Estela Pichardo

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Facility did not test fire alarms in over 30 days from 9/6/24 to 10/7/24.

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: 3290.64(c)

Description: Toxic plants not permitted

Noncompliance Area: During the inspection, the following plants were observed in the kitchen and were accessible to children: Pothos, Aloe Vera and Arrowhead Vine. These plants are identified as toxic and are not permitted in child care.

Correction Required: Toxic plants are not permitted in a child care space.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the inspection, the interconnected smoke detectors on each floor of the home and the basement were not approved by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor to test and certify smoke alarm.

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. The operator is required to have a smoke alarm on each floor and in the basement that are interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms (35 P.S. § 1223.6(f.1)(1.1)) and be approved by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor to test and certify smoke alarms.

Regulation: 3290.11(h)(2)/3290.11(h)(2)(i)

Description: Clearances for renewal application/Clearances for individuals residing in home

Noncompliance Area: During the renewal inspection, household member #3 did not have a completed NSOR certificate on file and resides in the home at least 30 days in a calendar year (see LIS code sheet for date of birth).

Correction Required: At renewal, the legal entity shall submit clearances for each individual 18 years of age or older who resides in the childcare facility at least 30 days in a calendar year if any of the following apply: The individual attained 18 years of age following the date of the previous application for a certificate of compliance. Household member #3 may not be present in the home while children are in care.

Regulation: 3290.11(h)(2)/3290.11(h)(2)(i)

Description: Clearances for renewal application/Clearances for individuals residing in home

Noncompliance Area: During the renewal inspection, household member #3, did not have a completed NSOR certificate on file and resides in the home at least 30 days in a calendar year (see LIS code sheet for date of birth).

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: The individual attained 18 years of age following the date of the previous application for a certificate of compliance.

Regulation: 3290.124(c)

Description: Excursions

Noncompliance Area: During the renewal inspection, emergency contact forms for the children being transported were not in the vehicle.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection, the operator did not have a written policy identifying the prevention and identification of child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The provider's written policy must include, but is not limited to recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; strategies for coping with a crying, fussing, or distraught child; and address the prevention and identification of child maltreatment.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection, the operator did not have a section in the emergency plan that addresses volunteer emergency preparedness training and continuity of operations.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the emergency plan on file did not include shelter in place procedures.

Correction Required: The facility shall have an emergency plan that provides for accommodations 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.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the emergency plan on file did not include accommodations for 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: 3290.73(c)/3290.176

Description: Has all items/Transportation First Aid Kit

Noncompliance Area: During the renewal inspection, a first aid kit including: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves was missing from the vehicle used for transportation.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. A first-aid kit, including the contents as specified in §3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the renewal inspection, an evacuation map was not posted in the basement.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: A renewal inspection was conducted on 12/8/21. At the time of the inspection, the health report on file for child #1 and 2 did not include the statement that the child can be in care and free from communicable diseases. The operator had stated that the correction would be 1/19/22 and then had called back requesting additional time to obtain the correction.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3290.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: At the time of the inspection, the health report on file for child # 1 and 2 did not include the statement that the child can be in care and free from communicable diseases.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3290.22(a)/3290.22(b)

Description: Availability of certificate of compliance and applicable regulations/Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, the provider did not have instructions for contacting the appropriate regional child care office posted by the Certificate of Compliance. The provider did not have verification that she provides the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location. The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, there was no verification that the provider is conducting emergency drills annually.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, staff #1 did not have a signed disclosure statement on file. Staff #1 did not have copies of previous clearances on file.

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.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: At the time of the inspection, the provider did not have an evacuation map on file on the 3rd floor of the home.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Noncompliance Area: Emergency contact information for child 2 does not include the name, address and telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: Emergency contact information for child 2 does not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits

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: Child 1's record does not contain signed parental consent for emergency medical care for the child. Written consent has not been obtained 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.

Noncompliance Area: Child 1 - DOE - 6/6/17 and child 5 - DOE - 6/28/17 have been enrolled for more than 6 months and do not have a child service report on file.

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).

Noncompliance Area: Children 3 and 4 do not have the physician's address and phone number listed on the emergency contact form.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: Children 1,2, 3 and 4 do not have the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits listed 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: Children 1, 4 and 5 are missing the address of release persons on the emergency contact form. Child 3 is missing the phone number and address of the release persons on the emergency contact form.

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.

Noncompliance Area: Child 5 - DOE - 6/28/17 - does not have a 6-month updated fee agreement and emergency contact form on file. The date on both the fee agreement and emergency contact form is 6/28/17.

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: Child 1 - DOE - 6/6/17 - does not have a health report on file and has been enrolled for more than 60 days.

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: Inspector observed a container of Lysol wipes under the changing table in the kitchen where the children eat that is accessible to children and labeled keep out of reach of children. Inspector observed a can of Fabreez air Downey scent on the sink in the bathroom on the main floor that is accessible to children and labeled keep out of reach of children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Fire drill was reviewed by inspector. Provider did not conduct at least four fire evacuation drills in 2017. Provider held two fire drills; 1/2/17 and 3/15/17.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: AFTER INVESTIGATING A SELF REPORT, INSPECTOR WAS ABLE TO VERIFY THAT STAFF 1 LEFT CHILDREN UNSUPERVISED FOR APPROXIMATLEY 20 MINUTES. CHILD 1 TOUCHED CHILD 2 INAPPRORIATELY.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). Children must be supervised at all times. The legal entity must arrange for all facility staff to receive three hours of PQAS approved training regarding supervision of children. It does not matter if the PQAS approved training is through the regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: Inspector observed a baby bottle that is not labeled with the childs name.

Correction Required: Disposable nursers and bottles shall be labeled with the child`s name.

Noncompliance Area: Inspector observed children eating in the kitchen. Provider just finished cooking on the stove as the light on the stove was still on warning that the stove may still be hot. The stove does not have a stove guard.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Child 1 did not have consent for adminstration of minor first aid.

Correction Required: 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: The family daycare home regulations were not posted within the daycare facility.

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