TRENA A WILSON FAMILY CHILD CARE HOME

Disposable diapers (3290.135(a)(3))

Observed a soiled diaper being placed in a plastic bag instead of being discarded immediately by placing it into a plastic-lined, hands-free covered can. Requirement: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can. Correction: I use a hands-free trash can for poop diapers. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The file of Staff #1 lacked a State Police Clearance, Child Abuse Clearance, and DHS FBI Clearance updated every 60 months. The file of Staff #1 contained a State Police Clearance dated 2/4/26 with a previous one dated 10/1/20. The file of Staff #1 contained a Child Abuse Clearance dated 2/10/26 with a previous one dated 10/13/20. The file of Staff #1 contained a DHS FBI Clearance dated 2/5/26 with a previous one dated 10/10/20. 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. Correction: Staff has current clearances. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3290.32(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 2/18/21. 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 at a minimum by, a family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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: I completed training 3/11/26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Protective Outlet Covers 5 yrs. or less (3290.63)

Observed an electrical outlet which lacked a protective receptacle cover behind the recliner located beside the kitchen entrance. Requirement: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger. Correction: I covered the outlet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Given parents in writing (3290.121(b))

Parents did not receive in writing the facility's policy regarding supervision during the transfer of care between the child care facility and school. Requirement: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements. Correction: Parents received transfer of care policy and signed one for records Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent receives original/Copy of initial and subsequent agreements. Parent receives original. (3290.123(b)/3290.182(8))

The files of Children #2, #3, #4, and #5 contained the original agreement. The facility did not make a copy for the files and give the original to the parent. 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: I gave parents originals of agreement. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Parent home/work address, phone (3290.124(b)(3))

Emergency contact information for Child #1 did not include the work telephone number of the enrolling parent. Emergency contact information for Child #5 did not include the work address and 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: I fixed the files for Child #1 and #5. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3290.124(b)(6))

Emergency contact information for Child #3 did not include the health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. 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: I added health insurance info for child #3. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The files of Children #2 and #3 lacked an updated health report at least every 6 months for an infant or young toddler. The file of Child #2 contained health reports dated 10/22/24, 12/31/24, and 2/10/26. The file of Child #3 contained health reports dated 10/23/23, 5/12/25, and 11/17/25. 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: Children have current health reports. 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 of Child #5 lacked an updated health report at least every 12 months for an older toddler or preschool child. The file of Child #5 contained a health report dated 7/2/25 with a previous one dated 3/7/24. 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: Child has current health report. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

Child #2, a young toddler, lacked DTAP/DTP/TD and Pneumococcal immunizations according to the recommendations of the ACIP. Child #2 had documentation of 3 DTAP/DTP/TD immunizations and 3 Pneumococcal immunizations. 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). Correction: Received updated shot record and added to file Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3290.134(a))

Staff did not ensure that a child's hands were washed after being diapered. Staff used a wipe to wash the mobile child's hands. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: I wash all kids' hands after diapering. 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 (3290.151(a)(2)/3290.192(2))

The file of Staff #1 lacked a health assessment conducted every 24 months. The file of Staff #1 contained a current health assessment dated 2/6/26 with a previous one dated 7/6/23. Requirement: 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: Staff has a current health assessment. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

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

The operator did not ensure that fire drills were conducted at least once every 60 days. The facility provided documentation of fire drills being conducted on 2/5/25, 4/4/25, 6/3/25, 8/30/25, 10/29/25, 12/19/25, and 2/17/26. Requirement: Fire drills are conducted at least once every 60 days. Correction: Current fire drill on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Evacuation routes posted (3290.94(a)(5))

An evacuation route was not posted in a conspicuous location in the attic of the facility. Requirement: Evacuation routes are posted in a conspicuous location on each floor of the facility. Correction: I have posted evacuation route. 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))

The facility was unable to provide documentation that the fire detection system was manually tested at least every 30 days. The facility provided documentation that the fire detection system was manually tested on 3/5/25, 4/4/25, 5/2/25, 6/2/25, 7/2/25, 8/1/25, 9/1/25, 10/1/25, 10/31/25, 11/30/25, 12/30/25, 1/29/26, and 2/28/26. 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 operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met. Correction: Current manual test on file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(d))

Emergency drills were not conducted annually. The facility provided documentation of emergency drills being conducted on 4/16/24 and 8/8/24. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: Completed emergency drill 4/2/26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3290.24(f))

At the time of the inspection the operator was unable to provide documentation of the letter provided to the parent explaining emergency procedures that addressed shelter and lockdown, evacuation, method to contact parents, method to inform parents the emergency has ended and instructions for how to safely be reunited with their children, and accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Requirement: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Correction: I gave letters to all parents documenting emergency procedures. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and training (3290.31(f)(4)(i))

Staff #1 lacked renewal of their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff #1 had documentation of first aid and CPR training completed on 5/7/25 with a previous training completed on 4/11/23 with an expiration of 4/25. 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: Staff has current pediatric first aid and CPR. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3290.24(c))

The file of Staff #1 lacked documentation of emergency plan training on an annual basis. The file of Staff #1 contained documentation of emergency plan training completed on 2/4/26 with previous training completed on 1/30/25. 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: Staff has current emergency plan training. Inspection: Renewal. 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 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 2/18/21. 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 #1 must be supervised, when interacting with children, at a minimum by, a family child care home staff person who has completed all preservice trainings and has all qualifications to care for children unsupervised. 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: Completed mandated reporter training 3/11/26. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3290.18)

Observed boards with exposed nails beside the picnic table in the outdoor play space. Observed a garden rake in the outdoor play space. Observed an extension cord lying in the grass in the outdoor play space which was not secured creating a potential tripping and/or strangulation hazard. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: The outdoor area has been cleaned up. 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))

2nd citation. Previously cited on 3/10/25. The facility was unable to provide written documentation that the fire detection system was manually tested at least every 30 days. The facility provided a written record that the fire detection system was manually tested on 3/12/24, 4/12/24, 5/12/24, 6/12/24, 7/12/24, 8/12/24, 9/12/24, 10/12/24, 11/12/24, 12/12/24, 1/10/25, and 2/7/25. 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: Current manual test on file. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Child's hands washed (3290.134(a))

Observed a staff person who did not ensure that a child's hands were washed after being diapered. Requirement: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. Correction: Children's hands will be washed after diapering. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Adult Hygiene (3290.152)

Observed a staff person who did not wash her hands after diapering a child. Requirement: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child. Correction: Staff will wash her hands after diapering a child. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).