Ninas Daycare

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact Form for Child #2 did not include the enrolling parent's work address.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3280.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The Emergency Contact Forms for Children #1, 2, 3 and 4 did not include information about the child's allergies/special needs. These areas were left blank on the forms.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: Child #2 did not have an updated health report conducted within 6 months of the last one on file, dated 10/17/25.

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: 3280.131(d)(5)/3280.131(e)(2)(i)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The health report for Child #1 did not include immunizations according to the recommendations of the ACIP and there was no written, signed and dated statement of exemption from immunizations from the child's parent in the child's file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility did not have an Emergency Plan that addressed continuity of operations, as required. Staff person #1 has not completed the required health and safety updated course titled "PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2".

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.17

Description: Liability Insurance

Noncompliance Area: The provider did not provide documentation of liability insurance to cover all persons who are on the premises of the GCCH.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Regulation: 3280.26(a)(1)

Description: Emergency plan

Noncompliance Area: The facility did not have an Emergency Plan that included a plan for shelter of children during an emergency including lock-down, shelter-in-place at the facility and shelter at locations away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3280.26(a)(2)

Description: Emergency plan

Noncompliance Area: The facility did not have an Emergency Plan that included a plan for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

Regulation: 3280.26(a)(3)/3280.26(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The facility did not have an Emergency Plan that included a method to contact parents as soon as possible when an emergency situation arises, and when the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The facility did not have an Emergency Plan that included 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 for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The Operator was unable to locate the Emergency Drill Log, documenting that an Emergency Drill had been conducted annually.

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

Regulation: 3280.26(a)/3280.26(b)

Description: Emergency plan /Emergency plan

Noncompliance Area: The facility did not have an Emergency Plan onsite, to review during the inspection. There was no documentation showing that the facility operator had updated/reviewed their emergency plan annually.

Correction Required: The facility shall have an emergency plan. 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: 3280.26(e)

Description: Letter to parents

Noncompliance Area: The operator did not have a parent letter explaining the emergency procedures outlined in the facility's Emergency Plan.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff Person #2 did not have a current Child Abuse Clearance on file that was dated within 60 months from the last Child Abuse Clearance on file (dated 1/20/21). Household Member #3 did not have the required out-of-state clearances on file from the state they resided in within the past 5 years.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #2 may not work in a childcare position at the facility and Household Member #3 may not be on the facility premises during childcare hours, until the required clearances are received, submitted to certification rep, approved and on file at the facility.

Regulation: 3290.113(e)

Description: Restraints prohibited

Noncompliance Area: A child was placed into a highchair to stop a behavior from happening. (CORRECTED ON SITE)

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.123a3 on SIN-00280194 had not been fully implemented. On 12/17/25, child service reports were not on file for children #2, #3, #4, #5, and #6. All children had been enrolled for more than 6 months. On 2/17/26, child service reports were still not on file for children #2, #3, #4, #5, and #6.

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: At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.123a5 on SIN-00280194 had not been fully implemented. On 12/17/25, the agreement on file for child #5 did not specify the persons designated by a parent to whom the child may be released. On 2/17/26, the agreement on file for child #5 still did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.124b2 on SIN-00280194 had not been fully implemented. On 12/17/25, the emergency contact information on file for child #5 did not include a complete address for the child's source of medical care. On 2/17/26, he emergency contact information on file for child #5 still did not include a complete address for the child's 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: At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.124b3 on SIN-00280194 had not been fully implemented. On 12/17/25, the emergency contact information on file for child #5 did not include the enrolling parent's work address and work telephone number. On 2/17/26, the emergency contact information on file for child #5 still did not include the enrolling parent's 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: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: A bottle was not labeled with the child's name. (CORRECTED ON SITE)

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3290.181(c)/3290.181(d)

Description: Emergency info/agreement updated 6 mos/Dated signature affixed

Noncompliance Area: At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.181c on SIN-00280194 had not been fully implemented. On 12/17/25, the agreement on file for child # 6 was signed in January of 2024 and subsequently more than 6 months later in December of 2025. The emergency contact information was most recently signed in January of 2024. On 2/17/26, parent signatures were on the forms, but they were not dated.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.24d on SIN-00280194 had not been fully implemented. On 12/17/25, the most recent emergency drill took place more than 12 months ago (3/2024). On 2/17/26, an emergency drill still had not been updated/completed.

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

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child service reports were not on file for children #2, #3, #4, #5, and #6. All five children have been enrolled for more than 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 agreement on file for child #5 did not specify the persons designated by a parent to whom the child may be released.

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

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement on file for child #5 did not specify the date of the child's 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: The emergency contact information on file for child #5 did not include a complete address for the child's source of medical care. The emergency contact information on file for child #6 did not include an address and phone number for the child's 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 information on file for children #2, #5, and #6 did not include complete contact information for the enrolling parent. Child #2 - The emergency contact information did not include the enrolling parent's work address, and both the work and home telephone numbers. Child #5 - The emergency contact information did not include the enrolling parent's work address and work telephone number. Child #6 - The emergency contact information did not include the enrolling parent's work address.

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: The emergency contact information on file for child #2 did not include the child's 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The emergency contact information on file for children #2 and #5 did not include addresses for 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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: The initial health report on file for child #5 was dated 202 days after the child's first day of attendance at the facility.

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)/3290.131(b)(2)

Description: Updated infant health report: every 6 months/Updated toddler/preschool health report: every 12 months

Noncompliance Area: The most recent health assessment on file for child #2 (infant) was more than 6 months old (dated 5/2025). The most recent health assessment on file for child #3 (preschooler) was more than 12 months old (dated 9/2024). The health assessments on file for child #4 were dated in August of 2024 and subsequently more than 6 months later in December of 2025. The child was a young toddler at the time the health assessment was due to be updated. The most recent health assessment on file for child #6 (preschooler) is more than 12 months old (dated 3/2024).

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. 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: 3290.133(3)/3290.133(4)

Description: Name on bottle/Locked

Noncompliance Area: A container of children's Tylenol was stored low in the fridge in an area within reach of the children. The bottle was not labeled with the child's name for whom the medication was intended for.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3290.133(6)/3290.133(7)

Description: Written consent/Medication log

Noncompliance Area: The operator reported giving Tylenol that was observed in the refrigerator to child #1 "last week." The operator did not have a medication log on file for the medication and did not have written parental consent for the administration of the medication.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Staff person #1 did not wash the children's hands after diaper changes. A wipe was used to clean off their hands.

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: 3290.135(e)

Description: Every 2 hours

Noncompliance Area: At the time of inspection, diapers were not changed or checked at least every 2 hour. Certification staff arrived at the facility at 10:25 and diapers were not changed until 12:45.

Correction Required: A staff person shall check a child's diaper at least every 2 hours and whenever the child indicates discomfort or exhibits behavior that suggests a soiled diaper. A staff person shall change a child's diaper when the diaper is soiled.

Regulation: 3290.152

Description: Adult Hygiene

Noncompliance Area: Staff person #1 did not wash their hands in between diapering children.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: The operator was unable to provide documentation of a written statement (obtained from the parent) giving the formula and feeding schedule for the enrolled infant, child #2.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child #6 - The agreement was signed in January of 2024 and subsequently more than 6 months later in December of 2025. The emergency contact information was most recently signed in January of 2024.

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(c)

Description: Training regarding plan

Noncompliance Area: The operator was unable to provide documentation showing that staff person #2 has been trained on the 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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: According to the documentation on file at the time of inspection, the most recent emergency drill took place more than 12 months ago (3/2024).

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

Regulation: 3290.31(g)(10)

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

Noncompliance Area: There was no documentation on file showing that staff person #2 has completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR

Correction Required: Staff persons shall complete professional development in pediatric first aid and CPR within 90 days of hire. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, a family child care staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, staff person #2 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: Staff person #1's child abuse clearance expired 12/10/2025, and an updated child abuse clearance was not obtained until 12/16/25. The clearance was not in the file at the time of inspection. The staff person worked with children during the time the clearance was expired. Staff person #2 did not have a valid PA state police clearance on file. Staff person #2's state police clearance expired 12/23/2020. Staff person #2 worked with children at the facility on 12/16/25. Facility person #3 did not have a PA state police clearance on file.

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. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: A container of anti-bacterial wipes was observed sitting on the counter in the kitchen area. The wipes were within reach of the children using the space. A container of Lysol toilet cleaner was observed under the sink in the bathroom that the children use. There was a child safety latch on the cabinet, but it was not working.

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: Loose cords were observed underneath the upstairs TV in an area accessible to the child who is cared for in that space in the evenings.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 has completed the health and safety course titled "Get Started with Home-Based Care: Building Blocks for Quality", but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #1 must complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2).

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: A written log of manual tests of the fire detection system from 2025 was not on file at the facility. The most recent documentation was from 12/10/24.

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)). To verify operability, a family child care home shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: The pack-and-plays were not labeled for individual use. (CORRECTED ON SITE)

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: 3290.121(b)

Description: Given parents in writing

Noncompliance Area: The information given to parents at the time of enrollment does not include information about meals, supervision policies, and pick-up arrangements.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: The agreement on file for child #1 did not specify the date of the child's admission.

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

Regulation: 3290.123(a)/3290.123(a)(3)

Description: Signed /Services provided

Noncompliance Area: The agreements on file for children #1 and #2 did not include the services to be provided, and were not signed by the operator. The agreement on file for child #3 was not signed by the operator.

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

Description: Parent receives original

Noncompliance Area: The originals of agreements were on file for children #1, #2, and #3.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The emergency contact information on file for child #1 did not include the name, address, and telephone number 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)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: The emergency contact information on file for child #2 did not include a home address for the enrolling parent, and did not include the enrolling parent's work address and phone number. The form also did not include name, addresses and phone numbers of persons designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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(b)(4)/3290.182(5)

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

Noncompliance Area: The emergency contact information on file for children #1 and #3 did not include written consent signed by a parent for emergency medical care. The files also did not include signed parental consent for administration of minor first-aid procedures by facility staff.

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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: At the time of inspection, the record for child #1 did not include an initial health report. The child has been enrolled for more than 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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's emergency plan did not address continuity of operations.

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

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: An uncovered outlet was observed on the main floor of the house, in an area accessible to children that were receiving care in the space.

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

Regulation: 3290.64(c)

Description: Toxic plants not permitted

Noncompliance Area: Boxwoods and Japanese Holly Shrubs were observed in the outdoor child care space.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: At the time of inspection, the operator was unable to provide a fire drill log.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: At the time of inspection, the operator did not have documentation on file showing that the fire detection system is being tested at least once every 30 days.

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)). To verify operability, a family child care home shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

Regulation: 3290.111(b)

Description: Posted in area used by parents

Noncompliance Area: The written plan of daily activities and routines was not posted in a traffic area used by parents. (CORRECTED ON SITE)

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

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: Staff person 1 was observed walking out of the room the child was present in, leaving the child unsupervised.

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: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: The emergency contact information on file for child 1 did not list emergency contact persons.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

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 information on file for child 1 did not include written consent signed by a parent 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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The emergency contact information on file for child 1 did not include 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 on file for child 1 did not include a complete address for a listed release person.

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: 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 conspicuously posted at the facility. (CORRECTED ON SITE)

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: 3290.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The initial health assessment for staff person 1 did not include results of a Tuberculosis screening.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: -Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; -Strategies for coping with a crying, fussing, or distraught child; and -Address the prevention and identification of child maltreatment.

Regulation: 3290.182(5)

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

Noncompliance Area: The record for child 1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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: 3290.191

Description: Individual Records

Noncompliance Area: A record was not available for staff person 1.

Correction Required: An individual record is required for each facility person.

Regulation: 3290.24(a)

Description: Emergency plan

Noncompliance Area: The facility did not have an emergency plan available at the time of inspection.

Correction Required: The facility shall have an emergency plan.

Regulation: 3290.24(e)

Description: Emergency plan

Noncompliance Area: An emergency plan was not posted in the facility at a conspicuous location.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The operator had not sent an 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: 3290.72

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted at the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted in a conspicuous location on each floor of the facility.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The smoke detectors at the facility were not functioning as interconnected smoke detector. Testing one smoke detector did not cause the others to sound. The facility was unable to provide proof of purchase of an interconnected smoke detector system.

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. Family child care homes must have smoke alarms that are operable and properly maintained at all times. 62 P.S. § 1016(c). Smoke alarms in family child care homes must be interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms. 35 P.S. § 1223.6(f.1)(1.1). A family child care home shall keep the proof and date of purchase of an interconnected fire detection device or system with the facility's fire drill logs.

Noncompliance Area: Plastic bags were observed in children's cubbies, accessible to children who are still placing objects in their mouths. CORRECTED ON SITE

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.

Noncompliance Area: It was observed that the rest equipment was not labeled for use of a specific child. CORRECTED ON SITE

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: It was observed that a written plan of daily activities was not posted.

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

Noncompliance Area: The agreement for child #2 was not signed by parent.

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

Noncompliance Area: The emergency contact information for child #1 did not include the address for 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.

Noncompliance Area: The emergency contact information for child #1, #2 and #4 did not include the enrolling parent's work address and phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The emergency contact information for child #1 and #2 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.

Noncompliance Area: The emergency contact information for child #2 was missing the address for one release person.

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.

Noncompliance Area: The file for child #2 (enrollment date 8/2/19) did not include an initial health assessment.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: The file for staff person #1 did not contain an updated health assessment, previous one dated 10/25/17. The file for staff person #2 did not contain an initial health assessment and TB test.

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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: The financial agreement for child #3 was not reviewed/updated every 6 months. The only agreement on file is from initial enrollment, dated 9/7/17.

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.

Noncompliance Area: The file for child #5 did not contain signed parental consent for administration of 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.

Noncompliance Area: The file for staff person #1, #2 and #3 did not contain documentation of initial or annual emergency plan training.

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.

Noncompliance Area: It was observed that the first aid training for staff person #1 expired 12/8/18, for staff person #2 expired 3/10/18 and the first aid training for staff person #3 did not include an in-person portion of the training. No one on the premises had current or completed first aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable. One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: The file for staff person #1 did not include a disclosure statement. CORRECTED ON SITE

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

Noncompliance Area: The measured capacity for facility is 11 children. It was observed that there were 12 children present at time of inspection.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: The first aid kit was observed in an unlocked drawer under the changing table, accessible to children. CORRECTED ON SITE

Correction Required: A first-aid kit shall be inaccessible to children.

Noncompliance Area: It was observed that the emergency plan was not posted in the facility at a conspicuous locations.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: A hole about 3 inches by 3 inches was observed in the bottom of the bathroom door. (CORRECTED ON SITE)

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

Noncompliance Area: It was observed during inspection that child #1's epipen expired on 9-1-2018.

Correction Required: The operator shall make reasonable accommodation in accordance with applicable federal and state laws to facilitate administration of medication or a special diet that is prescribed by a physician, physician's assistant or CRNP as treatment related to the child's special needs. Facility persons are not required to administer medication or special diets which are requested or required by a parent, a physician, a physician's assistant or a CRNP but are not treatment related to the child's special needs.

Noncompliance Area: It was observed during inspection that staff #1 and staff #2 did not have the required 6 hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: It was observed during inspection that fire drills were not being held every 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.

Noncompliance Area: It was observed that the records of Child #1, #2, #3 and #5 did not include an up-to-date child service reports.

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 3280.124(f).