A Feel Like Home For Your Babies

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: There was no written documentation indicating that the emergency plan had been reviewed and updated within the past 12 months in accordance with 55 PA CODE 3290 regulations.

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. Submit a written copy of the updated emergency plan. Ensure that the plan is reviewed and documented in writing annually as specified.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: There was no documentation indicating that the operator sent a copy of the emergency plan and 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. Send a copy of the emergency plan to the appropriate authorities as specified in this regulation. Submit written documentation of delivery.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Operator's record did not contain written verification of annual minimum 12 hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Obtain and submit written verification of annual minimum 12 hours of child care training.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): One staff person's record did not contain the required CPSL hiring documents. (#1 -mandated reporter training was more than 60 months when updated.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility persons are required to complete mandated reporter training that is no more than 60 months old in accordance with CPSL and with Chapter 3490 (relating to protective services). Ensure that mandated reporter training is completed for all facility staff in accordance with this regulation. Revise and submit written policies and procedures regarding the timeliness of mandated reporter training requirements in accordance with the CPSL to ensure ongoing compliance.

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: Play equipment observed in the front play area was stained and some appeared worn and need of cleaning/and or replacement or removal.

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. Play equipment will be cleaned and worn items will be replaced or removed.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child service reports were not being completed every 6 months in accordance with these regulations. (#1 completed on 6/15/23 and more than a year later on 11/12/24)

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Develop and submit written policies and procedures regarding the completion of child service reports every 6 months to ensure ongoing compliance.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: One child's emergency contact information did not include the home address of the enrolling parent. (#1)

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Obtain and submit the missing required information. Ensure that the contact information includes the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: One child's emergency contact information did not include health insurance coverage and policy number information.(#3)

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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: One child's record did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#2- last review 11/20/22) CONTINUING VIOLATION

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified child. Ensure that this information is updated every 6 months for all enrolled children as specified.

Regulation: 3290.174(a)

Description: Insured

Noncompliance Area: The facility provides transportation and lacked written verification that the vehicle is insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. § § 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law). Obtain and submit written verification of insurance coverage for the vehicles used to transport children.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility's written policies on shaken baby syndrome, abusive head trauma, and child maltreatment did not include the identification and prevention of child maltreatment. This was not addressed in the plan submitted. CONTINUING VIOLATION

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Revise and submit the facilities policies to include the identification and prevention of child maltreatment.

Regulation: 3290.182(3)/3290.182(4)

Description: Consent for emergency medical care required prior to admission/Consent for administration of medications or special dietary needs

Noncompliance Area: One child's record did not contain written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission. (#4)

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. A child's record must contain signed parental consent for administration of medications or special dietary needs. Obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated child. Ensure that this information is in all children's records.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office. Provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional childcare office.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations for children with 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. Amend the facility emergency plan to include accommodations for children with chronic medical conditions.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: There was no written record of an emergency drill completed annually as specified in these regulations.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Conduct and submit written verification that an emergency drill had been completed annually.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: On 6/7/24 between 2:00pm- 3:30pm, three children (2 older toddlers and 1 preschooler) were observed alone and unattended when staff person was upstairs and periodically left the room to attend to other tasks. Provider was not preparing a meal, did not indicate using the restroom and did not have an electronic device to supervise children under these circumstances.

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). Children must be supervised at all times. Operator must receive at least 2 hours of DHS approved training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear and assess and direct the activity of the children. The training must be DHS approved training. Submit written verification of the completed training.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: One child's agreement was not signed by the parent. (#1)

Correction Required: An agreement shall be signed by the operator and the parent. Obtain and submit a signed agreement for the indicated child that includes both the operator and parent's signature as specified. Ensure that all agreements are signed by the parent as required.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Several children's agreement did not specify the date of the child's admission. (#2, #3 and #4)

Correction Required: An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Several children's records did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#2, #3, and #4)

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: On 6/7/24, at approximately 3;30pm, children were observed eating snack and the operator did not ensure that the children's hands were washed before eating.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. The operator must obtain training in proper hand washing requirements and procedures. Submit written verification of the completed training.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility lacked written policies on shaken baby syndrome, abusive head trauma, and child maltreatment child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Develop and submit written policies on shaken baby syndrome, abusive head trauma, and child maltreatment child maltreatment.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Operator lacked written documentation on file indicating that the fire alarm system has been tested every 30 days as required under Fire Act of July 14, 2020

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. The fire alarm system must be tested every 30 days as required under Act 62. Submit written documentation verifying that the system has been tested as specified. Ensure that the system is tested, documented in writing and retained with the fire drill records as required in ACT 62.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: On 6/7/24 between 2:00pm- 3:30pm, three children (2 older toddlers and 1 preschooler) were observed alone and unattended when staff person was upstairs and periodically left the room to attend to other tasks. Provider was not preparing a meal, did not indicate using the restroom and did not have an electronic device to supervise children under these circumstances.

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). Operator must obtain at least 2 hours of DHS approved training regarding supervision of children, including the requirement that staff persons must be physically present and be able to see, hear and assess and direct the activity of the children. The training must be DHS approved training. Submit written verification of the completed training.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: On 6/7/24 between 2:00pm- 3:30pm, three children (2 older toddlers and 1 preschooler) were observed alone and unattended when staff person was upstairs and periodically left the room to attend to other tasks. Provider was not preparing a meal, did not indicate using the restroom and did not have an electronic device to supervise children under these circumstances.

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). Children must be supervised at all times.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: One child's agreement was not signed by the parent. (#1)

Correction Required: An agreement shall be signed by the operator and the parent. Obtain and submit a signed agreement for the indicated child that includes both the operator and parent's signature as specified. Ensure that all agreements are signed by the parent as required.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Several children's agreement did not specify the date of the child's admission. (#2, #3 and #4)

Correction Required: An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Several children's records did not contain emergency contact and financial agreement information that had been reviewed and updated within the past 6 months. (#2, #3, and #4)

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. Obtain and submit written verification of the updated emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: On 6/7/24, at approximately 3;30pm, children were observed eating snack and the operator did not ensure that the children's hands were washed before eating.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. The operator must obtain training in proper hand washing requirements and procedures. Submit written verification of the completed training.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility lacked written policies on shaken baby syndrome, abusive head trauma, and child maltreatment child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Develop and submit written policies on shaken baby syndrome, abusive head trauma, and child maltreatment child maltreatment.

Regulation: 3290.24(a)(3)/3290.24(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: The facility's emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

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

Regulation: 3290.24(e)

Description: Emergency plan

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

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location. Post the plan at a conspicuous location and ensure that it remains posted as specified.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Operator lacked written documentation on file indicating that the fire alarm system has been tested every 30 days as required under Fire Act of July 14, 2020.

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. The fire alarm system must be tested every 30 days as required under Act 62. Submit written documentation verifying that the system has been tested as specified. Ensure that the system is tested, documented in writing and retained with the fire drill records as required in ACT 62.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection, cert rep observed missing written plan posted at the facility which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: During renewal inspection, cert rep observed missing language pertaining to accommodations for infants and toddlers, children with disabilities, and children with 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.