Tejeda Daycare

Regulation: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: On 7/21/2026, the most recent health report on file for Child #1, a preschool child was dated 4/15/2025.

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: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: During the Renewal Inspection on 7/21/2026, the most recent documented emergency drill on file at the facility was dated 7/19/2024.

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the Renewal Inspection on 7/21/2026, the NSOR clearances on file for Staff #1 and Staff #2 were not updated within the required 60 months as evidenced by the dates of the clearances as follows: Staff #1: Old NSOR: 1/29/2021 New NSOR: 3/19/2026; Staff #2: Old NSOR: 1/29/2021 New NSOR: 3/19/2026. Staff #1 and Staff #2 both worked in a role with direct contact and routine interaction during this lapse.

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.

Regulation: 3280.52(c)/3280.53(a)

Description: Mixed age levels/Counted in staff:child ratio

Noncompliance Area: During the Renewal Inspection on 7/21/2026, it was observed that Staff #1 was alone in the childcare space for approximately 19 minutes with a mixed age group of 8 children that included older toddlers, preschool, and school age children. Staff #2 was in the kitchen preparing lunch for the children during this time. Two of the children that were present are related to Staff #1 and Staff #2. This number of children requires 2 staff persons to be present at all times.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff to child ratio and maximum group size in accordance with the requirements at §3280.52(b). The required staff to child ratios must be maintained at all times The related or foster children of an operator and the children or foster children of a staff person shall be counted in the staff to child ratio requirements. TIERED LIS: 1. The required staff to child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The operator must print and post the required staff to child ratios in each measured childcare space. The operator shall provide a date for when this will be completed. 3. The legal entity must develop written policies and procedures to be implemented in the facility. The written policy and procedures must address that the required staff to child ratios will be maintained at all times and specify a written plan to ensure that the required staff to child ratios are maintained at all times during lunch transitions. This may entail preparing lunches for the next day at night or in the evening after the children leave for the day or later in the day when the staff to child ratios may only require one staff person to be present with the children. The updated policy and procedures must be submitted to the Northeast Regional Office for approval prior to implementation. Once approved by the Department, the operator will ensure that all current employees and any new hires are trained on the policies and procedures and it must be documented in their files. The operator shall provide a date for when this will be completed.

Regulation: 3280.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: During the Renewal Inspection on 7/21/2026, the fire drill and fire detection log showed that the hypothetical location of the fire was listed as the back exit door for every fire drill since 6/9/2025.

Correction Required: The hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On 7/21/2026, the fire drill/fire detection log was up to date, but the log showed that the fire alarm system has not been manually tested at least once every 30 days since November 2025. The alarm was tested on 11/7/2025 then not again until 12/8/2025. The alarm was tested on 4/3/2026 then not again until 5/4/2026, and then not again until 6/5/2026.

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 primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: During the Renewal Inspection on 7/9/2025, the playpens and rest mats used by the children in the facility for rest equipment were not labeled were not labeled for the use of a specific child to be used only by the specified child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: On 7/9/2025, Child #2, Child #3 and Child #4 did not have any child service reports on file completed within the previous 6 months.

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 § 3280.124(f).

Regulation: 3280.124(f)

Description: Updated every 6 months

Noncompliance Area: On 7/9/2025, the emergency contact information on file for Child #2 and Child #3 had not been updated in writing by the parent within the previous 6 months.

Correction Required: 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.

Regulation: 3280.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: On 7/9/2025, the most recent health report on file for Child #2 was dated 12/9/2024. The most recent health report on file for Child #3 was dated 8/12/2024. Both children are young toddlers.

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: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: On 7/9/2025, Child #3, age 1 did not have written verification on file to indicate that the child has been administered immunizations in accordance with the recommendations of the ACIP. See LIS code sheet.

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 childcare group settings). Child #3 must be dismissed from care by close of business on 7/9/2025 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Regulation: 3280.166(1)

Description: Written statement

Noncompliance Area: On 7/9/2025, Child #1, an infant did not have a written statement giving the formula and feeding schedule from the parent on file.

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

Regulation: 3280.76/3280.77(a)

Description: Building Surfaces/No peeling paint or plaster

Noncompliance Area: On 7/9/2025, the back of the garage structure accessible in the outdoor play area was observed to have peeling paint on the door. The upper part of the door also had a crack and a hole in the glass window.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: On 7/9/2025, the fire drill and fire detection log were up to date. However, the log showed that the fire detection system is not being manually tested at least once every 30 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 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 fire detection system is required to be manually tested and documented at least once every 30 days.

Regulation: 3280.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On 7/18/2024, the emergency contact information for Child #1 did not include the release person's name, address and telephone number. The emergency contact information for Child #2, Child #3 and Child #5 did not include the release person's address.

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.