Harkins family daycare

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

The fire alarm testing log contains the following dates 5/12/25-6/12/25 and 7/12/25-8/12/25 which is more than 30 days apart. 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 subsection (a) are met. Correction: Make sure there is no longer than 30 days between each fire drill. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible - in original container (3290.64(a))

In the living room on the stand under the tv was hand sanitizer that stated keep out of reach of children accessible to children. Requirement: 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. Correction: remove all sanitizer completely out of reach of children Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3290.32(a))

Staff person/facility person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 11/16/20. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children at a minimum by, a family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child- care position at the facility. Correction: immediately complete mandated reporter training Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Supervised at all times (3290.113(a))

At approximately 10am it was observed that an infant was in a swing sleeping alone in the living room while the staff member was in the back room with an older toddler and a preschool age child. 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). Correction: Move the portable crib to the area right outside of the toy room (back room) so that I will be able to see the infant while they are sleeping at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Within 60 days/Initial and subsequent health assessments (3290.131(a)/3290.182(1))

Child #1's file did not contain an initial health assessment within 60 days of enrollment. Requirement: 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. A child's record must contain initial and subsequent health reports. Correction: Obtain the proper form from the Dr to be placed in the childs file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant sleep position (3290.118)

At approximately 10am it was observed that an infant was sleeping in a swing which is not the sleeping position recommended by the American Academy of Pediatrics. Requirement: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility. Correction: Lay the child in the portable crib on his/her back while sleeping at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Surfaces cleaned (3290.135(b))

At approximately 11:15am staff #1 was observed changing a child's diaper on a blanket which could not be cleaned after each use. Requirement: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering. Correction: Obtain some disposable pads to be used for each diapering. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated toddler/preschool health report: every 12 months/Emergency info/agreement updated 6 mos (3290.131(b)(2)/3290.181(c))

Child #2's, a preschool age child(See LIS Code Sheet), two most recent health assessments are date 10/19/23 and 11/13/24 which are more than 12 months apart. Requirement: 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 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. Correction: talk to the parent about making sure they are getting the health assessments done before the one on file expires. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency Numbers Posted (3290.72)

Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by the telephones in the facility. Requirement: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility. Correction: post the paper in a obvious location for all to see Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Has all items (3290.73(c))

The facility's first aid kit was missing band aids and tape. Requirement: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. Correction: put band aids and tape in the kit Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Requirements (3290.74(a))

The wooden outside fence was splintered in multiple places accessible to children. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards. Correction: cover the splintery pieces of fencing with duct tape until they can be replaced Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3290.124(b)(3))

The files for child #1 and 5 did not contain the enrolling parent's work address or work telephone number. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: contact parents and get the work address and phone number Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Information re: disability (3290.124(b)(5))

The files for child #1, 2, and 5 did not contain the information on the child's special needs. Requirement: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation. Correction: write N/A where applicable Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Excursions (3290.124(c))

Emergency contact information specific to each child was not present in the vehicle when transporting children. Requirement: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion. Correction: print out and place emergency documentation in vehicle Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3290.124(d))

A written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency was not conspicuously posted. Requirement: 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. Correction: place notice that the emergency plan is available upon request in a conspicuous location for all to see Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Within 60 days/Initial and subsequent health assessments (3290.131(a)/3290.182(1))

Child #2's initial health assessment was dated 10/19/23 which is more than 60 days after date of enrollment(See LIS Code Sheet). Child #4's initial health assessment is dated 11/8/23 which is more than 60 days after date of enrollment(See LIS Code Sheet). Requirement: 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. A child's record must contain initial and subsequent health reports. Correction: assure I am getting the proper health assessments in the correct time frame Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated infant health report: every 6 months/Emergency info/agreement updated 6 mos (3290.131(b)(1)/3290.181(c))

Child #4's, a young toddler age child(See LIS Code Sheet), current health assessment is dated 11/8/23 which is more than 6 months ago. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. 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. Correction: talk to parent about completing them in the correct time frame and obtaining a current one Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Parent written verification from Doctor. (3290.131(d)(5)/3290.131(e)(1))

The immunization record on file for Child #4, a young toddler age child(See LIS Code Sheet), includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 2 of 4 HIB vaccines recommended by the ACIP for a child this age; and 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age, 0 of 1 MMR vaccines recommended by the ACIP for a child this age, and 0 of 1 Varicella vaccines recommended by the ACIP for a child this age. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction: obtain the current shot records and make sure all shots are current Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Manufacturer's instructions used (3290.173(c))

Manufacturer's instructions for use of safety restraints were not present in the vehicle. Requirement: Manufacturers' instructions for use of safety restraints shall be kept in the vehicle at all times. Correction: print out the instructions and place in vehicle Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Transportation First Aid Kit (3290.176)

A first aid kit was not present in the vehicle when transporting children. Requirement: A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported. Correction: place first aid kit in vehicle Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of medications or special dietary needs (3290.182(4))

The files for child #1, 2, 3, 4, and 5 did not contain signed parental consent for administration of medications or special dietary needs. Requirement: A child's record must contain signed parental consent for administration of medications or special dietary needs. Correction: obtain parental consent for medications and dietary restrictions 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 alarm testing log contained the following dates 2/1/24-3/3/24, 5/1/24-6/2/24, and 8/30/24-9/30/24 which are more than 30 days apart. 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: complete fire drills and system testing in the proper time frame Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(b))

The two most recent dates documented for reviewing the emergency plan are 1/8/23 and 10/22/24 which are more than 12 months apart. Requirement: 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. Correction: review the plan in the correct timeframe Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(e))

The emergency plan was not posted in the facility at a conspicuous location. Requirement: The emergency plan shall be posted in the facility at a conspicuous location. Correction: place the plan in a conspicuous location or directions to the plan for all to see Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(f))

The letter provided to the parent of each enrolled child explaining the emergency procedures did not contain accommodations for infants, toddlers, children with disabilities, and child with chronic medical conditions. Requirement: 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. Correction: rewrite the letter adding the accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).