Espinal Home Day Care

3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.

The facility does not have a policy to address continuity of operations.

Corrected by Apr 7, 2025

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3290.32(a)/3290.192(3) · 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 #1 and 2 may not work in a child care position at the facility until the state police and child abuse clearances are updated.

Staff 1 and 2 had outdated state police and child abuse clearances on file. The state police clearances were dated 4/12/2018. The child abuse clearances were dated 4/20/2018.

Corrected by Apr 3, 2024

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3290.32(a)/3290.192(3) · 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.

Staff 1 and 2 had outdated state police and child abuse clearances on file. The state police clearances were dated 4/12/2018. The child abuse clearances were dated 4/20/2018.

Corrected by Mar 27, 2024

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3290.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

During the annual inspection on 3/27/2024, it was observed that the facility did have cots with numbers on them. However, there was no cot list present.

Corrected by Apr 1, 2024

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3290.123(a)(3) · 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 § 3290.124(e).

Child 1 did not have an updated child service report on file. The last child service report was completed on 11/22/2022 making it more than 6 months since the last update.

Corrected by Apr 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.

During the annual inspection on 3/27/2024, it was observed that the fire alarms were last tested on 12/11/2023, making it more than 30 days since the last test. It was also observed that while the smoke detectors were interconnected, they were not OSHA approved.

Corrected by Mar 31, 2024

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

Staff 1 and 2 had 6 1/2 hours of annual training on file.

Corrected by Apr 10, 2024

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3290.121(b) · 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.

The facility did have a parent handbook on file. However, the faciltiy did not have a supervision policy within the handbook.

Corrected by Apr 5, 2023

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3290.131(e)(1)/3290.131(e)(2)(i) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Child 1 did not have an updated flu shot on file. The last flu shot was given in 2021. There was no exemption on file.

Corrected by Apr 29, 2023

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3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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.

Child 1 did not have consent for emergency medical care or minor first aid on file.

Corrected by Mar 31, 2023

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3290.31(g)(10) · Staff person(s) shall complete professional development in the topics of 3290.31(g) (10) within 90 days of hire. Staff person #1 will have until 4/13/2023 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.

Staff person #1 has not completed the following required pre-service training: pediatric first aid/cpr training. Staff 1 did have a first aid/cpr certificate on file. However, it was through an online only organization that was not approved through DHS.

Corrected by Apr 13, 2023

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3290.22(b) · The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Facility did not have electronic access to the regulations or contact information for the regional childcare office available to parents.

Corrected by Apr 5, 2023

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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.

There was no annual emergency drill documented at the facility.

Corrected by Apr 5, 2023

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3290.31(g) · Staff person # 2 shall complete the required one-hour 2022 update to the health and safety training by 4/13/2023.

Staff person # 2 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022. Staff 1 did not complete the required one-hour 2022 update to the health and safety training until 3/24/2023.

Corrected by Apr 13, 2023

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3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 and 2 may not work in a child care position at the facility until the NSOR is obtained. 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 #1 and 2 may not work in a child care position at the facility until the NSOR is obtained.

A renewal inspection occurred at the facility on 3/4/2022 and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. Staff 1 and 2 have been at the facility prior to 9/30/2019.

Corrected by Mar 24, 2022

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3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 may not work in a child care position at the facility. 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 #1 and 2 may not work in a child care position at the facility. If one facility person obtains NSOR before the other facility person, then the facility person that still did not obtain the NSOR can not be in the household during child care hours until the NSOR is obtained.

A renewal inspection occurred at the facility on 3/4/2022 and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. Staff 1 and 2 have been at the facility prior to 9/30/2019.

Corrected by Mar 4, 2022

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3290.64(a) · 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.

There was no lock on the upstairs bathroom cabinet, making toxics accessible to the children in care.

Corrected by Mar 24, 2022

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3290.121(a) · The operator shall review with the parent, at the time of application, 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.

The facility did not have a handbook on file explaining 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.

Corrected by Mar 24, 2022

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3290.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Children 1 and 2 did not have complete health insurance information on file.

Corrected by Mar 24, 2022

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3290.124(e)/3290.181(c) · 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.

Children 3 and 4 did not have updated fee agreements and emergency forms on file. They were last updated on 5/31/2021.

Corrected by Mar 24, 2022

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3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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.

Children 1 and 2 need permission for emergency medical care and minor first aid.

Corrected by Mar 24, 2022

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3290.24(a)(5)/3290.24(c) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions. 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.

The facility's emergency plan did not have a section that has accommodations for infants, toddlers and children with disabilities. Staff 2 also did not have proof on file that the emergency plan was reviewed within 12 months.

Corrected by Mar 24, 2022

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3290.94(a)(5) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Provider did not have evacuation routes in the basement, 2nd floor and 3rd floor.

Corrected by Mar 24, 2022

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

Staff 1 and 2 did not have proof of 12 hours of annual training on file.

Corrected by Mar 4, 2022

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