Luisa Rosario

3280.33(a)/3280.34(b)(5) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children.

Staff Person #1 has been transporting children to/from school, working unsupervised by a qualified Primary Staff Person, therefore Staff Person #1 was working as a Primary Staff Person without documentation of a High School Diploma/GED and 2 years of documented childcare experience.

Corrected by Feb 6, 2026

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3280.34(c)/3280.52(a)(1) · A primary staff person shall supervise the performance of a secondary staff person. A primary staff person shall be present in a facility when six or fewer children are in care, unless the staff-child ratio specified in §3280.52(b) or (c) requires a second or third staff person.

Staff Person #1, who is not qualified as a Primary Staff Person, has been supervising children alone when transporting children to and from school. There was no Primary Staff Person in the vehicle with the children as required.

Corrected by Feb 6, 2026

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3280.35(3)/3280.192(2)(ii) · A secondary staff person shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Staff Person #1 did not have documentation of a minimum of an 8th grade education and 2 years (2,500 hours) of childcare experience as required to work as a Secondary Staff Person. Staff Person#2's school transcript from Dominican Republic, has not been translated and evaluated by an approved agency to obtain documented equivalency to 8th grade or higher in the United States' educational system.

Corrected by Feb 11, 2026

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3280.94(a)(1)/3280.94(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.

At the time of the inspection, the last documented fire drill was on 1/23/25 (8 months ago), therefore there was no current fire drill log at the facility documenting that fire drills were being conducted every 60 days or less.

Corrected by Oct 13, 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

At the time of the inspection, the last documented testing of the fire alarm system was on 2/3/25 (7 months ago), therefore there was no current fire drill log at the facility documenting that the alarms were tested every 30 days or less as required.

Corrected by Oct 13, 2025

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3280.124(e) · 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.

There was no written plan identifying means of transporting a child to emergency care and staffing provisions at the facility, posted in the Toddler Room.

Corrected by Feb 24, 2025

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3280.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

There were no updated health reports at least every 12 months for Children #1 and #2 as follows: The last health report on file for Child #1 was dated 1/24/24. While a current health report was on file for Child #2 (dated 11/25/24), it was not received within 12 months from the prior one dated 7/27/23.

Corrected by Apr 1, 2025

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3280.26(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.

There was no documentation of annual Emergency Plan Training for staff who have been working over a year. The last documented emergency plan training was on 1/25/23.

Corrected by Feb 3, 2024

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3280.124(c)/3280.181(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. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

The Emergency Contact forms located in the Childcare Space and in the Go Bag, were not copies of the most recently updated ones that parents updated within the past 6 months.

Corrected by Feb 2, 2024

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3280.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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.

The file for Staff Person #1 did not include a health assessment conducted within 12 months prior to their start date at the facility (see code sheet).

Corrected by Feb 1, 2024

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3280.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The files for Staff Person #1 and Staff Person #2 did not include an initial TB screening conducted within 12 months prior to their start date at the facility (see code sheet).

Corrected by Feb 10, 2024

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3280.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff Person #1 did not include verification of education prior to working at the facility (see code sheet). The documentation of education from Venezuela needs to be translated to show the equivalency to the U.S. Dept. of Education.

Corrected by Apr 1, 2024

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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.

The file for Staff Person #2 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected by Feb 5, 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.

The fire alarm system was not tested every 30 days as required. The Fire Drill Log showed that the system was tested on 12/1/23 and then on 1/9/24, which was more than 30 days (corrected on-site).

Corrected by Feb 1, 2024

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