Maria I Robles

3290.151(a)(2)/3290.151(c)(1) · 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. An adult health assessment must include a physical examination.

The file for Staff Person #1 did not include an updated health assessment completed within 24 months of the last one that was dated 11/8/23.

Corrected by Jan 29, 2026

View state record

3290.163(a)(1) · A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

The lunch that was served on 12/11/25, did not include a dairy product. Lunch included chicken nuggets, rice, mixed veggies, and juice.

Corrected by Dec 12, 2025

View state record

3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Staff Person #1 will have until 2/5/25 to complete the required training. Until such times as the required training has been completed, Staff Person #1 must be supervised, when interacting with children by a staff person who has completed the required training related to this citation. If there are no staff available to supervise Staff Person #1, Staff Person #1 may not work in a childcare position at the facility.

Staff Person #1 had not completed Pediatric First Aid/CPR from a PQAS-approved trainer, in a PQAS-approved curriculum.

Corrected by Jan 22, 2025

View state record

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.

The Bleach/Water Sanitizing Spray bottle was not labeled with the ratio of bleach to water, specifying its contents.

Corrected by Dec 12, 2023

View state record

3290.151(a)/3290.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment on file at the facility. An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

The file for Staff Person 1 did not contain a health assessment at the time of initial employment at the facility. The health assessment was dated 11/8/23. There was no documentation of a TB screening in the file for Staff Person 1.

Corrected by Jan 12, 2024

View state record

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.

The facility did not have Evacuation Routes posted on each floor, including the basement and attic.

Corrected by Dec 15, 2023

View state record

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

The file for Staff Person 1 did not include documentation of 12 hours of childcare training in the past year. There was documentation of 9 of the 12 hours.

Corrected by Dec 11, 2023

View state record

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.

The pack-n-play used by Child #5 was not labeled for his individual use.

Corrected by Dec 13, 2022

View state record

3290.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The Emergency Contact Forms for Children #1 and #2 were not signed and dated by the parent, therefore, it was not evident if the emergency contact forms were at the facility at the start of their enrollment.

Corrected by Dec 23, 2022

View state record

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact Forms for Children #3 and #4 did not include the work phone numbers of the enrolling parent.

Corrected by Dec 19, 2022

View state record

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.

The Emergency Contact Form for Child #2 did not include the addresses of the individuals designated by the parent to who the child may be released.

Corrected by Dec 23, 2022

View state record

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.

The file for Child #4 did not include an initial health report within 60 days of enrollment. Only a list of immunizations was provided, which did not include a completed well child checkup report. The file for Child #3 contained a health report that has no date showing when it was completed. Therefore, it couldn't be determined if it was received within 60 days of enrollment.

Corrected by Jan 31, 2023

View state record

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 for Children #2 and #4 did not include documentation of the influenza vaccine having been administered in the past year according to the recommendations of the ACIP.

Corrected by Feb 6, 2023

View state record

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.

Children's hands were not washed after diapering during the inspection and staff reported that they use hand sanitizer after diapering instead of washing hands with soap and water.

Corrected by Dec 23, 2022

View state record

3290.31(g) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10. Staff Person #1 will have until 1/25/23 (15 days from the request of the plan of correction) to complete the required Pediatric First Aid/CPR training. Until such time as the required training has been completed, Staff Person #1 must be supervised when interacting with children, by a staff person who has completed the required training related to this citation.

The file for Staff Person #1 had documentation of Pediatric First Aid/CPR that had expired on 11/2022.

Corrected by Jan 10, 2023

View state record

3290.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact Forms for Child #1 and #2 did not include the enrolling parent's work address or home phone numbers.

Corrected by Dec 18, 2021

View state record

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 Forms for Child #1, #2 and #4 did not include the health insurance policy numbers.

Corrected by Dec 18, 2021

View state record

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.

The Emergency Contact Form for Child #3 did not include the address of the designated release person.

Corrected by Dec 18, 2021

View state record

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.

There was no written plan posted that identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Corrected by Dec 1, 2021

View state record

3290.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The health reports with immunizations for Child #1 and Child #3 did not include a current influenza vaccine in accordance with the schedule recommended by the ACIP. The last documented influenza vaccine for Child #1 was 1/12/18 and the last documented influenza vaccine for Child #3 was 9/15/20.

Corrected by Dec 18, 2021

View state record