Terry L Pegues Family Child Care

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The files for Staff Persons #1, #2, and #3 contained health assessments dated more than 24 months apart. Staff Person #1: 1/13/24 and 2/18/26. Staff Person #2: 8/8/23 and 3/4/26. Staff Person #3: 2/3/24 and 6/2/26.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: The files for Staff Persons #1, #2, and #3 lacked 5 of the 12 hours of child care training in their respective training year.

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

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff Person #1 contained documentation of NSOR clearance results and Mandated Reporter training that were not renewed before the expiration date of the most current certification. NSOR clearance results: 12/8/20 and 3/5/26. Mandated Reporter training: 1/7/21 and 3/8/26. The file for Staff Person #2 contained documentation of NSOR clearance results that were not renewed before the expiration date of the most current certification (12/9/20 and 3/5/26). The files are now current.

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

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: Facility files contained documentation of conducting fire drills on 3/27/26 and 5/28/26, exceeding 60 days between drills.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: Facility files contained documentation of testing the fire detection system on 12/5/25 and 1/26/26, exceeding 30 days between testing.

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: 3280.124(f)/3280.181(c)

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

Noncompliance Area: The emergency contact and financial agreement forms in the files for children #1 and #2 were reviewed and updated by the parents on 6/7/24 and 5/23/25, which is more than 6 months apart.

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: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for staff person #5 did not contain documentation of a health assessment prior to initial service in a child care setting (See IS Code Sheet).

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The two most recent emergency plan trainings in the files for staff persons #1, #2, #3, and #4 are dated 2/25/24 and 5/23/25, which are more than 12 months apart.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: A determination could not be made that fire drills were conducted at least once every 60 days as the fire drill log on file at the facility did not include documentation of fire drills being conducted from 6/20/24 to 2/4/25.

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: A determination could not be made that the fire detection system was tested at least once every 30 days as the documentation on file at the facility did not include testing from 6/20/24 to 3/4/25.

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)(6)/3280.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The parent agreement form on file for child #2 lacked 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: 3280.131(a)/3280.182(1)

Description: Health Information/Initial and subsequent health assessments

Noncompliance Area: The file for child #1 had a health assessment on file dated 3/7/24 but was not within 60 days following the first day of attendance. The file for child #3 had a health assessment on file dated 3/8/24 but was not within 60 days following the 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. A child's record must contain initial and subsequent health reports.

Regulation: 3280.151(a)/3280.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The two most recent health assessments on file for staff person #1 are dated more than 24 months apart: 9/27/21 and 1/13/24.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3280.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment on file for staff person #2 did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3280.151(c)(5)

Description: Physician/CRNP assessment

Noncompliance Area: The health assessment in the file for staff person #3 was observed to state the staff person is not suitable to provide child care.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The facility's documentation of conducting emergency drills exceeded one year between drills: 4/8/23 and 6/26/24.

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

Regulation: 3280.76

Description: Building Surfaces

Noncompliance Area: In the Front room, two nails observed protruding from the wall near a child's desk, posing a visible 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: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: The facility's documentation of conducting fire drills exceeded 60 days from 10/20/23 to 12/20/23, 12/20/23 to 2/20/24, and 4/19/24 to 6/20/24.

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: The facility's documentation of testing the fire detection system exceeded 30 days from 10/20/23 to 11/20/23, 1/19/24 to 2/20/24, 3/20/24 to 4/20/24, and 5/20/24 to 6/20/24.

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 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: 3280.102(a)

Description: Clean and good repair

Noncompliance Area: Observed a small broken blue stool in the Outdoor Play Space that created a cutting hazard to the children in care.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: The Emergency Contact Form for Child #2 lacked 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: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: Although the files for Child #1 and Child #4 contained Health Reports at the time of the Renewal Inspection, it was observed that the files for Child #1 and Child #4 did not contain Health Reports within 60 days of enrollment. The file for Child #2, a Preschooler, contained Health Reports that had been updated in an interval greater than 12 months.

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: 3280.14/3280.21

Description: Pertinent Laws & Regulations/Communication with Parents

Noncompliance Area: Although Staff #3 had the Pennsylvania Health and Safety Updated Training at the time of the Renewal Inspection, it was observed that Staff #3 had not completed the Pennsylvania Health and Safety Update by the compliance date 12/30/22 as set forth in Announcement C-22-06.

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. The operator shall establish oral or written communication in the language or mode of communication which is understandable to the parent.

Regulation: 3280.151(a)

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

Noncompliance Area: The files for Staff #1 and Staff #4 contained a Health Assessments that were not conducted within 24 months of the previous assessment. The file for Staff #2 lacked an updated Health Assessment within the previous 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: 3280.182(5)

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

Noncompliance Area: The Emergency Contact Forms in the files for Child #2, #3, and #4 lacked signed parental 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.

Regulation: 3280.24(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility had an expired certificate of compliance posted in a conspicuous location used by parents.

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(e)

Description: Age and training

Noncompliance Area: The file for Staff #3, lacked documentation of the 12 hours of annual childcare training.

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: The file for Staff person #3 contained an unacceptable First Aid and CPR Training and therefore, has not completed the following required pre-service training within 180 days following the implementation of the current regulations. (See LIS code sheet): (Pediatric First Aid and CPR).

Correction Required: Staff person(s) shall complete professional development in the topics of 3280.31(f) (1-10) within 90 days of hire. Staff person #3 will have until 8/9/23 to complete the required training. Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children, by an (primary staff person) who has completed the required training related to this citation. If there are no staff available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #4 contained mandated reporter training that was not completed within 60 months of the previous training.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #4 contained a State Police Clearance and Child Abuse Clearance that were not completed within 60 months of the previous clearances.

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

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The Agreements for Child #1, #2, #3, #4, and #5 lacked 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: The Emergency Contact form in the file for Child #1 lacked written consent signed 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(c)

Description: Each child care space

Noncompliance Area: The emergency contact information was not present in the facility for Child #6 who was present and receiving care.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3280.124(e)

Description: Written emergency plan posted

Noncompliance Area: The facility lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Regulation: 3280.131(b)(2)/3280.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments

Noncompliance Area: The file for Child #4, a preschooler, did not contain a health report in the previous 12 months.

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: 3280.131(c)

Description: Completed or signed by physician, PA, or CRNP

Noncompliance Area: The health report for Child # 1 lacked a date by a physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Regulation: 3280.151(a)

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

Noncompliance Area: The file for Staff #1 contained a Health Assessment that was updated in an interval greater than 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: 3280.178

Description: Transportation First Aid Kit

Noncompliance Area: The transportation first aid kit located in the vehicle lacked gauze.

Correction Required: A first-aid kit, including the contents as specified in §3280.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Regulation: 3280.182(5)

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

Noncompliance Area: The emergency contact forms in the files for Children #1, #2, and #5 did not contain signed parental 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.

Regulation: 3280.192(5)

Description: Two written references

Noncompliance Area: The files for Staff #4 and #6 contained one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of conducting an annual emergency drill.

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

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: The files for Staff #1, #2, #3, #4, #5 and #6 did not contain documentation of receiving training regarding the emergency plan within the past 12 months.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: The files for Staff #1, #2, #3, #4, #5, and #6 lacked documentation of the annual 12 clock hours of child care training.

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

Regulation: 3280.31(f)

Description: Age and training

Noncompliance Area: Staff person #4 and #6 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety topics.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #4 and #6 will have until 8/27/22 to complete the required training. Until such time as the required training has been completed, staff person #4 and #6 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #4 and #6, staff persons #4 and #6 may not work in a child-care position at the facility.

Regulation: 3280.32(a)

Description: Comply with CPSL

Noncompliance Area: Staff person #2, #3, #5, and #6 have not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #2, #3, #5, and #6 will have until 8/27/22 to complete the mandated reporter training. Until such time as the required training has been completed, Staff person #2, #3, #5, and #6 must be supervised, when interacting with children, by an (primary staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff person #2, #3, #5, and #6, Staff person #2, #3, #5, and #6 may not work in a child-care position at the facility.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for Staff #3 contained State Police Clearances and Child Abuse Clearances that were updated in an interval greater than 60 months. The file for Staff #5 lacked a current Child Abuse Clearance and lacked a FBI Clearance. The file for Staff #6 lacked a State Police Clearance.

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 #5 and #6 may not work at the facility.

Regulation: 3280.66(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: Located in the facility restroom was a plug in that was accessible to the children in care. In the kitchen on a low, accessible shelf was Microban labeled "Keep out of Reach of 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: 3280.74

Description: Emergency Numbers Posted

Noncompliance Area: The required emergency telephone numbers were not posted.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: The first aid kit lacked soap and nonporous gloves.

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: 3280.76

Description: Building Surfaces

Noncompliance Area: Located in the back Outdoor Play Space was a piece of wood with nails protruding from it, creating a puncture hazard for the children in care. In the Outdoor Play Space there was also a fence on the ground that had screws sticking out creating a puncture hazard to the children in care.

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: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: The facility lacked documentation of monthly fire detection system testing.

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.