AUNT TERRYS DAYCARE

Health Information (3280.131(a))

The file for child #3 lacked an initial health report and has been enrolled more than 60 days following the first day of attendance at the facility. 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. Correction: Health report was obtained and entered into child's file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

FIRE DETECTION/Staff responsibility (3280.95(a)/3280.95(b))

Facility files contained documentation of testing the fire detection system that exceeded 30 days between testings from 12/05/25 to 01/26/26. 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 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: was corrected at time of inspection. The fire detection system was tested. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of minor first-aid required prior to admission (3280.182(5))

The emergency contact form in the file for child #4 did not contain signed parental consent for administration of minor first-aid procedures by facility staff. Requirement: 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: Signature was obtained from parent and put in the child file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exam communicable disease (3280.151(c)(3))

The health assessment on file for Staff Person #1, dated 02/18/26, did not include an examination for communicable diseases and the results of that examination. Requirement: An adult health assessment must include an examination for communicable diseases and the results of that examination. Correction: Staff health report was corrected and completed by Dr, Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3280.151(a)/3280.192(3))

The file for Staff Person #1 contained health assessments dated 01/13/24 and 02/18/26, which is more than 24 months apart. The file for Staff Person #2 did not contain a health assessment conducted within the last 24 months. The most recent health assessment on file was observed to be dated 08/08/23. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Files were corrected at time of inspection. Staff person #2 will have a health assessment conducted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Updated every 6 months/Emergency info/agreement updated 6 mos (3280.124(f)/3280.181(c))

The emergency contact form in the file for child #2 has not been reviewed or updated by the parent within the last 6 months. 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. 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: Parent will review/update and sign the emergency contact form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The emergency contact form in the file for child #3 lacked the addresses of the individuals designated by the parent to whom the child may be released. 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: Child #3 emergency contact form was corrected at time of inspection by the parent via phone. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3280.124(b)(6))

The emergency contact forms in the files for children #1 and #4 lacked the health insurance coverage and policy number. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Info. on health insurance and policy numbers were obtained at time of inspection. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3280.76)

In the outdoor play space, several wooden fence boards were detached from the fence with nails observed protruding from the boards. 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: To inspect and repair any and all imperfections due to wear and tear and weather ASAP. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

The files for Staff Persons #1 and #2 did not contain current NSOR clearance results. The most recent NSOR clearance on file for Staff Person #1 was dated 12/08/20, and for Staff Person #2 was dated 12/09/20; both clearances have expired. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Persons #1 and #2 may not work in a child care position at the facility. Correction: Staff persons 1 & 2 will obtain NSOR clearances ASAP and were removed from a child care position until clearance results are submitted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3280.32(a))

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 01/07/21. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, Staff Person #1 must be supervised, when interacting with children, by a primary staff person who has completed the required training related to this citation. If there are no staff person available to supervise Staff Person #1, Staff Person #1 may not work in a child-care position at the facility. Correction: Staff person #1 will complete the required training ASAP and will be supervised at all times. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Free from contagious/communicable disease (3280.131(d)(7))

The health report in the file for child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Requirement: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction: Mom was notified to obtain the correct form for from her child's Dr. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3280.31(e)(4)(i))

The file for staff persons #1, #2, #3, and #4 had documentation of pediatric first aid and CPR training that was not renewed before the expiration date of the most current certification: 8/9/22 and 9/6/24. Staff persons #1, #2, #3 and #4 now have current pediatric first aid/CPR training. Requirement: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first-aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Correction: correction was complete at time inspection but was 2 weeks late due to scheduling availability. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3280.32(a)/3280.192(4))

The file for staff person #5 did not include documentation of PA Child Abuse clearance results prior to date of hire (See LIS Code Sheet) as required by CPSL. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #5 may not work in a child care position at the facility. Correction: Child abuse was completed and emailed to the inspector inspector. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each staff person meets quals/Exp, educ., training prior to facility (3280.33(a)/3280.192(2)(ii))

The file for staff person #5, identified as a primary staff person, lacked qualification documents. Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: High school transcript was applied for and expedited service requested 3-5 days. staff #5 did have clearances dated from 2 yrs prior and references from her prior daycare employment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3280.124(b)(6))

The emergency contact forms in the files for children #4 and #5 did not include the policy number. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: At time of inspection parents were contacted and images of medical cards were emailed allow the emergency contact form to be completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health assessments (3280.131(b)(2)/3280.182(1))

The file for child #3, who is an older toddler, had documentation of a current health report dated 2/15/25 but did not include any previous health reports and has been enrolled at the facility since 7/9/21. 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: Previous 6-month file will be placed on the reverse side of the files for verification purposes. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3280.151(a)/3280.192(3))

The file for staff person #5 did not include a health assessment at initial service in a child care setting. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: Health report was present but was not with in hiring time requirements. Staff person #5 will get a new health assessment conducted. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3280.151(c)(2))

The file for staff person #5 did not include a TB screening at initial service in a child care setting. Requirement: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: TB test was present but not in the new hire required time guideline. Staff person #5 will get a new TB test completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health Information (3280.131(a))

The initial health report in the file for child #1 was observed to be dated 2/25/25 but was not within 60 days following the first day of attendance at the facility. 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. Correction: correction was complete at inspection and wasn't provided in the required time guide lines. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).