Clara M Guzman

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1's emergency contact information did not include the enrolling parent's work phone number.

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

Regulation: 3290.131(a)/3290.131(d)(7)

Description: Within 60 days/Free from contagious/communicable disease

Noncompliance Area: Child #1's health report was not obtained within the acceptable timeframe of no later than 60 days following the first date of attendance at the facility. Initial health report was dated 5/4/26. (see code sheet). Child #1's initial health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

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

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

Noncompliance Area: Upon inspection of the documents on file for children, it was found that written consent signed by a parent for emergency medical care was not present for Child #1.

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(d)

Description: Written emergency plan posted

Noncompliance Area: Upon inspection of the facility, it was found that a written plan was not conspicuously 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: 3290.131(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: Upon inspection of the documents on file for children, it was found that Child #1 only had one dose of Pneumococcal vaccine on record AND Child #2 only had two doses of HIB vaccine and 3 doses of Pneumococcal vaccine on record.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Regulation: 3290.182(5)

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

Noncompliance Area: Upon inspection of the documents on file for children, it was found that signed parental consent for administration of minor first-aid procedures by facility staff was not present for Child #1.

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(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: Upon inspection of the documents on file for children, it was found that signed parental consent for walking excursions was not present for Child #1 AND the provider acknowledged that walks were part of the routine outdoor activity conducted with children.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: Upon inspection of the facility emergency plan and associated documents, it was found that a letter to the parents explaining the emergency procedures described in subsection (a) was not created and distributed.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Upon inspection of the facility fire safety records, it was found that the required device tests exceeded the maximum of 30-days between tests on the following dates: 7.1.23 - 8.3.23 [33 days]; 8.3.23 - 9.29.23 [57 days]; 10.27.23 - 11.28.23 [32 days]; 2.23.24 - 3.25.24 [31 days]

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(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: Upon inspection of the children's files, it was found that the influenza vaccination on record for child #1 was dated 2020; the influenza vaccination on record for child #3 was dated 2021 and there was no vaccination record on record at all for child #4.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of 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: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Upon inspection of the children's files, it was found that the addresses for the individual[s] designated by the parent to whom the child may be released was not included for child #1 and #2.

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: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Upon inspection of the physical site, it was observed that staff person #1 changed child's diaper and placed them in a crib without washing the child's 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: 3290.18

Description: General Health and Safety

Noncompliance Area: Upon inspection of the file for staff person #1, it was found that the Health and Safety Basics course was completed on 9.20.16.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Provider may not work unsupervised with children until required course is completed.

Regulation: 3290.182(5)

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

Noncompliance Area: Upon inspection of the children's files, it was found that signed parental consent for administration of minor first-aid procedures by facility staff was not included for child #1 and #2.

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: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: Upon inspection of the facility fire drill logs, it was observed that drills were conducted on the following dates: 1.5.21, 3.20.21, 5.20.21, 7.18.21, 9.5.21, 11.10.21, 1.5.22, 3.7.22, 5.2.22. It is therefore concluded that greater than 60 days elapsed between several drills.

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)

Description: System in compliance

Noncompliance Area: Upon inspection of the facility smoke detector testing logs, it was found that tests were conducted on the following dates: 1.5.22, 2.15.21, 3.14.21, 4.15.21, 5.16.21, 6.15.21, 7.15.21, 8.14.21, 9.15.21, 10.16.21, 11.5.21, 12.3.21, 1.7.22, 2.4.22, 3.7.22, 4.11.22, 5.2.22. Therefore it is concluded that greater than 30 days elapsed between multiple testing dates. ALSO, it was found that the facility had not retained a receipt of purchase for the smoke detectors.

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))

Noncompliance Area: The file for Facility Person #1 hired 1/16/14 does not contain a completed National Sexual Offender Registry Certificate, nor a request for that Certificate.

Correction Required: Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: Plastic bags were observed in children's cubbies and on the shelves under the changing table, accessible to children who are still placing objects in their mouths.

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.

Noncompliance Area: The files for child #1 and child #2 did not include the insurance 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.

Noncompliance Area: The file for child #1 did not contain signed parental consent for emergency medical care and administration of minor first aid procedures.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Provider first aid certification expired in 12/2016. New training was not taken until 6/2017 but certificates were not provided at that time. Certification was not renewed on or before expiration.

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.One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.