Altagracia Lara Daycare

3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: 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. The CPSL was revised to include a requirement that all clearances be updated and on file at least every 60 months. Staff person #1 and #2 may not work in a child care position with direct contact and routine interaction with children until the updated clearance is received.

During the renewal inspection conducted on 3/4/2026 observed staff person #1's FBI clearance expired. It is dated 9/16/2020. Staff person #1's state police clearance expired. It is dated 9/16/2020. Corrected on-site 3/4/2026. Observed staff person #2's NSOR certificate expired. It is dated 9/29/2020.

Corrected by Mar 6, 2026

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

During the renewal inspection conducted on 3/4/2026 observed child #2's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent.

Corrected by Mar 31, 2026

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3280.124(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.

During the renewal inspection conducted on 3/4/2026 observed child #2's emergency contact information did not include the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Corrected by Mar 31, 2026

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3280.124(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.

During the renewal inspection conducted on 3/4/2026 observed child #1's emergency contact information did not include the address of the individual designated by the parent to whom the child may be released.

Corrected by Mar 31, 2026

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3280.124(f)/3280.181(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.

During the renewal inspection conducted on 3/4/2026 observed child #2, #3, and #4's emergency contact information and financial agreement were not reviewed/updated within the 6-month timeframe. Child #1's were dated 8/13/2025. Child #2's were dated 5/8/2025. Child #3's were dated 6/28/2025.

Corrected by Mar 31, 2026

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3280.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

During the renewal inspection conducted on 3/4/2026 observed the facility did not have written notification of safe routes posted at a conspicuous location in the childcare facility.

Corrected by Mar 31, 2026

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3280.182(5) · 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.

During the renewal inspection conducted on 3/4/2026 observed child #1's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Mar 31, 2026

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3280.131(b)/3280.182(1) · The operator shall require the parent to provide an updated health report in accordance with the following schedules specified in §3280.131(b)(1-2) A child's record must contain initial and subsequent health reports.

During the renewal inspection conducted on 3/4/2026 observed child #2 and #4's health reports were not within their timeframe. Child #2's health report was dated 1/9/2025. Child #4's health report was dated 2/21/2025.

Corrected by Apr 24, 2026

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3280.63 · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

During the allocated unannounced monitoring inspection conducted on 10/3/2025 observed construction materials in the outdoor play space including wooden boards with nails in them.

Corrected by Oct 4, 2025

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3280.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

During the allocated unannounced monitoring inspection conducted on 10/3/2025 observed electrical outlets that did not have protective receptable covers in the first two childcare rooms. Corrected on-site 10/3/2025.

Corrected by Oct 3, 2025

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3280.66(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.

During the allocated unannounced monitoring inspection conducted on 10/3/2025 observed paint cans child accessible in the second childcare room. Corrected on-site 10/3/2025.

Corrected by Oct 3, 2025

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3280.71 · 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.

During the allocated unannounced monitoring inspection conducted on 10/3/2025 observed the radiator heater and pipe that leads to it did not have protective guards making them child accessible.

Corrected by Oct 27, 2025

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3280.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

During the allocated unannounced monitoring inspection conducted on 10/3/2025 observed a hole in the wooden floorboard next to the heater located in the first room.

Corrected by Oct 21, 2025

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3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

During the allocated unannounced monitoring inspection conducted on 10/3/2025 observed peeled paint on the walls in the first and second childcare rooms.

Corrected by Oct 17, 2025

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3280.81(b) · A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

During the allocated unannounced monitoring inspection conducted on 10/3/2025 observed the training chair located in the bathroom had urine and feces in it. Corrected on-site 10/3/2025.

Corrected by Oct 3, 2025

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3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During the allocated unannounced monitoring inspection conducted on 10/3/2025 observed a pack n play was not labeled for the use of a specific child. Corrected on-site 10/3/2025.

Corrected by Oct 3, 2025

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3280.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During the allocated unannounced monitoring inspection conducted on 10/3/2025 observed a baby bottle that was not labeled with the child's name. Corrected on-site 10/3/2025.

Corrected by Oct 3, 2025

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3280.14/3280.20 · 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.

During the renewal inspection conducted on 3/25/2025 observed the facility's emergency plan did not address continuity of operations. Also observed that the facility's Shaken Baby Syndrome policy did not include strategies for coping with a crying, fussing, or distraught child.

Corrected by Apr 18, 2025

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3280.26(d) · The operator shall post the emergency plan in the facility at a conspicuous location.

During the renewal inspection conducted on 3/25/2025 observed the emergency plan was not posted at a conspicuous location.

Corrected by Mar 28, 2025

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3280.32(a)/3280.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility. 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.

During the renewal inspection conducted on 3/25/2025 observed staff person #1's FBI clearance is from the department of education.

Corrected by Apr 25, 2025

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3280.75(c)/3280.75(d) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves. One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at §3280.75(c).

During the renewal inspection conducted on 3/25/2025 observed the facility's excursion backpack did not include soap and water. Corrected on-site 3/25/2025.

Corrected by Mar 25, 2025

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3280.105(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

During the renewal inspection conducted on 3/25/2025 observed the rest equipment was not labeled for the use of a specific child.

Corrected by Mar 26, 2025

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3280.124(b)(3)/3280.124(b)(7) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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.

During the renewal inspection conducted on 3/25/2025 observed child #3's emergency contact information did not include the work addresses and telephone numbers of the enrolling parent, and the address of the individual designated by the parent to whom the child may be released.

Corrected by Apr 15, 2025

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3280.124(c)/3280.124(e) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

During the renewal inspection conducted on 3/25/2025 observed the facility did not have a written plan identifying the means of transporting a child to emergency care. Corrected on-site 3/25/2025.

Corrected by Mar 25, 2025

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3280.124(f)/3280.181(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.

During the renewal inspection conducted on 3/25/2025 observed child #3's emergency contact information and financial agreement were not reviewed and updated within the 6-month time frame. The last date of review is dated from 9/12/2024.

Corrected by Apr 28, 2025

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3280.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

During the renewal inspection conducted on 3/25/2025 observed child #1 and #2's health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Corrected by Apr 28, 2025

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3280.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

During the renewal inspection conducted on 3/25/2025 observed the children's bottles were not labeled with the child's name.

Corrected by Apr 1, 2025

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3280.192(1) · A facility person's record shall include the name, address and telephone number of the facility person.

During the renewal inspection conducted on 3/25/2025 observed staff person #1 and #2's record did not include the name, address and telephone number of the facility person.

Corrected by Apr 7, 2025

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

During the renewal inspection conducted on 3/25/2025 observed that the facility's manual testing fire alarm drills were not completed within the 30-day time frame. The last 3 drills were conducted on 12/3/2024, 1/3/2025, and 2/3/2025.

Corrected by Mar 26, 2025

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3280.32(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 at the facility until valid clearances are obtained.

The state police clearance on file for staff person # 1 is dated 3/13/19 and is no longer valid. The child abuse clearance on file for staff person # 1 is dated 3/15/19 and is no longer valid. The FBI clearance on file for staff person # 1 is dated 3/19/19 and is no longer valid.

Corrected by Mar 25, 2024

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3280.102(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.

The changing table mat had a tear in it which makes is unable to be properly sanitized. There is a leather couch in the middle room with a tear on one cushion and the arm.

Corrected by Mar 25, 2024

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3280.103 · 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.

There were plastic bags on a table accessible to all children in the main child care space.

Corrected by Mar 25, 2024

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3280.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for child # 1 did not have the name of the child's physician.

Corrected by Apr 1, 2024

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3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact forms on file for children # 1 and 2 did not have the enrolling parent's work address and phone number.

Corrected by Apr 1, 2024

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

More than 30 days passed between fire alarm tests a few times since last inspection as evidenced by the log dated 3/2/23, 4/4/23, 5/3/23, 6/3/23, 7/4/23, 8/4/23, 9/5/23, 10/5/23, 11/4/23, 12/4/23, 1/4/24, 2/4/24 and 3/4/24.

Corrected by Mar 25, 2024

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3280.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There is peeling paint on the ceiling at the entrance of the facility. There is peeling paint on several areas of the facility.

Corrected by Apr 30, 2023

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3280.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The fee agreement on file for child # 2 does not have the arrival and departure times.

Corrected by Apr 4, 2023

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3280.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health reports on file for children # 1, 3, 4, and 5 do not include a statement that the child is free to participate in child care.

Corrected by Apr 12, 2023

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3280.182(3) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

There is no written consent for emergency care on file for child # 1.

Corrected by Apr 4, 2023

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3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

There is no documentation of the annual emergency plan drill on file at the facility.

Corrected by Apr 12, 2023

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3280.95(a)/3280.95(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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

The operator did not complete fire alarm tests every 30 days as required by Act 62. This is evidenced in the fire alarm tests since the last inspection dated 3/7/22, 4/8/22, 5/10/22, 6/13/22, 7/10/22, 8/11/22, 9/10/22, 10/15/22, 11/9/22, 12/15/22, 1/2/23, 2/4/23, 3/2/23, and 4/4/23.

Corrected by Apr 10, 2023

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3280.31(f) · Staff persons #1 and 2 shall complete the required one-hour 2022 update to the health and safety training by 4/26/23.

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

Corrected by Apr 13, 2023

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3280.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

There are no written non family references on file for staff person # 1.

Corrected by Apr 6, 2022

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3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

There was no annual emergency drill logged for 2021.

Corrected by Apr 13, 2022

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3280.26(f) · 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.

There is no documentation that the operator sent a copy of the emergency plan to the local municipality.

Corrected by Apr 13, 2022

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3280.124(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.

There is no address provided for the release persons on the emergency contact forms on file for children # 1 and # 2.

Corrected by Apr 13, 2022

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3280.182(3)/3280.182(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.

There is no written consent by the parent of child # 1 for emergency medical care or the administration of minor first aid procedures.

Corrected by Apr 13, 2022

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3280.192(2)(iv) · A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

There is no verification of experience or education on file for staff person # 1.

Corrected by Apr 6, 2022

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3280.94(a)(1) · 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.

According to the fire drill log posted at the facility, more than 60 days passed between fire drills. Dates of fire drills since last inspection were 4/21/21, 7/1/21, 9/22/21, 11/3/21, 1/12/22, and 3/21/22.

Corrected by Apr 6, 2022

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3280.171(a)/3280.171(c) · The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

There is no letter to local traffic safety authorities with the location of the facility and use of pedestrian and vehicular routes. The safe routes are not posted at the facility.

Corrected by Apr 25, 2022

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