Rosa E Mota

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection on 10/8/2025, it was observed that the pack and plays were not labeled with the children's names. There was a 1 and 2 on each pack and play. However, the number list on the wall corresponded to the cots that were being used and not the pack and plays.

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: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: When certification representative arrived to the facility, and was still in the vehicle, he observed staff 1 open her front door and look outside. When certification representative went to the front door and was let in, it was observed that staff 1 was the only staff person working and that the childcare space is not near the front door. There were four children in the childcare space. As a result, staff 1 did leave the children unsupervised in the childcare space for approximately 1 minute.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Regulation: 3290.118

Description: Infant sleep position

Noncompliance Area: During the renewal inspection on 10/8/2025, when certification representative walked into the childcare space at the beginning of the inspection, it was observed that there was a baby sleeping in a bouncer, which goes against the recommendations of the American Academy of Pediatrics. It is unknown how long the baby was sleeping in the bouncer as the baby was in the bouncer when certification representative arrived to the facility.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During the renewal inspection on 10/8/2025, it was observed that child 1 had three dates on the child service report. The first date was 6/25/2024. However, the 4 in 2024 was overwritten by a 5 to make 2025. Another date was then written down for 12/10/2025. Upon further conversation, it was determined that staff 1 was not aware that the child service report had to be completely redone every 6 months and not just updated. The 12/10/2025 date was an error.

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 only had 4 hours of annual trainings from December to December. Please see LIS for date of hire.

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

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal inspection on 10/8/2025, it was observed that staff 1 completed the mandated reporter training on 8/29/2020 and not again until 10/2/2025. As a result, more than 5 years were in between updates.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the childcare space, there is a fish tank. In the cabinet under the fish tank was water cleaner. The water cleaner label did state to keep away from children. The cabinet was unlocked and 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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 2, who is an older toddler, did not have a child service report on file. Please see LIS for date of admission.

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: 3290.131(b)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: During the renewal inspection on 10/7/2024, child 1, who is a young toddler, did not have an updated health assessment. The last health assessment was dated 9/20/2023 making it more than 6 months since the last update.

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: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection, the following was missing from children's emergency contact forms: Child #1: Mother's work address and work phone number. Release person(s) address(es). Child #2: Father's work address. Release person(s) address(es). Child #4: Release person(s) address(es) and release person(s) phone number(s).

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection, health insurance policy number was missing from child #1's emergency contact form.

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: 3290.131(b)(2)

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

Noncompliance Area: During renewal inspection, last health assessment on file for child #1 is dated 6/15/2022.

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: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection, the following children were not immunized according to the recommendation of the ACIP: Child #1: 1 of 2 doses of Hep A vaccine. Child #1 is an older toddler (see LIS code sheet). There is no exemption on file. Child #2: 3 of 4 doses each of DTAP, HIB, and Polio vaccines. Child #2 is a young toddler (see LIS code sheet). There is no exemption on file.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #1 and child #2 will be dismissed from care by close of business October 10, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection, facility person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Facility person #1 shall complete the required one-hour 2022 update to the health and safety training by November 17, 2023.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection, the following documents were not updated within the past 6 months: Child #1: Emergency contact form last updated 1/29/2023. Child #3: Emergency contact form last updated 10/3/2022. Child #4: Fee agreement last updated 3/1/2023.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: During renewal inspection, facility person #1 did not complete 12 hours of child care training in training year 12/19/2021-12/19/2022.

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

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

Description: Age and training

Noncompliance Area: During renewal inspection, facility person #1 completed pediatric first-aid/CPR training on 3/18/2023. Facility person #1's old card expired on 2/26/2023.

Correction Required: 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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection, facility person #1 did not have signed/dated disclosure statement on file.

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 may not work in a child care position at the facility until signed/dated disclosure statement is on file.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During renewal inspection, facility's fire drill log reflected that fire drill was conducted past 60 days between 10/3/2022-1/2/2023.

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: 3290.94(a)(2)/3290.94(a)(4)

Description: Different times of day/Hypothetical locations

Noncompliance Area: During renewal inspection, facility's fire drill log reflected that fire drills are being conducted during the same time. Additionally, location of fire drills did not change.

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 different times of the day or night, or both, if applicable. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: During renewal inspection, facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 10/3/2022-1/2/2023; 6/2/2023-7/7/2023; 8/4/2023-9/8/2023.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection conducted 10/27/2022, certification representative observed children asleep in unlabeled pack-n-plays. Cots are numbered; however, there is no list displayed in the facility as to which child the cots belong to.

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: 3290.111(b)/3290.124(d)

Description: Posted in area used by parents/Written emergency plan posted

Noncompliance Area: During renewal inspection conducted 10/27/2022, facility did not have a written plan of daily activities and routines posted in a traffic area used by parents. Facility did not have emergency transportation plan posted in the childcare space.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents. 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: 3290.123(a)(1)/3290.123(a)(4)

Description: Amount of fee/Arrival/departure times

Noncompliance Area: During renewal inspection conducted 10/27/2022, the following was missing from fee agreements: Child #3: Fee amount. Child #4: Arrival and departure times.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the child's arrival and departure times.

Regulation: 3290.123(a)/3290.123(a)(6)

Description: Signed /Admission date

Noncompliance Area: During renewal inspection conducted 10/27/2022, the following was missing from fee agreements: Child #1: Date of admission and signed by operator. Child #3: Date of admission and signed by parent.

Correction Required: An agreement shall be signed by the operator and the parent. An agreement shall specify the date of the child's admission.

Regulation: 3290.124(b)(2)/3290.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: During renewal inspection conducted 10/27/2022, the following was missing from children's emergency contact forms: Child #1: name, address, and telephone number of child's physician. Child #2: name, address, and telephone number of child's physician. Health insurance coverage and policy number. Child #3: Health insurance policy number. Child #4: Health insurance coverage and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection conducted 10/27/2022, the following was missing from children's emergency contact forms: Child #2: release person's name, address, and telephone number. Child#4: enrolling parent's work address and phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3290.135(a)(3)/3290.135(b)

Description: Disposable diapers/Surfaces cleaned

Noncompliance Area: During renewal inspection conducted on 10/27/2022, trash can used for diapering was not plastic-lined. Pad used for diapering was cracked, exposing the foam inside and rendering it unable to be properly sanitized.

Correction Required: 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. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection conducted 10/27/2022, facility had not developed 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: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection conducted 10/27/2022, financial agreement for Child #1 was last updated 2/15/2022.

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(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: During renewal inspection conducted 10/27/2022, records for Child #2 and Child #4 did not contain signed parental consent for administration of minor first-aid. Record for Child #2 did not contain consent for emergency medical care.

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(d)

Description: Emergency plan

Noncompliance Area: During renewal inspection conducted 10/27/2022, facility had not practiced emergency drill.

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

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection conducted 10/27/2022, Staff #1 did not have signed disclosure statement on file.

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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During renewal inspection conducted 10/27/2022, a bottle, which operator reports contains Clorox and water was observed to be in the cabinet under the diapering area which was accessible to children. Bottle did not specify the content.

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: During renewal inspection conducted 10/27/2022, facility did not have evacuation routes posted in the basement, attic, or second floor of the facility.

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: 3290.131(b)(2)

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

Noncompliance Area: During the Renewal Inspection on 10/29/2021, the most recent health report on file for Child #1, age 4 was dated 1/16/2020.

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.