Debra K Haldeman

3290.182(5) Consent for administration of minor first-aid required prior to admission

“The emergency contact information for children enrolled were initialed by the parent in lieu of signed parental consent for administration of minor first-aid procedures by facility staff.”

Correction date in the state record: Aug 28, 2025

3290.131(a)(4) Initial health report for school age

“The file for child #3 did not include a current health report which was dated in accordance with the requirements for medical examinations for school attendance when they entered Kindergarten in August 2023. The health report dated 10/09/2023 was missing from the file and only the immunization records dated 10/09/2023 were on file.”

Correction date in the state record: Oct 31, 2025

3290.21(f) Photo ID

“On 08/21/2025, the operator did not have a current and valid photo identification at the time of the renewal inspection. The PA DL expired on 03/30/2025 and the renewal camera / temporary cards that were issued on 03/06/2025 and 05/27/2025 were only valid for 60 days from the issue dates.”

Correction date in the state record: Sep 18, 2025

3290.94(a)(1) Every 60 days

“Fire drills were not conducted at least once every 60 days between May - July. The most recent fire drill was documented on 07/29/2025 with the previous fire drill documented on 05/02/2025.”

Correction date in the state record: Aug 31, 2025

3290.95(b) Operator or designated staff responsibility

“The operator did not ensure a manual test of the fire detection system was completed at least once every 30 days between June and July. The most recent test was completed on 07/29/2025 with the previous completed on 06/27/2025.”

Correction date in the state record: Aug 27, 2025

3290.124(b)(4)/3290.182(3) Written consent/Consent for emergency medical care required prior to admission

“The emergency contact information for the children enrolled were initialed by the parent in lieu of signed parental consent for emergency medical care for the child.”

Correction date in the state record: Aug 28, 2025

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

“The emergency contact information for child #1 did not include the enrolling parent's work address.”

Correction date in the state record: Aug 28, 1925

3290.64(a) Locked or inaccessible - in original container

“Observed a bottle of hand sanitizer on a stand next to the sink and bottles of shampoo & body wash in the bathtub which were in the bathroom used by and accessible to children.”

Correction date in the state record: Aug 22, 2025

3290.182(6) Signed parental consent for transportation, walking excursions, swimming and wading

“The emergency contact information for the children enrolled were initialed by the parent in lieu of signed parental consent for walking excursions.”

Correction date in the state record: Aug 28, 2025

3290.22(c) Availability of certificate of compliance and applicable regulations

“A copy of inspection summary issued in April for an allocated unannounced monitoring inspection was not posted in a conspicuous location used by parents.”

Correction date in the state record: Jun 20, 2025

3290.74(a) Requirements

“Observed power cords and extension cords dangling down from the TV mounted in the living room and loose power cords next to the recliner in the living room which were accessible to a young toddler in care.”

Correction date in the state record: Jun 15, 2025

3290.191 Individual Records

“On 06/05/2025, staff person #1 and #2 do not have a file which includes a health assessment with the results of a tuberculosis screening, clearances, and the required pre-service training. The operator did not follow their plan of correction submitted on 05/01/2025 which stated, "Staff members #3 and #4 will each have their own file and health assessment with the results of a tuberculosis screening, clearances, and the required pre-service training."”

3290.73(b) Inaccessible to children

“Observed the first-aid kit was accessible to children in a box on the floor in the living room.”

3290.32(a)/3290.192(3) Comply with CPSL/CPSL information

“At 11:30 am, observed staff person #1 caring for children after staff person #1 was informed on 03/27/2025, that staff person #1 and #2 may not work in a child care position at the facility until a current NSOR clearance was received and a copy sent to the Certification Representative for verification. At the time of the inspection, staff person #1 did not have a copy of the NSOR clearance and was caring for 1 young toddler, 2 young school age and 3 older school age children. According to staff person #1, 1 child arrived at 8:30 am and the other 5 children arrived around 9:30 am.”

Correction date in the state record: Apr 2, 2025

3290.21(a) Immediate access

“Upon arrival to the facility at approximately 11:50 am, Certification Representative knocked on the door. Certification Representative was able to hear children inside. Observed an individual attempt to look out the window of the door and walk away without opening the door. Certification Representative knocked a second time and staff person #3 came to the door and permitted entry.”

Correction date in the state record: Apr 30, 2025

3290.22(a) Availability of certificate of compliance and applicable regulations

“The facility did not have a copy of the current certificate of compliance posted in a conspicuous location at the facility; the certificate posted was dated 11/07/2023 - 11/07/2024.”

Correction date in the state record: Mar 27, 2025

3290.133(4) Locked

“Observed a variety of prescription and nonprescription medications on the kitchen counter and table which were accessible to children while in the kitchen.”

Correction date in the state record: Mar 27, 2025

3290.113(a) Supervised at all times

“Upon arrival to the facility, observed staff person #1 and #2 were not present at the facility and staff person #3 and #4 were caring for the children. During that time, staff person #3 and #4 were both in the kitchen with an older school age child and a young toddler. 2 older school age children and 2 younger school age children were in the living room unsupervised.”

Correction date in the state record: Apr 30, 2025

3290.103 Small Toys and Objects

“Observed the roll top desk with an open top in the area a young toddler was receiving care. A variety of earrings under 1" in size were on the desk which were accessible to the young toddler. Observed several small stones on an end table next to a chair in the living room which were under 1" in size and were accessible to a young toddler.”

Correction date in the state record: Mar 30, 2025

3290.64(a) Locked or inaccessible - in original container

“Observed a variety of cleaning products (Shout spray cleaner, Carpet cleaner, aerosol disinfectant spray) on kitchen counter and table which were being stored in an area which was accessible to children and stored near food and food preparation areas. Observed a container of Odoban on the floor next to the toilet and a container of leak seal on top of the toilet tank which was accessible to children in the bathroom.”

Correction date in the state record: Mar 27, 2025

3290.32(d) Age and training

“A facility person competent in Pediatric First Aid & CPR was not present at the facility when one or more children were in care. Staff person #1 and #2 were not present at the facility and left the children in care of staff person #3 and #4 while they left the premises. Staff person #3 and #4 did not have Pediatric First Aid and CPR training.”

Correction date in the state record: Mar 27, 2025

3290.134(a) Child's hands washed

“Staff person #1 did not ensure the children washed their hands before lunch. The children began preparing their own lunches and handling food items without washing their hands. Observed staff person #1 place a young toddler into their high chair for lunch without washing the child's hands; staff person #1 was going to wipe the child's hands with a wet washcloth in lieu of washing their hands.”

Correction date in the state record: Mar 28, 2025

3290.32(a)/3290.192(3) Comply with CPSL/CPSL information

“The file for staff person #1 and #2 included an NSOR clearance which was not updated within 60 months of the previous clearance. The NSOR on file was dated 01/14/2020 with no current NSOR on file. Observed staff person #3 and #4 caring for children at the facility without clearances, disclosure statement or mandated reporter training on file.”

3290.191 Individual Records

“An individual record was not established for staff person #3 and #4, who were observed caring for children. Staff person #3 and #4 did not have a health assessment with the results of a Tuberculosis screening, clearances, or the required pre-service trainings.”

3290.18 General Health and Safety

“Staff person #3 & #4 were observed to be caring for children unsupervised. Staff person #3 & #4 have not completed the following pre- service training required prior to caring for children unsupervised: PA Required Health and Safety for Family Child Care Part 1, Pediatric First Aid & CPR, Mandated Reporter Training. Staff person #1 and #2 were not present at the facility and left the children in care of staff person #3 and #4 while they left the premises.”

Correction date in the state record: Mar 27, 2025

3290.123(a)(3) Services provided

“The file for child #2 and #3 included child service reports with information about the child's growth and development which were not completed at least once every 6 months. The most recent child service report was completed on 07/27/2024 with the previous one completed on 09/30/2023.”

Correction date in the state record: Aug 30, 2024

3290.18/3290.61 General Health and Safety/Unsafe Areas in Outdoor Space

“Observed trash being burned in a fire pit in the backyard during program hours which was within close proximity of the outdoor play space, the family child care home and other structures on the property. In addition to the fire being burned during program hours, the fire was unattended during this time.”

Correction date in the state record: Aug 14, 2024

3290.31(f)(4)(i) Age and training

“The pediatric first aid & CPR training on file for staff person #1 and #2 was not updated prior to the expiration date of the previous certification. The current training was completed on 11/17/2023 the previous training expired on 09/2023.”

Correction date in the state record: Aug 14, 2024

3290.91(a) Stairs, exits, etc. unobstructed

“Observed a plastic play kitchen and cases of bottled water in front of the side door of the screened porch leading to the driveway.”

Correction date in the state record: Aug 15, 2024

3290.114 Outdoor Activity

“The children were not taken outdoors on the date of the inspection due to trash being burned on the property in a fire pit near the outdoor play space which was accessible to the children.”

Correction date in the state record: Aug 14, 2024

3290.95(b) Operator or designated staff responsibility

“The operator did not ensure that a manual test of the fire detection system was performed at least once every 30 days between December 2023 - January 2024. The tests were completed on 12/22/2023 and 01/29/2024, which exceeded 30 days.”

Correction date in the state record: Aug 14, 2024

3290.131(a)(4)/3290.182(1) Initial health report for school age/Initial and subsequent health assessments

“The file for child #1 did not include a health report for a school-age child (see LIS code sheet) that was dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2. The most recent health report was completed on 11/20/2021 and a subsequent health report was not provided when child #1 entered 6th grade.. The file for child #2 did not include a health report for a school-age child (see LIS code sheet) that was dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2. The most recent health report was completed on 11/22/2021 and a subsequent health report was not provided when child #2entered Kindergarten. Previously cited on 08/21/2023, the operator suspended child #2 from care effective 12/01/2023 until the health report was received; the health report for the child to return to care was not in the child's file.”

Correction date in the state record: Sep 30, 2024

3290.31(f)/3290.192(4) Age and training/Required training

“The operator was unable to provide documentation of an annual minimum of 12 clock hours of child care training between 12/2022 - 12/2023 for staff person #1 and #2.”

Correction date in the state record: Sep 30, 2024

3290.123(a)(1) Amount of fee

“The agreement for child #1 did not include the amount of the fee to be charged.”

Correction date in the state record: Oct 25, 2023

3290.123(a)(3) Services provided

“A child service report, providing information to the family about the child's growth and development was not completed at least once every 6 months for child #2 and #3. Ages & Stages was completed in lieu of a Child Service Report.”

Correction date in the state record: Oct 30, 2023

3290.31(f) Age and training

“The file for staff person #1 and #2 did not include an annual minimum of 12 clock hours of child care training.”

Correction date in the state record: Nov 4, 2023

3290.161(c) Potentially hazardous food refrigerated

“At 10:00 am, observed a plastic container of Chicken and Rice sitting on the stove in the kitchen. According to staff person #1, the food was made the night before and the container was taken out of the refrigerator at 9:30 am to prepare lunch. The container was kept out of the refrigerator until 12:15 pm when it was served to the children for lunch.”

Correction date in the state record: Oct 13, 2023

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

“The files for child #2 and #3 included a health report that was not updated at least once every 12 months. The health reports on file were dated 11/22/2021 with no subsequent health reports on file.”

Correction date in the state record: Oct 25, 2023

3290.102(a) Clean and good repair

“Observed a 4 seat bouncer/see saw in the outdoor play space with a cracked seat and a missing handle.”

Correction date in the state record: Oct 25, 2023

3290.131(a) Within 60 days

“The initial health report for child #1 was not received within 60 days of enrollment (see LIS code sheet); the health report on file was not dated and the immunization record on file was printed on 08/09/2023.”

Correction date in the state record: Oct 25, 2023

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

“The emergency contact information for child #1 did not include the last name of the persons designated by a parent to whom the child may be released.”

Correction date in the state record: Oct 25, 2023

3290.123(a)(5) Designated release persons

“The agreement for child #1 did not include the last name of the persons designated by a parent to whom the child may be released.”

Correction date in the state record: Oct 25, 2023

3290.124(b)(2) Physician name, address, phone

“The emergency contact information for child #1 did not include the complete address of the child's physician or source of medical care.”

Correction date in the state record: Oct 25, 2023

3290.124(b)(6) Insurance coverage information

“The emergency contact information for child #1 did not include the health insurance coverage and policy number.”

Correction date in the state record: Oct 25, 2023

3290.18 General Health and Safety

“The emergency plan did not include a Continuity of Operation plan.”

Correction date in the state record: Oct 31, 2023

3290.74(a) Requirements

“Observed the fence surrounding the outdoor play space had a missing attachment for the top rail on the far-right corner of the fence. A cap was missing from one of the bolts. Observed broken connector wires along the top of the fence. Observed the wires, at the bottom of the chain link fence, were separated.”

Correction date in the state record: Oct 25, 2023

3290.124(b)(6) Insurance coverage information

“The emergency contact information for child #1 did not include health insurance coverage information and the policy number.”

Correction date in the state record: Aug 27, 2022

3290.123(a) Signed

“The agreement form was not signed by the parent.”

Correction date in the state record: Aug 27, 2022

3290.102(a) Clean and good repair

“Observed cracked steps on the large Little Tykes play equipment in the outdoor play space, which created rough edges. Observed a crack on the platform of the Little Tykes slide, which created pinch points.”

Correction date in the state record: Aug 27, 2022

3290.91(a) Stairs, exits, etc. unobstructed

“Observed a Ride on Toy Train blocking the exit door from the sun porch to the area under the deck,. Observed boxes, totes, boots and shoes blocking the door”

Correction date in the state record: Sep 22, 2022

3290.74(a) Requirements

“Observed bolts on the corner of the fence protruding into the play space which were not capped or cut. Observed rust on the top fence rail on the fence in the outdoor play space. Observed a hole at the bottom of the fencing on the left side of the outdoor play space. Observed a missing bolt in the back, right corner of the fence. Observed loose fence connectors t the the top of the fence rail, the wires were hanging creating sharp points. Observed a hole in the door leading out of the office area/child care space with sharp edges. Observed extension cords plugged into the wall which were laying on the living room floor, creating a trip hazard. The gate leading into the kitchen was broken and lying on the floor near the kitchen doorway, creating a trip hazard. Observed the baseboards in the living room had visible dirt and needs to be cleaned.”

Correction date in the state record: Sep 7, 2022

3290.73(c) Has all items

“The first-aid kit did not contain scissors and soap.”

Correction date in the state record: Aug 27, 2022

3290.64(a) Locked or inaccessible - in original container

“Observed a bottle of Odoban spray cleaner on the coffee table in the living room directly in front of child #1 who was sitting on the couch. Observed a bottle of shampoo labeled "Keep out of Reach of children" on the toilet tank in the bathroom used by children in care that was accessible.”

Correction date in the state record: Aug 25, 2022

3290.31(f) Age and training

“The files for staff person #1 and #2 did not include an annual minimum of 12 clock hours of child care training.”

Correction date in the state record: Oct 15, 2022

3290.24(d) Emergency plan

“The operator did not document the annual emergency drill which was completed in September 2021.”

Correction date in the state record: Sep 30, 2022

3290.24(a)(1) Emergency plan

“The operator was unable to find the updated emergency plan that included a lock-down procedure.”

Correction date in the state record: Sep 1, 2022

3290.22(a) Availability of certificate of compliance and applicable regulations

“The facility's current certificate of compliance was not posted in a conspicuous location, the certificate of compliance that was posted was dated 11/07/2020 - 11/07/2021. *Corrected at the time of the inspection.”

Correction date in the state record: Aug 27, 2022

3290.95(b) Operator or designated staff responsibility

“The operator did not maintain a written record of a test of the fire detection system every 30 days. The operator was unable to find the current fire drill log with the documentation showing the tests were completed after 09/28/2021.”

Correction date in the state record: Sep 4, 2022

3290.94(a)(9) Written record

“The operator did not maintain a written record of the fire drills conducted after 11/24/2021. The operator was unable to find the current fire drill log.”

Correction date in the state record: Aug 29, 2022

3290.94(a)(5) Evacuation routes posted

“Fire evacuation routes were not posted in a conspicuous location in the basement or second & third floor of the home.”

Correction date in the state record: Sep 8, 2022

3290.24(g) Emergency plan

“The operator did not send a copy of the updated emergency plan to the local municipality.”

Correction date in the state record: Sep 27, 2022

3290.24(a)(5) Emergency plan

“The operator was unable to find the updated emergency plan that included accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.”

Correction date in the state record: Sep 27, 2022

3290.182(5) Consent for administration of minor first-aid required prior to admission

“The file for child #1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff prior to admission.”

Correction date in the state record: Aug 25, 2022

3290.182(3) Consent for emergency medical care required prior to admission

“The file for child #1 did not contain signed parental consent for emergency medical care prior to admission.”

Correction date in the state record: Aug 25, 2022

3290.152 Adult Hygiene

“Observed staff person #1 did not wash their hands after using the bathroom before starting to prepare lunch. Observed staff person #2 did not wash their hands prior to helping prepare lunch.”

Correction date in the state record: Sep 1, 2022

3290.134(a) Child's hands washed

“Staff person #1 did not ensure that child #1 washed their hands before lunch.”

Correction date in the state record: Aug 27, 2022

3290.131(a) Within 60 days

“The initial health report for child #1 was not provided within 60 days following the first day of attendance at the facility; the initial health report on file was dated 08/15/2022.”

Correction date in the state record: Aug 27, 2022