Joan Mitchell Fcch

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: During the renewal inspection conducted 7/27/26, the emergency contact and financial agreement reviewed was not updated within a 6month period for child #2, #3, #4, #5 and #6. Child #2 emergency contact last dated 7/9/25, financial agreement last dated 7/9/25. Child #3 emergency contact last dated 7/29/25, financial agreement last dated 8/7/25. Child #4 emergency contact last dated 9/8/25, financial agreement last dated 9/17/25. Child #5 emergency contact last dated 9/8/25, financial agreement last dated 9/17/25. Child #6 emergency contact last dated 4/28/25, financial agreement last dated 7/10/25.

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)/3290.182(1)

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

Noncompliance Area: During the renewal inspection conducted 7/27/26, the health assessment reviewed for child #2 was not updated within a 12-month period. Last dated 3/11/25.

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: 3290.131(d)(5)

Description: Immunization record

Noncompliance Area: During the renewal inspection conducted 7/27/26, the health assessment reviewed for child #3 did not include a review of the child's immunized status according to recommendations of the ACIP

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3290.151(a)/3290.192(2)

Description: Within 3 months, then 12 months/Health assessment, TB test

Noncompliance Area: During the renewal inspection conducted 7/27/26, the record reviewed for staff #2 did not include an initial heath assessment, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

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. 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: 3290.166(1)

Description: Written statement

Noncompliance Area: During the renewal inspection conducted 7/27/26, upon request there was no written statement for giving formula or a feeding schedule available for review for child #1 obtained from the parent.

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

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: During the renewal inspection conducted 7/27/26, upon request there was no individual record available for review for child #1.

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

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted 7/27/26, the emergency plan reviewed did not include information on 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.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted 7/27/26, the emergency drill log reviewed was not updated on an annual basis. Last dated 2/13/25.

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

Regulation: 3290.31(a)(2)

Description: Age and training

Noncompliance Area: During the renewal inspection conducted 7/27/26, the record reviewed for staff #2 did not include a high school diploma or a general educational development certificate.

Correction Required: Have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department no later than the submission of the second renewal application.

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

Description: Age and training

Noncompliance Area: During the renewal inspection conducted 7/27/26, staff person #2 was observed to be caring for children unsupervised. Staff person #2 does not have current pediatric first aid/CPR training. This is evidenced by the previously documented pediatric first aid/CPR training expiration date of 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. A facility person's record shall include records of training required by the Department. Until such time as the required pre-service trainings are completed, staff #2 must be supervised when interacting with children at a minimum by a primary staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff persons available to supervise staff person #2, staff person #2 may not work in a childcare position at the facility.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During the renewal inspection conducted 7/27/26, upon request, an annual minimum of 12 clock hours of childcare training was not available for review for staff #1 and #2.

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(4)

Description: Comply with CPSL/Required training

Noncompliance Area: During the renewal inspection conducted 7/27/26, the file of facility person #1 and #2 contained a NSOR, Nation Sex Offenders verification dated 10/30/20 which is more than 60 months old. There was no application on file for an updated National Sex Offenders verification (See code sheet for hire dates).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 -- may not work in a childcare position at the facility.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During the renewal inspection conducted 7/27/26, the fire drill log reviewed was not updated within a 60-month period. Last dated 4/9/26.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: During the renewal inspection conducted 7/27/26, the fire detection testing log reviewed, was not updated within a 30-day period. Last dated 4/9/26.

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)).

Regulation: 3290.131(e)(2)(i)

Description: Religious belief/strong personal objection

Noncompliance Area: During the renewal inspection the certification representative viewed the children files, child #6 was missing an exemption letter in the file for refusal of shots. Continue non-compliance from sin ((SIN-00274908)

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.