MARIA E ROSARIO

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3290.151(a)(2)/3290.192(2))

Staff person #1 did not obtain an updated health assessment within 24-months. The previous health assessment on file was dated 1/20/23, and the current health assessment on file is dated 3/10/25. Requirement: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Staff person 1 has a current health assessment on file, dated 3/10/25. Staff person will obtain an updated health assessment within 24 months. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3290.124(e)/3290.181(c))

Child 2 and 3's Emergency Contact Information and Financial Agreements were reviewed 5/1/25, and 3/2/26, lapsing 6 months. 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. 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 Requirement: Child 2 and 3's Emergency Contact Information and Financial Agreements were reviewed 5/1/25, and 3/2/26, lapsing 6 months. 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. 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. Correction: The parent will update in writing the emergency contact once in a 6month period or as soon as there is a change in the information. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3290.123(b)/3290.182(8))

Children # 1, 2 and 3's files contain the original financial agreement. Requirement: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. the parent receives the original agreement. Correction: The parent for children # 1, 2, and 3 will receive the original agreement. The facility will retain the copy of the agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3290.151(a)(2)/3290.192(2))

Facility person #1 did not receive an updated health assessment within 24 months of the previous health assessment. Previous health assessment was 1.20.23 and the updated health assessment was completed on 3.10.25. Requirement: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Facility person will complete updated health assessment within 24 months of the previous health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services provided (3290.123(a)(3))

Child #1 did not have a child service report on file at the facility. Requirement: 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). Correction: Child #1 child service report was completed; a copy was provided to the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3290.32(a)/3290.192(3))

Facility person #1 had a state police clearance dated 1.27.25 that stated "Still Pending" on file at the facility. - Corrected on site Requirement: 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. Correction: Facility person #1 printed completed police clearance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3290.31(f)(4)(i))

Documentation of pediatric first aid/CPR on file for facility person #1 showed that they renewed their pediatric first aid/CPR training after the expiration of the most current certification. Pervious training was 1.30.23 and the updated training was completed on 5.14.25. Requirement: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Correction: Staff #1 completed pediatric fist aid/CPR training. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).