Ana Rosa Cabrera Fcch

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Certification rep reviewed staff #1 record and observed state police clearance in record expired; 5/30/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -1 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #-1 may not work in a child care position at the facility.

Regulation: 3290.151(a)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Certification rep reviewed staff #1 record and observed physical examination form in record expired; date of last physical examination in record: 3/25/22.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: At the time of the inspection, there was no child service report including the Department's approved form to provide information to the family about the child's growth and development on file for child #1 and #3.

Correction Required: 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).

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of renewal inspection, emergency contact form of child #1, #2, #3, and #4 did not include the work address and/or phone number of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, emergency contact information of child #2 did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: 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.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of renewal inspection, emergency contact information and agreement of child #1 had not been updated every 6 months as required.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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.

Regulation: 3290.131(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: At the time of renewal inspection, immunization record of child #3 did not include influenza immunization recommended by ACIP in 2022. Last influenza shot was in 12/20/19 A letter of exemption was not observed in the file of child #3.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: At the time of renewal inspection, written statements giving the formula and feeding schedule for an infant was not obtained from the parents of the infant observed in the room.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of renewal inspection, a policy and procedure to identify the potential signs and symptoms of baby shaken syndrome and abusive head trauma, strategies for coping with a crying, fussing, or distraught child, and the prevention and identification of child maltreatment were not observed. In addition, the emergency plan did not contain a statement regarding volunteers participating in emergency plan training and emergency drills, continuity of operations in the event of an emergency that includes backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster. At the time of renewal inspection, file of staff person #1 and #2 did not include health and safety 1 hour professional development training updates required by OCDEL within the prescribed timeframe which is by December 30, 2022.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: At the time of renewal inspection, a record of child #1 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection, emergency plan did not include information about accommodations for infants and toddlers.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection documentation of smoke detector testing of every 30 days was not observed.

Correction Required: 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.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of renewal inspection, emergency contact forma and agreement of child #1 and #2 were not updated every 6 months. Emergency contact form and agreement of child #1 was updated on 7/1/20, emergency contact form and agreement of child #2 on 9/14/21.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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.

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During renewal inspection, a record of child #1 and #2 didn't contain signed parental consent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection, emergency drill was not conducted annually.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection, provider did not provide verification that the emergency plan was sent to the local municipality and to the county emergency management agency.

Correction Required: 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.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: At the time of renewal inspection file of staff person #2 did not include verification that staff obtained an annual minimum of 12 clock hours of child care training. Staff person #2 obtained 9 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #1 included child abuse clearance from 10/18/16 that was more than 60 months old and is not acceptable.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff person #1 must be removed from child care position by close of business.

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection, provider was not able to provide proof of purchase and date of purchase of smoke detectors.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Noncompliance Area: During renewal inspection on 7/31/20, the child care program did not have a written health and safety plan that aligns with CDC guidance to minimize the risk of COVID-19.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: During renewal inspection on 7/31/20, file of staff person #1 and #2 did not include a complete National Sex Offender Registry Verification Certificate. Child abuse clearance for staff #1 was completed on 4/15/15, more than 60 months ago.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 4/9/19, a written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions was not conspicuously posted.

Correction Required: 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.

Noncompliance Area: During renewal inspection on 4/9/19, the emergency contact form and the agreement of child #5 was not updated every 6 months or as soon as there is a change in the information. The emergency contact form was last updated on 9/17/18, the agreement was last updated on 3/10/18.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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.

Noncompliance Area: During renewal inspection on 4/9/19, file of child #1 and #2 didn't include an initial health report. Both children were enrolled for more than 60 days. Date of enrollment - 11/17/18.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Noncompliance Area: During renewal inspection on 4/9/19, an adult health assessment of staff person #1 and #2 didn't include an examination for communicable disease and information about suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: During renewal inspection on 4/9/19, emergency contact form of child #1, #2, #3, and #4 didn't contain signed parental consent for emergency medical care and/or administration of minor first-aid procedures by facility staff. Both consents are required prior to admission.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During renewal inspection on 4/9/19, Family Child Day Care Homes regulations (Chapter 3290) under which the facility is certified and instructions for contacting the appropriate regional day care office, were not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: During renewal inspection on 4/9/19, file of staff person #2 didn't include verification of training regarding the emergency plan and 12 biannual hours of child care training.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training. A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: During renewal inspection on 4/9/19, file of staff person #2 didn't include verification of education.

Correction Required: The operator shall have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department at the time of registration renewal.

Noncompliance Area: During renewal inspection on 4/9/19, file of staff person #2 didn't include a copy of the disclosure statement, complete criminal history certification form and mandated reporter training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Noncompliance Area: At the time of the renewal inspection, it was observed that Styrofoam plates and cups were in use in the day care home/

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: At the time of the renewal inspection a written medical transportation plan was missing in the child care space and in the bag used when going for walks.

Correction Required: 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.

Noncompliance Area: At the time of the renewal inspection, a copy of the disclosure statement was not in the provider file.

Correction Required: A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: In review of the children's files it was found that child #1, #2 and #3 did not have documentation of insurance coverage and policy number on the emergency contact form

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: In review of the children's files it was found that child #1, #2 and #3 did not have parental consent of emergency medical care or administration of minor first-aid on the emergency contact form

Correction Required: A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child`s record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.