Milagros Rosa

Regulation: 3290.151(a)/3290.192(2)

Description: Within 3 months, then 12 months/Health assessment, TB test

Noncompliance Area: At the time of renewal inspection, file of staff person #1 included a health assessment conducted on 7/3/23 that was not valid since it was conducted more than 24 months ago.

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 on file at the facility. 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.

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: At the time of renewal inspection, a written record was not established for child #1 who was present at the facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection, a written verification that emergency plan was sent to the local municipality was not observed.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of renewal inspection, file of staff person #1 did not have current PA state police clearance, NSOR, and mandated reporter training, State police clearance on file was from 6/1/21, mandated reporter training was from 10/7/20. File of household member #2 did not have current PA state police clearance, child abuse clearance and NSOR. PS state police and child abuse clearances on file were from 10/6/20, NSOR was from 9/29/20.

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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection, a written record that smoke detectors were teste at least 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 subsection (a) are met.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: At the time of renewal inspection on 7/29/25, file of child #1 did not include child service report or an approved assessment 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 § 3290.124(e).

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: At the time of renewal inspection on 7/29/25, file of staff person #1 did not include verification that a certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) was renewed on or before the expiration of the most current certification from 6/26/23.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: At the time of renewal inspection on 7/29/25, file of staff person #1 did not include verification that staff obtained an annual minimum of 12 clock hours of childcare training. Staff person #1 completed only 5.50 hours of childcare training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: At the time of renewal inspection on 7/29/25, fire drill log did not include the hypothetical locations of the fire.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection on 7/29/25, a written record that verifies that facility manually tested its smoke detectors at least once 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: 3290.11(h)(2)/3290.11(h)(3)

Description: Clearances for renewal application/Clearance requirement

Noncompliance Area: At the time of renewal inspection on 8/1/24, file of household member #1 did not include current FBI clearance required by DHS. FBI clearance on file was from 7/11/18 and was more than 60 months old.

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the child care facility at least 30 days in a calendar year if any of the following apply: Clearances are required for the legal entity and for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year by the Department if an application for renewal is received following expiration of the current certificate of compliance.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: At the time of renewal inspection on 8/1/24, files of children #1 and #2 did not include an initial health report. Both children were enrolled in the facility for more than 60 days. See LIS.

Correction Required: The operator shall require the parent of an enrolled child 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.

Regulation: 3290.18/3290.76(a)

Description: General Health and Safety/Locked

Noncompliance Area: At the time of renewal inspection on 8/1/24, loaded gun was observed in an operator purse which was located in the living room from 11:30 AM to 1:15 PM. Children had access to the purse. In addition, baby shaken syndrome policy did not include signs of child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.  If the facility is located in a residence, weapons and firearms shall be contained in a locked cabinet.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of renewal inspection on 8/1/24 observed that emergency drill was not conducted annually and documented.

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 on 8/1/24 observed that emergency plan was not emailed 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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of renewal inspection on 8/1/24 observed fire extinguishers in a kitchen area with the tag that expired in July 2023. An operator did not have interconnected smoke detectors.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: Upon review of the files, it was observed that Staff 1 only had proof of 9 hours of training out of the required 12 hours of training. Staff 1 was missing proof of 3 hours of training at the time of the inspection.

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