Maria E Rosario

Regulation: 3290.123(b)/3290.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: Children # 1, 2 and 3's files contain the original financial agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. the parent receives the original agreement.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Child 2 and 3's Emergency Contact Information and Financial Agreements were reviewed 5/1/25, and 3/2/26, lapsing 6 months. 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

Correction Required: Child 2 and 3's Emergency Contact Information and Financial Agreements were reviewed 5/1/25, and 3/2/26, lapsing 6 months. 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: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: Staff person #1 did not obtain an updated health assessment within 24-months. The previous health assessment on file was dated 1/20/23, and the current health assessment on file is dated 3/10/25.

Correction Required: 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.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child #1 did not have a child service report on file at the facility.

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: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: Facility person #1 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 1.20.23 and the updated health assessment was completed on 3.10.25.

Correction Required: 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.

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

Description: Age and training

Noncompliance Area: Documentation of pediatric first aid/CPR on file for facility person #1 showed that they renewed their pediatric first aid/CPR training after the expiration of the most current certification. Pervious training was 1.30.23 and the updated training was completed on 5.14.25.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Facility person #1 had a state police clearance dated 1.27.25 that stated "Still Pending" on file at the facility. - Corrected on site

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: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: During the time of inspection, the diaper changing pad had a hole and rips on the surface exposing the material inside.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3290.18/3290.74(a)

Description: General Health and Safety/Requirements

Noncompliance Area: The outdoor play space had a glass bottle accessible to the children. This was corrected while at the facility.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for child #1 and #2 did not have an agreement with the date of admission written on it.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The emergency contact for child #1 and #2 did not include the enrolling parent's work address.

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

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Emergency contacts for child #1 and #2 did not include consent signed by parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Documentation was not available that staff #1 and staff #2 had completed the 2022 health and safety update training.

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

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Emergency contacts for child #1 and #2 did not have signed parental consent for administration 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.

Regulation: 3290.121(b)

Description: Given parents in writing

Noncompliance Area: The written policies which are provided to parents at the time of enrollment did not contain a supervision policy (corrected during inspection).

Correction Required: 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: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Children #1 through #3's agreements do not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3290.123(b)

Description: Parent receives original

Noncompliance Area: The files of children #1 through #5 contain the original agreements. Parents received copies of the agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information of child #1 did not include the enrolling parent's home address, work address, home telephone number, and work telephone number. Child #2's emergency contact information did not include the enrolling parent's home and work telephone numbers.

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

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Child #1 and #2's emergency contact information did not include written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child #1's emergency contact information did not include health insurance coverage and policy number.

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(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Emergency contact information of child #1 and #2 did not include the 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.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: A written plan was not posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

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: 3290.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: Child #1 and #2's emergency contact information did not include written consent signed by a parent for emergency medical care.

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.

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Child #1 and #2's records did not contain 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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: Child #4's record does not contain a copy of the initial agreement.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: Staff person #1 has no record of previous annual emergency plan training prior to 4/1/22.

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: Annual emergency drills have not been conducted and documented.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: It was observed that, in the breezeway space leading to the outdoor play area, there were a variety of toxins accessible to children on the shelves: variety of cleaning products, Raid, Lysol, and Comet powder, all stating 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.

Regulation: 3290.72

Description: Emergency Numbers Posted

Noncompliance Area: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by each telephone in the facility (corrected during inspection).

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: It was observed that, in the breezeway area leading to the outside play space, a staircase leading to the basement is accessible to the children.

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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Evacuation routes were not posted in a conspicuous location on each floor of the facility (corrected during inspection)

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: 3290.94(a)(9)

Description: Written record

Noncompliance Area: The operator is not documenting the names of the facility persons who participate in the fire drill.

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

Noncompliance Area: Upon inspection of the childcare space, it was found that there was peeling paint within reach of children.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Infant sleeps in a bouncy seat. No doctor note regarding special sleeping arrangements. Bouncy seat is not an age appropriate sleeping/rest equipment.

Correction Required: 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: Upon arrival the children were not directly supervised nor engaged in a staff directed activity. Two (2) televisions were playing and the children were running throughout 2 rooms.

Correction Required: Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

Noncompliance Area: An infant was in a bouncy seat throughout the inspection. No daily routine noted regarding infant/toddler stimulation.

Correction Required: Infants and toddlers shall be provided stimulation by being held, rocked, talked to, played with and carried.

Noncompliance Area: Upon arrival on the day of the inspection, a visitor to the home answered the door when leaving. Three (3) children including an infant in a bouncy seat were observed in the front room. 3 (three) other children were running from one child care room to the next. Staff 1 and 2 were in the kitchen, not directly supervising the two groups of children.

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.

Noncompliance Area: Enrolled infant has feeding issues noted on physical but not included on infant feeding statement.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The diapering table was dirty: debris underneath the diapering pad.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: A pack and play utilized for an infant was not labeled for individual use.

Correction Required: 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: Upon arrival at the facility at 10am, children were in 3 (three) separate rooms: 2 (two) children were upstairs; 2 (two) children were in the front room with the provider; and 3 (three) children were in the child care room. On 8/15/18 provider was in the kitchen upon arrival with the children in the childcare room. A visitor to the home had 3 children in the childcare area. The children are not enrolled and the visitor is not an approved staff.

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. Supervision is to see,hear, direct, and assess the children.

Noncompliance Area: Child 1 did not have an updated child service report since 12/14/17.

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).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.

Noncompliance Area: Child 3 were enrolled with no emergency contact form or agreement. Provider was not sure of the children's names as no forms were completed prior to admission.

Correction Required: An agreement shall be signed by the operator and the parent.Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: Child 2 did not have a 6 month physical on file. Last physical 1/19/18. child's DOB 11/14/17.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record must contain initial and subsequent health reports.

Noncompliance Area: Child 2 did not have an infant feeding schedule provided by parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: A diaper bag accessible to the children contained medications, numerous items stating keep out of the reach of children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.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: Staff 3 did not have documentation of updated emergency disaster plan training.

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. A facility person's record shall include records of training required by the Department.

Noncompliance Area: The bathroom trashcan and the diapering trashcan did not have plastic liners.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: STAFF 1/HHM DID NOT COMPLETE INITIAL EMERGENCY DISASTER PLAN TRAINING.

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.

Noncompliance Area: STAFF 1/HHM DID NOT HAVE A FBI CLEARANCE THROUGH DHS. CLEARANCE IS THROUGH DOE AND HAS A RECORD. DOE FBI CLEARANCE WITH A RECORD IS NOT ACCEPTABLE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- may not work in a child care position at the facility. 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. DOE FBI criminal history clearances with a record are not acceptable. DOE FBI criminal history clearances with a record must be submitted to CHILDLINE to request interpretation.

Noncompliance Area: STAFF 1/HHM DID NOT COMPLETE MANDATED REPORTER TRAINING.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Mandated reporter training shall be completed within 90 days of employment and every 5 years thereafter.

Noncompliance Area: STAFF 1/HHM DID NOT HAVE COMPLETED CLEARANCES SENT IN WITH RENEWAL APPLICATION.

Correction Required: At initial application for a certificate of registration, the legal entity shall submit clearances required by the CPSL for the legal entity and for each individual 18 years of age and older who resides in the facility at least 30 days in a calendar year.

Noncompliance Area: STAFF 1 DID NOT HAVE A CURRENT PHYSICAL AND TB ON FILE.

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

Noncompliance Area: STAFF 1 DID NOT HAVE EMERGENCY PLAN TRAINING.

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. A facility person`s record shall include records of training required by the Department.

Noncompliance Area: STAFF 1 DID NOT HAVE 12 HOURS TRAINING FOR 8/13-8/15 BIENNIAL TRAINING YEARS.

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

Noncompliance Area: STAFF 1/HHM DID NOT HAVE COMPLETED POLICE CLEARANCE; FBI CLEARANCE IS OBTAINED THROUGH DOE AND HAS A RECORD. FBI CLEARANCE NOT OBTAINED WITH RECORD THROUGH DHS.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1-- may not work in a child care position at the facility. 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. If there is a record with the FBI clearance and it was obtained through DOE, the individual shall request interpretation from Childline.

Noncompliance Area: STAFF 1 DID NOT HAVE COMPLETED MANDATED REPORTER TRAINING.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All new employees shall complete the mandated reporter training within 90 days of employment.