JESSICA FAMILY DAY CARE

Immunization record/Immunization record (3290.131(d)(5)/3290.131(e))

A review of the immunization record for child #2 showed insufficient documentation of Hep A vaccination. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Correction: Parent of child #2 was notified of the current insufficient documentation of the Hep A vaccination. Parent called their child's health care provider to inquire about this situation. Parent notified me that the second dose of the Hep A vaccination child #2 is scheduled for 3/9/26 during their 2 year physical. Parent mentioned that child #2's health care provider stated that the 2nd dose of Hep A vaccine is to be administered at least 6 months after the first dose (given 3/4/25), and that the current 1 year gap between doses is okay. After the vaccine is given on 3/9/26 as planned, child #2's immunizations will be up to date. Will check child health records periodically to ensure that all required vaccinations are up to date for each child. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Within 60 days (3290.131(a))

During the renewal inspection on 2/19/26, child #1 did not have a health assessment on file dated within 60 days of their listed start date (see code sheet for start date). 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: Parents will be notified that they must submit the required initial child health report within 60 days following first day of attendance. If still not submitted, parents will be reminded weekly of the requirement to do so. Also, they will be notified that if they fail to submit the required health reports within 60 day timeframe, they cannot participate in the program. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

There was Lysol spray and disinfectant wipes on a desk by the changing table accessible to children. 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: A plastic container with a closing lid was purchased promptly. A label with writing "cleaning materials toxic" was placed on the container. This container was placed in a high area inaccessible to children. All staff are tall enough to reach the cleaning container and can remove the latched lid. All children cannot reach the container. Staff were informed of this requirement and acknowledged they will keep the cleaning materials in that container, out of reach of children. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Clean, age appropriate (3290.105(a))

Upon arrival for the renewal inspection, child #3 was asleep on the sofa. 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: Children will not be permitted to rest on any place other than their designated rest equipment. If children are tired, or fall asleep during play, they will promptly be directed to or placed on their designated rest equipment. All staff were informed and are expected to abide with this requirement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Within 60 days (3290.131(a))

The only health report on file for child #1 was dated 10/4/24, which is greater than 60 days following the first day of attendance at the facility (see code sheet for start date). 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: Parents will be notified that they must submit the required child health report within 60 days following first day of attendance. If still not submitted, parents will be reminded weekly of the requirement to do so. Also, they will be notified that if they fail to submit the required health reports within 60 day timeframe, they cannot participate in the program. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3290.31(f))

As of the renewal inspection on 2/24/25, staff #1 and #2 did not have 12 hours of training in the past year. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: All staff will be required to complete 12 clock hours of child care training annually. Current staff (#1 and #2) were informed of this requirement and were urged to fulfill the previous year's requirement as soon as possible. This requirement was met on 3/14/25 (see attachments). Going forward, they will fulfill the required 12 clock hours of training annually. Also, all new staff will be informed of this requirement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The health assessments on file for child #2 were dated 12/27/22, 3/22/23, and 7/24/24, who was a young toddler during this time. 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: Files will be checked weekly to ensure all required documents, including health reports, are up to date. If the child was less than 2 years old at the time of the previous health report, they will need a new health report within 6 months of the last one. If child older than 2 at the time of the previous health report, they need new health reports within 1 year of the last one. Parents will be notified two months before health report expires to give them time to complete the report. They will be reminded weekly until submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Six-months-old held (3290.166(5))

During allocated unannounced monitoring conducted on 9/19/2024, an infant identified by operator as being 4 months old was observed to be feeding from a bottle which was propped on a blanket. Requirement: An infant 6 months of age or younger shall be held while being bottle fed. Correction: I was holding the infant while feeding her in the correct manner when the doorbell rang. I placed her in the napper to quickly answer the door. I understand that I should not prop a bottle no matter the circumstance. I will make sure this does not happen again. 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))

During allocated unannounced monitoring conducted 9/19/2024, signed/dated disclosure statement for staff #1 could not be located. 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 #--- may not work in a child care position at the facility. Correction: I searched for the disclosure statement and could not find it. I have signed/dated a new disclosure statement and had it signed by a witness. I will keep it in my file Inspection: Allocated Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).