Susan M Dugan

Regulation: 3290.133(4)

Description: Locked

Noncompliance Area: On 7/9/26, at time of unannounced inspection, a prescription medication was observed accessible to children on the kitchen table.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: On 7/9/26, at time of unannounced inspection, Staff #1 was observed changing diapers. Upon completing each diaper change, Staff #1 did not ensure children's hands were washed.

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: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: On 7/9/26, at time of unannounced inspection, a bottle was observed in the pack n play. The bottle was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Regulation: 3290.51/3290.113(a)

Description: Maximum Number of Children/Supervised at all times

Noncompliance Area: On 7/9/26, at time of unannounced inspection, Staff #1 was caring for more than 6 unrelated children at one time. At approximately 11:00am, eight unrelated children were observed receiving care at the facility. (1 Infant, 1 YT, 1 OT, 2 PS and 3 YSA)

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to either the legal entity or the staff person. At any one time, the related children of either the legal entity or the staff person, but not both, may be excluded in determining compliance with this section. 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: 3290.131(b)(2)/3290.182(1)

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

Noncompliance Area: On 10/17/25, at time of renewal, Child #1 file did not contain a health report dated at least within 12 months. The health report on file was dated 11/21/23.

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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: On 10/17/25, at time of renewal, Staff #1 file did not contain Mandated Reporter Training dated within 60 months as required by the CPSL. The Mandated Reporter Training on file was dated 12/13/19.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: On 10/17/25, at time of renewal. mouthwash instructing to "keep out of reach of children" was observed accessible to children under an unlocked sink cabinet in the bathroom.

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: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: On 10/9/24, at time of renewal, rabies immunization was not current for cat at the facility.

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: 3290.131(b)(2)/3290.182(1)

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

Noncompliance Area: On 10/9/24, at time of renewal, Child #1 file did not contain an updated health report. The last health report was dated 11/16/22.

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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.65(d)

Description: Contaminated trash in closed plastic-lined receptacle

Noncompliance Area: On 10/9/24, at time of renewal, soiled diapers were observed in an open, unlidded waste receptacle.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: On 5/9/24, at time of unannounced inspection, the interconnected smoke detectors in the home have not been tested for operability at least every 30 days as required by Panic and Fire Act of 2020. This is evidenced by a log noting the last test was conducted on 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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Continued Noncompliance: Previously on 10/11/23, the facility's interconnected smoke detectors were not operable on the lower level of the facility. Operator submitted a plan of correction which included purchasing new interconnecting detectors for each floor. On 10/31/23, the facility's interconnected smoke detectors were tested during unannounced inspection. When the first-floor detector was activated, the smoke detector located on the lower level and the second floor were not operable as required by the Fire and Panic Acts 62 of 2020 and Act 42 of 2022. (Individual smoke detectors were tested during the inspection and operable on all three floors of the facility).

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: 3290.11(h)(2)/3290.11(h)(2)(ii)

Description: Clearances for renewal application/Clearances for individuals residing in home

Noncompliance Area: On 10/11/23, at time of renewal, Household Member #1 does not have completed PA Criminal, FBI and NSOR clearances as required by CPSL. Household Member #2 does not have a completed FBI clearance as required by CPSL.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the child care facility at least 30 days in a calendar year if any of the following apply: The individual moved into the child care facility following the date of the previous application for a certificate of compliance.

Regulation: 3290.131(d)(5)/3290.131(e)

Description: Immunization record/Immunization record

Noncompliance Area: On 10/11/23, at time of renewal, Child has been enrolled at the facility for more than 60 days. Child #1 immunization record did not include evidence of annual influenza vaccine recommended by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 10/11/23, at time of renewal inspection, Child #1 file did not contain updated emergency contact information and financial agreement. Emergency contact information and financial agreement on file was dated 10/17/22.

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.