Buds And Blossoms Childcare Llc

Regulation: 3280.192(4)

Description: CPSL information

Noncompliance Area: On 7/8/25 during the renewal inspection, Staff Person #1 did not have an PA NSOR clearance in their 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. Facility Person #--- may not work in a child care position at the facility.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During the DOH complaint investigation it was determined that Child #1 and Child#2 did not have updated immunizations records located in their file.

Correction Required: 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).

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 (ENROLLED 5/1/19) DID NOT INCLUDE A CHILD SERVICE REPORT.

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 3280.124(f).

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 (ENROLLED 5/1/19) DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 5 (ENROLLED 5/13/19) DID NOT INCLUDE A HEALTH REPORT.

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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 1 DID NOT INCLUDE A CURRENT HEALTH ASSESSMENT.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 2 (ENROLLED 2/6/19), CHILD 3 (ENROLLED 10/1/18), CHILD 4 (ENROLLED 10/15/18) AND CHILD 5 (ENROLLED 5/13/19) DID NOT INCLUDE A 6 MONTH REVIEW AND UPDATE OF THE FINANCIAL AGREEMENT FORM.

Correction Required: 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 (ENROLLED 5/1/19) DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE FILE OF STAFF 1 (HIRED 8/15/18) AND THE FILE OF STAFF 2 (HIRED 8/16/18) DID NOT INCLUDE A HIGH SCHOOL DIPLOMA.

Correction Required: A primary shall have attained one of the following qualification levels specified at 3280.34(b)(1) - (5).A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WERE MULTIPLE UNUSED OUTLETS THAT DID NOT HAVE PROTECTIVE COVERS.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.