Dejesus Rodriguez Family Day Care

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child # 1 & # 2 have not had child service reports completed in over 6 months. Child # 1& # 2 had child service reports both completed on 2/17/25 and then on 9/17/25.

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)(6)

Description: Insurance coverage information

Noncompliance Area: Child # 3 does not have their health insurance policy number on file.

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.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child # 1,2 & 3 have attended the facility for over 6 months and do not have child service reports completed.

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(a)

Description: Each child emergency contact person

Noncompliance Area: Child # 3 did not have emergency contact information at time of enrollment. Emergency contact information provided on 10/28/24.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3290.166(4)

Description: Bottles labeled

Noncompliance Area: There is an unlabeled bottle being used by an infant at the facility.

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

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Emergency contact forms and fee agreements were not updated every 6 months for child # 1 & # 2.

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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility staff # 1 and household member #2 have NSOR's that are over 60 months. Both were completed on 1/10/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a childcare position at the facility. Facility person #2 may not be at the household while childcare is taking place. A facility person's record and household members 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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Facility did not test the fire alarms in over 30 days from 10/1/24 to 11/1/24.

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: 3290.113(e)

Description: Restraints prohibited

Noncompliance Area: At the time of the renewal, child #2 and child #3 were observed awake and confined to their pack and plays from 9:07 to 10:17am where their movement was restricted.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3290.121(a)/3290.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: At the time of the inspection, the parent handbook did not include supervision policies. It also did not include dismissal policies relating to the immunization requirements.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.131(c)

Description: Written and signed by physician, PA, CRNP.

Noncompliance Area: At the time of the inspection, child #2's health assessment did not have a date of when the health assessment was conducted.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: At the time of the inspection, child #1 did not have an annual influenza vaccination on file and therefore is not in compliance with recommendations of the ACIP.

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). Child #1 must be dismissed from care by close of business on 1/9/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3290.17(e)/3290.182(7)

Description: Copies of reports in file at facility/Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: At the time of the inspection, the operator did not have a file for accidents, injuries and illnesses involving a child in care at the facility.

Correction Required: Copies of reports of injury, death or fire shall be kept in a file at the facility. A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, the operator did not have proof that the parents of each enrolled child are sent the Chapter 3290 regulations electronically.

Correction Required: 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(a)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the operator stated that the emergency plan was at the County for review and a copy was not present at the facility, therefore, the emergency plan could not be reviewed.

Correction Required: The facility shall have an emergency plan.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the last documented emergency drill on file at the facility was conducted on 2/2022 and not annually.

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

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: At the time of the inspection, staff person #1 only had 4 clock hours of childcare training during the 12/22-12/23 training period. Staff person #2 only had 8 clock hours of childcare training during the 12/22-12/23 training period.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: At the time of the inspection, staff person #2 did not have the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Family Child Care Health and Safety training requirements.

Correction Required: Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-9) within 90 days of hire. Staff person #2 will have until 1/24/24 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, household member #3 did not have a signed disclosure statement 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: 3290.74(a)

Description: Requirements

Noncompliance Area: At the time of the inspection, there were tv wires and cords dangling which were accessible to the children in care. The shelf in the main child care space was wobbly and not secured to a surface. These pose hazards to children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Regulation: 3290.76(c)

Description: Notify parents

Noncompliance Area: During the renewal inspection, there was no verification that the operator notified the parents that weapons, firearms or ammunition are present at the facility.

Correction Required: If the facility is located in a residence, the operator shall notify the parent when weapons, firearms or ammunition are present at the facility.

Regulation: 3290.102(f)

Description: No hazardous toys/equipment

Noncompliance Area: During the inspection, a Fisher Price Infant to Toddler rocker was observed. These rockers deemed hazardous and were recalled by the United States Consumer Product Safety Commission on June 14, 2022.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection, staff person #1 and household member #2 did not have current Child Abuse clearances on file. This is evidenced by the clearances on file dated 4/30/18 and 6/1/18, respectively.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the inspection, staff person #1 and household member #2 did not have current Child Abuse clearances on file. This is evidenced by the clearances on file dated 4/30/18 and 6/1/18, respectively.

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 and household member #2 may not be present in the home while children are in care until the Child Abuse clearance is received.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the inspection, the operator did not have smoke alarms that are interconnected and approved by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor.

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: 3290.123(a)

Description: Signed

Noncompliance Area: During the renewal inspection, there was no signed agreement on file for child #3. There was no operator signature on the agreement for child #5.

Correction Required: An agreement shall be signed by the operator and the parent.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During the renewal inspection, the agreement on file for child #2 did not specify the services to be provided to the child and family.

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: 3290.123(a)(5)

Description: Designated release persons

Noncompliance Area: During the renewal inspection, the agreement for child #2 and child #5 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection, the emergency contact form for child # 2 did not contain the phone number of the child's physician. The emergency contact form for child #4 did not include the address and phone number of the child's physician. The emergency contact form for child #5 did not contain the name of the child's physician.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection, on the emergency contact form for child #1 through child #4, the parent's work address was missing.

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: During the renewal inspection, the address of the individual designated by the parent to whom the child may be released was missing from the emergency contact form for child #4.

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: During the renewal inspection, the emergency contact form and the agreement for child #5 was last reviewed/updated by the parent on 1/13/22 and not within the 6 month requirement.

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(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: During the renewal inspection, the last health report on file for child #5 was dated 9/22/21. There should have been another health report 6 months after when the child turned 2 years of age (see LIS sheet for date of birth).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3290.131(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: During the renewal inspection, the immunization record on file for child #3, child #4 and child #5 did not include an annual influenza vaccination dated within the previous 12 months.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection, the operator could not provide documentation that a written policy for prevention and identification of child maltreatment was created. The Shake baby syndrome and abusive head trauma policies were observed to be from a different childcare facility and not specific to this facility.

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: 3290.182(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 the renewal inspection, the emergency contact form for child #2 and #5 did not contain both the signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During the renewal inspection, the operator did not have verification that the Chapter 3290 regulations are being sent to the parents electronically.

Correction Required: 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(a)(1)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the operator did not have documentation of lock down procedures in the emergency plan.

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(g)

Description: Emergency plan

Noncompliance Area: During the renewal inspection, the operator did not have verification that the updated emergency plan, effective date 1/6/23, was sent to the City of Allentown Emergency Management services and Lehigh County Emergency Management Agency for review.

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: During the renewal inspection, staff #3 did not have verification of obtaining 12 clock hours of child care training from the previous year.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: During the renewal inspection, staff person #2 and staff person #3 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-9. Staff person #2 and staff person #3 shall complete the required one-hour 2022 update to the health and safety training by 2/1/23.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection, on the second floor, there were lotions and perfumes located in unlocked bedrooms. These perfumes and lotions are accessible to children who are using the restroom located on the second floor. In the operator's bedroom, there was a glass bottles of alcohol next to the bedside. In the main child care space, there was a cabinet containing bottles of Patron, Sutter Home wine, Black Box Cabernet, Fireball, Pinnacle Vodka, among others which were out in the open and accessible to 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.

Regulation: 3290.70(d)

Description: Above ground window opening restricted to 6"

Noncompliance Area: During the renewal inspection, the windows on the second floor were able to be opened more than 6 inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Regulation: 3290.76(c)

Description: Notify parents

Noncompliance Area: During the renewal inspection, there was no verification that the operator notified the parents that weapons, firearms or ammunition are present at the facility.

Correction Required: If the facility is located in a residence, the operator shall notify the parent when weapons, firearms or ammunition are present at the facility.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the renewal inspection, the manual monthly monitoring log for testing the smoke detectors had a date of 1/3/23 and no prior testing date.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of the inspection, child #1 was observed sleeping in an upright child's rocker which is not acceptable as use for rest equipment.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.121(a)/3290.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: At the time of the inspection, the operator had no verification of any type of parent handbook or anything in writing given to the parent that discusses the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At the time of the inspection, on the emergency contact form for child #2, there was no phone number of the child's physician on file.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of the inspection, on the emergency contact form for child #2, the enrolling parent's work address was missing.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the inspection, the health insurance policy number was not listed on the emergency contact form for child #2.

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.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: At the time of the inspection, there was no written plan which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency posted anywhere in the facility.

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.

Regulation: 3290.131(d)(5)

Description: Immunization record

Noncompliance Area: At the time of the inspection, on the immunization record for child #2, there was no influenza vaccination or letter of exemption from the parent for the influenza vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3290.151(a)/3290.151(a)(2)

Description: Within 3 months, then 12 months/12 months prior to service and every 24 months thereafter

Noncompliance Area: At the time of the inspection, there was no health assessment on file for staff #1. The health assessment on file for staff #2 was dated 12-9-19 and therefore expired 12-9-21.

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 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: 3290.181(a)

Description: Each child

Noncompliance Area: At the time of the inspection, there was no record on file for child #1.

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

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: At the time of the inspection, the operator did not have verification that the parents of each enrolled child are provided 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 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(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: At the time of the inspection, the emergency plan on file did not include accommodations for infants and toddlers in the event of an emergency. The plan also did not include lockdown procedures for the provider.

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.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: 3290.24(a)(3)/3290.24(a)(4)

Description: Contact when arises/Contact when ended

Noncompliance Area: At the time of the inspection, the provider did not have a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises in the emergency plan. There was also no method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children in the emergency plan.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, staff #2 was not trained in the facility's emergency plan.

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.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the provider did not have verification of emergency drills being completed.

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

Regulation: 3290.31(g)/3290.31(i)

Description: Age and training/Verification of professional development shall be kept in facility person's file

Noncompliance Area: At the time of the inspection, there was no verification that staff #2 had completed the required Health and Safety training.

Correction Required: Staff persons shall complete professional development in the following topics within 90 days of the date of hire:All staff persons shall complete the professional development under subsection (g). Documentation of the completion of training shall be kept in the facility person's file or maintained in an electronic system as designated by the Department.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, there was no signed disclosure statement on file for staff #1 or 2.

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)(1)

Description: Every 60 days

Noncompliance Area: At the time of the inspection, the last dated fire drill being conducted was 8-4-21 and not within the 60 day requirement.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of the inspection, the smoke detector in the basement was a 9 volt battery smoke detector and was not operable. The operator was not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of the inspection, the manual monthly monitoring of the 10 year lithium ion smoke detectors was last conducted on 8-6-21 and not the 30 day requirement. The operator was not in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

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.