Tammy Rupert Family Child Care Home

Regulation: 3290.132(b)

Description: Staff person accompany child

Noncompliance Area: On 2/24/26 child #1 required emergency medical care and staff #1 did not accompany child #1 to a source of emergency care and remain with the child until the parent or person designated by the parent assumed responsibility for the child's care.

Correction Required: A staff person shall accompany a child to a source of emergency care and shall remain with the child until the parent or person designated by the parent assumes responsibility for the child's care. TIERED LIS: 1. A staff person will accompany a child to a source of emergency care and shall remain with the child until the parent or person designated by the parent assumes responsibility for the child's care. The correction for this portion of the plan shall have an immediate correction date. 2. The operator shall make a revision to the existing emergency plan procedures detailing that the operator will accompany a child to a source of emergency care. This revision shall include the actions the operator will take to ensure that the children who remain in care are supervised by a person who is qualified and cleared to do so until the operator returns or parents can be reached for pick up. This correction date for this portion of the plan should allow for time to develop the additional language and actions the operator will take as well as review and approval by the DHS Northeast Regional Office prior to implementation.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: The most recent emergency plan review was observed on the cover of the facility emergency plan dated August of 2024.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff #1 did not update their clearances every 60 months as evidenced by a previous Pa State Police dated 8/3/20 and an updated Pa State Police dated 11/5/25 and a Child Abuse dated 8/5/20 and an updated PA Child Abuse dated 11/07/25.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. As of 2/1/25 If staff are going to be hired under the 45-day provisional hire basis, the following conditions must be met; facility received the results of the applicant's PA Child Abuse History Clearance, NSOR Clearance, completed out-of-state clearances (if applicable), a signed disclosure statement, prior to employment and have received the result of the applicant's Pennsylvania State Police OR the FBI finger-print results prior to employment. Proof of submission must be on file for either the FBI or PA State Police Clearance. The employer, administrator, supervisor or other person responsible for employment decisions has no knowledge of information pertaining to the applicant which would disqualify him from employment based on CPSL.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: While at the facility unannounced on 12/27/24 the inspector observed the files for child #1 and #2 and found that child #1 was missing health insurance coverage and policy number and child #2 was missing the health 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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: While at the facility unannounced on 12/27/24 the inspector observed the file for staff #1and found that this staff did not update their clearances every 60 months as evidenced by a previous NSOR dated11 /19/19 and a current dated 11/26/24.

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: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: A renewal inspection occurred at the facility. A review of the operator's file was conducted. Staff # 1 had pediatric first aid/CPR certification documented as occurring on 6/16/21. Staff # 1 did not renew this certification prior to expiration. Staff # 1 took this training on 6/28/23.

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: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire safety system testing log was conducted. Regulation requires the fire safety system to be tested every 30 days. The following tests lapsed occurring at least every 30 days: 1/15/23-2/15/23 3/15/23-4/15/23 5/15/23-6/15/23 7/15/23-8/15/23 8/15/23-9/15/23 10/15/23-11/15/23.

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: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff # 1 had a mandated reporter dated for 8/19/15 in the file and the file did not contain updated mandated reporter training until 11/12/20. The CPSL requires mandated reporter training to be updated every 60 months.

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. The CPSL requires mandated reporter training to be updated every 60 months.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: A renewal inspection occurred at the facility. A review of the facility's fire drill log was conducted. Fire drills were documented as occurring on 3/25/21, 6/17/21, 9/2/21, 11/19/21 and January 2022. These fire drills were not conducted every 60 days as required by regulation.

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.

Noncompliance Area: The operator, facility person #1 admits that she opens the front door and smokes cigarettes while children are in care. Facility person #1 states that she stands in the doorway to blow the smoke outside.

Correction Required: Cigarettes, pipes or cigars may not be smoked in a child care space, a play space or a food preparation area when children are in care or when food is being prepared.

Noncompliance Area: Child file #1 is missing the health insurance name and policy number on 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.

Noncompliance Area: The two cats located in the child care space do not have current rabies certificates on file

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.

Noncompliance Area: There are two outlet covers missing in the living room area of the child care space

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

Noncompliance Area: There is a container of gasoline located in the outdoor play space 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.