Rosa E Mota

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During the renewal inspection on 10/8/2025, it was observed that the pack and plays were not labeled with the children's names. There was a 1 and 2 on each pack and play. However, the number list on the wall corresponded to the cots that were being used and not the pack and plays.

Correction Required: 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.

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: When certification representative arrived to the facility, and was still in the vehicle, he observed staff 1 open her front door and look outside. When certification representative went to the front door and was let in, it was observed that staff 1 was the only staff person working and that the childcare space is not near the front door. There were four children in the childcare space. As a result, staff 1 did leave the children unsupervised in the childcare space for approximately 1 minute.

Correction Required: 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).

Regulation: 3290.118

Description: Infant sleep position

Noncompliance Area: During the renewal inspection on 10/8/2025, when certification representative walked into the childcare space at the beginning of the inspection, it was observed that there was a baby sleeping in a bouncer, which goes against the recommendations of the American Academy of Pediatrics. It is unknown how long the baby was sleeping in the bouncer as the baby was in the bouncer when certification representative arrived to the facility.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: During the renewal inspection on 10/8/2025, it was observed that child 1 had three dates on the child service report. The first date was 6/25/2024. However, the 4 in 2024 was overwritten by a 5 to make 2025. Another date was then written down for 12/10/2025. Upon further conversation, it was determined that staff 1 was not aware that the child service report had to be completely redone every 6 months and not just updated. The 12/10/2025 date was an error.

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: 3290.31(f)

Description: Age and training

Noncompliance Area: Staff 1 only had 4 hours of annual trainings from December to December. Please see LIS for date of hire.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: During the renewal inspection on 10/8/2025, it was observed that staff 1 completed the mandated reporter training on 8/29/2020 and not again until 10/2/2025. As a result, more than 5 years were in between updates.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: In the childcare space, there is a fish tank. In the cabinet under the fish tank was water cleaner. The water cleaner label did state to keep away from children. The cabinet was unlocked and accessible to children.

Correction Required: 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.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: Child 2, who is an older toddler, did not have a child service report on file. Please see LIS for date of admission.

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)(1)

Description: Updated infant health report: every 6 months

Noncompliance Area: During the renewal inspection on 10/7/2024, child 1, who is a young toddler, did not have an updated health assessment. The last health assessment was dated 9/20/2023 making it more than 6 months since the last update.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Regulation: 3290.124(b)(3)/3290.124(b)(7)

Description: Parent home/work address, phone/Name/address/phone release person

Noncompliance Area: During renewal inspection, the following was missing from children's emergency contact forms: Child #1: Mother's work address and work phone number. Release person(s) address(es). Child #2: Father's work address. Release person(s) address(es). Child #4: Release person(s) address(es) and release person(s) phone number(s).

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection, health insurance policy number was missing from child #1's emergency contact form.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Regulation: 3290.131(b)(2)

Description: Updated toddler/preschool health report: every 12 months

Noncompliance Area: During renewal inspection, last health assessment on file for child #1 is dated 6/15/2022.

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.

Regulation: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection, the following children were not immunized according to the recommendation of the ACIP: Child #1: 1 of 2 doses of Hep A vaccine. Child #1 is an older toddler (see LIS code sheet). There is no exemption on file. Child #2: 3 of 4 doses each of DTAP, HIB, and Polio vaccines. Child #2 is a young toddler (see LIS code sheet). There is no exemption on file.

Correction Required: 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 #1 and child #2 will be dismissed from care by close of business October 10, 2023 until either the immunization record is updated, or a parent provides a written, signed exemption letter.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: During renewal inspection, facility person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Facility person #1 shall complete the required one-hour 2022 update to the health and safety training by November 17, 2023.

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection, the following documents were not updated within the past 6 months: Child #1: Emergency contact form last updated 1/29/2023. Child #3: Emergency contact form last updated 10/3/2022. Child #4: Fee agreement last updated 3/1/2023.

Correction Required: 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.