SANDRAS DAY CARE

12 months prior to service and every 24 months thereafter (3290.151(a)(2))

On 11/19/2025, Staff #1 had a current health assessment on file dated 10/29/2025. However, the previous health assessment on file for Staff #1 was dated 4/6/2023. 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. Correction: This was already corrected prior to the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written statement (3290.166(1))

On 11/19/2025, Child #1, an infant did not have a written statement from the parent giving the formula and feeding schedule on file. See LIS code sheet. Requirement: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent. Correction: The parent provided a written formula and feeding schedule. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3290.94(a)(1))

During the Renewal Inspection on 11/19/2025, The fire drill/fire detection log was up to date. However, the log showed a previous lapse in the requirement to conduct fire drills at least once every 60 days. The log showed lapses as follows: Fire drill was held 3/19/2025 then next on 5/21/2025, then next on 7/21/2025. Requirement: Fire drills are conducted at least once every 60 days. Correction: This was already corrected prior to the inspection. 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))

During the Renewal Inspection on 11/19/2025, The fire drill/fire detection log was up to date. However, the log showed previous lapses in the requirement to manually test the fire alarm system at least once every 30 days. The log showed lapses as follows: Alarm was tested on 1/10/2025 then next on 2/10/2025, tested on 3/7/2025 then next on 4/7/2025, tested on 7/4/2025 then next on 8/4/2025, tested on 8/4/2025 then next on 9/4/2025 and tested on 10/3/2025 then next on 11/3/2025. 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 subsection (a) are met. The fire alarm system must be manually tested and documented at least once every 30 days. Correction: This was already corrected prior to the inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services provided (3290.123(a)(3))

During the Renewal Inspection 11/13/2024, Child #2 and Child #4 did not have any completed child service reports on file. See LIS code sheet. 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 service reports have now been completed for Child #2 and Child #4. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Within 60 days (3290.131(a))

On 11/13/2024, Child #3 did not have an initial health report on file. See LIS code sheet. 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. Correction: The parent will bring in a completed health report for Child #3 later today. I will scan the completed health report form to the Certification Representative. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

On 11/13/2024, the most recent health report on file for Child #1 was dated 2/15/2024. The most recent health report on file for Child #2 was dated 1/5/2024. Both children are young toddlers. 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 parents will bring in completed health reports for Child #1 and Child #2 later today. I will scan the completed health report forms to the Certification Representative. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission (3290.182(3)/3290.182(5))

During the Renewal Inspection 11/13/2024, the emergency contact information forms on file for Child #1, Child #2, Child #3, and Child #4 did not have signed written consent from the parent for emergency medical care for the child or signed written consent from the parent for administration of minor first-aid procedures by facility staff. See LIS code sheet. Requirement: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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: The parents have signed the boxes for written consent from the parent for emergency medical care for the child and for administration of minor first-aid procedures by facility staff. 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))

During the Renewal Inspection 11/13/2024, the Fire drill/Fire detection log showed that the fire alarm system was last tested on 10/11/2024. 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 alarm was tested and logged during the inspection on 11/13/2024 and again on 12/12/2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).