Yoania Medina

Staff responsibility (3280.95(b))

The facility's fire detection testing log included the following testing periods which were greater than 30 days: 4/15/2025-5/17/2025 (32 days) and 9/1/2025-10/3/2025 (32 days). Requirement: The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met Correction: Fire detection testing was completed and the testing log was updated to reflect compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Every 60 days (3280.94(a)(1))

The facility's fire drill log included the following testing periods which were greater than 60 days: 3/28/2025 - 6/10/2025 (74 days) and 8/4/2025 - 10/8/2025 (65 days). Requirement: Fire drills are conducted at least once every 60 days. Correction: Fire drill were conducted and the fire drill log was updated to reflect drills occurring within the required timeframe. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3280.181(c))

The Emergency Contact forms for Child #4 and Child #5 were not reviewed/updated by the parent after enrollment. Both children have been attending for more than six months. The Financial Agreement for Child #5 was not updated since the child was enrolled. The child has been attending the facility for more than six months. (SEE LIS CODE SHEET) 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: Emergency contact and financial agreement were updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian (3280.131(e)(1))

The immunization record of Child #1 lacked the following immunizations: one (1) dose of DTAP and Hepatitis A with no Exemption in file. The immunization record of Child #5 lacked the following immunizations: one (1) dose of DTAP, one dose of Pneumococcal, Varicella, MMR and Hepatitis A with no Exemption in file. (SEE LIS CODE SHEET) Requirement: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction: Parent submitted a written statement refusing immunization for personal reasons. Documentation is on file and compliance has been met. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months (3280.124(f))

The Emergency Contact forms for Child #4 and Child #5 were not reviewed/updated by the parent after admission. (SEE LIS CODE SHEET) Requirement: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. Correction: Emergency contact forms were reviewed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3280.124(b)(7))

On the Emergency Contact form for Child #5, an incomplete address was provided for the release person. Requirement: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: Emergency contact information has been completed and is on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3280.124(b)(3))

The Emergency Contact form for Child #3 did not include the work telephone number of the enrolling parent. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: The Emergency Contact was updated to include the required work phone number. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3280.123(b)/3280.182(8))

Records for Child #1, Child #3, Child #4 and Child #5 contained original Financial Agreements. When discussed with the operator, it was determined that the parents were not provided original forms. 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: Original signed financial agreements were provided to parents and copies were place in each child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training chair - sanitized (3280.81(b))

During inspection of the bathroom area, a small amount of urine was observed in a training urinal. No child had been in the bathroom for an extended period of time, making it clear that the training urinal was not sanitized after each use. Requirement: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic. Correction: The training urinal was immediately cleaned and sanitized using an approved sanitizing solution. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toxic use- no contamination (3280.66(b))

In the kitchen area, a tube of E6000 Industrial Strength Contact Adhesive, which is toxic, was stored on a shelf with food preparation items. Requirement: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children. Correction: The toxic material was removed from the kitchen area and stored in a secured location away from food and children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

8th grade + 2 yrs/Exp, educ., training at facility (3280.35(3)/3280.192(2)(iii))

The file for Staff Person #1 did not include documentation of a minimum of an 8th grade education and 2 years of experience with children. Requirement: A secondary staff person shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility. Correction: [Staff Person #1] is actively working to obtain their education from Puerto Rico and documentation of their childcare experience. Once received, it will be in their file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3280.26(c))

The facility records did not include documentation of Emergency Plan training for Staff Person #1 at the time of hire. (SEE LIS CODE SHEET) Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training. Correction: Emergency Plan training documentation has been completed for all staff and is maintaining on-site. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3280.124(e))

The emergency transportation plan was not posted in the child care space. Requirement: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: POST THE TRANSPORTATION PLAN IN MY FACILYTY. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pick up and drop off points (3280.171(a))

The facility did not have documentation of notification to local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility. Requirement: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility. Correction: NOTIFY LOCAL TRAFFIC SAFETY IN WRITING. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health Information/Initial and subsequent health assessments (3280.131(a)/3280.182(1))

The files for Child #1 and #2, who have been enrolled for more than 60 days, did not include an initial health report. Requirement: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, 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: CALL PARENT AND ASK FOR THE INITIAL HEALTH REPORT. Inspection: Initial review. 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 (3280.182(3)/3280.182(5))

The emergency contact forms in the files for Child #4 and #5 did not include signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff 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: INCLUDE THE PARENTS SIGNATURE ON THE EMERGENCY MEDICAL CARE AND ADMINISTRATION OF MINOR FIRT-AID PROCEDURE BY FACILITY STAFF. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Name/address/phone release person (3280.124(b)(7))

The emergency contact forms in the files for Child #1 and #2 did not include the release person's addresses. The emergency contact form in the file for Child #3 included only a partial phone number for one of the release persons. Requirement: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released. Correction: RELEASE PERSONS ADDRESSES ARE INCLUDED IN THE EMERGENCY FORM FOR CHILD 1 AND 2. CHILD 3 IS NO LONGER ENROLLED. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3280.124(b)(3))

The emergency contact form in the file for Child #3 did not include the parent's home phone number. The emergency contact forms in the files for Child #3, #4 and #5 did not include the parent's work addresses and phone numbers. Requirement: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Correction: PARENT PHONE NUMBER IS INCLUDED FOR CHILD 3, PARENTS WORK ADDRESS AND PHONE NUMBER FOR CHILD 3 4 5 IS INCLUDED IN THE EMERGENCY CONTACT FORM. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3280.123(a)(5))

The Fee Agreements in the files for Child #1, #2, #3, #4 and #5 did not include the names of the release persons. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: NAME OF THE RELEASE PERSONS ARE INCLUDE IN THE FEE AGREEMENT FOR CHILD 1 2 3 4 5. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Date fee to be paid (3280.123(a)(2))

The fee agreements in the files for Child #1, #2, #4 and #5 did not include the date the fee is to be paid. Requirement: An agreement shall specify the date on which the fee is to be paid. Correction: INCLUDE THE MISSED INFORMATION IN THE AGREEMENT DOCUMENT FOR CHILD 1 2 4 5. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3280.76)

Observed in the outdoor play space: a nail protruding from the round fence in the middle of the yard. Two sections of unused fencing leaning against the shed, which creates a potential toppling hazard. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: REMOVE THE NAIL, MOVE THE UNUSE FENCE AND CLEAN BACKYARD Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

HS/GED + 2 yrs/Exp, educ., training prior to facility (3280.34(b)(5)/3280.192(2)(ii))

The file for Staff Person #1, a primary staff person, did not include documentation of two years child care experience. Requirement: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: I got proof of 3.2 years experience with CDC from ELRC. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3280.26(f))

The facility did not have documentation on file that the emergency plan had been sent to the local municipality and county emergency management agency. Requirement: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Correction: EMERGENCY PLAN IS ALREADY SENT TO THE LOCAL MUNICIPILITY AND COUNTY EMERGENCY MANAGEMENT AGENCY. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Liability Insurance (3280.17)

The facility did not have documentation of comprehensive general liability insurance to cover all persons who are on the premises on file at the facility. Requirement: The legal entity shall have comprehensive general liability insurance to cover all persons who are on the premises. A current copy of the insurance policy shall be on file at the facility. Correction: I WILL GET COMPREHENSIVE LIABILTIY INSURANCE Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

The facility's emergency plan lacks a continuity of operations plan for aftermath of a disaster. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: In case of a disaster that my facility is unable to operate, it will be closed until further notice has been added to the plan. Inspection: Initial review. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).