CARLA DENSMORE FAMILY DAY CARE

Emergency info/agreement updated 6 mos (3290.181(c))

The agreement form on file for Child #4 was last reviewed on 3/12/25 which is more than 6 months ago. Requirement: 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: Updated Emergency contact information and Agreement form signed and dated every 6 months in all children's files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments (3290.131(b)(2)/3290.182(1))

The health report on file for Child #4 dated 3/24/26 was obtained more than 12 months from the previous health report dated 2/28/25. Requirement: 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. Correction: I will have an updated health report for a child at least 12 months no longer.Toddlers or preschoolers Every 6months and for older children every 12 months. 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))

The files for Child #1, Child #2, Child #3, Child #4, and Child #5 contained the original agreement forms. 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: I will give the original agreement form to the parents and the copy will go into the child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Within 60 days/Initial and subsequent health assessments (3290.131(a)/3290.182(1))

The file for Child #2, enrolled more than 60 days, lacked a health report. There is a current immunization record on file. Requirement: 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 child's record must contain initial and subsequent health reports. Correction: I will have parents have health reports done no later than 60 days from their start days. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated infant health report: every 6 months/Initial and subsequent health assessments (3290.131(b)(1)/3290.182(1))

The most recent health report for Child #1, a younger toddler at the time, dated 2/5/25 was obtained more than 6 months ago. Requirement: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports. Correction: An updated health report at least every 6 months for infants and toddlers will be signed by the parent and dated kept in the child file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when arises/Contact when ended (3290.24(a)(3)/3290.24(a)(4))

The current emergency plan on file lacked a method to contact parents when an emergency arises and provide information on how to safely reunite with their child(ren) when an emergency has ended. Requirement: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children. Correction: A mass text to all parents will be sent out as soon as the children are safe, and again when the emergency is over so that parents can safely reunite with their children and sign them out. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Staff Person #1 contained clearances dated more than 60 months from the previous clearances: PA Child Abuse Clearance dated 3/11/25 which was obtained more than 60 months from the previous clearance dated 4/3/19; and NSOR Certificated dated 2/26/25 more than 60 months from the previous certificate dated 12/20/19. The file for Staff Person #2 contained clearances dated more than 60 months from the previous clearances: PA Child Abuse Clearance dated 3/11/25 which was obtained more than 60 months from the previous clearance dated 4/3/19; and NSOR Certificated dated 2/26/25 more than 60 months from the previous certificate dated 12/20/19. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: All required clearances are current and up to date. I will make sure to update all clearances within the correct time span. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

System in compliance/Operator or designated staff responsibility (3290.95(a)/3290.95(b))

The fire alarm test log includes test dates more than 30 days apart, including: 8/8/24 and 9/11/24; 9/11/24 and 10/21/24; 11/8/24 and 12/11/24; 1/8/25 and 2/21/25. Requirement: 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. Correction: The fire alarm system will be tested within 30 days of the renewal inspection and documentation emailed to the Certification Rep. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(a)(1))

The current emergency plan on file lacked information on lockdown procedures at the facility. Requirement: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Correction: Lockdown procedures including gathering the children in the middle/dining room will be added to the Emergency Plan. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(b))

There was a current emergency plan dated, 3/13/25, on file at the facility. The facility lacked documentation of previous emergency plan annual review in the last 12 months. Requirement: 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. Correction: The Emergency Plan will be reviewed annually. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(d))

There was a current emergency drill dated, 3/14/25, on file at the facility. The facility lacked documentation of previous emergency drill conducted in the previous 12 months. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Emergency drills will be conducted at least annually. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(f))

The parent letter lacked information explaining the emergency procedures for lockdown, a method to contact parents when an emergency arises, a method to contact parents and provide information how to safely reunite with their child(ren), and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: 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. Correction: Lockdown procedures, method for contacting parents when an emergency arises and to inform them how to safely reunite with their children as well as accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions has been added to the parent letter. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).