Monica Cruz

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, Child #4 was observed placing a bottle cap in their mouth. The bottle caps were being used by the preschool children as a fine motor activity at the onset of the inspection.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #1 did not include who should be contacted in an emergency.

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)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #2 did not include the name, address, or telephone number of the child's physician.

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: A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #1 and Child #2 did not include the business name, address, and telephone number of the children's parents.

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: A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #2 did not include whether the child has any special needs as specified by the child's parent or physician.

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: A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #2 did not include the 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: A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #1 did not include the designated release person. The emergency contact information for Child #2 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(e)/3290.181(c)

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

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information and fee agreement for Child #2 had not been reviewed by the parent since 4/7/25, more than six months prior. The emergency contact information for Child #3 had not been reviewed by the parent since 2/3/25, more than six months prior. The fee agreement for Child #3 had not been reviewed by the parent since 2/5/24, more than six months prior.

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: A renewal inspection was conducted 2/6/26. At that time, the preservice training was reviewed for all staff. Staff person #1 and Staff Person #2 have completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum. Staff Person #1 and Staff Person #2 are the only staff at the family child care home.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required training has been completed, Staff person #1 and Staff Person #2 must be supervised, when interacting with children at a minimum by, a family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise Staff person #1 and Staff Person #2, then Staff person #1 and Staff Person #2 may not work in a child-care position at the facility.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the operator provided multiple emergency plans for review. The most recent emergency plan was dated 4/11/22.

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.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the letter provided to parents explaining the emergency procedures could not be located for review.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the preservice training was reviewed for all staff. Staff person #1 and Staff Person #2 have completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Until such time as the required training has been completed, Staff person #1 and Staff Person #2 must be supervised, when interacting with children at a minimum by, a family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise Staff person #1 and Staff Person #2, then Staff person #1 and Staff Person #2 may not work in a child-care position at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the staff files were reviewed. Staff Person #1 does not have a current NSOR certificate on file. The NSOR certificate on file is dated 9/4/2020. The PA Child Abuse Clearance and FBI Clearance for Staff Person #1 were not updated within 60 months. The dates of the clearances for Staff Person #1 were PA Child Abuse Clearance 4/23/20 and 1/16/26, FBI Clearance 3/7/2020 and 1/16/26. Staff Person #2 does not have a current NSOR certificate on file. The NSOR certificate on file is dated 9/4/2020. The FBI Clearance for Staff Person #2 was not updated within 60 months. The dates of the FBI Clearance for Staff Person #2 were 3/10/20 and 1/16/26. Household Member #3 does not have a current NSOR certificate on file. The NSOR certificate on file is dated 9/8/2020. The FBI Clearance for Household Member #3 was not updated within 60 months. The dates of the FBI Clearance for Household Member #3 were 3/7/20 and 1/27/26. Household Member #4 does not have a current NSOR certificate on file. The NSOR certificate on file is dated 9/8/2020. The FBI Clearance for Household Member #4 was not updated within 60 months. The dates of the FBI Clearance for Household Member #4 were 3/9/20 and 1/26/26.

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. Children may not be in care until Staff Person #1 has an NSOR Certificate on file. Staff Person #2 may not work at the facility or be present in the home while children are in care until a current NSOR Certificate is on file. Household Member #3 and Household Member #4 may not be present in the home while children are in care until current NSOR Certificates are on file. TIERED LIS 1. 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. This portion of the plan shall have an immediate correction date. 2. Children may not be in care until Staff Person #1 has an NSOR Certificate on file. Staff Person #2 may not work at the facility or be present in the home while children are in care until a current NSOR Certificate is on file. Household Member #3 and Household Member #4 may not be present in the home while children are in care until current NSOR Certificates are on file. This portion of the plan shall have an immediate correction date.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the first aid kit did not contain gauze.

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.

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

Description: Every 60 days/Written record

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the fire drill log was reviewed. The dates of the fire drill were 2/12/25, 4/16/25, 6/18/25, 8/20/25, 10/15/25, 12/3/25. Fire drills were not conducted within 60 days four times in the past year.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: A renewal inspection was conducted 2/6/26. At that time, the thirty-day testing log of the smoke detectors was reviewed. The dates of the fire drill were 1/16/25, 2/13/25, 3/20/25, 4/17/25, 5/15/25, 6/19/25, 7/17/25, 8/21/25, 9/18/25, 10/16/25, 11/20/25, 12/4/25, 1/2/26, 2/2/26. The smoke detectors were not tested at least every 30 days five times in the past year.

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 subsection (a) are met.

Regulation: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: A renewal inspection was conducted 2/21/25. At that time, the child files were reviewed. Child #1, a young toddler, does not have an upated health report completed within the past 6 months. This is evidenced by the previously documented health report on file being dated 4/4/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: A renewal inspection was conducted 2/21/25. At that time, the staff files were reviewed. Staff Person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/10/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required mandated reporter training has been completed, Staff Person #1 must be supervised, when interacting with children at a minimum by, a family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise Staff Person #1, then Staff Person #1 may not work in a child-care position at the facility.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection was conducted 2/21/25. At that time, the fire drill log was reviewed. Fire drills had not been conducted every 60 days. This is evidenced by the documented fire drill log showing fire drill logs conducted on the following dates: 6/19/24, 9/20/24, 11/19/24, 1/20/25.

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.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: A renewal inspection was conducted 2/21/25. At that time, the thirty day testing log of the smoke detectors was reviewed. The smoke detectors had not been tested every 30 days. This is evidenced by the documented log showing testing of the smoke detectors completed on the following dates: 6/20/24, 7/22/24, 8/21/24, 9/23/24, 10/21/24, 11/20/24, 12/23/24, 1/20/24.

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: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection was conducted on 6/24/24. At that time, exposed bolts were observed on the fence gates to the yard where the child were observed playing.

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: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: A renewal inspection was conducted on 6/24/24. At that time, the child files were reviewed. The emergency contact forms for the following children did not include the address of the child's physician: Child #1 and Child #2.

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: A renewal inspection was conducted on 6/24/24. At that time, the child files were reviewed. The emergency contact forms for the following children did not include the business name, address, and phone number of the enrolling parent: Child #1 and Child #2.

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

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: A renewal inspection was conducted 6/24/24. At that time, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the child care space.

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: 3290.18

Description: General Health and Safety

Noncompliance Area: A renewal inspection was conducted on 6/24/24. At that time, the facility did not have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: A renewal inspection was conducted on 6/24/24. At that time, information on how to access the regulations electronically and instructions for contacting the regional child care office had not been provided to the 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection was conducted on 6/24/24. At that time, none of the staff or household members had a signed disclosure statement on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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.

Regulation: 3290.69

Description: Heat Source

Noncompliance Area: A renewal inspection was conducted 6/24/24. At that time, the doorway to the kitchen was not equipped with the baby gate that would prevent the children access to the stove.

Correction Required: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire: 2022 Revised: 10-hour health and safety training.

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 July 18,2023 to complete the required training. Until such time as the training has been completed, staff person #1 must be supervised, when interacting with children, by a family childcare home staff operator 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 facility.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child # 2 & child # 3 have not had a child service report completed and have both attended the facility over 6 months and are not school aged children.

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(b)(6)

Description: Insurance coverage information

Noncompliance Area: Child # 1 does not have health insurance coverage or a policy number on file. Child # 2 does not have the policy number on file for their health insurance listed. Child # 4 does not have the policy number on file for their health insurance listed.

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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: Child # 2 did not have their fee agreements and emergency contact forms updated and reviewed in over 6 months from 3/17/21 to 6/2/22. Child # 3 did not have their fee agreements and emergency contact forms updated and reviewed in over 6 months from 5/7/21 to 6/2/22. Child # 4 did not have their fee agreements and emergency contact forms updated and reviewed in over 6 months from 5/4/21 to 6/8/22

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.

Regulation: 3290.182(2)

Description: Application, admission, withdrawal dates

Noncompliance Area: Child # 1,3 & 4 do not have dates of admission listed anywhere in their child's file's.

Correction Required: A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Facility did not conduct a emergency drill in 2021.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Fire alarm testing was not conducted within 30 days from 2/28/22 to 3/31/22.

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.