GWENDOLYN GAIL TONONI FAMILY CHILD CARE HOME

Protective Outlet Covers 5 yrs. or less (3290.63)

Observed an electrical outlet that lacked a protective receptacle cover to the right of the door upon exit into the outdoor play space. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: Had electrician replace with new metal receptacle cover. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Hypothetical locations (3290.94(a)(4))

The operator who is responsible for compliance with this chapter did not ensure that the hypothetical locations of the fire were rotated around the facility for each drill such that the hypothetical location was never the same for consecutive drills. Requirement: The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills. Correction: I will do fire drills in different locations. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3290.181(c))

The emergency contact and agreement for Child #1 were not reviewed and updated at least once in a 6-month period. Child #1's emergency contact was reviewed on 5/3/24, 12/12/24, and 6/12/25. Child #1's agreement was reviewed on 5/22/24, 12/12/24, and 6/21/25. Requirement: 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: Will make sure I review with parents emergency contacts and agreements every 6 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3290.134(a))

Staff did not ensure a child's hands were washed after being diapered. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: Will wash hands after diapering children and children's hands. 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 #2, an infant, lacked Rotavirus, DTAP/DTP/TD, HIB, Pneumococcal, and Polio immunizations according to the recommendations of the ACIP. Child #2 had documentation of 1 Rotavirus immunization, 1 DTAP/DTP/TD immunization, 1 HIB immunization, 1 Pneumococcal immunization, and 1 Polio immunization. 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). Correction: Had parent bring health form to me night of my inspection for my file. Now in file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Emergency contact information for Child #2 did not include the work telephone number of the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: Put work number on agreement form Child 2. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3290.123(a)(6)/3290.182(2))

The agreement for Child #2 did not specify the date of the child's admission. Requirement: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child. Correction: Wrote admission date on agreement form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3290.123(a)(5))

The agreement for Child #2 did not specify the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: I will ensure that I have who the child will be picked up and dropped off are written on agreement form. Name on form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3290.123(a)(4))

The agreement for Child #2 did not specify the child's arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: I made sure arrival and depart time are on agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services provided (3290.123(a)(3))

The agreement for Child #2 did not specify the services to be provided to the family and child. Requirement: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e). Correction: I made sure to have all information filled out on agreement form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3290.102(a))

Observed a bookcase which was unstable because it moved from side to side Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: I removed little bookcase. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Requirements (3290.74(a))

Observed protruding screws on the 3 posts to the right of the gate in the outdoor play space. 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: Re put on outdoor lighting to cover the screws on the post or take screws off. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3290.123(b)/3290.182(8))

2nd citation. Previously cited on 12/11/24. The file of Child #1 contained the original agreement. The facility did not make a copy for the file and give the original to the parent. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: Copy of the agreement was made while certification representative was onsite. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Arrival/departure times (3290.123(a)(4))

The agreement for Child #1 did not specify the child's arrival and departure times. Requirement: An agreement shall specify the child's arrival and departure times. Correction: Child #1 has child's arrival and departure time on form. Agreement form now has complete information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(f))

The letter provided to the parent explaining emergency procedures did not address accommodations for infants, toddlers, children with disabilities, and children 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: Updated letter to include accommodations. I wrote new emergency action plan to original. If accommodations for disabilities, a medical condition, a bag prepared when enrolled to be with emergency kit. Stroller in carport. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(d))

Emergency drills were not conducted annually. The facility provided documentation of emergency drills being conducted on 12/7/22 and 2/15/24. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Will have annual emergency drill on file. Current emergency drill on file. 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 facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 12/10/24, 1/10/24, 2/10/24, 3/8/24, 4/9/24, 5/9/24, 6/6/24, 7/10/24, 8/9/24, 9/10/24, 10/10/24, 11/8/24, 12/6/24. 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: Manual test was completed on 1/3/25. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Copy of initial and subsequent agreements. Parent receives original. (3290.182(8))

It was observed that an agreement was not on file at the date of enrollment for Child #1. Child #1's admission date was 5/7/24 with an agreement dated 8/21/24. Requirement: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: Child #1 has current agreement on file. Child #1's mom is a teacher. She wasn't her over summer. Came back 8/21/24. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3290.181(c))

The emergency contact and agreement for Child #2 were not reviewed and updated at least once in a 6-month period. Child #2's emergency contact was signed on 5/3/24 with no reviews. Child #2's agreement was signed on 5/22/24 with no reviews. The agreement for Child #3 was not reviewed and updated at least once in a 6-month period. The agreement for Child #3 was reviewed on 4/6/23, 2/15/24, and 8/13/24. Requirement: 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: #2 child parents review and sign emergency contact and agreement. #2 child parents review and sign every 6 months. #3 keep agreement review on file. #3 has current review of agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated toddler/preschool health report: every 12 months (3290.131(b)(2))

The file of Child #3 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #3 contained a health report dated 5/31/24 with a previous one dated 11/10/22. 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. Correction: Child #3 has current health report. #3 Child will make sure all health reports stay in child's files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3290.124(b)(7))

Emergency contact information for Child #1 did not include the complete address of the individual designated by the parent to whom the child may be released. Requirement: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Child #1 has complete address now Huntingdon of individual designated by parent to whom the child may be released. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Emergency contact information for Children #2 and #3 did not include the work address and work telephone numbers of the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: I had parents give the work address and phone numbers on files. Explained the importance of me obtaining on my files and any cell phone. Child #2 and #3 now have complete information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3290.123(b)/3290.182(8))

The files of Children #1, #2, and #3 contained the original agreement. The facility did not make a copy for the files and give the original to the parent. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement. Correction: Made a copy of agreements, one for my file, original to parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date/Application, admission, withdrawal dates (3290.123(a)(6)/3290.182(2))

The agreements of Children #1 and #2 did not specify the date of the child's admission. Requirement: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child. Correction: Child 1 and 2 have date the child was entered into child care on agreement form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3290.123(a)(5))

The agreement for Child #1 did not specify the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Child #1 has person designated to be released to designated by parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).