Luisa Rosario

Regulation: 3280.33(a)/3280.34(b)(5)

Description: Each staff person meets quals/HS/GED + 2 yrs

Noncompliance Area: Staff Person #1 has been transporting children to/from school, working unsupervised by a qualified Primary Staff Person, therefore Staff Person #1 was working as a Primary Staff Person without documentation of a High School Diploma/GED and 2 years of documented childcare experience.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children.

Regulation: 3280.34(c)/3280.52(a)(1)

Description: Supervise secondary staff /Primary staff person present

Noncompliance Area: Staff Person #1, who is not qualified as a Primary Staff Person, has been supervising children alone when transporting children to and from school. There was no Primary Staff Person in the vehicle with the children as required.

Correction Required: A primary staff person shall supervise the performance of a secondary staff person. A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in §3280.52(b) or (c) requires a second or third staff person.

Regulation: 3280.35(3)/3280.192(2)(ii)

Description: 8th grade + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: Staff Person #1 did not have documentation of a minimum of an 8th grade education and 2 years (2,500 hours) of childcare experience as required to work as a Secondary Staff Person. Staff Person#2's school transcript from Dominican Republic, has not been translated and evaluated by an approved agency to obtain documented equivalency to 8th grade or higher in the United States' educational system.

Correction Required: A secondary staff person shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.94(a)(1)/3280.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: At the time of the inspection, the last documented fire drill was on 1/23/25 (8 months ago), therefore there was no current fire drill log at the facility documenting that fire drills were being conducted every 60 days or less.

Correction Required: Fire drills are conducted at least once every 60 days. A written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: At the time of the inspection, the last documented testing of the fire alarm system was on 2/3/25 (7 months ago), therefore there was no current fire drill log at the facility documenting that the alarms were tested every 30 days or less as required.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

Regulation: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: There was no written plan identifying means of transporting a child to emergency care and staffing provisions at the facility, posted in the Toddler Room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: There were no updated health reports at least every 12 months for Children #1 and #2 as follows: The last health report on file for Child #1 was dated 1/24/24. While a current health report was on file for Child #2 (dated 11/25/24), it was not received within 12 months from the prior one dated 7/27/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Regulation: 3280.124(c)/3280.181(e)

Description: Each child care space/Emergency master file updated

Noncompliance Area: The Emergency Contact forms located in the Childcare Space and in the Go Bag, were not copies of the most recently updated ones that parents updated within the past 6 months.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Regulation: 3280.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file for Staff Person #1 did not include a health assessment conducted within 12 months prior to their start date at the facility (see code sheet).

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.

Regulation: 3280.151(c)(2)

Description: Mantoux TB

Noncompliance Area: The files for Staff Person #1 and Staff Person #2 did not include an initial TB screening conducted within 12 months prior to their start date at the facility (see code sheet).

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3280.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file for Staff Person #1 did not include verification of education prior to working at the facility (see code sheet). The documentation of education from Venezuela needs to be translated to show the equivalency to the U.S. Dept. of Education.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: The file for Staff Person #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: There was no documentation of annual Emergency Plan Training for staff who have been working over a year. The last documented emergency plan training was on 1/25/23.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The fire alarm system was not tested every 30 days as required. The Fire Drill Log showed that the system was tested on 12/1/23 and then on 1/9/24, which was more than 30 days (corrected on-site).

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Noncompliance Area: Child 3 did not have designated release person(s) address.

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. Information in a child's record shall be kept current by the operator.

Noncompliance Area: Child 2 did not have a 1 yr old physical on file due 10/2019.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record must contain initial and subsequent health reports.

Noncompliance Area: Staff 1 did not have updated physical. Last physical 9/17.

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: Facility does not have interconnected smoke detectors. Individual smoke detectors are present on each floor, including the attic and basement. UCC inspector issued violation to correct.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: No daily schedule for 3rd shift childcare.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: Child 2 did not have an agreement on file. Child 4 did not have an agreement signed by provider.

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

Noncompliance Area: Child 2 and 3 did not have complete information on designated release persons.

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

Noncompliance Area: Child 3 did not have a 3 yr old physical on file. Last physical 1/26/17.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record must contain initial and subsequent health reports.

Noncompliance Area: Staff 1 did not have current physical on file. Last physical 2/2017.

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: No written infants feeding/formula schedule provided by parent for enrolled infants.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.New foods shall be introduced to an infant only after consultation with the child's parent.

Noncompliance Area: Child 3 did not have signed parental permission for minor 1st 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: On the day of the inspection, 11 children were in care from 6:30am-10am due to school closings. Capacity of the measured space is 10. Facility was overcapacity by 1 child.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.

Noncompliance Area: No liner in bathroom trashcan.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: No annual traffic letter sent to local city police.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: Staff 2 did not have 2 references on file.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: Operator and staff did not have annual review of emergency plan.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. 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.

Noncompliance Area: Staff 1 did not have a completed police clearance. Cited 8/2/17 and 10/4/17.

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.

Noncompliance Area: Staff 2 did not have 2 years verified experience to qualify as secondary.

Correction Required: A secondary staff person shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: UPON ARRIVAL 10/4/17 10AM, PROVIDER WAS UPSTAIRS, LEAVING AN INFANT ALONE WITH HHM/NON STAFF. SUPERVISION CITED 8/21/17 INSPECTION.

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. Children must be supervised at all times. Childcare children shall be supervised/cared for by approved staff at all times.

Noncompliance Area: NO CHILD SERVICE REPORTS FOR CHILD 3 ENROLLED APRIL 2016

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: ENROLLED CHILDREN DO NOT HAVE COMPLETED SIGNED DATED AGREEMENTS. PREVIOUSLY CITED 8/21/17.

Correction Required: An agreement shall be signed by the operator and the parent.Information in a child`s record shall be kept current by the operator.

Noncompliance Area: CHILDREN'S EMERGENCY CONTACT FORMS DID NOT INCLUDE ALL REQUIRED INFORMATION NOR WERE THEY UPDATED IN A 6 MONTH PERIOD. PREVIOUSLY CITED 8/21/17

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

Noncompliance Area: CHILD 4 ENROLLED 2/17 DID NOT HAVE PHYSICAL ON FILE.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: ENROLLED INFANT DID NOT HAVE AN INFANT FEEDING SCHEDULE NOR LABELED BOTTLES.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.Disposable nursers and bottles shall be labeled with the child`s name.

Noncompliance Area: NO TRAFFIC LETTER SENT TO LEBANON CITY POLICE.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program`s use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: CHILDRENS EMERGENCY CONTACT FORMS DID NOT INCLUDE SIGNED PARENTAL PERMISSION FOR EMERGENCY 1ST AID AND EMERGENCY MEDICAL CARE. PREVIOUSLY CITED 8/21/17

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.

Noncompliance Area: AN INFANT WAS OBSERVED SLEEPING IN A STROLLER WITH A BLANKET COVERING HIS FACE.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child`s parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: INDIVIDUAL 1 DID NOT HAVE PROOF OF REQUESTS FOR CLEARANCES ON FILE. NOT CORRECTED FROM PREVIOUS INSPECTION 8/21/17. INDIVIDUAL 1 IS HHM OVER AGE OF 18.

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. A household member 18 y.o. and residing in the home 30 days or more during the year shall have a file including signed disclosure, copy of requests for the criminal history record, child abuse registry clearance, FBI cogent registration, and copies of the completed clearances on file.

Noncompliance Area: CRAYONS AND MARKERS UTILIZED BY THE CHILDREN DID NOT STATE NON TOXIC/CONFORMS TO ASTM

Correction Required: Arts and crafts materials shall be nontoxic.

Noncompliance Area: FIRE DRILLS WERE NOT CONDUCTED/RECORDED EVERY 60 DAYS.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: NOT ENOUGH AGE APPROPRIATE MATERIALS FOR DEVELOPMENTAL NEEDS/AGES OF CHILDREN IN SUFFICIENT AMOUNTS/VARIETIES.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Play equipment and materials shall include the items specified at 3280.101(c)(1) - (6).

Noncompliance Area: UPON ARRIVAL, 1 CHILD WAS ASLEEP IN ROOM A; 2 CHILDREN WERE ASLEEP IN ROOM B; AND 3 CHILDREN WERE IN THE LIVING AREA OF THE RESIDENCE. ONLY 1 STAFF PRESENT.

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. Children must be supervised at all times. Staff shall be physically present with their assigned group at all times. Each childcare space is a separate room and shall have the appropriate staff/child ratio and capacity.

Noncompliance Area: AGREEMENTS WERE NOT SIGNED OR COMPLETED BY PARENT AND PROVIDER.

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

Noncompliance Area: CHILDREN'S EMERGENCY CONTACT FORMS WERE NOT COMPLETED WITH THE REQUIRED INFORMATION. EMERGENCY CONTACTS WERE NOT UPDATED WITHIN 6 MONTHS.

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

Noncompliance Area: INDIVIDUAL/HHM 1 DID NOT HAVE A CURRENT PHYSICAL WITH TB. INDIVIDUAL PREPARES FOOD FOR THE CHILDREN.

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: NO PARENTAL SIGNATURE FOR EMERGENCY MEDICAL CARE AND MINOR 1ST AID.

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.

Noncompliance Area: STAFF 2 DID NOT COMPLETE MANDATED REPORTER TRAINING WITHIN 90 DAYS OF EMPLOYMENT. DATE OF HIRE APRIL 2017.

Correction Required: A facility person`s record shall include verification of child care experience, education and training following the outset of service at the facility. All newly hired staff shall complete mandated reporter training within 90 days of employment and every 5 years thereafter.

Noncompliance Area: THE BEO FORM LETTERS ARE NOT POSTED FOR STAFF AND PARENTS

Correction Required: A legal entity must comply with The Pennsylvania Human Relations Act (43 P. S. 951-962.2), the Age Discrimination Act of 1975 (42 U.S.C.A. 6101-6107), Title VI of the Civil Rights Act of 1964 (42 U.S.C.A. 2000d-2000d-4a). Title VII of the Civil Rights Act of 1964 (42 U.S.C.A. 2000e-2000e-5), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C.A. 794), the Americans with Disabilities Act of 1990 (42 U.S.C.A. 12101-12514).

Noncompliance Area: THE EMERGENCY (DISASTER) PLAN WAS NOT POSTED ON THE COMMUNICATIONS BOARD.

Correction Required: The facility shall have an emergency planThe operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: INDIVIDUAL/HOUSEHOLD MEMBER 1 DID NOT HAVE CLEARANCES ON FILE. INDIVIDUAL RESIDES IN THE HOME 30 DAYS OR MORE PER YEAR AND IS OVER 18 Y.O.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A household member 18 y.o. or older and residing in the home 30 days or more during the year/ 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.

Noncompliance Area: PRIMARY STAFF 1 DID NOT HAVE 2 REFERENCES ON FILE.

Correction Required: A facility person`s record shall include two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person