Blessed Assurance Home Base Child Care

3280.14/3280.20 · On 9/23/25 a renewal inspection was conducted at the facility. Staff person #1 had completed the health and safety course titled Getting Started with Center-Based Care (6-hour and 10-hour) but had not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training. The facility's acceptable plan of correction indicated staff person #1 would complete (PA Required Health and Safety for Centers-Group Child Care Parts 1 and 2/ PA Required Health and Safety for Family Child Care Parts 1 and 2) by 9/28/25. Conditions at the facility may not pose a threat to the health or safety of the children.

Staff person #1 has completed the health and safety course titled Getting Started with Center-Based Care (6-hr) and Getting Started with Center-Based Care (10-hr) but has not completed the required health and safety update course titled Pennsylvania Health and Safety Update 2022 (1 hour) training.

Corrected by Sep 28, 2025

View state record

3280.14/3280.20 · 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.

Continuity of operations was not observed within the emergency plan at the time of renewal inspection.

Corrected by Oct 1, 2025

View state record

3280.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 7/31/20.

Corrected by Sep 26, 2025

View state record

3280.123(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 § 3280.124(f).

The files for child #1 and child #3, both of whom have been enrolled for more than 6 months (see LIS code sheet) did not include child service reports to provide information to the family about the child's growth and development in the context of services being provided.

Corrected by Sep 28, 2025

View state record

3280.131(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 #3, a young toddler, has a current health assessment dated 11/12/24, which is more than 6 months ago.

Corrected by Oct 16, 2025

View state record

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.

The current health assessment for child #2, an older toddler, is dated 9/7/24, which is more than 12 months ago.

Corrected by Oct 17, 2025

View state record

3280.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The file for child #1, who has been enrolled for more than 60 days (see LIS code sheet) does not include a written, signed, and dated statement from the child's parent or guardian exempting them from immunizations based on religious belief or strong personal objection equated to a religious belief.

Corrected by Oct 1, 2025

View state record

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.

Staff person #1 has a current health assessment dated 9/1/23, which is more than 24 months ago.

Corrected by Oct 20, 2025

View state record

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Documentation of an emergency drill conducted annually was not observed at the time of renewal inspection.

Corrected by Oct 1, 2025

View state record

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

Documentation of testing of interconnected fire-detection system exceeded 30 days on the following dates: 1/9/25-2/20/25; 3/19/25-4/22/25; 5/15/25-6/25/25; 7/17/25-8/21/25; 8/21/25-9/23/25.

Corrected by Oct 1, 2025

View state record

3280.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information for child #2 did not include the work address or work telephone number of the enrolling parent.

Corrected by Oct 16, 2024

View state record

3280.123(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 § 3280.124(f).

The agreement for Child #1 did not specify the services to be provided to the family and the child. Child #1, #2, #4, and #5 have been enrolled longer than six months (see LIS code sheet) and did not have child service reports on file.

Corrected by Oct 16, 2024

View state record

3280.131(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.

The most recent health assessment for child #1, a young toddler, is dated 4/12/23, indicating an updated health report was not provided every 6 months. The initial and updated health assessments for child #2, a young toddler, are dated more than six months apart. The initial health assessment is dated 3/23/23 and the updated health assessment is dated 9/7/24.

Corrected by Oct 16, 2024

View state record

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.

Fire-detection testing documentation showed that time between testing exceeded 30 days on the following dates: 1/12/24-2/16/24, 4/12/24-5/17/24, 5/17/24-6/21/24, and 7/19/24-8/23/24.

Corrected by Oct 16, 2024

View state record

3280.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The initial health assessment for child #3 is dated 9/6/24, which is more than 60 days after the child's date of admission. (See LIS code sheet). Child #4 did not have an initial or updated health assessment on file. (See LIS code sheet for date of enrollment)

Corrected by Oct 16, 2024

View state record

3280.52(c) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b).

During the supervision/ratio inspection, on 9.22.23, seven (7) children, unrelated to the operator, were observed with one (1) primary staff person, Staff #1. There were two (2) infants, two (2) young toddlers, and three (3) preschoolers.

Corrected by Dec 22, 2023

View state record

3280.14/3280.20 · 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.

The file for Staff #1 did not contain the Health & Safety Training - 1-Hour Update, which was due by 12.30.22. The Emergency Plan did not contain documentation regarding Continuity of Operations.

Corrected by Oct 27, 2023

View state record

3280.124(f)/3280.181(c) · 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.

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 did not contain documentation of parent review/updates, of the Emergency Plan and Financial Agreement, at least every 6 months.

Corrected by Oct 26, 2023

View state record

3280.131(b)(2)/3280.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

The Health Assessment, in the file for Child #5, was dated 8.27.20, and no other Health Assessments were available.

Corrected by Oct 26, 2023

View state record

3280.131(d)(5)/3280.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2, Child #3, and Child #5 must be dismissed from care by close of business on 9.22.23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The Immunization Records, in the files for Child #2 and Child #3, did not contain documentation of the influenza vaccination. The file for Child #5 did not contain any immunization records.

Corrected by Sep 29, 2023

View state record

3280.151(a)/3280.192(3) · 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. 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.

The Health Assessments, in the file for Staff #1, were dated 4.19.19 and 10.11.21, which exceeded the 24-month renewal requirement.

Corrected by Oct 30, 2023

View state record

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Based on a conversation with the operator, and lack of documentation, the annual emergency drill had not been conducted.

Corrected by Sep 23, 2023

View state record

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.

Documentation of Fire System testing contained dates of 2.3.23, 3.10.23, 4.17.23, 6.8.23 and 7.6.23, 8.8.23, and 9.13.23, which exceeded the 30-day requirement.

Corrected by Oct 17, 2023

View state record

3280.14/3280.20 · 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.

The facility was lacking a policy on shaken baby syndrome, head trauma, and child maltreatment.

Corrected by Oct 29, 2021

View state record

3280.131(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 file for Child #1 was lacking the annual influenza vaccine. The file for Child #2 was lacking one dose of Hepatitis B, two doses of DTAP, the annual influenza vaccine, and one dose of Hepatitis A.

Corrected by Oct 29, 2021

View state record

3280.26(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility did not conduct and document an annual emergency drill in 2021.

Corrected by Oct 29, 2021

View state record

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 facility lacked an interconnected fire detection system in accordance with 62 P.S. 1016(c)(3).

Corrected by Nov 3, 2021

View state record

3280.31(e)(4)(i)/3280.31(h) · 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. All staff persons shall complete the professional development under subsection (f): Pediatric First Aid and Pediatric CPR.

The files for staff person #1 and #2 had pediatric first-aid and CPR training that expired in March 2021 and lacked current training.

Corrected by Dec 27, 2021

View state record

3280.32(a)/3280.192(4) · 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. Staff Person #2 may not work in a child care position at the facility.

The file for staff person #2, with a state police clearance dated 9-22-16 and an FBI clearance dated 8-9-16, lacked current state police and FBI clearances updated within the last 60 months.

Corrected by Dec 27, 2021

View state record

3280.33(c) · One or more facility persons competent in pediatric first aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

On 10-4-21, children were observed in care with both staff persons at the facility that lacked current pediatric first-aid and CPR training.

Corrected by Dec 26, 2021

View state record

3280.131(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 file for child #3, a 3 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last calendar year in accordance with the schedule recommended by the ACIP and lacked exemption documentation. The file for child #1, a 21 month old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months and the 4th dose of the Pneumococcal vaccination by age 15 months in accordance with the schedule recommended by the ACIP and lacked exemption documentation.

Corrected by Nov 5, 2021

View state record

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 files for staff person #1 and #2 lacked a current health assessment within the last 24 months.

Corrected by Oct 15, 2021

View state record

3280.23(f) · A valid photo identification of the primary staff person or designated staff person who is responsible for compliance with this chapter shall be provided to the agent of the Department at the time of inspection.

Primary staff person #1, who is responsible for compliance with the regulations, had a Pennsylvania Driver's License that was expired.

Corrected by Oct 4, 2021

View state record

3280.26(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

The facility's emergency plan lacked a plan that provides for accommodations for infants and toddlers.

Corrected by Oct 15, 2021

View state record

3280.31(h) · All staff persons shall complete the professional development under subsection(f): (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

The file for staff person #2 lacked current health and safety training completed by 6-17-21 covering topics #1-9 as required in regulation 3270.31(f) for staff persons with a start date prior to 12-19-20.

Corrected by Dec 26, 2021

View state record

3280.95(a)/3280.95(b) · (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)).(b) 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 operator lacked written documentation of manually testing the smoke detectors in the facility at least every 30 days prior to 8-10-21.

Corrected by Oct 8, 2021

View state record

3280.26(a)(1) · The facility shall have an emergency plan that provides 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.

The facility's emergency plan lacked a plan that provides for shelter of children during a lock-down.

Corrected by Oct 30, 2021

View state record

3280.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The file for child #2, with a start date of 3-22-21, had an initial health assessment dated 8-13-21 that was over 90 days after their start date. (The suspended regulation requires the parent to provide an initial health assessment no later than 90 days following the first day of attendance at the facility.)

Corrected by Oct 8, 2021

View state record