Hilda Diaz

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Emergency plan was missing continuity of operations

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: At the time of inspection, children #1 through #5 did not have current child service reports on file. All reports were over 6 months old.

Correction Required: 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).

Regulation: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: At the time of inspection, child #5 file did not have an updated health assessment on file. Last health assessment was dated 11/2023.

Correction Required: 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.

Regulation: 3290.131(d)(7)

Description: Free from contagious/communicable disease

Noncompliance Area: At the time of inspection, child #2 health assessment did not address if the child was able to participate in Childcare and is Free of Communicable Diseases.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Regulation: 3290.131(e)

Description: Immunization record

Noncompliance Area: At the time of inspection, child #4 did not have an updated shot record in file. Last immunization record received was in 1/2023.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: At the time of inspection, facility's Shaken Baby Syndrome and Abusive Head Trauma policy did not address Child Maltreatment identification and prevention methods.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: At the time of inspection, facility had not completed the required annual emergency drill. Last drill conducted was January 13, 2024.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of inspection, staff person #1 Child Abuse Clearance expired 3.9.2024 and National Sex Offenders Registry Clearance expired 1.28.2025.

Correction Required: 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 may not work in a childcare position at the facility.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection conducted on 2/14/24 child#1 emergency contact form did not include address of the individual designated by the parent to whom the child may be released.

Correction Required: 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.

Regulation: 3290.166(1)

Description: Written statement

Noncompliance Area: During the renewal inspection conducted on 2/14/24 it was observed no statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During the renewal inspection conducted on2/14/24 Provider did not have a written policy addressing potential signs symptoms of shaken baby syndrome and abusive head trauma; Strategies for coping with a crying, fussing children; and prevention and identification of child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted on 2/14/24 it was observed that the emergency plan had last been reviewed 1/30/23.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: During the renewal inspection conducted on 2/14/24 it was observed the facility did not forward the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted on 2/14/24 it was observed staff person#1 and household member #1 file did not include disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 and household member#1 file did not include disclosure statement. 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 #--- may not work in a child care position at the facility.

Regulation: 3290.95(a)

Description: System in compliance

Noncompliance Area: During the renewal inspection conducted on 2/14/24 it was observed the fire alarm system was not set up with the operability interconnected fire detective device/system.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).