Santana Family Daycare Llc

Regulation: 3280.131(a)

Description: Health Information

Noncompliance Area: Child #1 has an initial health assessment dated 2/19/26 which exceeds the requirement of an initial health assessment provided days following first day of attendance.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3280.151(a)

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

Noncompliance Area: Staff person #1 has a health assessment dated 6/13/23 and another dated 3/27/26, this exceeds the requirement of updated health assessments every 24 months.

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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff person #1 & 2 only have 6 hrs of annual training.

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

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child #1 is missing specific services to be provided to the family and the child. Child #2 is missing an updated child service report.

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 § 3280.124(f).

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: Child #1 is missing the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Regulation: 3280.123(a)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: Child #1 is missing the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3280.124(b)(4)/3280.182(3)

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

Noncompliance Area: Child #1 is missing signed consent by a parent for emergency medical care.

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: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Child #2 is missing 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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: Child #2 is missing updated emergency contact and agreement form.

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: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility does not have a policy to address continuity of operations.

Correction Required: 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.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility does not have a policy in place to identify the prevention of shaken baby syndrome, abusive head trauma and child maltreatment.

Correction Required: 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. Child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Regulation: 3280.182(5)

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

Noncompliance Area: Child #1 is missing signed parental consent for minor first aid.

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: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan does not include accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: Operator has not conducted emergency drills annually, date of last drill 3/28/24.

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

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: Operator admitted the emergency plan has not been sent to the local municipality and to the county emergency management agency annually.

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: 3280.102(c)

Description: Outdoor equip.- protective surfacing

Noncompliance Area: During the renewal inspection on 4/19/2024, it was observed that the facility had an embedded swing set over concrete. Concrete does not meet the recommendations of the United States Consumer Product Safety Commission.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Regulation: 3280.113(a)(1)

Description: Staff assigned to specific children

Noncompliance Area: Upon arrival for the renewal inspection, it was observed that there were seven children. At least one child was an older toddler. Ratio required at least two staff people. Staff 1 and 2 did not have the children spilt into specific groups of children.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Regulation: 3280.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: Children 1 and 2 did not have a statement on their health report saying that they are able to participate in childcare.

Correction Required: 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: 3280.118(c)

Description: Vet's certificate required

Noncompliance Area: During the renewal inspection on 4/17/2023, there was a dog present and in a crate. The dog's rabies vaccine expired on 3/22/2023.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child 3 did not have a new child service report on file. Child 3's parent signed the previous one again. Facility did not complete a new child service report with the parent.

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 § 3280.124(f).

Regulation: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: Child 1 did not have an updated health assessment on file. It expired on February 14, 2023.

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: 3280.131(e)(1)/3280.131(e)(2)(i)

Description: Exemption documentation from parent/guardian/Exemption documentation from parent/guardian

Noncompliance Area: Child 1 did not have an updated flu shot or an exemption letter on file.

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. 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: 3280.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: Staff 2 did not have a statement on file stating that she is suitable to provide childcare.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility did not have electronic access to the regulations available to the parents. DHS contact information was also not available.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff person #2 has not completed the following required pre-service training. (see LIS code sheet for date of hire): Get Started with Center Based Care.

Correction Required: Staff person(s) shall complete professional development in the topics of 3280.31(f) (1-9), within 90 days of hire. Staff person #2 will have until 5/1/2023 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by a primary care staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.

Regulation: 3280.31(f)

Description: Age and training

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

Correction Required: Staff person #1 shall complete the required one-hour 2022 update to the health and safety training by 5/1/2023.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Toxics were observed in the unlocked bathroom sink. Clorox wipes were also observed on the counter in the bathroom and to be accessible to the 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: 3280.76

Description: Building Surfaces

Noncompliance Area: On the outside play area, nails were sticking out of fence in multiple areas. The green carpet leading into the house was also sticking up and was a tripping hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3280.131(a)/3280.131(d)(7)

Description: Health Information/Free from contagious/communicable disease

Noncompliance Area: Child 2 did not have an appropriate health assessment form on file. The form that was presented was a print out from the doctor's office and was not on an acceptable state issued form. The form did not state that the child was suitable for childcare and free from contagious diseases.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, 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: 3280.131(b)(1)/3280.131(d)(5)

Description: Infant: updated health report every 6 months/Immunization record

Noncompliance Area: Child 1 did not have an updated health assessment or immunizations on file. Proof of appointment also was not on file.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan did not have a section related accommodations for infants, toddler, children with disabilities and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: Staff 1 and 2 did not have 12 hours of annual training on file.

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

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: Staff 2 had a first aid/cpr certificate that expired in March of 2022.

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: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: The third floor of the facility did not have an evacuation route posted.

Correction Required: The primary staff person 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: 3280.136(d)

Description: Communicate report to DOH

Noncompliance Area: Staff 1 did admit that she did not contact OCDEL for a positive COVID-19 case at the facility. The date of the positive COVID case was 9/16/2021.

Correction Required: A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.