Ingrid Ortega

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.

It was observed that a liquid plug-in air freshener was accessible to children in the sunroom. (corrected during inspection).

Corrected by Aug 21, 2025

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3290.64(c) · Toxic plants are not permitted in a child care space.

It was observed that there were four toxic plants in the living room and three toxic plants in the sunroom, which were accessible to children (corrected during inspection).

Corrected by Aug 21, 2025

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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.

It was observed that small rocks (less than 1 inch diameter) were accessible to children in the sunroom (in a vase on floor). Corrected during inspection.

Corrected by Aug 21, 2025

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3290.131(a) · 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.

Child #2 and #3's records did not contain initial health assessments. (See Code Sheet).

Corrected by Aug 27, 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.

Child #1 did not have an updated health assessment within the proper timeframe for this child's age. Most recent health assessment on record was dated 1/25/25. (See Code Sheet).

Corrected by Aug 27, 2025

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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 #3's record did not contain signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff, for the child.

Corrected by Aug 27, 2025

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3290.151(a)(2) · 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.

Staff person #1's most current health assessment on record (dated 8/3/21) has exceeded the permitted timeframe between health assessments of 24 months.

Corrected by Sep 22, 2024

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3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility. Household member #2 cannot be present in the facility when children are in care until the correct FBI clearance is on record.

Staff person #1's State Police and Child Abuse clearances on record were expired (4/18/19, 5/23/29 accordingly). Household member #2's FBI clearance in not accepted. It is not from DHS. It was completed by the US Department of Justice.

Corrected by Aug 21, 2024

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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.

It was observed that there was hand cream (keep out of reach of children) on the bathroom sink (corrected during inspection). In the kitchen drawer, closest to side window, it was observed that there was Neosporin and 2 liquid ant baits accessible to children.

Corrected by Sep 24, 2024

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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.

It was observed that in a kitchen drawer, 3 sharp knives and 3 screwdrivers were accessible to children. The shed in the backyard was accessible and contained an electric saw, and a riding mower.

Corrected by Sep 23, 2024

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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.

It was observed , in the kitchen drawer closest to the side kitchen window, that small batteries, and thumb tacks were accessible to children (less than one inch diameter).

Corrected by Sep 22, 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.

It was observed that a four year old child was sleeping in a Pack N Play which is intended for a maximum age of three years. Two Pack N Plays were not labeled with a child's name (labeling was corrected during inspection).

Corrected by Aug 30, 2024

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3290.106 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

It was observed that there was no operating thermometer in the refrigerator.

Corrected by Sep 24, 2024

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3290.113(a) · 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).

It was observed when the Cert Rep entered the facility, that the operator was caring for 7 unrelated children. (corrected during inspection by one child being picked up by parent).

Corrected by Aug 21, 2024

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3290.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The parents of child #1 through #5 did not receive the original agreement. Originals were in the children's files.

Corrected by Sep 22, 2024

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3290.124(b)(3)/3290.124(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.

The emergency contact information of child #4 and #5 did not include the address of the release person. The emergency contact information of child #4 did not include the enrolling parent's work address and work telephone number. The emergency contact information of child #5 did not include the enrolling parent's home telephone number.

Corrected by Sep 30, 2024

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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 and #5's initial health assessments were received later than 60 days following the first day of attendance at the facility (8/19/24, 8/12/24 accordingly). Child #2 and #5's records did not contain written verification of immunizations within the first 60 days of attendance (same dates as initial health assessments). See Code Sheet

Corrected by Aug 30, 2024

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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.

Child #1's most recent health assessment is dated 1/16/24. A current health assessment was required by July 2024 based upon this child's age. See Code Sheet.

Corrected by Sep 11, 2024

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3290.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

It was observed that staff person #1 did not wash a child's hands after being diapered (corrected during inspection).

Corrected by Aug 21, 2024

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3290.166(1)/3290.166(4) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Disposable nursers and bottles shall be labeled with the child's name.

The one infant in care did not have a written statement from the parent giving the formula and feeding schedule and this infant's bottle was not labeled with the child's name.

Corrected by Sep 12, 2024

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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.

The records of child #1 through #3 did not contain signed parental consent for emergency medical care and administration of minor first-aid procedures by facility staff.

Corrected by Sep 24, 2024

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3290.95(b) · The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

The testing of the fire detection system exceeded the permitted at least every 30 days timeframe (10/5/23, 11/16/23), 1/7/24, 2/28/24), (4/4/24, 5/23/24).

Corrected by Sep 22, 2024

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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 emergency drills on record at the facility exceeded the permitted annual timeframe between drills (6/8/23, 7/9/24).

Corrected by Sep 10, 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 person #1 did not obtain the annual minimum of 12 clock hours of child care training.

Corrected by Sep 18, 2024

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

The required one hour Health And Safety Update was completed by staff person #1 after the deadline of 12/30/22 (7/19/23).

Corrected by Aug 22, 2023

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3290.24(c) · 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.

Staff person #1 has no documentation of annual emergency plan training on record.

Corrected by Aug 4, 2023

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3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The time between Mandated Reporter trainings for staff person #1 exceeded the permitted at least every 60 months' timeframe (3/29/17, 9/12/22). Household Member #2's time between PA State Police Clearance, Child Abuse clearance, and FBI clearance exceeded the permitted at least every 60 months' timeframe (1/6/17, 9/4/22), (1/11/17, 10/19/22), (1/27/17, 9/27/22) respectively.

Corrected by Aug 13, 2023

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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.

It was observed that two bottles of hand sanitizer were accessible to children on top of the plastic drawers in the main child care space (corrected during inspection). It was observed that the basement is accessible to children and contains a variety of toxins: open bag of ice melt, 2 cans of paint, Black Flag Roach Killer, and a bottle of cleaner/degreaser.

Corrected by Aug 18, 2023

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3290.75(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

It was observed that there were several areas of peeling paint in the main child care space under the window on the right and on the windowsill (also window on right). On the wall under the window on the far wall (upon entering child care room), there were areas of peeling paint and on the floor molding under this window. On the wall (left side) next to the kitchen gate, there were several areas of peeling paint on the molding, the wall above the molding, and around the vent.

Corrected by Aug 5, 2023

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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.

It was observed that the toddler feeding chair (green and tan) had a tear on the back pad, causing the foam to be exposed. A second feeding chair (gray and white) had a seatbelt that was in need of being washed.

Corrected by Aug 17, 2023

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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.

It was observed that in plastic drawers, in the child care space, small foam pieces (less than 1 inch diameter), were accessible to children who are still placing objects in their mouths. On the shelf in the child care space, there was a Pig game with game pieces (less than 1 inch diameter), accessible to children who are still placing objects in their mouths. (both corrected during inspection).

Corrected by Aug 2, 2023

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3290.105(a) · (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.

It was observed that rest equipment (Pack N Play, rest mats) were not labeled with children's names.

Corrected by Aug 2, 2023

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3290.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

It was observed that the leather couch is being used to change children's diapers without the use of a changing pad or other appropriate surface under children. The couch surface cannot be properly sanitized after diaper changes.

Corrected by Aug 2, 2023

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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 parents of enrolled children have not received the facility's supervision and transportation/pick-up arrangements in writing.

Corrected by Aug 21, 2023

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3290.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

Child #2 and #3's agreements do not specify the date on which the fee is to be paid.

Corrected by Aug 2, 2023

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3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Child #3's agreement does not specify the persons designated by a parent to whom the child may be released.

Corrected by Aug 2, 2023

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3290.123(a)(7) · An agreement shall specify the services which are to be considered as extra.

Child #1 through #5's agreements did not specify the services which are to be considered as extra.

Corrected by Aug 2, 2023

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3290.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The parents of child #1 through #5 did not receive the original agreements of their child. Originals are in children's files.

Corrected by Aug 4, 2023

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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.

Child #2's emergency contact information does not include the enrolling parent's home address. Child #3's emergency contact information does not include the enrollment parent's work telephone number.

Corrected by Aug 4, 2023

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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.

Child #3's emergency contact information does not include the release person's telephone number.

Corrected by Aug 9, 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 and #2's emergency contact information does not include signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff.

Corrected by Aug 9, 2023

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3290.24(g) · 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 was no documentation of ever sending the emergency plan to the county emergency management agency and the local municipality.

Corrected by Aug 22, 2023

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3290.94(a)(9) · The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that 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.

The provider has not been documenting the names of the facility persons participating in the fire drill,

Corrected by Aug 21, 2023

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3290.95(a) · 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 fire detection device (smoke detector) in the basement does not meet the current requirements for FCCH facilities. It has a replaceable battery.

Corrected by Aug 10, 2023

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3290.95(b) · The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

There was no documentation of the testing of the fire detection devices at least every 30 days.

Corrected by Aug 2, 2023

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3290.113(f) · 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.

The operator does not have a method or device to see, hear, direct, and assess children in care when she is using the restroom..

Corrected by Aug 15, 2023

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

It was observed that the operator did not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected by Sep 9, 2022

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3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

It was observed at the time of inspection that staff #1's mandated reporter training was completed on 3-29-17 without an update within 60months as required by the CPSL

Corrected by Sep 6, 2022

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3290.182(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.

The emergency contact information for child #3 did not contain signed parental consent for administration of minor first-aid procedures by operator prior to admission.

Corrected by Sep 8, 2022

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

It was observed that the emergency plan on file did not include accommodations for infants, toddler, children with disabilities and children with chronic conditions.

Corrected by Sep 9, 2022

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3290.24(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

It was observed that the facility's emergency plan did not include accommodations of children during a lockdown emergency.

Corrected by Sep 9, 2022

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

It was observed that the file for staff person #1 did not include a minimum of 12 childcare training hours.

Corrected by Sep 23, 2022

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