Stephanie J Reyes Family Daycare

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Facility has not completed an emergency drill.

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

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

Description: Age and training

Noncompliance Area: Facility staff # 1 did not complete PQAS approved pediatric first aid and cpr by the date of expiration on their current certificate of 4/26/25.

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: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: Rest equipment is not labeled with the assigned child's name who uses the equipment on the providers cot number list.

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: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child # 1,2,3 & 4 enrolled and attending the facility more than 6 months do not have a child service report completed.

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: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: Child # 1 does not have date of admission listed on their agreement form.

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

Regulation: 3290.131(a)

Description: Within 60 days

Noncompliance Area: Child # 3 did not have a health assessment on file until over 60 days from time of enrollment. Health assessment is dated 6/18/24.

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: 3290.182(8)

Description: Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: Child # 1,2,3, & 4 do not have copies or previous copies of the original or subsequent fee agreements forms or emergency contact forms since time of enrollment. Copies on file are more than 6 months old from time of enrollment and they are the only copy the operator saved. Operator reported throwing out all previous emergency contact forms and fee agreements for all 4 children since the time of opening.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3290.94(a)(1)/3290.95(a)

Description: Every 60 days/System in compliance

Noncompliance Area: The facility alarms were not tested in 30 days from 7/22/24 to 8/22/24 (31 days).

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. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: Fire drills were not conducted in 60 days from 7/22/24 to 9/22/24 (62 days).

Correction Required: 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(f)

Description: No hazardous toys/equipment

Noncompliance Area: At the time of the inspection, a Fisher Price Infant to Toddler rocker was observed in the home. This piece of equipment was deemed hazardous by the United States Consumer Product Safety Commission on 6/14/22 and cannot be used in the home.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility.

Regulation: 3290.103

Description: Small Toys and Objects

Noncompliance Area: At the time of the inspection, diapers wrapped in plastic bags were observed on a lower changing table shelf and were 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.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of the inspection, the pack and play as well as the cots used for rest time were not labeled with the child's name who uses them.

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: 3290.121(a)/3290.121(b)

Description: Review policies and procedures/Given parents in writing

Noncompliance Area: At the time of the inspection, the operator did not have transportation policies listed in the parent handbook.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Regulation: 3290.123(a)(4)/3290.123(a)(5)

Description: Arrival/departure times/Designated release persons

Noncompliance Area: At the time of the inspection, the agreement for child #1, child #2 and child #5 did not include the child's arrival and departure times. The agreement for child #1, child #3 and child #5 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the child's arrival and departure times. An agreement shall specify the persons designated by a parent to whom the child may be released.

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: At the time of the inspection, the agreements for each child did not have a date of 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: 3290.123(a)/3290.123(b)

Description: Signed /Parent receives original

Noncompliance Area: At the time of the inspection, the operator did not sign any of the child agreements and admitted that the parents do not receive the original agreement and the facility keeps the copy.

Correction Required: An agreement shall be signed by the operator and the parent. A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: At the time of the inspection, the emergency contact form for child #1 through child #5 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: At the time of the inspection, the emergency contact form for child #1, child #2 and child #5 did not include the work address and phone number 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)(6)

Description: Insurance coverage information

Noncompliance Area: At the time of the inspection, the emergency contact form for child #2, child #3 and child #4 did not include both the health insurance coverage and policy number for the child.

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: At the time of the inspection, the emergency contact form for child #1, child #3 and child #5 did not include both the address and phone number 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: 3290.134(a)/3290.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: At the time of the inspection, child #1 was having a diaper change. The operator did not wash both her hands and the child's hands after the diaper change.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3290.135(c)

Description: Diapering area not used for food prep

Noncompliance Area: At the time of the inspection, infant formula was observed on the shelf of the diaper changing table.

Correction Required: The diapering area may not be used for food preparation or food service.

Regulation: 3290.165/3290.166(4)

Description: Menus/Bottles labeled

Noncompliance Area: At the time of the inspection, the bottles for child #1 were not labeled. The operator admitted to not having a general menu which is discussed with the parent.

Correction Required: The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met. Disposable nursers and bottles shall be labeled with the child's name.

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: At the time of the inspection, child #1, child #3, child #4 and child #5 did not have signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form.

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: 3290.182(7)

Description: Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

Noncompliance Area: At the time of the inspection, the operator did not have a facility file for incident reports of children.

Correction Required: A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection, the operator admitted to not providing the parents of each enrolled child a letter explaining the emergency plan procedures.

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: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: At the time of the inspection, protective receptacle covers were missing from numerous outlets in the first floor. These outlets were accessible to children under 5 years of age.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: At the time of the inspection, alcohol prep pads and CPAP cleansing wipes which both stated "keep out of reach of children" were on a shelf in the childcare space and were accessible to children. Listerine was observed on the counter in the second-floor bathroom and was 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: 3290.65(c)

Description: No insects or rodents

Noncompliance Area: At the time of the inspection, in a cabinet in the kitchen, roaches were observed on a sticky trap.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Regulation: 3290.69/3290.74(a)

Description: Heat Source/Requirements

Noncompliance Area: At the time of the inspection, the child safety knob on the stove was broken which would allow a child to turn the stove on posing a hazard.

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

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

Description: Every 60 days/Written record

Noncompliance Area: At the time of the inspection, the operator admitted to not conducting a fire drill every 60 days as required since the facility opened in December 19, 2023. A fire drill would have been required to be conducted on 2/19/24.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of the inspection, the operator admitted to not manually testing the smoke detectors every 30 days as required since the facility opened in December 19, 2023. Manual monthly monitoring of the smoke detectors would have been required to be conducted on 1/19/24 and 2/19/24.

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: 3290.101(b)

Description: Include 6 categories of development

Noncompliance Area: At the time of the inspection, the operator did not have dramatic play materials and art materials as part of the materials provided to children.

Correction Required: Play equipment and materials shall include the items specified at §3290.101(c)(1) - (6).

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of the inspection, the operator did not have continuity of operations in the emergency plan.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall update the sections of their emergency plans that must address volunteer emergency preparedness training, practice drills, and continuity of operations.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of the initial inspection, the operator did not have written policies regarding the 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 addressing the prevention and identification of child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure 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: 3290.24(a)(1)/3290.24(a)(5)

Description: Emergency plan/Emergency plan

Noncompliance Area: At the time of the inspection, the operator did not have lockdown procedures specific to the facility in the emergency plan. Accommodations for infants, toddlers and children with special needs during an emergency were also missing from the emergency plan.

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(e)/3290.24(g)

Description: Emergency plan/Emergency plan

Noncompliance Area: At the time of the inspection, the operator did not have the emergency plan posted. There was also no documentation showing that the emergency plan was sent to both the county and local emergency management agencies for review.

Correction Required: The emergency plan shall be posted in the facility at a conspicuous location. 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: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: At the time of the inspection, on the second floor, perfumes and lotions were observed in an unlocked bedroom. These perfumes and lotions were 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: 3290.73(c)

Description: Has all items

Noncompliance Area: At the time of the inspection, the first aid kit did not contain soap.

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: 3290.74(a)

Description: Requirements

Noncompliance Area: At the time of the inspection, the shelves in the childcare space were easily able to be tipped over. This poses a hazard to the children.

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

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: At the time of the inspection, the operator did not have interconnected and OSHA approved smoke detectors on each floor of her home.

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. Operators are required to have smoke alarms on each floor and in the basement that**: · Are interconnected, via hardwire, Bluetooth connectivity or any other means that allow for communication between smoke alarms (35 P.S. § 1223.6(f.1)(1.1)). · When activated, the resulting alarm is audible to persons in the indoor child-care space with all intervening doors closed (35 P.S. § 1223.6(f.1)(1.1)(i)). · Each smoke alarm, at the time of installation, be approved by a testing laboratory recognized by the Occupational Safety and Health Administration (OSHA) of the United States Department of Labor2 to test and certify smoke alarms.