Lori Westman Family Home Care

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.

There was a gap of greater than 60 months in the NSOR clearances for person #1, #2 and #3 (2/3/20-7/21/25; 2/3/20-7/22/25; 2/3/20-7/22/25 respectively).

Corrected by Aug 18, 2025

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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.

The children's hands were not washed before eating. Child #4 did not wash hands after toileting.

Corrected by Aug 18, 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 fee agreement of child #1 was last reviewed 9/30/24. The fee agreement for child #2 was last reviewed 8/26/24. The fee agreement for child #3 was reviewed 7/22/24 and not again until 7/16/25.

Corrected by Aug 19, 2025

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3290.95(a)/3290.95(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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

There was a gap of greater than 30 days in the testing of the fire alarm.

Corrected by Aug 18, 2025

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

As of the renewal inspection on 8/21/24, the FBI clearance for person #1 was a Dept of Ed clearance. A DHS FBI clearance is required.

Corrected by Aug 21, 2024

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3290.131(a)/3290.131(b)(2) · 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 operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

As of the renewal inspection on 8/21/24, the first health assessment on file for child #1 was dated 7/31/23 (see code sheet for start date). There was no initial within 60 days.

Corrected by Aug 21, 2024

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

As of the renewal inspection on 8/21/24, staff #2 did not have 12 hours of training for the time period of 12/19/22 to 12/19/23 as required.

Corrected by Sep 11, 2024

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

It was observed that the facility did not have a Continuity of Operations plan created for the facility.

Corrected by Sep 15, 2023

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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. Household member #1 may not be present when children are in care at the facility.

The file for household member #1 contained outdated clearances as follows: PA state police clearance and child abuse clearance both dated 3/15/18 and a FBI clearance dated 3/16/18. No updated clearances completed within the last 60 months were observed on file as required under the CPSL.

Corrected by Sep 15, 2023

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3290.131(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.

File for child #4, see code sheet for enrollment date and date of birth, contained a health assessment dated 7/11/22, but no updated health assessment was observed on completed within the last 12 months as required.

Corrected by Sep 29, 2023

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3290.131(d)(5)/3290.131(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).

File for child #4 and #5, see code sheet for enrollment dates and date of birth, did not contain documentation of all immunizations recommended by the ACIP. These children's files did not contain documentation regarding the influenza vaccine.

Corrected by Aug 28, 2023

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3290.181(c)/3290.181(d) · 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Agreement form for child #1 did not contain a dated parental signature attesting to the accuracy of the information provided on the form. Emergency contact forms for child #1-4 did not contain a dated parental signature verifying that these forms were reviewed within the last 6-month period as required.

Corrected by Sep 15, 2023

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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 a curtain rod, in an area used by children, had pulled away from the wall leaving one side of the curtain rod unsecure and a possible visible hazard.

Corrected by Aug 26, 2022

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3290.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

It was observed that child #1 was sent inside to retrieve a bookbag while staff person #1 remained outside with the other children in care. This caused child #1 to be left unsupervised.

Corrected by Aug 26, 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 form for child #2 and #3 did not contain the enrolling parent's work address.

Corrected by Aug 29, 2022

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

File for staff person #1 did not contain an annual minimum of 12 clock hours of child care training.

Corrected by Aug 29, 2022

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3290.61/3290.74(a) · If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.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 fencing surrounding the large rose bush in the outdoor play space was no longer in good repair allowing for the thorns on that rose bush to be accessible to children in care creating a visible hazard.

Corrected by Aug 14, 2021

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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 container of diaper cream was being stored in a drawer which was accessible to children in care.

Corrected by Aug 13, 2021

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3290.73(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

It was observed that the first aid kit used by facility did not contain scissors.

Corrected by Aug 13, 2021

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3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

Agreements for child #1, #2, and #3 did not specify the persons designated by a parent to whom the child may be released.

Corrected by Aug 18, 2021

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3290.124(b)(2)/3290.124(b)(6) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Emergency contact form for child #1 and #3 did not contain the address of the child's physician or health insurance policy number. Emergency contact form for child #3 also did not contain the telephone number of the child's physician or the health insurance policy name.

Corrected by Aug 18, 2021

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