MILSAP FAMILY DAY CARE

Age and training/Required training (3290.31(f)/3290.192(4))

The file for staff person #1 lacked the 12 clock hours of annual child care training between 12/19/23 and 12/19/24. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department. Correction: I now schedule annual training throughout the year to avoid not fulfilling the requirement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written and signed by physician, PA, CRNP. (3290.131(c))

The file for child #2 lacked a health report that was signed by a physician, physician's assistant or a CRNP. There was no signature on the health report. Requirement: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. Correction: Child health report signature will be obtained from physician. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Initial health report for school age (3290.131(a)(4))

The file for child #2 lacked an initial health report that was dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). Requirement: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code § 23.2 (relating to medical examinations). Correction: The child health report on file is dated 10/29/2025 with records from 1/8/25, the child was enrolled on [See LIS Code Sheet]. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Within 60 days (3290.131(a))

The file for child #1 lacked a child health report that was completed 60 days following the first day of attendance at the facility. The first day of attendance at the facility was (see LIS code sheet) and the child health report was completed on 1/9/25 which was 66 days from 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. Correction: Health report obtained at next well check. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean and good repair (3290.102(a))

In the living room a plastic bin with toy food was observed to have a broken corner causing rough edges and sharp corners. 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: Tote damage was covered with duct tape to protect from injury. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

A pair of adult scissors was observed on the desk accessible to the children in the room where the children do crafts and eat. The adult scissors pose a threat to the safety of the children. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: The Scissors were placed out of the reach of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible - in original container/Toxic plants not permitted (3290.64(a)/3290.64(c))

In the living room one toxic plant was observed on a shelf accessible to the children. The toxic plant was a Peace Lily. In the dining room one toxic plant was observed on a table accessible to the children. The toxic plant was a Swiss Cheese Plant. Requirement: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces. Toxic plants are not permitted in a child care space. Correction: The Peace Lily and the Swiss Cheese plants were both relocated out of the child care spaces. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 1/22/25. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #1 may not work in a child care position at the facility. Correction: The Pediatric First Aid and CPR training was completed that day. I did not care for children until after the training was completed. Inspection: Allocated Unannounced Monitoring. 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 files for children #2 and #4 lacked child health reports that were completed in the past 12 months. The child health report in the file for child #2 was dated 9/8/23. The child health report in the file for child #4 was dated 8/2/23. 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: Parents have been made aware of documents needed, stating appointments have been attended and papers were simply not obtained. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services provided (3290.123(a)(3))

The files for children #1, #2, and #4 were missing child service reports that were completed in 2023. 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 been completed for 2024. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3290.123(a)(5))

The files for children #3 and #5 lacked an agreement that specified the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: Release person was listed on the emergency contact parental consent form. The parents added the names of the release persons to the agreement form. 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 #5 lacked an initial health report (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. A child's record must contain initial and subsequent health reports. Correction: The Parent has scheduled an appointment to obtain the form, dated for later in the month of December. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated toddler/preschool health report: every 12 months (3290.131(b)(2))

The file for child #1 lacked a child health report that was completed 12 months from the previous child health report. The child health reports in the file were dated 6/12/23 and 7/25/24. 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. Correction: The Parent had a schedule conflict and needed to reschedule quickly. They placed her on a wait list and were able to get them in sooner than the original 3 month reschedule date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for child #4 lacked emergency contact information and financial agreement that was updated six months from the previous update. The updates in the file were dated 9/6/23 and 4/30/24. 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: Child #4 file has been reviewed and an updated signature has been obtained. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).