Clara M Guzman

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Child #1's emergency contact information did not include the enrolling parent's work phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3290.131(a)/3290.131(d)(7)

Description: Within 60 days/Free from contagious/communicable disease

Noncompliance Area: Child #1's health report was not obtained within the acceptable timeframe of no later than 60 days following the first date of attendance at the facility. Initial health report was dated 5/4/26. (see code sheet). Child #1's initial health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: 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. 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: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: Upon inspection of the documents on file for children, it was found that written consent signed by a parent for emergency medical care was not present for Child #1.

Correction Required: 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.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: Upon inspection of the facility, it was found that a written plan was not conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Correction Required: 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.

Regulation: 3290.131(d)(5)/3290.131(e)(1)

Description: Immunization record/Parent written verification from Doctor.

Noncompliance Area: Upon inspection of the documents on file for children, it was found that Child #1 only had one dose of Pneumococcal vaccine on record AND Child #2 only had two doses of HIB vaccine and 3 doses of Pneumococcal vaccine on record.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Upon inspection of the documents on file for children, it was found that signed parental consent for administration of minor first-aid procedures by facility staff was not present for Child #1.

Correction Required: 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.

Regulation: 3290.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: Upon inspection of the documents on file for children, it was found that signed parental consent for walking excursions was not present for Child #1 AND the provider acknowledged that walks were part of the routine outdoor activity conducted with children.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3290.24(f)

Description: Emergency plan

Noncompliance Area: Upon inspection of the facility emergency plan and associated documents, it was found that a letter to the parents explaining the emergency procedures described in subsection (a) was not created and distributed.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: Upon inspection of the facility fire safety records, it was found that the required device tests exceeded the maximum of 30-days between tests on the following dates: 7.1.23 - 8.3.23 [33 days]; 8.3.23 - 9.29.23 [57 days]; 10.27.23 - 11.28.23 [32 days]; 2.23.24 - 3.25.24 [31 days]

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

Regulation: 3290.131(d)(5)/3290.131(e)(2)(i)

Description: Immunization record/Religious belief/strong personal objection

Noncompliance Area: Upon inspection of the children's files, it was found that the influenza vaccination on record for child #1 was dated 2020; the influenza vaccination on record for child #3 was dated 2021 and there was no vaccination record on record at all for child #4.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: Upon inspection of the children's files, it was found that the addresses for the individual[s] designated by the parent to whom the child may be released was not included for child #1 and #2.

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: 3290.134(a)

Description: Child's hands washed

Noncompliance Area: Upon inspection of the physical site, it was observed that staff person #1 changed child's diaper and placed them in a crib without washing the child's hands with soap and water.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Upon inspection of the file for staff person #1, it was found that the Health and Safety Basics course was completed on 9.20.16.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Provider may not work unsupervised with children until required course is completed.

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Upon inspection of the children's files, it was found that signed parental consent for administration of minor first-aid procedures by facility staff was not included for child #1 and #2.

Correction Required: 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.