Mechele L Good

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Rest mats/equipment were not labelled for individual child use. There were 2 unlabeled mats, 1 unlabeled pack-n-play, and the Operator said that the other 3 children sleep on the 2 couches (2 on one couch and 1 on the other couch).

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.131(b)(2)

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

Noncompliance Area: Child #1 did not have a current health report on file, within 12 months from the prior one dated 2/28/24.

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: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: Staff Person #1 did not have documentation of completed 12 hours of annual childcare training at the time of the inspection. There was documentation of 8.5 hours.

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)

Description: Comply with CPSL

Noncompliance Area: At the time of the inspection, Staff Person #1 and Facility Person #2, did not have current DHS FBI clearances on file. The last ones on file were dated 4/25/20, beyond the required 60 months. Additionally, the other clearances were updated, after they had expired 60 months from the prior ones as follows: Staff Person #1: State Police clearance dated 3/1/20, was not updated until 7/11/25. The Child Abuse Clearance dated 3/17/20, was not updated until 9/24/25. Facility Person #2: State Police clearance dated 3/1/20, was not updated until 7/11/25. The Child Abuse Clearance dated 3/17/20, was not updated until 10/2/25. The NSOR Clearance dated 8/25/20, was not updated until 10/3/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #1 may not work in a childcare position at the facility until the updated FBI clearance has been received. Facility Person #2 may be present at the facility during childcare hours, until the updated FBI clearance has been received.

Regulation: 3290.131(a)/3290.131(e)

Description: Within 60 days/Immunization record

Noncompliance Area: The file for Child #1 did not include an initial health report including a complete list of administered immunizations, within 60 days following the first day of attendance at the facility. Child #1 continued enrollment for 5 months without the initial health report/immunizations on file. The health assessment in the file is dated 2/28/24 (see Code sheet for child's age and start date). There is nothing documenting all of the immunizations Child #1 received. The Rotavirus, HIB and Hep A immunizations are not documented as being administered according to the recommendations of the ACIP.

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.

Regulation: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: The file for Child #2 did not contain an updated health report within 6 months of the initial one that was dated 9/22/23. The next one on file is dated 6/14/24 (see code sheet for child's age and start date). The file for Child #1 did not contain an updated health report within 6 months from the prior one dated 2/28/24 (see code sheet for child's age and start date).

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: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Children's hands were not washed after having their diaper changed.

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

Regulation: 3290.18

Description: General Health and Safety

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

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

Regulation: 3290.94(a)(1)/3290.95(a)

Description: Every 60 days/System in compliance

Noncompliance Area: The fire drill log did not have documentation showing that the fire system was tested every 30 days (example: 2/17/24 then 3/28/24). Fire drills were also not documented on the log as being done every 60 days or less (example: 1/17/24 then 3/28/24).

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: There were no Evacuation Routes posted on each floor of the facility, as there were none posted on the 2nd floor or basement of the home.

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

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: The rest equipment was not labeled with the child's name and used only by the named child while enrolled at the program.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: The facility Emergency Plan/Parent Letter did not include accommodations for shelter of children during a lock-down, shelter in place and shelter at locations away from the facility. Additionally, the plan/letter did not include accommodations of 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 for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. 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(b)

Description: Emergency plan

Noncompliance Area: The Emergency Plan had not been reviewed and updated annually as required.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: There was no documentation of an Emergency Drill having been conducted in 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(f)/3290.24(g)

Description: Emergency plan/Emergency plan

Noncompliance Area: The Operator did not have a Parent Letter explaining the emergency procedures that included all required items described in section (a). There was no documentation showing that the Emergency Plan/Parent Letter with all updates, was sent to the local municipality and to the county emergency management agency.

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. 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.