Trena A Wilson Family Child Care Home

Regulation: 3290.121(b)

Description: Given parents in writing

Noncompliance Area: Parents did not receive in writing the facility's policy regarding supervision during the transfer of care between the child care facility and school.

Correction Required: 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(b)/3290.182(8)

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

Noncompliance Area: The files of Children #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. 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: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Emergency contact information for Child #1 did not include the work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address and work telephone 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: Emergency contact information for Child #3 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: The files of Children #2 and #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 10/22/24, 12/31/24, and 2/10/26. The file of Child #3 contained health reports dated 10/23/23, 5/12/25, and 11/17/25.

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: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: The file of Child #5 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #5 contained a health report dated 7/2/25 with a previous one dated 3/7/24.

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: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: Child #2, a young toddler, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #2 had documentation of 3 DTAP/DTP/TD immunizations and 3 Pneumococcal immunizations.

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 child care group settings).

Regulation: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Staff did not ensure that a child's hands were washed after being diapered. Staff used a wipe to wash the mobile child's hands.

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

Regulation: 3290.135(a)(3)

Description: Disposable diapers

Noncompliance Area: Observed a soiled diaper being placed in a plastic bag instead of being discarded immediately by placing it into a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Regulation: 3290.151(a)(2)/3290.192(2)

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

Noncompliance Area: The file of Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a current health assessment dated 2/6/26 with a previous one dated 7/6/23.

Correction Required: 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: 3290.18

Description: General Health and Safety

Noncompliance Area: Observed boards with exposed nails beside the picnic table in the outdoor play space. Observed a garden rake in the outdoor play space. Observed an extension cord lying in the grass in the outdoor play space which was not secured creating a potential tripping and/or strangulation hazard.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/18/21.

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. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, staff person #1 must be supervised, when interacting with children, at a minimum by, a family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: The file of Staff #1 lacked documentation of emergency plan training on an annual basis. The file of Staff #1 contained documentation of emergency plan training completed on 2/4/26 with previous training completed on 1/30/25.

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: 3290.24(d)

Description: Emergency plan

Noncompliance Area: Emergency drills were not conducted annually. The facility provided documentation of emergency drills being conducted on 4/16/24 and 8/8/24.

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

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the operator was unable to provide documentation of the letter provided to the parent explaining emergency procedures that addressed shelter and lockdown, evacuation, method to contact parents, method to inform parents the emergency has ended and instructions for how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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.