STUBBLEFIELDS HOME CHILDCARE

12 months prior to service and every 24 months thereafter (3280.151(a))

The file for staff person #1 had health assessments that exceeded 24 months between assessments. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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. Correction: The provider acknowledges that the Staff Person #1's health assessment exceeded the required timeframe between assessments. A current health assessment is completed and in Staff Person #1's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian/Dismissal policy (3280.131(e)(1)/3280.131(e)(3))

The file for child #2, enrolled more than 60 days at the facility, lacked documentation of the 3rd Hepatitis B, 2nd DTAP, 2nd Polio, 1st MMR, 1st Varicella, and 1st and 2nd Hepatitis A vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. Requirement: 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. 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 #2 must be dismissed from care by close of business on 6-10-26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: A signed exemption letter for Child#2 as obtained from the parent and placed in the child's file. Documentation was submitted to the certification representative. The child's file now contains the required immunization exemption documentation in accordance with Chapter 3280 regulation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments (3280.131(b)(2)/3280.182(1))

The file for child #1, a preschooler, had health assessments that exceeded 12 months between assessments. 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: An updated health assessment for Child #1 as obtained from the parent and placed in the file. The file now contains the required current health report in accordance with chapter 3280 regulations Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Initial and subsequent health assessments (3280.131(b)(1)/3280.182(1))

The file for child #3, a young toddler, had health assessments that exceeded 6 months between assessments. 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: I the provider reviewed Child#3's health assessment records and verified that the assessments dated 10/06/25 and 05/20/26 exceeded the required six-month timeframe. I am reviewing all children's files to ensure required health assessments are current and identifying due dates for future assessments to maintain compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3280.123(a)(3))

The file for child #1 lacked a current child service report updated within the last 6 months. 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 § 3280.124(f). Correction: An updated Child Service Report was completed for Child #1, reviewed with the parent, signed, and a copy was provided to the family. Documentation of compliance was submitted to the certification representative. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3280.76)

On the outdoor play space, the front fence and gate and the fence and gate leading to the side play space had multiple bolts that were protruding out and were a visible hazard. Requirement: 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. Correction: Protective bolt covers were installed on all identified protruding bolts and outdoor fences and gates. Photos of the completed corrections were provided to the licensing representative the violation has been corrected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Heat Source (3280.71)

In the child care room with 5 children in care including a preschooler, a school-age child, and 3 young toddlers, the gate to the kitchen was observed to be open and the knobs on the stove were accessible to children. The stove/knobs lacked protective guards. Requirement: Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact. Correction: Protective covers were installed on all accessible stove knobs to prevent children's access to stove controls. A photo of the corrective action was provided to the licensing representative. The violation has been corrected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3280.32(a))

Staff person #1 had mandated reporter trainings dated 8-20-20 and 11-6-25 that were over 60 months between trainings. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Correction: Staff person #1 completed the required Mandated Reporter Training on 11/06/2025. Documentation of completed training has been obtained and placed in staff file the violation had been corrected Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

The file for Staff Person #1 contained a PA State Police Clearance dated 3/24/25 which was obtained more than 60 months from the previous PA State Police Clearance dated 3/11/20; and an NSOR Certificate dated 3/26/25 which was more than 60 months from the previous NSOR Certificate dated 11/19/19. 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. Facility Person #--- may not work in a child care position at the facility. Correction: Staff person #1 will obtain Pa State Police clearance every 60 months and no later Staff person #1 will obtain NSOR Every 60 months and no later Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Contact when arises/Contact when ended (3280.26(a)(3)/3280.26(a)(4))

The facility's emergency plan lacked a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises and 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. 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: The facility now has an emergency plan that provides methods for facility persons to contact parents as soon as possible when an emergency situation arises and a method for facility persons to inform parents that the emergency has ended and provides instruction as to how parents can safely be reunited with their children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Letter to parents (3280.26(e))

The letter to the parents explaining the emergency procedures lacked accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions, a method for contacting parents when an emergency arises, a method to inform parents how to safely reunite with their children. Requirement: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Correction: I as the administrator have provided the childcare parents with a letter explaining the emergency procedures and I will provide them also a letter explaining any updates or changes. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant: updated health report every 6 months/Initial and subsequent health assessments (3280.131(b)(1)/3280.182(1))

The file for Child #1, now a preschooler, (See LIS Code Sheet) contained a health report dated 11/13/24. The file lacked a 6 month updated health report from the previous one dated 11/14/23 when the child was a younger toddler. 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: I will require parents to provide and updated health report at least every 6 months for an infant or young toddler Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3280.26(a)(5))

The facility's emergency plan lacked accommodations for infants and toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions. Correction: The facility now has and emergency plan that provides accommodations for infants, toddlers children with disabilities and children with chronic medica conditions Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).