Ninas Daycare

3280.26(a)(1) Emergency plan

“The facility did not have an Emergency Plan that included a plan for shelter of children during an emergency including lock-down, shelter-in-place at the facility and shelter at locations away from the facility premises.”

3280.26(a)(6) Emergency plan

“The Operator was unable to locate the Emergency Drill Log, documenting that an Emergency Drill had been conducted annually.”

3280.17 Liability Insurance

“The provider did not provide documentation of liability insurance to cover all persons who are on the premises of the GCCH.”

3280.26(a)/3280.26(b) Emergency plan /Emergency plan

“The facility did not have an Emergency Plan onsite, to review during the inspection. There was no documentation showing that the facility operator had updated/reviewed their emergency plan annually.”

3280.26(a)(3)/3280.26(a)(4) Contact when arises/Contact when ended

“The facility did not have an Emergency Plan that included a method to contact parents as soon as possible when an emergency situation arises, and when the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.”

3280.26(e) Letter to parents

“The operator did not have a parent letter explaining the emergency procedures outlined in the facility's Emergency Plan.”

3280.32(a) Comply with CPSL

“Staff Person #2 did not have a current Child Abuse Clearance on file that was dated within 60 months from the last Child Abuse Clearance on file (dated 1/20/21). Household Member #3 did not have the required out-of-state clearances on file from the state they resided in within the past 5 years.”

3280.124(b)(3) Parent home/work address, phone

“The Emergency Contact Form for Child #2 did not include the enrolling parent's work address.”

3280.26(a)(2) Emergency plan

“The facility did not have an Emergency Plan that included a plan for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.”

3280.124(b)(5) Information re: special needs

“The Emergency Contact Forms for Children #1, 2, 3 and 4 did not include information about the child's allergies/special needs. These areas were left blank on the forms.”

3280.131(b)(1) Infant: updated health report every 6 months

“Child #2 did not have an updated health report conducted within 6 months of the last one on file, dated 10/17/25.”

3280.131(d)(5)/3280.131(e)(2)(i) Immunization record/Exemption documentation from parent/guardian

“The health report for Child #1 did not include immunizations according to the recommendations of the ACIP and there was no written, signed and dated statement of exemption from immunizations from the child's parent in the child's file.”

3280.26(a)(5) Emergency plan

“The facility did not have an Emergency Plan that included accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.”

3280.14/3280.20 Pertinent Laws & Regulations/General Health and Safety

“The facility did not have an Emergency Plan that addressed continuity of operations, as required. Staff person #1 has not completed the required health and safety updated course titled "PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2".”

3290.123(a)(3) Services provided

“At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.123a3 on SIN-00280194 had not been fully implemented. On 12/17/25, child service reports were not on file for children #2, #3, #4, #5, and #6. All children had been enrolled for more than 6 months. On 2/17/26, child service reports were still not on file for children #2, #3, #4, #5, and #6.”

Correction date in the state record: Feb 23, 2026

3290.123(a)(5) Designated release persons

“At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.123a5 on SIN-00280194 had not been fully implemented. On 12/17/25, the agreement on file for child #5 did not specify the persons designated by a parent to whom the child may be released. On 2/17/26, the agreement on file for child #5 still did not specify the persons designated by a parent to whom the child may be released.”

Correction date in the state record: Feb 17, 2026

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

“At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.124b2 on SIN-00280194 had not been fully implemented. On 12/17/25, the emergency contact information on file for child #5 did not include a complete address for the child's source of medical care. On 2/17/26, he emergency contact information on file for child #5 still did not include a complete address for the child's source of medical care.”

Correction date in the state record: Feb 17, 2026

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

“At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.124b3 on SIN-00280194 had not been fully implemented. On 12/17/25, the emergency contact information on file for child #5 did not include the enrolling parent's work address and work telephone number. On 2/17/26, the emergency contact information on file for child #5 still did not include the enrolling parent's work address and work telephone number.”

Correction date in the state record: Feb 17, 2026

3290.166(4) Bottles labeled

“A bottle was not labeled with the child's name. (CORRECTED ON SITE)”

Correction date in the state record: Feb 17, 2026

3290.181(c)/3290.181(d) Emergency info/agreement updated 6 mos/Dated signature affixed

“At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.181c on SIN-00280194 had not been fully implemented. On 12/17/25, the agreement on file for child # 6 was signed in January of 2024 and subsequently more than 6 months later in December of 2025. The emergency contact information was most recently signed in January of 2024. On 2/17/26, parent signatures were on the forms, but they were not dated.”

Correction date in the state record: Feb 17, 2026

3290.24(d) Emergency plan

“At the time of the follow up visit on 2/17/26, continued non-compliance was observed. The plan of corrections for the violation citing 3270.24d on SIN-00280194 had not been fully implemented. On 12/17/25, the most recent emergency drill took place more than 12 months ago (3/2024). On 2/17/26, an emergency drill still had not been updated/completed.”

Correction date in the state record: Feb 17, 2026

3290.113(e) Restraints prohibited

“A child was placed into a highchair to stop a behavior from happening. (CORRECTED ON SITE)”

Correction date in the state record: Feb 17, 2026

3290.131(a) Within 60 days

“The initial health report on file for child #5 was dated 202 days after the child's first day of attendance at the facility.”

Correction date in the state record: Jan 2, 2026

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

“The emergency contact information on file for children #2 and #5 did not include addresses for listed release persons.”

Correction date in the state record: Jan 2, 2026

3290.124(b)(6) Insurance coverage information

“The emergency contact information on file for child #2 did not include the child's health insurance coverage and policy number.”

Correction date in the state record: Jan 2, 2026

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

“The emergency contact information on file for children #2, #5, and #6 did not include complete contact information for the enrolling parent. Child #2 - The emergency contact information did not include the enrolling parent's work address, and both the work and home telephone numbers. Child #5 - The emergency contact information did not include the enrolling parent's work address and work telephone number. Child #6 - The emergency contact information did not include the enrolling parent's work address.”

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

“The emergency contact information on file for child #5 did not include a complete address for the child's source of medical care. The emergency contact information on file for child #6 did not include an address and phone number for the child's source of medical care.”

3290.181(c) Emergency info/agreement updated 6 mos

“Child #6 - The agreement was signed in January of 2024 and subsequently more than 6 months later in December of 2025. The emergency contact information was most recently signed in January of 2024.”

3290.134(a) Child's hands washed

“Staff person #1 did not wash the children's hands after diaper changes. A wipe was used to clean off their hands.”

Correction date in the state record: Jan 2, 2026

3290.135(e) Every 2 hours

“At the time of inspection, diapers were not changed or checked at least every 2 hour. Certification staff arrived at the facility at 10:25 and diapers were not changed until 12:45.”

3290.152 Adult Hygiene

“Staff person #1 did not wash their hands in between diapering children.”

Correction date in the state record: Jan 2, 2026

3290.166(1) Written statement

“The operator was unable to provide documentation of a written statement (obtained from the parent) giving the formula and feeding schedule for the enrolled infant, child #2.”

3290.133(6)/3290.133(7) Written consent/Medication log

“The operator reported giving Tylenol that was observed in the refrigerator to child #1 "last week." The operator did not have a medication log on file for the medication and did not have written parental consent for the administration of the medication.”

Correction date in the state record: Jan 2, 2026

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

“Staff person #1's child abuse clearance expired 12/10/2025, and an updated child abuse clearance was not obtained until 12/16/25. The clearance was not in the file at the time of inspection. The staff person worked with children during the time the clearance was expired. Staff person #2 did not have a valid PA state police clearance on file. Staff person #2's state police clearance expired 12/23/2020. Staff person #2 worked with children at the facility on 12/16/25. Facility person #3 did not have a PA state police clearance on file.”

3290.24(c) Training regarding plan

“The operator was unable to provide documentation showing that staff person #2 has been trained on the emergency plan.”

Correction date in the state record: Jan 2, 2026

3290.24(d) Emergency plan

“According to the documentation on file at the time of inspection, the most recent emergency drill took place more than 12 months ago (3/2024).”

3290.64(a) Locked or inaccessible - in original container

“A container of anti-bacterial wipes was observed sitting on the counter in the kitchen area. The wipes were within reach of the children using the space. A container of Lysol toilet cleaner was observed under the sink in the bathroom that the children use. There was a child safety latch on the cabinet, but it was not working.”

Correction date in the state record: Jan 2, 2026

3290.74(a) Requirements

“Loose cords were observed underneath the upstairs TV in an area accessible to the child who is cared for in that space in the evenings.”

3290.123(a)(3) Services provided

“Child service reports were not on file for children #2, #3, #4, #5, and #6. All five children have been enrolled for more than 6 months.”

3290.131(b)(1)/3290.131(b)(2) Updated infant health report: every 6 months/Updated toddler/preschool health report: every 12 months

“The most recent health assessment on file for child #2 (infant) was more than 6 months old (dated 5/2025). The most recent health assessment on file for child #3 (preschooler) was more than 12 months old (dated 9/2024). The health assessments on file for child #4 were dated in August of 2024 and subsequently more than 6 months later in December of 2025. The child was a young toddler at the time the health assessment was due to be updated. The most recent health assessment on file for child #6 (preschooler) is more than 12 months old (dated 3/2024).”

Correction date in the state record: Jan 2, 2026

3290.123(a)(5) Designated release persons

“The agreement on file for child #5 did not specify the persons designated by a parent to whom the child may be released.”

3290.31(g)(10) Health and Safety Training - Pediatric first aid/CPR

“There was no documentation on file showing that staff person #2 has completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR”

3290.123(a)(6) Admission date

“The agreement on file for child #5 did not specify the date of the child's admission.”

Correction date in the state record: Jan 2, 2026

3290.133(3)/3290.133(4) Name on bottle/Locked

“A container of children's Tylenol was stored low in the fridge in an area within reach of the children. The bottle was not labeled with the child's name for whom the medication was intended for.”

Correction date in the state record: Dec 18, 2025

3290.95(a) System in compliance

“A written log of manual tests of the fire detection system from 2025 was not on file at the facility. The most recent documentation was from 12/10/24.”

Correction date in the state record: Jul 20, 2025

3290.18 General Health and Safety

“Staff person #1 has completed the health and safety course titled "Get Started with Home-Based Care: Building Blocks for Quality", but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.”

Correction date in the state record: Jul 20, 2025

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

“At the time of inspection, the record for child #1 did not include an initial health report. The child has been enrolled for more than 60 days.”

Correction date in the state record: Dec 18, 2024

3290.124(b)(4)/3290.182(5) Written consent/Consent for administration of minor first-aid required prior to admission

“The emergency contact information on file for children #1 and #3 did not include written consent signed by a parent for emergency medical care. The files also did not include signed parental consent for administration of minor first-aid procedures by facility staff.”

Correction date in the state record: Dec 20, 2024

3290.124(b)(3)/3290.124(b)(7) Parent home/work address, phone/Name/address/phone release person

“The emergency contact information on file for child #2 did not include a home address for the enrolling parent, and did not include the enrolling parent's work address and phone number. The form also did not include name, addresses and phone numbers of persons designated by the parent to whom the child may be released.”

Correction date in the state record: Dec 20, 2024

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

“The emergency contact information on file for child #1 did not include the name, address, and telephone number of the child's physician or source of medical care.”

Correction date in the state record: Dec 18, 2024

3290.123(b) Parent receives original

“The originals of agreements were on file for children #1, #2, and #3.”

Correction date in the state record: Dec 20, 2024

3290.123(a)(6) Admission date

“The agreement on file for child #1 did not specify the date of the child's admission.”

Correction date in the state record: Dec 18, 2024

3290.18 General Health and Safety

“The facility's emergency plan did not address continuity of operations.”

Correction date in the state record: Dec 18, 2024

3290.63 Protective Outlet Covers 5 yrs. or less

“An uncovered outlet was observed on the main floor of the house, in an area accessible to children that were receiving care in the space.”

Correction date in the state record: Dec 18, 2024

3290.105(a) Clean, age appropriate

“The pack-and-plays were not labeled for individual use. (CORRECTED ON SITE)”

Correction date in the state record: Dec 10, 2024

3290.123(a)/3290.123(a)(3) Signed /Services provided

“The agreements on file for children #1 and #2 did not include the services to be provided, and were not signed by the operator. The agreement on file for child #3 was not signed by the operator.”

Correction date in the state record: Dec 18, 2024

3290.121(b) Given parents in writing

“The information given to parents at the time of enrollment does not include information about meals, supervision policies, and pick-up arrangements.”

Correction date in the state record: Dec 24, 2024

3290.64(c) Toxic plants not permitted

“Boxwoods and Japanese Holly Shrubs were observed in the outdoor child care space.”

Correction date in the state record: Sep 24, 2024

3290.94(a)(9) Written record

“At the time of inspection, the operator was unable to provide a fire drill log.”

Correction date in the state record: Sep 24, 2024

3290.95(a) System in compliance

“At the time of inspection, the operator did not have documentation on file showing that the fire detection system is being tested at least once every 30 days.”

Correction date in the state record: Sep 24, 2024

3290.18 General Health and Safety

“The facility did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.”

3290.24(a) Emergency plan

“The facility did not have an emergency plan available at the time of inspection.”

3290.111(b) Posted in area used by parents

“The written plan of daily activities and routines was not posted in a traffic area used by parents. (CORRECTED ON SITE)”

3290.113(a) Supervised at all times

“Staff person 1 was observed walking out of the room the child was present in, leaving the child unsupervised.”

Correction date in the state record: Feb 15, 2024

3290.124(a) Each child emergency contact person

“The emergency contact information on file for child 1 did not list emergency contact persons.”

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

“The emergency contact information on file for child 1 did not include written consent signed by a parent for emergency medical care.”

3290.124(b)(6) Insurance coverage information

“The emergency contact information on file for child 1 did not include the health insurance policy number.”

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

“The emergency contact information on file for child 1 did not include a complete address for a listed release person.”

3290.124(d) Written emergency plan posted

“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 at the facility. (CORRECTED ON SITE)”

3290.151(c)(2) Mantoux TB

“The initial health assessment for staff person 1 did not include results of a Tuberculosis screening.”

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

“The record for child 1 did not contain signed parental consent for administration of minor first-aid procedures by facility staff.”

3290.191 Individual Records

“A record was not available for staff person 1.”

3290.24(g) Emergency plan

“The operator had not sent an emergency plan to the local municipality and to the county emergency management agency.”

3290.94(a)(5) Evacuation routes posted

“Evacuation routes were not posted in a conspicuous location on each floor of the facility.”

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

“The smoke detectors at the facility were not functioning as interconnected smoke detector. Testing one smoke detector did not cause the others to sound. The facility was unable to provide proof of purchase of an interconnected smoke detector system.”

3290.24(e) Emergency plan

“An emergency plan was not posted in the facility at a conspicuous location.”

3290.72 Emergency Numbers Posted

“The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted at the facility.”