Maria I Robles

Regulation: 3290.151(a)(2)/3290.151(c)(1)

Description: 12 months prior to service and every 24 months thereafter/Physical examination

Noncompliance Area: The file for Staff Person #1 did not include an updated health assessment completed within 24 months of the last one that was dated 11/8/23.

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. An adult health assessment must include a physical examination.

Regulation: 3290.163(a)(1)

Description: Dairy

Noncompliance Area: The lunch that was served on 12/11/25, did not include a dairy product. Lunch included chicken nuggets, rice, mixed veggies, and juice.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff Person #1 had not completed Pediatric First Aid/CPR from a PQAS-approved trainer, in a PQAS-approved curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Staff Person #1 will have until 2/5/25 to complete the required training. Until such times as the required training has been completed, Staff Person #1 must be supervised, when interacting with children by a 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 childcare position at the facility.

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

Description: Within 3 months, then 12 months/Mantoux TB

Noncompliance Area: The file for Staff Person 1 did not contain a health assessment at the time of initial employment at the facility. The health assessment was dated 11/8/23. There was no documentation of a TB screening in the file for Staff Person 1.

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. 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.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: The file for Staff Person 1 did not include documentation of 12 hours of childcare training in the past year. There was documentation of 9 of the 12 hours.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: The Bleach/Water Sanitizing Spray bottle was not labeled with the ratio of bleach to water, specifying its contents.

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: The facility did not have Evacuation Routes posted on each floor, including the basement and attic.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: The pack-n-play used by Child #5 was not labeled for his individual use.

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: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: The Emergency Contact Forms for Children #1 and #2 were not signed and dated by the parent, therefore, it was not evident if the emergency contact forms were at the facility at the start of their enrollment.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact Forms for Children #3 and #4 did not include the work phone numbers of the enrolling parent.

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: The Emergency Contact Form for Child #2 did not include the addresses of the individuals designated by the parent to who the child may be released.

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: 3290.131(a)

Description: Within 60 days

Noncompliance Area: The file for Child #4 did not include an initial health report within 60 days of enrollment. Only a list of immunizations was provided, which did not include a completed well child checkup report. The file for Child #3 contained a health report that has no date showing when it was completed. Therefore, it couldn't be determined if it was received within 60 days of enrollment.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3290.131(d)(5)

Description: Immunization record

Noncompliance Area: The health reports for Children #2 and #4 did not include documentation of the influenza vaccine having been administered in the past year according to the 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.

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Children's hands were not washed after diapering during the inspection and staff reported that they use hand sanitizer after diapering instead of washing hands with soap and water.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: The file for Staff Person #1 had documentation of Pediatric First Aid/CPR that had expired on 11/2022.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Staff Person #1 will have until 1/25/23 (15 days from the request of the plan of correction) to complete the required Pediatric First Aid/CPR training. Until such time as the required training has been completed, Staff Person #1 must be supervised when interacting with children, by a staff person who has completed the required training related to this citation.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The Emergency Contact Forms for Child #1 and #2 did not include the enrolling parent's work address or home phone numbers.

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: The Emergency Contact Forms for Child #1, #2 and #4 did not include the health insurance policy numbers.

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: The Emergency Contact Form for Child #3 did not include the address of the designated release person.

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: There was no written plan posted that 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: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: The health reports with immunizations for Child #1 and Child #3 did not include a current influenza vaccine in accordance with the schedule recommended by the ACIP. The last documented influenza vaccine for Child #1 was 1/12/18 and the last documented influenza vaccine for Child #3 was 9/15/20.

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.

Noncompliance Area: Older toddlers and preschoolers were using pack and plays as rest equipment. The equipment is not age appropriate.

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: Spacing of the pack and plays was not 2 feet on 3 sides. pack and play was placed right next to the changing table.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: Child 3, 4, 5 did not have a child service report completed within a 6 mth period.

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, the child service report, 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 5 did not have the emergency contact form and agreement updated within a 6 mth period.

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, the child service report, 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 5 and 7 did not have current physicals on file. child 5 enrolled March 2019 with no physical on file. child 7 last physical dated 7/30/18.

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 2 did not have initial emergency disaster plan training. Date of employment 6/2019.

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 2 did not have 1st aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.A facility person's record shall include records of training required by the Department.

Noncompliance Area: Staff 1 did not have 12 hours biennial training hours on file for 2/2017-2019.

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 2 did not obtain an FBI clearance when added as staff. Staff 2 was volunteer until June 2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 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 #--2- may not work in a child care position at the facility.

Noncompliance Area: Upon review of enrolled children and attendance roster, provider is overcapacity in the Am with 7 children and 8 children in the PM.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.

Noncompliance Area: The kitchen exit door was blocked by a pack and play.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: Child 1 and 2 did not have updated child service reports. Last completed 5/2018.

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: Children's files reviewed contained the original agreement signed by parent/provider.

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

Noncompliance Area: Child 3 did not have emergency contact form and agreement updated in a 6 mth period. Last update 5/18.

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 informationA 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 did not have updated physical. Last physical 4/30/18. 2 (two) yr old physical due 10/18.

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: THE PARENT POLICY HANDBOOK DID NOT INCLUDE A GENERAL DAILY SCHEDULE OPEN TO CLOSE, HOURS OF OPERATION NOR SUPERVISION POLICY.

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.

Noncompliance Area: CREAMS/OINTMENTS WERE NOT LABELED FOR INDIVIDUAL USE.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: STAFF 2 DID NOT HAVE A PHYSICAL AND TB ON FILE.

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 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 INFANT FEEDING SCHEDULE FOR ENROLLED INFANT.

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

Noncompliance Area: VOLUNTEER/HHM1 DID NOT HAVE AN ID OR 2 REFERENCES ON FILE.

Correction Required: An individual record is required for each facility person.A facility person's record shall include the name, address and telephone number of the facility person. A volunteer file shall contain id, 2 written references, volunteer clearances, and physical/tb.

Noncompliance Area: PROVIDER DID NOT UPDATE/REVIEW EMERGENCY PLAN NOR DOCUMENT ANNUAL TRAINING OF THE 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. 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: THE EMERGENCY DISASTER PLAN AND EMERGENCY PLAN TO TRANSPORT CHILD TO ER WERE NOT POSTED IN THE CHILDCARE AREA.

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

Noncompliance Area: STAFF 2 DID NOT HAVE AN FBI CLEARANCE ON FILE NOR REQUEST FOR CLEARANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 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 #2--- may not work in a child care position at the facility.

Noncompliance Area: TRASHCANS DID NOT HAVE A PLASTIC LINER.

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: HOLE IN THE BATHROOM DOOR WITH JAGGED EDGES ACCESSIBLE TO 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.