VAZQUEZ HOME DAYCARE

Immunization record/Dismissal policy (3290.131(d)(5)/3290.131(e)(3))

The most recent immunization record in the file for Child #1 did not include documentation of the following immunization recommended by the ACIP for the child's age (4th DTAP) or a letter of exemption from the parent. Requirement: A health report shall include a review of the child's immunized status according to 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 #1 must be dismissed from care by close of business 11/20/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: I will reach out to the parent for documentation of the child's 4th DTAP. Child #1 will not return to care until immunization or exemption letter is received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated infant health report: every 6 months/Initial and subsequent health assessments (3290.131(b)(1)/3290.182(1))

The file for Child #2, a young toddler, did not include an updated health report conducted within the past six months. 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 reach out to the parent to get the health report and file it. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3290.75(a))

Observed peeling paint and plaster at the bottom of the green wall near the desk. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: I will temporarily patch the wall. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Locked or inaccessible - in original container (3290.64(a))

Observed an ant trap and a plug-in air freshener, which were accessible to children, next to the bathroom. Observed a bottle of hand sanitizer on the table in the main child care room. 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. Correction: Ant trap was thrown away. Air freshener was put away and plug outlet covered. Hand sanitizer was put up away from children. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file for Household Member #1 did not include an NSOR Certificate completed within the past 60 months. The State Police and NSOR Certificates in the file for Household Member #2 were conducted after the household member turned 18. The file for Household Member #2, who is over the age of 18, did not include a Child Abuse or FBI Clearance. 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. Household Member #1 and 2 may not be present at the facility when children are in care. Correction: Household Member #1 will reapply for NSOR today. Household Member #2 has already applied for Child Abuse and been fingerprinted. Household Member #1 and 2 will not be present at the facility until all clearances are received. Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

One infant, four toddlers (3290.52(2))

On 2/4/25, Staff Person #1 was observed provided care for one infant and five toddlers (two younger toddlers and three older toddlers). Requirement: The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If one infant is in care, four toddlers are permitted. Correction: Parent was called and picked up child. One Older Toddler will be disenrolled until 3/18/25 when he turns 3. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease/Physician/CRNP assessment (3290.151(c)(3)/3290.151(c)(5))

The most current health assessment in the file for Staff Person #2 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. Correction: Staff has not worked at the facility as she has another job. Staff will only be considered a household member. If staff wants to assist with children in the future, she will not do so unless she has an updated current health assessment on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

Observed a dangling camera cord, which creates a potential hazard, on the wall in the infant nap room. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Camera was removed temporarily Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

The emergency plan for the facility did not include requirements for continuity of operations (backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster). Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Updated emergency plan to include Continuity of Operation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR in an approved curriculum from a PQAS instructor, Mandated Reporter Training. 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 pre-service trainings are completed, staff person #2 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 persons available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility. Correction: Staff person has only helped out periodically as she has another job. Staff completed all other paperwork needed. Staff will only be a household member. Staff will not supervise children in the future unless she takes required Pediatric First Aid/CPR in an approved curriculum from a PQAS instructor. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

The file for Staff Person #2 did not include documentation of the one-hour Health and Safety Update. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Staff completing the revised 10-hour health and safety course Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The child abuse clearance in the file for Staff Person #2 was for volunteer purposes. The file for Staff Person #2 did not include a current FBI Clearance (1/17/18). 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 #2 may not work in a child care position at the facility. Correction: Clearances will be updated and filed Staff is not working with children until all clearances are in and date clearances will be in. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3290.105(a))

The pack n play for Child #2 was not labeled. Requirement: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program. Correction: Pack-and-plays have been labeled Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Vet's certificate required (3290.117(c))

The vaccinations for the two pets who live in the home had expired. Patacake: 8/11/24. Lullaby: 8/11/24. Requirement: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present. Correction: Both pets have appointments for vaccinations on December 20th Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Admission date (3290.123(a)(6))

The fee agreement in the file for Child #1 did not include the date of admission. Requirement: An agreement shall specify the date of the child's admission. Correction: The child no longer in attendance After inspection, the child was unenrolled from the childcare 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 initial health report in the file for Child #3 was conducted more than 60 days after the child's first day of attendance. 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 health report in the child's file is current Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Infant/toddler - no bottle in mouth to sleep (3290.166(6))

Observed a bottle in the pack n play where Child #2 was sleeping. Requirement: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth. Correction: The bottle was removed Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

A fire drill had not been conducted within the last 60 days. The last documented fire drill was 2/6/24. Requirement: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. Correction: Conducting a fire drill between the 16th-18th of December 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))

A fire system test had not been conducted within the last 30 days. The last fire system test was conducted on 5/1/24. 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: Conducted test on the day of the inspection Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(d))

The facility did not have documentation of an emergency drill conducted within the past 12 months. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: An emergency drill was conducted and documented on November 11th Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).