Sheree Jennings Family Child Care Home

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: There were a cracked clear bin and a cracked blue lid in the main room.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3290.113(f)

Description: Supervision of children

Noncompliance Area: Per operator's statement and renewal inspection observation the facility lacked an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

Correction Required: When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The files for children # 2 and #3 lacked a form provide information to the family about the child's growth and development in the context of the services being provided.

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 file for child #4 lacked specify the persons designated by a parent to whom the child may be released on the agreement form.

Correction Required: An agreement shall specify the persons designated by a 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: The files for children # 3 and #4 have not been reviewed with 6 months period. the file for child #3 last review was dated 3/7/24 and the last review for child # 4 was dated 3/21/25.

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: 3290.131(b)(2)

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

Noncompliance Area: The file for child # 1 a preschooler contained a current health report dated 1/22/25. The report was obtained after 12 months, the prior report was dated 10/23/23.

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: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Staff # 1 did not wash the child's hands after diapering.

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: 3290.151(a)

Description: Within 3 months, then 12 months

Noncompliance Area: The files for staff # 1 contained a current health report dated 6/6/25. The previous report was dated 5/21/23.

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 on file at the facility.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: The file for staff #1 lacked 12 out of 12 clock hours of childcare training from 12/19/2-12/19/25.

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

Regulation: 3290.32(a)/3290.192(4)

Description: Comply with CPSL/Required training

Noncompliance Area: The file for staff # 1 contained a current mandated reporter training certificate dated 10/30/25 that was not obtained within 60 months of the previous certificate dated 5/21/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility lacked an operable interconnected smoke detectors in the main floor and the third floor.

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 subsection (a) are met.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: The file for child # 4 lacked the parent 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: The file for child #1 lacked the amount of the fee to be charged per day or per week. on the agreement form

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

Regulation: 3290.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: The file for child #1 lacked the date on which the fee is to be paid on the agreement form.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: The files for children # 3 and 4 lacked information to the family about the child's growth and development in the context of the services being provided.

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 file for child #1 lacked the persons designated by a parent to whom the child may be released on the agreement form.

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: The file for child #1 lacked the address and telephone number 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 for child#1 lacked the work addresses and telephone numbers 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)(5)

Description: Information re: disability

Noncompliance Area: The file for child # 1 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation on the emergency contact form.

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 of CRNP, which is needed in an emergency situation.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for child #1 lacked the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form.

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 files for children # 1,2 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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The files for children # 3 and 4 have an emergency contact and agreement form that were not updated in a 6 months period.

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(a)/3290.131(e)

Description: Within 60 days/Immunization record

Noncompliance Area: The file for child # 1 lacked an initial health report. The child was in care longer than 60 days without initial health report. The child start date was 8/23/24.

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. 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. Child #1 must be dismissed from care by close of business 11/6/24 and may only return to care when the immunization record is provided or when a parent provides a written, signed and dated exemption letter.

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

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

Noncompliance Area: The file for child #3 a preschooler lacked an updated health report. The previous report was dated 8/21/23. The file for child #4 a toddler lacked an updated health report. The previous report was dated 9/1/23.

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 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. Child #1 must be dismissed from care by close of business 11/6/24 and may only return to care when the immunization record is provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3290.14(a)/3290.18

Description: Building codes/General Health and Safety

Noncompliance Area: The facility policy to identify the Prevention of Shaken Baby Syndrome, Abusive Head Trauma lacked the Child Maltreatment statement.

Correction Required: A certificate of compliance will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements in 34 Pa. Code § 403.23 (relating to child day care facilities) and under section 1016(c) of the act (62 P.S. § 1016(c)). Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: The file for child #1 lacked parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: The file for child # 1 lacked parental consent for administration of medications or special dietary needs. emergency contact form.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The Certificate of Compliance posted in a conspicuous location used by parents was dated 2/10/22 to 2/10/23.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.22(c)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A copy of the inspection summary issued by the Department next to the facility's certificate of compliance was not posted in a conspicuous location used by parents.

Correction Required: The operator shall post a copy of each inspection summary issued by the Department next to the facility's certificate of compliance in a conspicuous location used by parents. The inspection summary must remain posted until an agent of the Department verifies that each noncompliance item noted on the inspection summary has been corrected.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The facility emergency plan was not reviewed annually.

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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: There was a bottle of hand sanitizer attached to the entry door. label " Keep out of reach of children" accessible to children.

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: There was a damage vent metal cover crating a sharp edge by the main room and the kitchen gate.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: According to the Fire Detection System Test Log, the tests were greater than 30 days apart from 10/1/24 to 11/1/24.

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)). 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: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: There were 2 cracked pink barbie cars.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The file for child# 1 Emergency contact form and Agreement form were not reviewed at least once in a 6-month period.

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)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: The file for child # 1 a young toddler contained a current health report dated 9/1/23, the report was not updated within 6 months of the previous report dated 9/28/22.

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 for child # 4 a preschooler contained a current health report dated 5/9/23. The report was obtained after 12 months, the prior report was dated 3/8/22.

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: The files for child #2 is missing a dose of the influenza vaccine.

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). Child # 2 must be dismissed from care by close of business 11/28/23and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3290.131(e)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file for child # 3 lacked an immunization record. The child cannot return until the facility has a copy of the immunizations.

Correction Required: 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. 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).Child # 3 must be dismissed from care by close of business 11/28/23 and may only return to care when the immunization records are provided or when a parent provides a written, signed and dated exemption letter.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility emergency plan lacked the updates regarding the Continuity of Operations requirements.

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

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility lacked an updated Emergency Drill. The previous Emergency Drill was conducted on 11/22/22.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: A copy of the facility Emergency Plan was not sent to the local municipality and the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: The file for staff # 1 contained a current Pediatric First Aid and Pediatric CPR training dated 10/15/23. The training was not obtained prior to the expiration of the previous certificate dated 8/30/21-8/30/23.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff # 1 contained a current FBI clearance dated 10/20/23, that was not renewed within 60 months of the prior FBI clearance dated 10/6/18. The file for staff #1 contained a current Child Abuse clearance dated 10/19/23 that was not renewed within 60 months of the prior Child Abuse clearance dated 3/6/18. The file for staff # 1 contained a current State Police clearance dated 10/18/23, that was not renewed within 60 months of the prior State Police clearance dated 2/27/18.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The smoke detectors alarms were not 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).

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of installation, the smoke alarms in family child care homes must be approved by a testing laboratory recognized by OSHA to test and certify smoke alarms. 35 P.S. § 1223.6(f.1)(1.1)(ii). The 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).

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)(5)

Description: Designated release persons

Noncompliance Area: The file for child # 5 lacked the persons designated by a parent to whom the child may be released on the agreement form.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for child # 4 and 5 lacked the work addresses and telephone numbers 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)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for child # 3 lacked written consent signed by a parent for emergency medical care on the emergency contact form.

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)(5)

Description: Information re: disability

Noncompliance Area: The file for child # 2 lacked information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation on the emergency contact form.

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 of CRNP, which is needed in an emergency situation.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The file for child # 1 lacked telephone number 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: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: The file for child # 5 lacks documentation of a 2021 influenza immunization as recommended by the ACIP.

Correction Required: 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.

Regulation: 3290.151(a)(2)

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

Noncompliance Area: The file for staff # 1 lacked a current health report. The previous health report was dated 2/11/19.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility lacked a policy to identify 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.

Regulation: 3290.182(5)

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

Noncompliance Area: The file for child # 3 lacked signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission on the emergency contact form.

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: 3290.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: The file for child # 3 lacked signed parental consent for transportation, walking excursions on the emergency contact form.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of an annual emergency drill.

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: The file for staff # 1 lacked 12 out of 12 required hours of annual childcare training, from 12/19/20 to 12/19/21.

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

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: There was a hole exposing water pipes on the ceiling above the door in the basemen. There was a ceiling tile with water damage on the living room.

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: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: There were peeling paint on the gray wall by the kitchen. There were peeling paint on the living room door frame.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3290.105(f)

Description: 2 feet apart

Noncompliance Area: Child #3 was observed sleeping in a pack n play in the corner of the living room that did not have 2 feet on 2 sides as there was a bouncer next to the crib on one side.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information in the file for child #2 did not include a work address for the child's mother.

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 in the file for child #2 did not include the name of the child's health insurance.

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 last update in writing by a parent in the file for child #1 was dated a little more than 6 months ago.

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(e)(2)(i)

Description: Religious belief/strong personal objection

Noncompliance Area: The last flu shot in the file for child #2 was in 2020 and the file did not contain a written statement of exemption by a parent.

Correction Required: 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: 3290.151(a)(2)

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

Noncompliance Area: The last health assessment in the file for staff person #2 was dated more than 24 months ago.

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: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's plan did not provide accommodations for children with disabilities and chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: The last emergency plan training documented in the file for staff person #2 was dated more than 12 months ago.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: The file for staff person #1 included 1 hour of training between 12/19/20 and 12/19/21. The file for staff person #2 didn't include any evidence of training between 12/19/20 and 12/19/21.

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

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: There was no tape in the facility's first aid kit

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: When the basement door leading into the backyard was opened by this certification representative, a piece of drywall above the door fell off. . The surface of the ceiling near the basement door was peeling. There was one small area of the basement's vinyl flooring that was loose near the basement door. There was a small area of splintering wood on the left bottom side of the front door frame.

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: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: There was a small areas of damaged plaster on the bottom of the wall near the basement door

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)(4)

Description: Hypothetical locations

Noncompliance Area: The fire drills conducted consecutively on 10/22/21 and 11/22/21 listed the same hypothetical location as upper level."

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3290.94(a)(9)

Description: Written record

Noncompliance Area: The 5 fire drills documented between August 2021 and December 2021 did not specify the time of day.

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)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: There were 3 times between May 2021 and December 2021 when the testing of the smoke detectors were tested slightly more than 30 days apart: 7/23/21 and 8/23/21, 8/23/21 and 9/23/21 and 10/22/21 and 11/22/21.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: 4th citation: For individual #1, a state police clearance was not provided to this certification rep and their FBI clearance was missing it's rap sheet. Individual #1 was listed on the operator's application as a household member but did not have clearances. The individual has not been listed as a household member on an application since 2017. For individual #2, a state police, child abuse and NSOR certificate was not provided to this certification rep and their FBI clearance was missing it's rap sheet. Individual #2 is related to the operator and was observed on site in an upstairs bedroom at the time of the inspection. The individual was also observed at the previous renewal inspection in 2020. Previously cited on 5/26/21, 8/10/21 and 9/10/21.

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.

Noncompliance Area: There was not a child service report in the file for child #1, enrolled more than 6 months. The last 2 child service reports in the file for child #2 were dated approximately 15 months apart. The last child service report in the file for child #3 was dated more than 6 months ago.

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).

Noncompliance Area: The last health report in the file for child# #2, a preschooler, was dated almost 24 months ago.

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.

Noncompliance Area: The file for child #1 and #3 did not include a flu shot or a written statement of exemption by a parent.

Correction Required: 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.

Noncompliance Area: The fire smoke detector at the top of the stairs on the 2nd floor had been removed for painting and was not replaced before children were in care.

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

Noncompliance Area: The last two mandated reporter trainings in the file for staff person #1 were dated more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Noncompliance Area: There were 3 uncovered outlets on the power strip next to the microwave in the kitchen.

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

Noncompliance Area: The lock on the cabinet underneath the kitchen sink was broken, making the door easy to open. There was no barrier to the kitchen, making the following toxics accessible to the children in care in the adjacent room: Bottle of Chlorox bleach, bottle of Lysol all-purpose cleaner, 2 cans DG Home disinfectant spray, 2 cans Lysol disinfectant spray,

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.

Noncompliance Area: There was not a barrier between the kitchen and the room in which the children were playing, and the stove knobs were still on the stove, making the stove accessible to the preschoolers receiving care in the adjacent room.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: There was a hole, approximately 5"x5", on the bottom of the door leading from the kitchen to the facility's basement, which is child care space and is where the bathroom is located. There was a hole, approximately 1'x3", at the bottom of the bathroom wall near the sink.

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.

Noncompliance Area: The emergency contact information in the file for child #2 did not include any physician's information.

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 in the file for child #2 did not include any 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.

Noncompliance Area: The last update in writing by a parent in the file for child on the emergency contact form and the agreement form was more than 6 months ago.

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 informationA 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 #1 and #2, both enrolled more than 60 days, did not include a 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 health report in the file for child #3 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.

Noncompliance Area: The list of vaccinations in the file for child #3 stated that the parent declined the flu shot, however, there was no statement from the parent stating objection to the flu shot for personal or religious beliefs.

Correction Required: 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.

Noncompliance Area: The health assessment in the file for staff person #1 was dated after initial employment.

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.

Noncompliance Area: There was not a written feeding schedule from the parent of child #4, an infant.

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

Noncompliance Area: The file for staff person #1 included mandated reporter training dated beyond 90 days from initial employment.

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.

Noncompliance Area: The emergency contact information in the file for child #1 and #2 did not include work phone numbers for the child's mother or father. The emergency contact information in the file for child #4 did not include an address for the child's mother.

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 in the file for child #4 did not include any information for the child's health insurance coverage.

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 in the file for child #5 did not include the addresses of the individuals designated by a parent to whom a 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.

Noncompliance Area: The last two updates in writing by a parent on the emergency contact information and agreement form in the file for child #2 and #3 were dated more than 6 months apart. The last update in writing by a parent on the emergency contact information and agreement form in the file for child #4 were dated more than 6 months ago.

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 informationA 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 last health report in the file for child #2, a young toddler, was dated more than 6 months ago.

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

Noncompliance Area: The health report in the file for child #5 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.