Maritza Moreno

Regulation: 3290.131(a)(1)

Description: Initial health report dated for infant < 3 months

Noncompliance Area: At the time of the inspection, the file of child #1 did not include a health assessment.

Correction Required: The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Regulation: 3290.151(a)(2)

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

Noncompliance Area: At the time of the inspection, the file of staff #1 did not include a health assessment.

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.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, the file of staff #1 and household member #2 did not include the annual 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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of the inspection, the file of household member #1 did not include the state police 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 until completed state police clearance results are obtained. A household member record shall include a copy of the completed clearance information required under CPSL.

Regulation: 3290.131(a)(3)/3290.182(1)

Description: Initial health report dated older toddler/preschool < 1 year./Initial and subsequent health assessments

Noncompliance Area: At the time of the inspection, the health assessment for the file of child #1 was dated 2/2024.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of the inspection, peeled paint was observed by the front door.

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

Regulation: 3290.113(e)

Description: Restraints prohibited

Noncompliance Area: During renewal inspection certification rep observed a 4 year old strapped in a high chair

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During renewal inspection certification rep reviewed children files. Child 1,2 and 3 were missing child service reports. (CSRs)

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

Regulation: 3290.124(e)/3290.181(c)

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

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Emergency contact and fee agreement for child 1 was expired. Fee agreement for child 2 was expired. Child 2 and 3 were missing emergency contact. Child 3 was missing fee agreement

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: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection certification rep observed staff person #-1 caring for children unsupervised. Staff person #-1- has not completed the following pre-service training required prior to caring for children unsupervised: 10 hour health and safety training.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #-1- must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #-1-, staff person #-1- may not work in a child-care position at the facility.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During renewal inspection certification rep asked for verification of emergency plan delivery. Provider did not have verification of emergency plan delivery to local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection certification rep reviewed staff filles. Staff 1 was missing state police clearance, NSOR from their file. HH member 2 was missing child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -1- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection certification rep observed chipped paint and plaster in the child care space (orange wall)

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection certification rep reviewed fire drill log. Smoke alarms are not tested every 30 days. Smoke alarms are not interconnected.

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: 3290.131(e)(4)

Description: Annual Immunization reporting to DOH

Noncompliance Area: Continued non-compliance was observed on 6/27/23 during the unannounced inspection in that child #1 and child #2 did not include an influenza vaccine or exemption letter to comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77. 3290.75(a)

Correction Required: The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Regulation: 3290.31(k)

Description: Health and safety

Noncompliance Area: Continued non-compliance was observed on 6/27/23 during the unannounced inspection, that staff person #1 did not submit documentation to verify training in the 1-hr health and safety update 2022.

Correction Required: Staff persons shall obtain available ongoing professional development relating to the health and safety topics as specified in § 3290.31(g) prior to obtaining professional development in other topics as permitted in § 3290.31(f)(2).

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: Continued non-compliance was observed on 6/27/23 during the unannounced inspection in that there was peeling paint on baseboards and walls next to the doorway and stairs.

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

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection on 5/16/23, documents submitted for child #1 and child #2 did not specify the date of the child's admission.

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

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection on 5/16/23, documents submitted for child #1 did not include the name, address and telephone number of the child's physician or source of medical care.

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

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection on 5/16/23, documents submitted for child #1 and child #2 did not include work addresses and telephone 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)(5)

Description: Information re: disability

Noncompliance Area: During the renewal inspection on 5/16/23, documents submitted for child #1 and #2 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection on 5/16/23, documents submitted for child #1 and child #2 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits.

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: During the renewal inspection on 5/16/23. documents submitted for child #2 did not include the address of the individual designated by the parent to whom 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(e)(4)

Description: Annual Immunization reporting to DOH

Noncompliance Area: During the renewal inspection on 5/16/23, submitted documents for child #1 and child #2 did not include an influenza vaccine to comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Correction Required: The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Regulation: 3290.151(a)(2)

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

Noncompliance Area: During the renewal inspection on 5/16/22, records of staff person submitted did not indicate that a health assessment was completed in the last 24 months. Health assessment completed on 8/25/20.

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.

Regulation: 3290.18/3290.31(f)(4)(i)

Description: General Health and Safety/Age and training

Noncompliance Area: During the renewal inspection on 5/16/23, it was observed that the records of staff person #1did not contain an updated Pediatric First Aid certificate. Document dated 2/27/21.Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of (2/27/23).

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. 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: 3290.182(5)

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

Noncompliance Area: During the renewal inspection on 5/16/23, documents submitted for child #1did not include 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: 3290.21(a)

Description: Immediate access

Noncompliance Area: During the renewal inspection on 5/16/23, it was reported and observed that provider did not have access to the files and records.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records.

Regulation: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: During the renewal inspection on 5/16/23, it was observed that there was no emergency plan that included lock-down, and a plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.24(b)/3290.24(g)

Description: Emergency plan/Emergency plan

Noncompliance Area: During the renewal inspection on 5/16/23, it was observed that there was no document to verify that the emergency plan is reviewed at least annually. There was no document to verify that the plan was sent to the local municipality and to the county emergency management agency.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.31(k)

Description: Health and safety

Noncompliance Area: During the renewal inspection on 5/16/23, it was observed that staff person #1 and staff person #2 did not submit documentation to verify training in the 1-hr health and safety update 2022.

Correction Required: Staff persons shall obtain available ongoing professional development relating to the health and safety topics as specified in § 3290.31(g) prior to obtaining professional development in other topics as permitted in § 3290.31(f)(2).

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection on 5/16/23, it was observed that there was medication, pills, lotions, creams in an unlocked drawer and on shelves accessible to 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: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection on 5/16/23, it was observed that there was peeling paint on baseboards and walls next to the doorway and stairs.

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

Regulation: 3290.94(a)(1)/3290.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: During the renewal inspection on 5/16/23, it was observed that there was no document to indicate that a fire drill was completed within the last 60 days. Document dated 6/30/2022.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. 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.

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: During the renewal inspection on 6/29/22, it was observed that the records of child #1 did not include an initial health report

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(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: During the renewal inspection on 6/29/22, it was observed that the records of child #2 did not include an updated health report -health report submitted dated 3/3/2020

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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection on 6/29/22, it was observed that toxic materials were in an area accessible to children. Creams, lotions labelled keep out of the reach of children were on an open cabinet within the 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.