ERICA R WINSTEAD FAMILY CHILD CARE

2025

1. Medium-High risk6/6/2025

   Immunization record/Dismissal policy (3290.131(e)/3290.131(e)(3))

   The files for Child #1 and Child #2 lacked verification of immunizations within 60 days following the first day of attendance at the facility. The file for Child #3 lacked verification the child was administered immunizations in accordance with the recommendations of the ACIP. Requirement: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the 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 #3 will be dismissed from care by close of business 6/20/25 until either the immunization record is updated or a parent provides a written, signed exemption letter. Correction: All children's immunization forms are up to date Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/24/2025
2. Medium risk6/6/2025

   Comply with CPSL/Required training (3290.32(a)/3290.192(4))

   The file for Staff Person #1 (See LIS Code Sheet) contained a Mandated Reporter training dated 5/1/24 which was obtained more than 90 days after date of hire. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department. Correction: Staff 1 now has [their] mandated training within the timeframe. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/6/2025
3. Medium-High risk6/6/2025

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

   The file for Staff Person #2 (See LIS Code Sheet) contained a current pediatric first aid and CPR training dated 2/25/24; the prior pediatric first aid and CPR training was dated 9/11/21 which expired in September 2023. 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 2's CPR training is now within the correct date and will continue to be Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/6/2025
4. Medium-High risk6/6/2025

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

   The file for Staff Person #1 (See LIS Code Sheet) contained a State Police clearance dated 6/28/23 and a PA Child Abuse clearance dated 7/3/23 which were obtained after the date of hire. The file for Staff Person #2 (See LIS Code Sheet) contained a State Police clearance dated 5/28/24 which was obtained more than 60 months from the previous State Police clearance dated 4/22/19; a PA Child Abuse clearance dated 6/3/24 which was obtained more than 60 months from the previous PA Child Abuse clearance dated 5/14/19; an FBI clearance dated 6/3/24 which was obtained more than 60 months from the previous FBI clearance dated 4/23/19. The file for Staff Person #2 contained an NSOR certificate dated 1/28/20 which was obtained more than 60 months ago. 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. Staff Person #2 may not work in a child care position at the facility. Correction: All staff have current clearances. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/6/2025
5. Medium-High risk6/6/2025

   Requirements (3290.74(a))

   In the outdoor play area, to the left of the porch was a piece of siding with sharp edges next to the fence. There were sticks and debris in the play house. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards. Correction: The debris and the siding were removed from the side of the house as well as the playhouse. The gate with the sharp edge was removed and discarded Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/29/2025
6. Medium risk6/6/2025

   No peeling paint or plaster (3290.75(a))

   There were two white wooden chairs in the outdoor play area with peeling paint. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: The 2 white chairs were removed from the front yard Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/29/2025
7. Medium-High risk6/6/2025

   Services provided (3290.123(a)(3))

   The files for Child #2 and Child #3 lacked documentation on the Department's approved form to provide the family information about the child's growth and development. 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: the children's Child Service reports were completed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/23/2025
8. Medium risk6/6/2025

   Clean and good repair (3290.102(a))

   The back of the bench in the outdoor play area was broken exposing sharp edges. Requirement: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Correction: The bench was discarded Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 6/29/2025
9. Medium risk6/6/2025

   Updated infant health report: every 6 months (3290.131(b)(1))

   The most recent health report on file for Child #3 dated 5/16/24 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. Correction: The child's health assessment has been updated and is current Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 7/24/2025
10. Medium risk6/6/2025

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

    The file for Child #1, a school age child, contained a health report dated 5/17/24 which was obtained more than 60 days following the first day of attendance at the facility. The file for Child #2, a preschool age child, contained a health report dated 9/13/24 which was obtained more than 60 days following the first day of attendance at the facility. 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: The child's health report was updated and put into their files Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 7/17/2025