Dhariana Nunez Gutierrez

3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

A renewal inspection was conducted 4/29/2026-6/5/2026. At that time, facility's emergency plan was reviewed. The emergency plan did not include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

Corrected by Jun 12, 2026

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. Announcement C-22-03: Updates to Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment Requirements states To maintain compliance with 45 CFR 98.41(a)(1)(vi), in addition to the training requirements, child care providers must have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

A renewal inspection was conducted 4/29/2026-6/5/2026. At that time, facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment was reviewed. Policy does not address the prevention and identification of child maltreatment.

Corrected by Jun 5, 2026

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3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff Person #1 may not work in a child care position with direct contact and routine interaction with children. until a completed disclosure statement is on file at the facility.

A renewal inspection was conducted 4/29/2026-6/5/2026. At that time, staff and household members files were reviewed. File for Staff Person #1 did not contained a signed, dated, and witnessed disclosure statement.

Corrected by Jun 5, 2026

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3290.123(a)(1)/3290.123(a)(4) · An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the child's arrival and departure times.

A renewal inspection was conducted 4/29/2026-6/5/2026. At that time, files of enrolled children were reviewed. The following information was missing from children's fee agreements: Child #1: Fee amount. Child #2: Fee amount. Arrival and departure times.

Corrected by Jun 5, 2026

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3290.124(b)(1) · Emergency contact information must include the name and birth date of the child.

A renewal inspection was conducted 4/29/2026-6/5/2026. At that time, files of enrolled children were reviewed. Emergency contact information on file for Child #2 did not include the birth date of the child.

Corrected by Jun 5, 2026

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3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

A renewal inspection was conducted 4/29/2026-6/5/2026. At that time, emergency transportation plan was not posted in the facility.

Corrected by Jun 5, 2026

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3290.131(a)/3290.131(e) · The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Child #2 must be dismissed from care by close of business 5/20/2026 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted 4/29/2026-6/5/2026. At that time, files of enrolled children were reviewed. File for Child #2 did not include an initial health assessment or written verification of immunizations. Child #2 has been attending the facility for more than 60 days (see LIS code sheet for date of admission).

Corrected by May 20, 2026

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3290.94(a)(2)/3290.94(a)(4) · Fire drills are conducted at different times of the day or night, or both, if applicable. 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.

A renewal inspection was conducted 4/29/2026-6/5/2026. At that time, facility's fire drill log was reviewed. Facility's fire drills all take place at 1:30PM and the hypothetical location is always in the living room.

Corrected by Jun 5, 2026

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3290.95(a)/3290.95(b) · 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 subsection (a) are met.

A renewal inspection was conducted 4/29/2026-6/5/2026. At that time, facility's fire detection testing log was reviewed. Facility's fire detection testing log reflected that smoke alarms were tested past 30 days on the following occasions: 4/4/25-5/14/25, 7/7/25-8/11/25, 10/3/25-11/4/25, 11/4/25-12/12/25, 3/2/26-4/1/26

Corrected by Jun 5, 2026

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3290.18/3290.24(g) · Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility emergency plan does not address continuity of operations. The updated emergency plan has not been sent to the local municipality.

Corrected by Jun 30, 2025

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3290.74(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

The floor at the top of the stairs is damaged, resulting in a tripping hazard.

Corrected by Jun 30, 2025

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3290.95(a)/3290.95(b) · 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.

Smoke detectors are not being tested every 30 days. The smoke detectors were most recently tested on 4/4/25.

Corrected by May 14, 2025

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3290.24(d) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The most recent emergency drill was conducted on 11/21/23.

Corrected by Jun 14, 2025

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3290.31(f) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff person #1 has 6 hours of annual childcare training.

Corrected by Jun 30, 2025

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3290.113(a)/3290.113(f) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff: child ratio). Children must be supervised at all times. The legal entity must arrange for all staff to receive a minimum of three hours of training regarding Supervision. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

During a complaint investigation started on 9/5/24, Staff person #1 admitted that on 8/7/24, Child #1 and Child #2, ages 8 and 2, were unsupervised from approximately 8:43AM to 9:03AM on the first floor of the family home, while Staff person #1 was in the bathroom on the second floor. Staff person #1 admitted that the indoor cameras were not hooked up at the time of the incident, so she was not able to supervise the children electronically.

Corrected by Mar 31, 2024

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3290.113(a)/3290.113(f) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). Children must be supervised at all times. When there is only one operator present in the family child care home and the operator is unable to be physically present with the children because the operator is preparing snacks or meals for children in care or the operator is using the restroom, the operator may comply with the supervision requirement in subsection (a) through the use of an electronic monitor, camera, mirror, or other device or method so the operator can see, hear, direct and assess the children in real time at all times.

During a complaint investigation started on 9/5/24, Staff person #1 admitted that on 8/7/24, Child #1 and Child #2, ages 8 and 2, were unsupervised from approximately 8:43AM to 9:03AM on the first floor of the family home, while Staff person #1 was in the bathroom on the second floor. Staff person #1 admitted that the indoor cameras were not hooked up at the time of the incident, so she was not able to supervise the children electronically.

Corrected by Oct 21, 2024

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3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

There is no work address for the enrolling parent included on the emergency contact form for Child #1 or Child #2.

Corrected by Jul 25, 2024

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3290.70(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Windows in the second floor bathroom were not restricted to open 6 or fewer inches.

Corrected by Mar 1, 2024

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3290.73(a) · A first-aid kit shall be in the facility.

There was no first-aid kit present in the facility.

Corrected by Mar 1, 2024

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3290.192(2) · 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.

Staff Person #1 did not have a physical on file at the facility.

Corrected by Mar 1, 2024

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3290.95(a)/3290.95(b) · 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. Family child care homes must have a portable fire extinguisher rated for class B fires in the kitchen and other cooking areas.

There was no fire extinguisher in the kitchen.

Corrected by Mar 1, 2024

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