Espinal Home Day Care

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The facility does not have a policy to address continuity of operations.

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

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During the annual inspection on 3/27/2024, it was observed that the facility did have cots with numbers on them. However, there was no cot list present.

Correction Required: 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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 1 did not have an updated child service report on file. The last child service report was completed on 11/22/2022 making it more than 6 months since the last update.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff 1 and 2 had 6 1/2 hours of annual training on file.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff 1 and 2 had outdated state police and child abuse clearances on file. The state police clearances were dated 4/12/2018. The child abuse clearances were dated 4/20/2018.

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 and 2 may not work in a child care position at the facility until the state police and child abuse clearances are updated.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff 1 and 2 had outdated state police and child abuse clearances on file. The state police clearances were dated 4/12/2018. The child abuse clearances were dated 4/20/2018.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During the annual inspection on 3/27/2024, it was observed that the fire alarms were last tested on 12/11/2023, making it more than 30 days since the last test. It was also observed that while the smoke detectors were interconnected, they were not OSHA approved.

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: 3290.121(b)

Description: Given parents in writing

Noncompliance Area: The facility did have a parent handbook on file. However, the faciltiy did not have a supervision policy within the handbook.

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: 3290.131(e)(1)/3290.131(e)(2)(i)

Description: Parent written verification from Doctor./Religious belief/strong personal objection

Noncompliance Area: Child 1 did not have an updated flu shot on file. The last flu shot was given in 2021. There was no exemption on file.

Correction Required: 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. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

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: Child 1 did not have consent for emergency medical care or minor first aid on file.

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: Facility did not have electronic access to the regulations or contact information for the regional childcare office available to parents.

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(d)

Description: Emergency plan

Noncompliance Area: There was no annual emergency drill documented at the facility.

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

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person # 2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff 1 did not complete the required one-hour 2022 update to the health and safety training until 3/24/2023.

Correction Required: Staff person # 2 shall complete the required one-hour 2022 update to the health and safety training by 4/13/2023.

Regulation: 3290.31(g)(10)

Description: Health and Safety Training - Pediatric first aid/CPR

Noncompliance Area: Staff person #1 has not completed the following required pre-service training: pediatric first aid/cpr training. Staff 1 did have a first aid/cpr certificate on file. However, it was through an online only organization that was not approved through DHS.

Correction Required: Staff person(s) shall complete professional development in the topics of 3290.31(g) (10) within 90 days of hire. Staff person #1 will have until 4/13/2023 to complete the required training. Until such time as the required training has been completed, staff person #1 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 #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.121(a)

Description: Review policies and procedures

Noncompliance Area: The facility did not have a handbook on file explaining 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.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: Children 1 and 2 did not have complete health insurance information 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: 3290.124(e)/3290.181(c)

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

Noncompliance Area: Children 3 and 4 did not have updated fee agreements and emergency forms on file. They were last updated on 5/31/2021.

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: 3290.182(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: Children 1 and 2 need permission for emergency medical care and minor first 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.

Regulation: 3290.24(a)(5)/3290.24(c)

Description: Emergency plan/Training regarding plan

Noncompliance Area: The facility's emergency plan did not have a section that has accommodations for infants, toddlers and children with disabilities. Staff 2 also did not have proof on file that the emergency plan was reviewed within 12 months.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions. 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: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff 1 and 2 did not have proof of 12 hours of annual training on file.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility on 3/4/2022 and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. Staff 1 and 2 have been at the facility prior to 9/30/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 and 2 may not work in a child care position at the facility until the NSOR is obtained. 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 and 2 may not work in a child care position at the facility until the NSOR is obtained.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility on 3/4/2022 and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. Staff 1 and 2 have been at the facility prior to 9/30/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 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 and 2 may not work in a child care position at the facility. If one facility person obtains NSOR before the other facility person, then the facility person that still did not obtain the NSOR can not be in the household during child care hours until the NSOR is obtained.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: There was no lock on the upstairs bathroom cabinet, making toxics accessible to the children in care.

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: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Provider did not have evacuation routes in the basement, 2nd floor and 3rd floor.

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

Noncompliance Area: Child #1 is missing the physician's telephone number and address. Child #2 is missing physician's address.

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

Noncompliance Area: Child #1, 2 & 3 are missing signed parental consent for emergency medical care and minor first 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: Child #1 is missing the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: Child #1 & 2 are missing 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.

Noncompliance Area: Facility persons #1 & 2 have an FBI clearance that is more than 5 years old. Facility person #1 FBI 2/15/13. Facility person #2 FBI 2/21/13.

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.

Noncompliance Area: The outside play area had exposed bolts.

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: Child 3 had an outdated health assessment on file.

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.

Noncompliance Area: Child 1-3 had outdated emergency forms.

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.

Noncompliance Area: Staff 1 did not have emergency plan training on file.

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 did not have twelve hours of biennial training on file.

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

Noncompliance Area: Facility had two first aid kits inside. One first aid kit was missing soap and the other one was missing gauze pads, soap, scissors and twizzers. Provider provides transportation and the vehicle did not have a first aid kit for the children.

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

Noncompliance Area: There was peeling pain on wall before the steps in the childcare area.

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