B & B FAMILY DAYCARE

Initial health report dated for young toddler < 6 months. (3290.131(a)(2))

At the time of enrollment, Child #1 was a young toddler. The health assessment provided at enrollment for the child was more than 6 months old (see code sheet for dates of enrollment and health assessment). Requirement: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. Correction: Child #1 has an updated and valid health assessment on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(g))

There was no proof on file showing that the emergency plan had been sent to the local municipality. Requirement: 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. Correction: The emergency plan was sent to the local municipality on 6/26/25. Documented proof of this is also on file at the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Dismissal policy (3290.131(d)(5)/3290.131(e)(3))

Child #1, a two-year old, had a vaccination record showing only 1 of the recommended 3 Hepatitis B vaccinations on file at the facility, and there was no letter of exemption on file for the missing vaccinations. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 must be dismissed from care by close of business on 6/26/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: On the day of the inspection, the parent of Child #1 provided the required exemption letter so that Child #1 could return to the facility the next day. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

System in compliance/Operator or designated staff responsibility (3290.95(a)/3290.95(b))

The fire detection system was not tested at least once every 30 days as evidenced by the following fire detection system logs that were on file: 11/1/24 to 12/2/24, 12/2/24 to 1/2/25, and 1/2/25 to 2/3/25. Requirement: 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. Correction: The fire detection system was tested within 30 days of the last fire detection system test. Proof of this testing is documented on the fire detection system log. The fire detection system will continue to be tested at least once every 30 days. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3290.94(a)(1))

Fire drills were not conducted at least once every 60 days as evidenced by the following fire drill logs that were on file: 12/2/2024 to 2/3/2025. Requirement: 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. Correction: Fire drills are currently compliant. The last fire drill on file was conducted within 60 days of the previous fire drill. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3290.113(a))

On 2/5/2025, during afternoon pick-up, Child #1 was left unsupervised inside the facility, for approximately less than one minute, while Staff #1 went outside the facility to hand documents to their son. Instead of directly supervising the child, Staff #1 acknowledged that they used a camera to monitor the child, which is not permitted. Requirement: 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). TIERED LIS: 1. Children must be supervised at all times. This portion of the plan shall have an immediate correction date. 2. The Operator must update existing supervision policies/procedures. The policies and procedures must include the following requirements: Operator will be able to see, hear, direct and assess the children at all times. Children on the facility premises and on facility excursions off the premises shall be supervised by the operator at all times. Other methods of supervision, such as an electronic monitoring system or camera, will only be used when the operator is unable to be physically present with the children because they are specifically preparing snacks or meals for the children in care or are using the restroom, and in no other situations. The policies/procedures must be submitted to the Northeast Regional Office for approval. Once approved, the operator shall maintain the policies/procedures as part of the documents for the facility. The operator shall provide a date by when this will be completed. Correction: 1. 2/5/25 Child #1 will be supervised at all times. All children will be supervised at all times. 2. 4/29/25 The supervision policies and procedures will be updated to include all of the required items. It will be sent to the Regional Office for approval. Operator will train themself on new policies and procedures and the new policies/procedures will be kept on file at the facility. The training log will also be kept on file. Inspection: Complaints- Legal Location. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).