LYNETTE FRANCIS FAMILY CHILD CARE HOME

2025

1. Medium risk5/8/2025

   Age and training (3290.31(f))

   The file for staff person #1 was observed to lack documentation of obtaining an annual minimum of 12 clock hours of child care training in 2024. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: All hours of training will be done. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/15/2025
2. Medium-High risk5/8/2025

   General Health and Safety (3290.18)

   The file for staff person #1 was observed to lack documentation of successful completion of the Pennsylvania Health and Safety Update 2022. The facility was observed to lack a written policy that addresses shaken baby syndrome and abusive head trauma. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: All forms will Posted and kept up to date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/15/2025
3. Medium-High risk5/8/2025

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

   The file for staff person #1 was observed to contain clearances that had not been updated once in a 60-month period. This was evidenced by a PA state Police Clearance dated 2/3/2020, PA Child Abuse Clearance dated 1/21/2020, and a DHS FBI fingerprint clearance dated 2/28/2020 present in the file. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility until all clearances are valid. 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 #1- may not work in a child care position at the facility. Correction: All clearances have been renewed and filed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/6/2025
4. Medium-Low risk5/8/2025

   Signed (3290.123(a))

   The files for children #1 and #2 were observed to contain agreement forms that were not signed by the operator. Requirement: An agreement shall be signed by the operator and the parent. Correction: The forms have been updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/11/2025
5. Medium-High risk5/8/2025

   Services provided (3290.123(a)(3))

   The file for child #4 was observed to lack the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided. 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 disenrolled. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/6/2025
6. Medium risk5/8/2025

   Admission date/Application, admission, withdrawal dates (3290.123(a)(6)/3290.182(2))

   The file for children #4 and #5 were observed to contain agreement forms that did not specify the date of the child's admission. Requirement: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child. Correction: These children were disenrolled. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/6/2025
7. Medium-Low risk5/8/2025

   Services considered extra (3290.123(a)(7))

   The file for children #1, #2 and #3 were observed to contain agreement forms that did not specify the services which are to be considered as extra. Requirement: An agreement shall specify the services which are to be considered as extra. Correction: All agreement forms will specify any services that will be considered as extra. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/11/2025
8. Medium risk5/8/2025

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

   The files for children #1 and #2 were observed to contain original agreements. 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 gave parent the original and I have the copy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/11/2025
9. Medium-High risk5/8/2025

   Physician name, address, phone (3290.124(b)(2))

   The file for child #1 was observed to contain an emergency contact form that did not include the telephone number of the child's physician or source of medical care. Requirement: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. Correction: All Forms were updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

   Corrected 8/11/2025
10. High risk5/8/2025

    Written consent/Consent for emergency medical care required prior to admission (3290.124(b)(4)/3290.182(3))

    The files for children #1 and #2 were observed to lack written consent for emergency medical care signed by a parent as required prior to admission. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: All papers are updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/11/2025
11. Medium-High risk5/8/2025

    Insurance coverage information (3290.124(b)(6))

    The file for children #1 and #2 were observed to contain emergency contact forms that did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: All forms were updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/11/2025
12. Medium-High risk5/8/2025

    Consent for administration of minor first-aid required prior to admission (3290.182(5))

    The files for children #1 and #2 were observed to lack signed parental consent for administration of minor first-aid procedures by facility staff as required prior to admission. Requirement: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: All files are updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/11/2025
13. Medium-High risk5/8/2025

    Health assessment, TB test (3290.192(2))

    The file for staff person #1 was observed to lack the health report obtained to correct a previous violation 151(2). Requirement: 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: Will be completed at my appointment on 08/13/25 Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/15/2025
14. Medium-High risk5/8/2025

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

    The facility was observed to have a working smoke detection system that was not interconnected as required by 34 Pa. Code § 403.23(c)(1), 62 P.S. § 1016(c), and 55 Pa. Code § 3290.95. 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: I have smoke detectors, but they weren't interconnected. I will replace with interconnected. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 10/5/2025
15. Medium-High risk5/8/2025

    Emergency plan (3290.24(f))

    The facility was observed to be providing a letter to the parent of each enrolled child explaining the emergency procedures, however, this letter did not detail the accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions during an emergency. 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: All letters will be updated to include the information about the accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions during an emergency, and provided to the parents. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

    Corrected 8/15/2025