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.