Elizabeth A Pape Family Child Care Home

Regulation: 3290.133(7)

Description: Medication log

Noncompliance Area: The operator was not maintaining a medication log for the prescription for child # 6.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

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. The facility emergency plan lacked continuity of operations plan.

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

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: Child # 6 lacked a file.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: The operator did not provide the parents of each enrolled child a letter explaining the emergency procedures.

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

Regulation: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: There was an open gate lidding to a busy road.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: The Laundry room was open and there were two boxes of Gain laundry detergent label " Keep out of reach of children" accessible to children. There was a can of Tire sealant in a basket in the porch area 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: 3290.94(a)(9)

Description: Written record

Noncompliance Area: According to the fire drill log and staff statement the facility last fire drill was conducted on 8/6/25.

Correction Required: 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: The facility lacked a fire detection system test log. The smoke detectors have not been tested every 30 days as required.

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: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed that there was a broken and cracked shelving unit on the side porch which contained sharp points.

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(a)

Description: Supervised at all times

Noncompliance Area: On 7/10/25, between approximately 11:35AM -2:15PM it was observed that Child #6, Child #7, Child #8, Child #9 and Child #10 (all school agers) were present at the facility with Staff Person #1 and 2 related children. Child #6 and Child #7 were observed to come in and out of tbe prhe facility multiple times and were not being supervised by Staff Person #1. Child #8, Child #9 and Child #10 were observed to be alone in a bedroom at the facility unsupervised by Staff Person #1. On 8/6/25 at approximately 11:15AM it was observed that Child #4 and Child #5 (both school agers) were outside alone, Staff Person #1 was inside of the facility and unable to supervise the children.

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: 3290.123(a)/3290.124(a)

Description: Signed /Each child emergency contact person

Noncompliance Area: The file for Child #4 was lacking a fee agreement and emergency contact form. Child #6, Child #7, Child #8, Child #9 and Child #10, were lacking a file which should include a fee agreement and emergency contact form.

Correction Required: An agreement shall be signed by the operator and the parent. 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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact form on file for Child #3 is lacking the work address and telephone number of the enrolling parent.

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

Regulation: 3290.124(b)(5)

Description: Information re: disability

Noncompliance Area: The emergency contact form on file for Child #2 and Child #3 is lacking 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.

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 emergency contact form on file for Child #1 is lacking the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The file for Child #1, and Child #3 last emergency contact update and financial agreement update is dated 8/5/24 , for Child #2 is dated 1/1/24, and for Child #5 is dated 4/10/23. All 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(b)(2)/3290.182(1)

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

Noncompliance Area: The most current health assessment on file for Child #5 is dated 4/14/23, which is older than 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2/2025.

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

Regulation: 3290.192(2)

Description: Health assessment, TB test

Noncompliance Area: The most recent health assessment on file for Staff Person #1 is dated 8/17/21, which is more than 24 months ago.

Correction Required: A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The last emergency drill log on file was dated 10/12/23 which is more than 12 months ago.

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 Person #1 contains 11 of the 12 annual training hours.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff Person #1 contained a NSOR certificate dated 7/31/20 which is more than 60 months ago. The file for Household Member #1 is lacking a Child Abuse Clearance, NSOR certificate and contains a DOE FBI Clearance which is not a valid FBI Clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a childcare position at the facility. 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: 3290.32(d)

Description: Age and training

Noncompliance Area: The file for Staff Person #1 contained a First/Aid CPR certificate with the expiration date of 2/28/25. Leaving no facility person competent in Pediatric First Aid/CPR.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The 30-day fire detection log on file contained dates of testing from 5/4/25-6/5/25 and 7/2/25-8/6/25, which are both more than 30 days apart.

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)

Description: Signed

Noncompliance Area: The fee agreement on file for child #1 was not signed by the parent.

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

Regulation: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: The fee agreement on file for child #1 lacks the names of the persons 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)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The fee agreement on file for child #1 lacks the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: There was no emergency contact information on file for child #1.

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)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact information on file for children #1, 2, 3 and 5 lack the work address and work telephone number of the enrolling parent.

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

Regulation: 3290.124(b)(4)/3290.182(3)

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

Noncompliance Area: The file for child #1 lacks 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(e)/3290.181(c)

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

Noncompliance Area: The files for children #4 and 5 lack an update/review of the emergency contact and fee agreement within the past six months. This is evidenced by the last updates of - Staff #4 - 9/18/23 and staff #5 - 9/1/23.

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)(4)/3290.182(1)

Description: Initial health report for school age/Initial and subsequent health assessments

Noncompliance Area: The file for child #4, who is of school age, lacks a health report dated in accordance with the requirements for medical examinations for school attendance. Child #4 will be starting 8th grade in fall of 2024 and the last physical on file is from 2019.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). A child's record must contain initial and subsequent health reports.

Regulation: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for staff #1 lacks a health assessment within the past 24 months. This is evidenced by the most current health assessment on file with date of 8/17/21.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.182(5)

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

Noncompliance Area: The file for child #1 lacks 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: 3290.182(6)

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

Noncompliance Area: The file for child #1 lacks signed parental consent for transportation.

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

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for staff #1 lacks 7.5 hours of child care training from 12/19/22 through 12/19/23.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: In the main child care room, observed 3 outlets located on the wall between the two television sets, which lacked protective receptable covers.

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

Regulation: 3290.64(a)/3290.64(c)

Description: Locked or inaccessible - in original container/Toxic plants not permitted

Noncompliance Area: On the back deck area, which is used as part of outdoor play space for the children, observed toxic Madagascar Periwinkle plants which were accessible to the children. In the bathroom, which is used by the children in care, observed bleach under the sink which was accessible to the children in care.

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. Toxic plants are not permitted in a child care space.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: On the side deck, which is used by the children in care, observed a five foot step ladder which was leaning against the wall and could fall over on the children, a rusted rake leaning against the back wall, a wooden frame with rusted nails, a sharp weed wacker and a tomato stake with sharp points.

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: There was more than 30 days between manual checks of the smoke detectors which were completed on 1/5/24 and 2/10/24.

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)). 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: 3290.133(6)/3290.133(7)

Description: Written consent/Medication log

Noncompliance Area: Previously cited under SIN-00228045. Observed child #1 have prescription medication administered by provider. Parental written consent for administration was not on file and a medication log was not established and maintained at the facility for child #1.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: Previously cited under SIN-00228045. The emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

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: Previously cited under SIN-00228045. The facility file lacked documentation that an emergency drill was completed within the past 12 months.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility does not have interconnected smoke detectors which are approved by a testing laboratory recognized by OSHA to test and certify smoke alarms.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: Two cats at the facility, Jinx and Jack had expired rabies vaccinations. Expiration date is 3/23/23 for both.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: The emergency contact and fee agreements on file for children #1, 2, 3, 4 and 5 lack a review/update within the past six months.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.133(6)/3290.133(7)

Description: Written consent/Medication log

Noncompliance Area: Observed child #2 have prescription medication administered by provider. Parental written consent for administration was not on file and a medication log was not established and maintained at the facility for child #2.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: The file for staff person #1 lacks the one-hour health and safety training required by 12/30/22.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: There was standing water accessible to children on the porch which is used as an entrance to the family child care home.

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

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The emergency plan lacked a continuity of operations plan for the aftermath of a disaster.

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 file lacked documentation that an emergency drill was completed within the past 12 months.

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: The operator did not send a copy of subsequent plan updates 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: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: The file for staff #1 lacks 12 hours of childcare training from 12/19/21- 12/19/22

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff #1 lacks an FBI clearance within the past 60 months. This is evidenced by the current FBI clearance on file dated 4/12/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1-- may not work at the facility. 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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: On the side porch, which is used by the children, observed toxic power steering fluid on a shelf and in reach of the children. In the kitchen, observed two cans of paint on an accessible countertop, weed killer on the floor, and in a kitchen drawer which was accessible to the children in care, toxic furniture polish, disinfectant spray and talcum powder labeled as, "Keep out of reach of 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: 3290.69

Description: Heat Source

Noncompliance Area: The protective guard on the far-right knob of the stove was broken and was accessible to the children in care.

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.

Regulation: 3290.73(b)

Description: Inaccessible to children

Noncompliance Area: The first aid kit was sitting on a counter in the kitchen and accessible to the children in care.

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

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: On the side porch, which is used by the children, observed hedge clippers in reach of children which create a visible hazard to the children in care. In the bathroom, used by the children in care, observed that the cabinet under the sink was missing one of two doors and was not in good repair.

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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility file lacked documentation that a fire drill was completed within the past 60 days.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility file lacked documentation that a check of the fire detection system was completed within the past 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)). 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: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: Observed that the cat, Dabbers, had a rabies immunization which expired 5/26/22.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: The fee agreements on file for child #1, 4 and 5 were not signed by the operator and the signature of the parent was not dated.

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

Regulation: 3290.123(a)(2)/3290.123(a)(4)

Description: Date fee to be paid/Arrival/departure times

Noncompliance Area: The fee agreement on file for child #3 lacked the date on which the fee is to be paid. The fee agreement on file for child #1 lacked the arrival time. The fee agreement on file for children #4 and 5 lack the arrival and departure times.

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the child's arrival and departure times.

Regulation: 3290.123(a)(5)/3290.123(a)(6)

Description: Designated release persons/Admission date

Noncompliance Area: The fee agreement on file for children #1, 4 and 5 lack the persons designated by a parent to whom the child may be released and the date of admission.

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

Regulation: 3290.123(b)/3290.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: The fee agreements on file for children #1, 2, 3, 4, and 5 were the originals. Therefore, the original was not given to the parent and a copy was not on file.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3290.124(a)/3290.124(b)(2)

Description: Each child emergency contact person/Physician name, address, phone

Noncompliance Area: The emergency contact information on file for child #1 lacked information on who shall be contacted in an emergency and the address of the child's physician or source of medical care.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.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 child #1 lacked the parents work phone and 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)(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 lacked written parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(6)/3290.124(b)(7)

Description: Insurance coverage information/Name/address/phone release person

Noncompliance Area: The emergency contact information on file for child #1 lacked health insurance coverage and policy number and the name address and phone number of the individuals designated by the parent to whom the child may be released.

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. 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)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The file for child #1, who has been enrolled longer than 60 days, lacks an initial health assessment. See IS Code Sheet.

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: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for staff #2 lacks an initial health assessment which was conducted 12 months prior to providing initial service in a child care setting

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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.151(c)(2)/3290.192(2)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: The file for staff #2 lacks a TB test and the results of that screening within 12 months prior to providing initial service in a child care setting.

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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The provider did not develop and implement policy to identify/prevent shaken baby, abusive head trauma, child maltreatment which includes 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.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The fee agreements and emergency contact information on file for children #3, 4 and 5 were not reviewed/updated within the past 6 months. Dates are as follows: Child #3 and 4 - 7/1/20 and child #5 - 7/20/20.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: The file for children #4 and 5 lacked signed parental consent for administration of medications or special dietary needs and these needs were not indicated on the emergency contact form.

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

Regulation: 3290.182(5)

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

Noncompliance Area: The fee agreement on file for child #1 lacked 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: 3290.182(6)

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

Noncompliance Area: The file for child #1, who has been transported by the facility, lacked signed parental consent for transportation.

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

Regulation: 3290.24(c)/3290.192(4)

Description: Training regarding plan/Required training

Noncompliance Area: The file for staff #2 lacked initial 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. A facility person's record shall include records of training required by the Department.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility file lacked documentation that an emergency drill was conducted within the past 12 months.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person #2--- has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): 3290.(g) (1-10). CPR/FA with approved curriculum and PQUA approved instructor and Getting Started with Family Based Care: Building Blocks for Quality (Health and Safety training 10 hour course).

Correction Required: Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person # 2 will have until 8/4/22 to complete the required training. Until such time as the required training has been completed, staff person # 2 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person # 2 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2 will have until 8/4/22 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff 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: There was more than 60 months between State Police clearances for staff #1 - Dates are as follows: 3/28/17 and 4/4/22. The file for staff #2 lacks an FBI clearance which was completed within the past 60 months and a National Sex Offender clearance a disclosure statement at initial start date along and there was more than 60 months between the previous and most current Child Abuse clearances on file. Dates are as follows: 3/28/17 and 4/4/22.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #2 -- may not work at the facility. 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: 3290.61

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: On the outside covered back deck area, there is an entrance which leads out and is very close to a very busy road. The gate to this entrance was left open multiple times throughout the course of the inspection.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: On the day of inspection, there was a 5 year old child in care. Observed 1 uncovered electrical outlet on the front porch, 2 uncovered outlets in the kitchen, 2 uncovered outlets in main play area behind the child's chair near the tv, 2 uncovered outlets in the room to the right of the main child care space on the right wall when you walk in and 6 uncovered outlets on the covered back porch.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the bathroom, used by the children in care, observed a bucket full of toxic cleaners was sitting on the floor beside the sink and accessible to the children in care.

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: 3290.69

Description: Heat Source

Noncompliance Area: The kitchen stove lacked 2 of 5 protective knob guards as 2 of them were broken.

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.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: On the outside covered back porch, observed a six foot and a four foot ladder which were setting against the side of the wall and could be pulled over on the children. On the floor of the desk area which leads directly to the main child care space, observed a fan with a protective cover. However, the cord to the fan was long and was sprawled out on the floor and was a tripping hazard to the children in care.

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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: There was more than 60 days between fire drills. Dates are as follows: 4/30/21 and then 11/9/21 and 11/9/21 and then 4/30/22.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: The facility file lacked proof of purchase of the three 10 year lithium battery operated smoke detectors. The last manual 30 day check of the fire devices was dated more than 30 days ago - Date- 9/28/21.

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. Proof of purchase of the fire detection system/devices shall be on file at the facility. Manual checks of the fire detection system/devices shall be conducted every 30 days.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: During the unannounced correction visit on 10/06/21 which began about 3:50 p.m., child #1 was observed moving from the playroom through the kitchen onto the back porch area, where the operator could not see, hear, direct, and assess child #1. Child #1 continued to move between room, creating an on-going gap in supervision. The operator frequently called child #1 to come back into the room when the operator realized the child was not able to be supervised.

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).

Noncompliance Area: Observed a large plastic tote used to store toys which had several large cracks, which results in sharp corner and pinch points.

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.

Noncompliance Area: The file for child #1 contains emergency contact information which lacks the complete address of 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.

Noncompliance Area: The file for child #2 and child #3 contain emergency contact information which lacks the complete addresses of the parent-designated release person(s).

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 #1, child #2 and child #3 contain emergency contact information which was updated in an interval greater than 6 months. The updates were due prior to the COVID-19 emergency declaration which suspended the regulation.

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: Staff person #1 lacks 12 hours of child care training in the previous 2 years.

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

Noncompliance Area: The file for staff person #1 contains an NSOR certificate dated 07/31/20, which is past the date of 07/01/20, the date the NSOR certificate was required to be on file.

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

Noncompliance Area: A review of the fire drill log revealed that two of the four required fire drills were conducted in 2019.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: Observed a riding horse with exposed springs which create a pinch point.

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.

Noncompliance Area: Observed children using mounted swings on the upper and lower decks which lack a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission under them.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The file for child #1 did not include a completed agreement form.

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

Noncompliance Area: The file for child #1 did not include a completed emergency contact form.

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