Monica Cruz

3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required training has been completed, Staff person #1 and Staff Person #2 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 and Staff Person #2, then Staff person #1 and Staff Person #2 may not work in a child-care position at the facility.

A renewal inspection was conducted 2/6/26. At that time, the preservice training was reviewed for all staff. Staff person #1 and Staff Person #2 have completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum. Staff Person #1 and Staff Person #2 are the only staff at the family child care home.

Corrected by Feb 13, 2026

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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. Children may not be in care until Staff Person #1 has an NSOR Certificate on file. Staff Person #2 may not work at the facility or be present in the home while children are in care until a current NSOR Certificate is on file. Household Member #3 and Household Member #4 may not be present in the home while children are in care until current NSOR Certificates are on file. TIERED LIS 1. 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. This portion of the plan shall have an immediate correction date. 2. Children may not be in care until Staff Person #1 has an NSOR Certificate on file. Staff Person #2 may not work at the facility or be present in the home while children are in care until a current NSOR Certificate is on file. Household Member #3 and Household Member #4 may not be present in the home while children are in care until current NSOR Certificates are on file. This portion of the plan shall have an immediate correction date.

A renewal inspection was conducted 2/6/26. At that time, the staff files were reviewed. Staff Person #1 does not have a current NSOR certificate on file. The NSOR certificate on file is dated 9/4/2020. The PA Child Abuse Clearance and FBI Clearance for Staff Person #1 were not updated within 60 months. The dates of the clearances for Staff Person #1 were PA Child Abuse Clearance 4/23/20 and 1/16/26, FBI Clearance 3/7/2020 and 1/16/26. Staff Person #2 does not have a current NSOR certificate on file. The NSOR certificate on file is dated 9/4/2020. The FBI Clearance for Staff Person #2 was not updated within 60 months. The dates of the FBI Clearance for Staff Person #2 were 3/10/20 and 1/16/26. Household Member #3 does not have a current NSOR certificate on file. The NSOR certificate on file is dated 9/8/2020. The FBI Clearance for Household Member #3 was not updated within 60 months. The dates of the FBI Clearance for Household Member #3 were 3/7/20 and 1/27/26. Household Member #4 does not have a current NSOR certificate on file. The NSOR certificate on file is dated 9/8/2020. The FBI Clearance for Household Member #4 was not updated within 60 months. The dates of the FBI Clearance for Household Member #4 were 3/9/20 and 1/26/26.

Corrected by Feb 6, 2026

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3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

A renewal inspection was conducted 2/6/26. At that time, the first aid kit did not contain gauze.

Corrected by Feb 6, 2026

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3290.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A renewal inspection was conducted 2/6/26. At that time, Child #4 was observed placing a bottle cap in their mouth. The bottle caps were being used by the preschool children as a fine motor activity at the onset of the inspection.

Corrected by Feb 6, 2026

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3290.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #1 did not include who should be contacted in an emergency.

Corrected by Feb 20, 2026

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3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #2 did not include the name, address, or telephone number of the child's physician.

Corrected by Feb 20, 2026

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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.

A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #1 and Child #2 did not include the business name, address, and telephone number of the children's parents.

Corrected by Feb 20, 2026

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3290.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.

A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #2 did not include whether the child has any special needs as specified by the child's parent or physician.

Corrected by Feb 20, 2026

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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.

A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #2 did not include the health insurance coverage and policy number.

Corrected by Feb 20, 2026

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3290.24(f) · 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.

A renewal inspection was conducted 2/6/26. At that time, the letter provided to parents explaining the emergency procedures could not be located for review.

Corrected by Feb 20, 2026

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3290.124(b)(7) · 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.

A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information for Child #1 did not include the designated release person. The emergency contact information for Child #2 did not include the address of the designated release person.

Corrected by Feb 20, 2026

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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.

A renewal inspection was conducted 2/6/26. At that time, the child files were reviewed. The emergency contact information and fee agreement for Child #2 had not been reviewed by the parent since 4/7/25, more than six months prior. The emergency contact information for Child #3 had not been reviewed by the parent since 2/3/25, more than six months prior. The fee agreement for Child #3 had not been reviewed by the parent since 2/5/24, more than six months prior.

Corrected by Feb 20, 2026

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3290.94(a)(1)/3290.94(a)(9) · Fire drills are conducted at least once every 60 days. A written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

A renewal inspection was conducted 2/6/26. At that time, the fire drill log was reviewed. The dates of the fire drill were 2/12/25, 4/16/25, 6/18/25, 8/20/25, 10/15/25, 12/3/25. Fire drills were not conducted within 60 days four times in the past year.

Corrected by Feb 20, 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 2/6/26. At that time, the thirty-day testing log of the smoke detectors was reviewed. The dates of the fire drill were 1/16/25, 2/13/25, 3/20/25, 4/17/25, 5/15/25, 6/19/25, 7/17/25, 8/21/25, 9/18/25, 10/16/25, 11/20/25, 12/4/25, 1/2/26, 2/2/26. The smoke detectors were not tested at least every 30 days five times in the past year.

Corrected by Feb 6, 2026

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3290.24(b) · The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

A renewal inspection was conducted 2/6/26. At that time, the operator provided multiple emergency plans for review. The most recent emergency plan was dated 4/11/22.

Corrected by Feb 20, 2026

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3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Until such time as the required training has been completed, Staff person #1 and Staff Person #2 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 and Staff Person #2, then Staff person #1 and Staff Person #2 may not work in a child-care position at the facility.

A renewal inspection was conducted 2/6/26. At that time, the preservice training was reviewed for all staff. Staff person #1 and Staff Person #2 have completed Pediatric first aid and CPR training, however the trainer has not provided documentation that they are PQAS-certified in that training curriculum.

Corrected by Feb 13, 2026

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3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required mandated reporter training has been 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, then Staff Person #1 may not work in a child-care position at the facility.

A renewal inspection was conducted 2/21/25. At that time, the staff files were reviewed. 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 7/10/19.

Corrected by Feb 21, 2025

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3290.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

A renewal inspection was conducted 2/21/25. At that time, the child files were reviewed. Child #1, a young toddler, does not have an upated health report completed within the past 6 months. This is evidenced by the previously documented health report on file being dated 4/4/24.

Corrected by Mar 7, 2025

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3290.94(a)(1) · The operator 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.

A renewal inspection was conducted 2/21/25. At that time, the fire drill log was reviewed. Fire drills had not been conducted every 60 days. This is evidenced by the documented fire drill log showing fire drill logs conducted on the following dates: 6/19/24, 9/20/24, 11/19/24, 1/20/25.

Corrected by Feb 21, 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.

A renewal inspection was conducted 2/21/25. At that time, the thirty day testing log of the smoke detectors was reviewed. The smoke detectors had not been tested every 30 days. This is evidenced by the documented log showing testing of the smoke detectors completed on the following dates: 6/20/24, 7/22/24, 8/21/24, 9/23/24, 10/21/24, 11/20/24, 12/23/24, 1/20/24.

Corrected by Feb 21, 2025

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. Beginning April 29, 2022, all child care facilities must have a policy 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 on 6/24/24. At that time, the facility did not have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected by Jul 8, 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 provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

A renewal inspection was conducted on 6/24/24. At that time, none of the staff or household members had a signed disclosure statement on file.

Corrected by Jun 24, 2024

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3290.69 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

A renewal inspection was conducted 6/24/24. At that time, the doorway to the kitchen was not equipped with the baby gate that would prevent the children access to the stove.

Corrected by Jun 24, 2024

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3290.102(a) · 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.

A renewal inspection was conducted on 6/24/24. At that time, exposed bolts were observed on the fence gates to the yard where the child were observed playing.

Corrected by Jul 1, 2024

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3290.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

A renewal inspection was conducted on 6/24/24. At that time, the child files were reviewed. The emergency contact forms for the following children did not include the address of the child's physician: Child #1 and Child #2.

Corrected by Jun 24, 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.

A renewal inspection was conducted on 6/24/24. At that time, the child files were reviewed. The emergency contact forms for the following children did not include the business name, address, and phone number of the enrolling parent: Child #1 and Child #2.

Corrected by Jun 24, 2024

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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 6/24/24. At that time, a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in the child care space.

Corrected by Jul 1, 2024

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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.

A renewal inspection was conducted on 6/24/24. At that time, information on how to access the regulations electronically and instructions for contacting the regional child care office had not been provided to the parents.

Corrected by Jul 1, 2024

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3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Staff person # 1 will have until July 18,2023 to complete the required training. Until such time as the training has been completed, staff person #1 must be supervised, when interacting with children, by a family childcare home staff operator 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 facility.

Staff person # 1 has not completed the following required pre-service training within 90 days of their date of hire: 2022 Revised: 10-hour health and safety training.

Corrected by Jul 18, 2023

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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 # 2 & child # 3 have not had a child service report completed and have both attended the facility over 6 months and are not school aged children.

Corrected by Jun 26, 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.

Child # 1 does not have health insurance coverage or a policy number on file. Child # 2 does not have the policy number on file for their health insurance listed. Child # 4 does not have the policy number on file for their health insurance listed.

Corrected by Jun 26, 2022

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3290.181(c) · 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.

Child # 2 did not have their fee agreements and emergency contact forms updated and reviewed in over 6 months from 3/17/21 to 6/2/22. Child # 3 did not have their fee agreements and emergency contact forms updated and reviewed in over 6 months from 5/7/21 to 6/2/22. Child # 4 did not have their fee agreements and emergency contact forms updated and reviewed in over 6 months from 5/4/21 to 6/8/22

Corrected by Jun 13, 2022

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3290.182(2) · A child's record must contain the dates of application, admission and withdrawal of the child.

Child # 1,3 & 4 do not have dates of admission listed anywhere in their child's file's.

Corrected by Jun 26, 2022

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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.

Fire alarm testing was not conducted within 30 days from 2/28/22 to 3/31/22.

Corrected by Jun 13, 2022

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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.

Facility did not conduct a emergency drill in 2021.

Corrected by Jun 13, 2022

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3290.72 · 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.

The is no local ambulance number posted on the telephone list for facility.

Corrected by Aug 2, 2021

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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.

Facility has not conducted fire alarm and smoke detector monthly testing in over 30 days since 6/13/21.

Corrected by Aug 2, 2021

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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 ;DOB 5/22/18; has been enrolled at facility since 4/2/19, does not have a child service report on file.

Corrected by Aug 6, 2021

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