Olga M Rivera-Yanez

3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. 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. Until such time as the required trainings are 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 person(s) available to supervise staff person #1, staff person # m1ay not work in a child care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 4/15/24.

Corrected by May 10, 2025

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

Staff person #2 had worked at this facility in the past from September 2024 through January 2025 and had not completed Mandated Reporter training during that period of time (greater than 90 days). Staff person #2 completed Mandated Reporter training on 2/12/25 after being rehired.

Corrected by May 6, 2025

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3290.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

The written plan of daily activities routines posted does not include second and third shift, yet care is provided during second and third shifts.

Corrected by May 21, 2025

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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.

The emergency contact information of Child #1, #3, and #4 did not include the health insurance policy number.

Corrected by May 9, 2025

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3290.131(d)(5) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

The health reports of child #1 through #4 did not include a review of the child's immunized status according to the recommendations of the ACIP. See Code Sheet

Corrected by May 20, 2025

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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.

The parents of children #3, #4, and #5 did not update their child's emergency contact information and financial agreements at least once in a 6-month period (10/26/24, 5,6/25 for both), (11/4/24 most recent for both), (6/25/24, 5/5/25 for both) respectively. See Code Sheet

Corrected by May 12, 2025

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3290.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Child #2's initial health assessment was not signed by a physician, physician's assistant or a CRNP. SEE CODE SHEET

Corrected by Jul 8, 2024

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3290.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person/volunteer #2 will have until 7/16/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person/facility person #2 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person/facility pers#2, staff person #2may not work in a child-care position at the facility.

Staff person #1 and #2's files did not contain completed Disclosure Statements. Staff person #2 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected by Jul 16, 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.

It was observed that the window on the second-floor bathroom (used by children in care) opens 12 inches.

Corrected by Jul 1, 2024

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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 was peeling paint on the wall to the right of the stairs (to second floor). There were about 10 dispersed spots of peeling paint in this location. In the upstairs bathroom (children use), there was peeling paint on the window sill/ledge and the bottom of the window frame (dispersed throughout).

Corrected by Jul 2, 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 #2's record did not contain a child service report which provides information to the family about the child's growth and development in the context of the services being provided.

Corrected by Jun 25, 2024

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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 #1and #2's initial health assessments are undated, so it is unknown if they were provided no later than 60 days following the first day of attendance at the facility.

Corrected by Jul 8, 2024

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3290.131(e) · 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's file did not contain a record of administered immunizations. SEE CODE SHEET

Corrected by Jul 8, 2024

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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's record does not contain emergency contact information and a financial agreement which has been updated at least once in a 6-month period. SEE CODE SHEET

Corrected by Jul 25, 2024

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3290.31(g) · Staff person(s) shall complete professional development in the topics of 3290.31(g)(1-10) within 90 days of hire. Staff person #2 will have until 7/16/24 to complete the required training. Until such time as the required training has been completed, staff person #2 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 #2, staff person #2 may not work in a child-care position at the facility.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire: 10-hour Health and Safety Basics training (see LIS code sheet).

Corrected by Jul 16, 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 the futon in the child care space had four areas of peeling material of the top layer of the seat.

Corrected by Jun 5, 2023

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3290.65(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

It was observed that the trashcan in the bathroom is not a closed receptacle.

Corrected by Jun 3, 2023

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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 Continuity of Operations plan in the emergency plan. The facility does not have a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected by Jul 6, 2023

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

Staff person #1's record does not contain documentation of completion of any of the one hour Health and Safety training update.

Corrected by Jun 12, 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's record does not contain proof of recent or previous emergency plan training.

Corrected by Jun 11, 2023

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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's file did not contain a signed/dated/witnessed Disclosure Statement, and the previous PA State Police , FBI, and Child Abuse clearances.

Corrected by Jun 20, 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 a toxin was accessible to children on the kitchen table : bottle of hand sanitizer. There were a variety of toxins, accessible to children, in the bathroom cabinet above the sink (cream, ointments). (ALL CORRECTED DURING INPSECTION).

Corrected by May 30, 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, in the top drawer under the computer in the eating area, that there were items with a diameter of less than a 1" diameter accessible to children: sharpener, staples, metal cap, etc (corrected during inspection).

Corrected by May 30, 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 the rest equipment was not labeled with each child's name and used only by the named child while enrolled in the program.

Corrected by Jun 6, 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.

At the time of enrollment, a parents have not received, 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.

Corrected by Jul 13, 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. The originals were in the children's files.

Corrected by Jun 14, 2023

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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.

Child #1 and #5's emergency contact information does not include information regarding special needs of the child.

Corrected by Jun 9, 2023

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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 and #5's emergency contact information does not include health insurance coverage and the policy number for the child.

Corrected by Jun 5, 2023

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3290.131(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 assessments of child #1 through #5 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 Jun 14, 2023

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3290.131(e) · 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 #3's record does not contain an immunization record in accordance with the recommendations of the ACIP, and has been enrolled in the facility for greater than 60 days. SEE CODE SHEET

Corrected by Jul 12, 2023

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3290.131(e)(4) · The facility shall comply with the annual immunization reporting requirements in accordance with the Department of Health regulation in 28 Pa. Code §27.77.

Child #2's record contains no documentation of receiving the Rotavirus immunization. Child #5's record contains no documentation of receiving the Hepatitis B, Rotavirus, HIB, Pneumococcal, Polio, Influenza, and Hepatitis A immunizations. SEE CODE SHEET

Corrected by Jul 14, 2023

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3290.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

It was observed that there was no hands-free covered can to discard the soiled diapers into, in the diaper changing area.

Corrected by Jul 10, 2023

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

Child #2 and #4's record do not contain signed parental consent for emergency medical care for the child.

Corrected by Jun 1, 2023

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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.

Child #4's record does not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Jul 10, 2023

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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's record does not contain the previous health assessment (before 7/28/22) and results of TB screening via the Mantoux method.

Corrected by Jun 14, 2023

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3290.14(b) · The legal entity shall maintain ongoing compliance with the applicable requirements prescribed by the Department of Labor and Industry in 34 Pa. Code § 403.23 and under section 1016(c) of the act at all times following issuance of any certificate of compliance granted by the Department under this chapter.

The facility does not have the certificate of occupancy on file.

Corrected by Jul 13, 2023

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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.

The facility's emergency plan does not provide for accommodations of infants and toddlers.

Corrected by Jun 11, 2023

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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.

Evacuation routes are not conspicuously posted on each floor of the facility (not posted in basement, 2nd, and 3rd floors).

Corrected by May 30, 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 is no proof of purchase of the fire detection system on record at the facility (corrected during inspection with attestation form).

Corrected by May 30, 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.

There is only one child care provider, and there is no method to supervise children when preparing snacks or meals for children or using the restroom.

Corrected by Jul 14, 2023

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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.

The parent letter explaining the emergency procedures does not contain lock-down emergency procedures, and accommodations for infants and toddlers.

Corrected by Jun 13, 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))

Upon inspection of the fire safety records, it was found that a receipt of purchase for the smoke detector system was not available.

Corrected by Jul 27, 2022

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3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children. 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. Until such time as the required pre-service trainings are completed, staff person #1 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #-1may not work in a child-care position at the facility.

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: (list specific training missing when issuing the citation). Health and safety training

Corrected by Jul 27, 2022

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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.

Upon inspection of the physical site area, it was found that paint was peeling of the baseboard [and accessible to children] near the front entry way door.

Corrected by Jul 31, 2022

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3290.131(d)(5)/3290.131(e) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Upon inspection of the children's files, it was found that there was no influenza recorded for child #1 AND the last influenza vaccination for child #2 and #3 was completed in 2020.

Corrected by Aug 1, 2022

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3290.151(a)(2)/3290.192(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.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.

Upon inspection of the file for staff person #1, it was found that the health assessment was last completed on 3.11.20 and is therefore expired.

Corrected by Aug 10, 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.

Upon inspection of the facility emergency plans, it was found that accommodations of toddlers was not included in the plan.

Corrected by Aug 1, 2022

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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.

Upon inspection of the facility fire safety logs, it was found that fire drills were conducted on the following dates: 7.26.21, 9.26.21, 12.20.21, 2.21.22, 4.11.22, 6.13.22 and therefore exceeded the minimum 60 day requirement on several occasions.

Corrected by Aug 1, 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.

Upon inspection of the facility emergency plans, it was found that specific accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility were not included in the plan.

Corrected by Aug 1, 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.

Upon inspection of the facility documents, it was found that no emergency drills were conducted in 2021 or 2022 [to date].

Corrected by Aug 1, 2022

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