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.