Tejeda Daycare

Regulation: 3280.131(b)(2)

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

Noncompliance Area: On 7/21/2026, the most recent health report on file for Child #1, a preschool child was dated 4/15/2025.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: During the Renewal Inspection on 7/21/2026, the most recent documented emergency drill on file at the facility was dated 7/19/2024.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the Renewal Inspection on 7/21/2026, the NSOR clearances on file for Staff #1 and Staff #2 were not updated within the required 60 months as evidenced by the dates of the clearances as follows: Staff #1: Old NSOR: 1/29/2021 New NSOR: 3/19/2026; Staff #2: Old NSOR: 1/29/2021 New NSOR: 3/19/2026. Staff #1 and Staff #2 both worked in a role with direct contact and routine interaction during this lapse.

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: 3280.52(c)/3280.53(a)

Description: Mixed age levels/Counted in staff:child ratio

Noncompliance Area: During the Renewal Inspection on 7/21/2026, it was observed that Staff #1 was alone in the childcare space for approximately 19 minutes with a mixed age group of 8 children that included older toddlers, preschool, and school age children. Staff #2 was in the kitchen preparing lunch for the children during this time. Two of the children that were present are related to Staff #1 and Staff #2. This number of children requires 2 staff persons to be present at all times.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff to child ratio and maximum group size in accordance with the requirements at §3280.52(b). The required staff to child ratios must be maintained at all times The related or foster children of an operator and the children or foster children of a staff person shall be counted in the staff to child ratio requirements. TIERED LIS: 1. The required staff to child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The operator must print and post the required staff to child ratios in each measured childcare space. The operator shall provide a date for when this will be completed. 3. The legal entity must develop written policies and procedures to be implemented in the facility. The written policy and procedures must address that the required staff to child ratios will be maintained at all times and specify a written plan to ensure that the required staff to child ratios are maintained at all times during lunch transitions. This may entail preparing lunches for the next day at night or in the evening after the children leave for the day or later in the day when the staff to child ratios may only require one staff person to be present with the children. The updated policy and procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the operator will ensure that all current employees and any new hires are trained on the policies and procedures and it must be documented in their files. The operator shall provide a date for when this will be completed.

Regulation: 3280.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: During the Renewal Inspection on 7/21/2026, the fire drill and fire detection log showed that the hypothetical location of the fire was listed as the back exit door for every fire drill since 6/9/2025.

Correction Required: 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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On 7/21/2026, the fire drill/fire detection log was up to date, but the log showed that the fire alarm system has not been manually tested at least once every 30 days since November 2025. The alarm was tested on 11/7/2025 then not again until 12/8/2025. The alarm was tested on 4/3/2026 then not again until 5/4/2026, and then not again until 6/5/2026.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: During the Renewal Inspection on 7/9/2025, the playpens and rest mats used by the children in the facility for rest equipment were not labeled were not labeled for the use of a specific child to be used only by the specified child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 7/9/2025, Child #2, Child #3 and Child #4 did not have any child service reports on file completed within the previous 6 months.

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: 3280.124(f)

Description: Updated every 6 months

Noncompliance Area: On 7/9/2025, the emergency contact information on file for Child #2 and Child #3 had not been updated in writing by the parent within the previous 6 months.

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.

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: On 7/9/2025, the most recent health report on file for Child #2 was dated 12/9/2024. The most recent health report on file for Child #3 was dated 8/12/2024. Both children are young toddlers.

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: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: On 7/9/2025, Child #3, age 1 did not have written verification on file to indicate that the child has been administered immunizations in accordance with the recommendations of the ACIP. See LIS code sheet.

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 childcare group settings). Child #3 must be dismissed from care by close of business on 7/9/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3280.166(1)

Description: Written statement

Noncompliance Area: On 7/9/2025, Child #1, an infant did not have a written statement giving the formula and feeding schedule from the parent on file.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3280.76/3280.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 7/9/2025, the back of the garage structure accessible in the outdoor play area was observed to have peeling paint on the door. The upper part of the door also had a crack and a hole in the glass window.

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. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On 7/9/2025, the fire drill and fire detection log were up to date. However, the log showed that the fire detection system is not being manually tested at least once every 30 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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. The fire detection system is required to be manually tested and documented at least once every 30 days.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 7/18/2024, the emergency contact information for Child #1 did not include the release person's name, address and telephone number. The emergency contact information for Child #2, Child #3 and Child #5 did not include the release person's address.

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: On 7/18/2024, the emergency contact information and the financial agreement for Child #1, Child #2, Child #3, Child #4 and Child #5 had not been updated in writing by the parent within the previous 6 months. See LIS code sheet.

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: 3280.131(b)(2)

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

Noncompliance Area: On 7/18/2024, the most recent health on file for Child #1 was dated 10/26/2022.The most recent health report on file for Child #2 and Child #3 were dated 10/11/2022. All three children are preschool children.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: During the Renewal Inspection on 7/18/2024, the most recent annual emergency drill that was documented and on file was dated 1/10/2023.

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

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: On 7/18/2024, both Staff #1 and Staff #2 did not have documentation on file that they have completed 12 hours of annual childcare training in the previous 12 months. They each only had documentation of 2 hours of annual childcare training on file completed within the previous 12 months.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: On 7/18/2024, the most recent Pennsylvania child abuse clearance that was on file for Staff #2 was dated 3/27/2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). All staff clearances must be updated at least every 60 months. 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. Staff Person #2 may not work in a childcare position at the facility the updated Pennsylvania child abuse clearance is on file.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: On 7/18/2024, the operator was not able to locate the updated Fire Drill/Detection Log. The last documented fire drill was 11/7/2023.

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 fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On 7/18/2024, the operator was not able to locate the updated Fire Drill/Fire Detection Log. The last documented manual fire alarm testing was on 11/7/2023.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.123(a)(3)/3280.181(c)

Description: Services proceeded/Emergency info/agreement updated 6 mos

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollments. The following children have been enrolled at the facility for more than 6-months and the children's files did not contain child service forms: Child # 1, Child # 2, and Child # 3.

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). 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: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. The file of Child # 1 did not contain health insurance coverage information or the 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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. The following children's forms were not updated every 6-months as required by regulation: Child # 1 - agreement dated 6/2/22 and updated 6/29/23; emergency contact dated 1/24/22 and needs an update Child # 2 - emergency contact dated 7/8/22 and needs an update Child # 3 - emergency contact dated 7/8/22 and needs an update

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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of enrollments. The following children did not receive a health assessment or immunization record within 60 days of their enrollment: Child # 1 - received a health assessment and immunization record on 10/28/22 Child # 2 - received a health assessment and immunization record on 10/11/22 Child # 3 - received a health assessment and immunization record on 10/11/22.

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 child's record must contain initial and subsequent health reports.

Regulation: 3290.31(f)(4)(i)/3290.31(g)(10)

Description: Age and training/Health and Safety Training - Pediatric first aid/CPR

Noncompliance Area: Staff # 1 does not have valid pediatric first aid and pediatric cardiopulmonary resuscitation.

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. Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Household member # 2 has a state police clearance dated for 3/13/17 and an FBI clearance dated for 3/2/17. These clearances have not been updated every 60 months as required by the CPSL. Household member # 3 does not have an NSOR clearance on file. This clearances is required to be on file per CPSL for all household members.

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. Household members # 2 and # 3 - may not be in the home when child care is provided until clearances are on file.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Household member # 2 has a state police clearance dated for 3/13/17 and an FBI clearance dated for 3/2/17. These clearances have not been updated every 60 months as required by the CPSL. Household member # 3 does not have an NSOR clearance on file. This clearances is required to be on file per CPSL for all household members.

Correction Required: The operator shall comply with the Child Protective Service Law (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. Household members # 2 and # 3 - may not be in the home when child care is provided until clearances are on file. .

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

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

Noncompliance Area: A renewal inspection occurred at the facility on 11/18/21. A review of children's files was conducted. Child # 1 had an enrollment date of 9/4/19, Child # 3 had an enrollment date of 11/21/19, Child # 4 had an enrollment date of 6/21/21, Child # 5 had an enrollment date of 4/20/21 and these files were missing written consent 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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: A renewal inspection occurred at the facility on 11/18/21. A review of children's files was conducted. Child # 4 had an enrollment date of 6/21/21 and this file was missing documentation of health insurance coverage and the 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: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: A renewal inspection occurred at the facility on 11/18/21. A review of children's files was conducted. Child # 1 is a preschool aged child and has not had an updated health report in the file since 12/26/19. Child # 3 is an older toddler and has not had an updated health report in the file since 9/25/20. These files have not provided an updated health report every 12 months as required by regulation.

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. A child's record must contain initial and subsequent health reports.

Regulation: 3290.182(5)

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

Noncompliance Area: A renewal inspection occurred at the facility on 11/18/21. A review of children's files was conducted. Child # 1 had an enrollment date of 9/4/19, Child # 3 had an enrollment date of 11/21/19, Child # 4 had an enrollment date of 6/21/21, Child # 5 had an enrollment date of 4/20/21 and these files were missing written consent for administration of minor first-aid procedures by facility staff.

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.