator did not ensure that fire drills were conducted at least once every 60 days. The operator provided documentation of fire drills being conducted on 10/5/21, 4/12/22, 6/15/22, and 8/3/22.

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 was unable to provide a written record that the fire detection system was manually tested at least once every 30 days. The facility provided a written record that the fire detection system was manually tested on 10/1/21, 1/3/22, 2/10/22, 3/7/22, 4/12/22, 5/13/22, 6/13/22 7/22/22 and 8/3/22.

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(b)

Description: Parent receives original

Noncompliance Area: Observed child file #1 and #2 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Observed the emergency contact information for child file #1 and #2 did not include the address or telephone number of the individual designated by the parent 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(g)

Description: Emergency plan

Noncompliance Area: Observed the facility has not updated the current emergency plan with the new requirements and has not submitted an updated emergency plan 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: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed spots of peeling paint on both sides of the entrance door jam.

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: Observed the documented fire drill log revealed the facility has only conducted 3 fire drills in the previous 9 months showing the fire drills are not conducted at least once every 60 days.

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: Observed the facility did not have documentation of monitoring and checking the fire alarms at least every 30 day.

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.