Maria E Rosario

3290.123(b)/3290.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. the parent receives the original agreement.

Children # 1, 2 and 3's files contain the original financial agreement.

Corrected by May 21, 2026

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3290.124(e)/3290.181(c) · Child 2 and 3's Emergency Contact Information and Financial Agreements were reviewed 5/1/25, and 3/2/26, lapsing 6 months. 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.

Child 2 and 3's Emergency Contact Information and Financial Agreements were reviewed 5/1/25, and 3/2/26, lapsing 6 months. 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

Corrected by May 21, 2026

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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.

Staff person #1 did not obtain an updated health assessment within 24-months. The previous health assessment on file was dated 1/20/23, and the current health assessment on file is dated 3/10/25.

Corrected by May 21, 2026

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3290.31(f)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Documentation of pediatric first aid/CPR on file for facility person #1 showed that they renewed their pediatric first aid/CPR training after the expiration of the most current certification. Pervious training was 1.30.23 and the updated training was completed on 5.14.25.

Corrected by May 14, 2025

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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.

Facility person #1 had a state police clearance dated 1.27.25 that stated "Still Pending" on file at the facility. - Corrected on site

Corrected by May 15, 2025

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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 did not have a child service report on file at the facility.

Corrected by May 15, 2025

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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.

Facility person #1 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 1.20.23 and the updated health assessment was completed on 3.10.25.

Corrected by May 15, 2025

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3290.18/3290.74(a) · Conditions at the facility may not pose a threat to the health or safety of the children. 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.

The outdoor play space had a glass bottle accessible to the children. This was corrected while at the facility.

Corrected by May 31, 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.

During the time of inspection, the diaper changing pad had a hole and rips on the surface exposing the material inside.

Corrected by May 31, 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.

The emergency contact for child #1 and #2 did not include the enrolling parent's work address.

Corrected by Jun 13, 2023

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

Documentation was not available that staff #1 and staff #2 had completed the 2022 health and safety update training.

Corrected by Jun 13, 2023

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3290.123(a)(6)/3290.182(2) · An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

The file for child #1 and #2 did not have an agreement with the date of admission written on it.

Corrected by Jun 13, 2023

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3290.124(b)(4)/3290.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Emergency contacts for child #1 and #2 did not include consent signed by parent for emergency medical care.

Corrected by Jun 13, 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.

Emergency contacts for child #1 and #2 did not have signed parental consent for administration of minor first-aid.

Corrected by Jun 13, 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 record of previous annual emergency plan training prior to 4/1/22.

Corrected by Jun 13, 2022

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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, in the breezeway space leading to the outdoor play area, there were a variety of toxins accessible to children on the shelves: variety of cleaning products, Raid, Lysol, and Comet powder, all stating Keep Out Of Reach Of Children.

Corrected by May 12, 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 telephone number of the nearest hospital, police department, fire department, ambulance and poison control center were not posted by each telephone in the facility (corrected during inspection).

Corrected by May 12, 2022

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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 the breezeway area leading to the outside play space, a staircase leading to the basement is accessible to the children.

Corrected by May 12, 2022

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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 written policies which are provided to parents at the time of enrollment did not contain a supervision policy (corrected during inspection).

Corrected by May 12, 2022

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3290.123(a)(6) · An agreement shall specify the date of the child's admission.

Children #1 through #3's agreements do not specify the date of the child's admission.

Corrected by Jun 1, 2022

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

The files of children #1 through #5 contain the original agreements. Parents received copies of the agreements.

Corrected by Jun 1, 2022

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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.

Emergency contact information of child #1 did not include the enrolling parent's home address, work address, home telephone number, and work telephone number. Child #2's emergency contact information did not include the enrolling parent's home and work telephone numbers.

Corrected by Jun 1, 2022

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3290.124(b)(4)/3290.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Child #1 and #2's emergency contact information did not include written consent signed by a parent for emergency medical care.

Corrected by Jun 1, 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's emergency contact information did not include health insurance coverage and policy number.

Corrected by Jun 1, 2022

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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.

Emergency contact information of child #1 and #2 did not include the release person's address.

Corrected by Jun 1, 2022

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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 written plan was not posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Corrected by May 12, 2022

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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 #1 and #2's emergency contact information did not include written consent signed by a parent for emergency medical care.

Corrected by Jun 1, 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.

Child #1 and #2's records did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

Corrected by Jun 1, 2022

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3290.182(8) · A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Child #4's record does not contain a copy of the initial agreement.

Corrected by Jun 1, 2022

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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 were not posted in a conspicuous location on each floor of the facility (corrected during inspection)

Corrected by May 12, 2022

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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 operator is not documenting the names of the facility persons who participate in the fire drill.

Corrected by Jun 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.

Annual emergency drills have not been conducted and documented.

Corrected by Jun 13, 2022

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