Nunez Family Day Care

3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

“During unannounced monitoring conducted 9/5/2023, facility did not have OSHA-approved interconnected smoke alarms. An acceptable plan of correction was received with a correction date of 9/12/2023. When certification representative returned for unannounced monitoring on 10/18/2023, facility purchased OSHA-approved alarms; however, could not demonstrate that they were functioning in an interconnected fashion.”

Correction date in the state record: Nov 17, 2023

3290.113(a) Supervised at all times

“Complaint investigation conducted in September 2023 verified that a young school-aged child scratched an infant child on the face without cause. Staff person #1 reports that they did not see the incident as they were helping another child. Staff #1 noticed that the infant was scratched after the infant began crying. When certification representative returned to facility in October 2023, complaint investigation verified that staff person #1 and staff person #2 were leaving the room in which the children were in. Staff person #1 and staff person #2 were not able to see, hear, direct, or assess the children in the other room.”

Correction date in the state record: Oct 21, 2023

3290.113(a) Supervised at all times

“Complaint investigation conducted in September 2023 verified that a young school-aged child scratched an infant child on the face without cause. Staff person #1 reports that they did not see the incident as they were helping another child. Staff #1 noticed that the infant was scratched after the infant began crying. When certification representative returned to facility in October 2023, complaint investigation verified that staff person #1 and staff person #2 were leaving the room in which the children were in. Staff person #1 and staff person #2 were not able to see, hear, direct, or assess the children in the other room.”

Correction date in the state record: Dec 17, 2023

3290.52(3) Two infants, three toddlers

“Complaint inspection verified that operator provided care for 6 related and unrelated infants and toddlers at one time. The operator identified 2 of the children as infants and the other 4 children as being 2-year-olds. The operator reported that none are related to her.”

Correction date in the state record: Oct 21, 2023

3290.113(a) Supervised at all times

“Complaint investigation conducted in September 2023 verified that a young school-aged child scratched an infant child on the face without cause. Staff person #1 reports that they did not see the incident as they were helping another child. Staff #1 noticed that the infant was scratched after the infant began crying. When certification representative returned to facility in October 2023, complaint investigation verified that staff person #1 and staff person #2 were leaving the room in which the children were in. Staff person #1 and staff person #2 were not able to see, hear, direct, or assess the children in the other room.”

Correction date in the state record: Feb 17, 2024

3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

“During unannounced monitoring conducted 9/5/2023, facility did not have OSHA-approved interconnected smoke alarms.”

3290.24(g) Emergency plan

“During unannounced monitoring conducted 8/16/2023, operator did not have documentation that emergency plan was sent to local municipality and to the county emergency management agency. Allentown EMA and Lehigh County EMA provide acknowledgements when they receive emergency plans; however, provider cannot produce them. An acceptable plan of correction was received with a correction date of 8/18/2023. When certification representative returned to facility for unannounced monitoring on 9/5/2023, operator provided documentation that emergency plan was sent to county emergency management agency; however, admitted that emergency plan was not sent to local municipality.”

Correction date in the state record: Sep 12, 2023

3290.118 Infant sleep position

“During unannounced monitoring conducted 8/16/2023, an infant was asleep in an infant seat with a raised back for approximately 10 minutes before being moved to a pack-n-play. An acceptable plan of correction was received with a correction date of 8/16/2023. When certification representative returned to facility for unannounced monitoring on 9/5/2023, a sleeping infant was observed in a bassinet with a pillow and a toy. Bassinet had a suffocation hazard tag advising to "use only the mattress and sheets" provided by the bassinet company.”

Correction date in the state record: Oct 2, 2023

3290.118 Infant sleep position

“During unannounced monitoring conducted 8/16/2023, an infant was asleep in an infant seat with a raised back for approximately 10 minutes before being moved to a pack-n-play. An acceptable plan of correction was received with a correction date of 8/16/2023. When certification representative returned to facility for unannounced monitoring on 9/5/2023, a sleeping infant was observed in a bassinet with a pillow and a toy. Bassinet had a suffocation hazard tag advising to "use only the mattress and sheets" provided by the bassinet company.”

Correction date in the state record: Oct 20, 2023

3290.18 General Health and Safety

“During renewal inspection conducted 6/20/2023-6/27/2023, facility's emergency plan did not address practice drills or continuity of operations. An acceptable plan of correction was received with a correction date of 7/10/2023. When certification representative returned to facility for unannounced monitoring on 8/16/2023, facility's emergency plan did not address practice drills or continuity of operations. An acceptable plan of correction was received with a correction date of 8/18/2023. When certification representative returned to facility for unannounced monitoring on 9/5/2023, facility's emergency plan did not address practice drills or continuity of operations.”

Correction date in the state record: Oct 2, 2023

3290.113(a) Supervised at all times

“Complaint investigation verified that a young school-aged child scratched an infant child on the face without cause. Staff person #1 reports that they did not see the incident as they were helping another child. Staff #1 noticed that the infant was scratched after the infant began crying.”

Correction date in the state record: Oct 20, 2023

3290.113(a) Supervised at all times

“Complaint investigation verified that a young school-aged child scratched an infant child on the face without cause. Staff person #1 reports that they did not see the incident as they were helping another child. Staff #1 noticed that the infant was scratched after the infant began crying.”

3290.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“Complaint investigation verified that staff person #1 was aware that child #1 was injured in the facility. Staff person #1 admitted that they did not complete an injury report following the incident.”

Correction date in the state record: Oct 2, 2023

3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

“During unannounced monitoring conducted 9/5/2023, facility did not have OSHA-approved interconnected smoke alarms.”

3290.24(g) Emergency plan

“During unannounced monitoring conducted 8/16/2023, operator did not have documentation that emergency plan was sent to local municipality and to the county emergency management agency. Allentown EMA and Lehigh County EMA provide acknowledgements when they receive emergency plans; however, provider cannot produce them. An acceptable plan of correction was received with a correction date of 8/18/2023. When certification representative returned to facility for unannounced monitoring on 9/5/2023, operator provided documentation that emergency plan was sent to county emergency management agency; however, admitted that emergency plan was not sent to local municipality.”

Correction date in the state record: Sep 12, 2023

3290.118 Infant sleep position

“During unannounced monitoring conducted 8/16/2023, an infant was asleep in an infant seat with a raised back for approximately 10 minutes before being moved to a pack-n-play. An acceptable plan of correction was received with a correction date of 8/16/2023. When certification representative returned to facility for unannounced monitoring on 9/5/2023, a sleeping infant was observed in a bassinet with a pillow and a toy. Bassinet had a suffocation hazard tag advising to "use only the mattress and sheets" provided by the bassinet company.”

Correction date in the state record: Oct 2, 2023

3290.118 Infant sleep position

“During unannounced monitoring conducted 8/16/2023, an infant was asleep in an infant seat with a raised back for approximately 10 minutes before being moved to a pack-n-play. An acceptable plan of correction was received with a correction date of 8/16/2023. When certification representative returned to facility for unannounced monitoring on 9/5/2023, a sleeping infant was observed in a bassinet with a pillow and a toy. Bassinet had a suffocation hazard tag advising to "use only the mattress and sheets" provided by the bassinet company.”

Correction date in the state record: Oct 20, 2023

3290.18 General Health and Safety

“During renewal inspection conducted 6/20/2023-6/27/2023, facility's emergency plan did not address practice drills or continuity of operations. An acceptable plan of correction was received with a correction date of 7/10/2023. When certification representative returned to facility for unannounced monitoring on 8/16/2023, facility's emergency plan did not address practice drills or continuity of operations. An acceptable plan of correction was received with a correction date of 8/18/2023. When certification representative returned to facility for unannounced monitoring on 9/5/2023, facility's emergency plan did not address practice drills or continuity of operations.”

Correction date in the state record: Oct 2, 2023

3290.113(a) Supervised at all times

“Complaint investigation verified that a young school-aged child scratched an infant child on the face without cause. Staff person #1 reports that they did not see the incident as they were helping another child. Staff #1 noticed that the infant was scratched after the infant began crying.”

Correction date in the state record: Oct 20, 2023

3290.113(a) Supervised at all times

“Complaint investigation verified that a young school-aged child scratched an infant child on the face without cause. Staff person #1 reports that they did not see the incident as they were helping another child. Staff #1 noticed that the infant was scratched after the infant began crying.”

3290.182(7) Reports of accidents, injuries and illnesses. Original report - parent same day Copy - facility accident file. Copy - child's file

“Complaint investigation verified that staff person #1 was aware that child #1 was injured in the facility. Staff person #1 admitted that they did not complete an injury report following the incident.”

Correction date in the state record: Oct 2, 2023

3290.69 Heat Source

“During unannounced monitoring conducted 8/16/2023, a 2-year-old child was observed to open the baby gate between the living area and kitchen several times. Child went into the kitchen several times. Operator had a pot cooking on the stove and child was tall enough to reach it. Stove was not equipped with a protective guard and pot and stovetop were accessible to child.”

Correction date in the state record: Aug 19, 2023

3290.24(g) Emergency plan

“During unannounced monitoring conducted 8/16/2023, operator did not have documentation that emergency plan was sent to local municipality and to the county emergency management agency. Allentown EMA and Lehigh County EMA provide acknowledgements when they receive emergency plans; however, provider cannot produce them.”

3290.18 General Health and Safety

“During renewal inspection conducted 6/20/2023-6/27/2023, facility's emergency plan did not address practice drills or continuity of operations. An acceptable plan of correction was received with a correction date of 7/10/2023. When certification representative returned to facility for unannounced monitoring on 8/16/2023, facility's emergency plan did not address practice drills or continuity of operations.”

3290.64(a) Locked or inaccessible - in original container

“During renewal inspection conducted 6/20/2023--6/27/2023, operator reported that they are currently using the upstairs bathroom for children as there is something broken in the one downstairs. There were several items labeled "keep out of reach of children" underneath the sink and on a stand in the bathroom. Items were accessible to children. An acceptable plan of correction was received with a correction date of 6/30/2023. When certification representative returned for unannounced monitoring on 8/16/2023, there were several items labeled "keep out of reach of children" underneath the sink in the bathroom used by children. Items were accessible to children.”

Correction date in the state record: Aug 16, 2023

3290.118 Infant sleep position

“During unannounced monitoring conducted 8/16/2023, an infant was asleep in an infant seat with a raised back for approximately 10 minutes before being moved to a pack-n-play.”

3290.124(a)/3290.181(a) Each child emergency contact person/Each child

“During unannounced monitoring conduct4ed 8/16/2023, child #1 did not have emergency contact form or fee agreement on file. Operator reports that this is child's first day.”

Correction date in the state record: Aug 18, 2023

3290.24(c) Training regarding plan

“During unannounced monitoring conducted 8/16/2023, facility person #1, who works in the facility, has not been trained on the emergency plan.”

Correction date in the state record: Aug 16, 2023

3290.182(3)/3290.182(5) Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

“During renewal inspection conducted 6/20/2023-6/27/2023, the following was missing from children's emergency contact forms: Child #1: consent for emergency medical care and consent for minor first-aid. Child #2: consent for emergency medical care and consent for minor first-aid. Child #3: consent for emergency medical care and consent for minor first-aid.”

Correction date in the state record: Jul 11, 2023

3290.135(b) Surfaces cleaned

“During renewal inspection conducted 6/20/2023--6/27/2023, diapering pad was ripped, exposing the foam inside and rendering it unable to be properly sanitized after each use.”

Correction date in the state record: Jun 27, 2023

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

“During renewal inspection conducted 6/20/2023-6/27/2023, Child #4 received 3 of 4 doses of DTAP and HIB vaccines. Child #4 did not receive any doses of Hepatitis A vaccine. Child #4 is a young toddler (see LIS code sheet).”

Correction date in the state record: Jun 27, 2023

3290.131(a) Within 60 days

“During renewal inspection conducted 6/20/2023-6/27/2023, Child #1 did not have initial health assessment on file. Child #1 has been enrolled at the facility for over 60 days (see LIS code sheet).”

Correction date in the state record: Aug 14, 2023

3290.124(d) Written emergency plan posted

“During renewal inspection conducted 6/20/2023--6/27/2023, facility did not have emergency transportation plan posted.”

Correction date in the state record: Jul 10, 2023

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

“During renewal inspection conducted 6/20/2023-6/27/2023, the following was missing from children's emergency contact forms: Child #1: parents' work address and phone number and father's phone number. Child #2: parents' work address and phone number. Child #3: Father's work address and work phone number. Both parents' addresses.”

Correction date in the state record: Jul 14, 2023

3290.124(b)(2)/3290.124(b)(6) Physician name, address, phone/Insurance coverage information

“During renewal inspection conducted 6/20/2023-6/27/2023, the following was missing from children's emergency contact forms: Child #1: Health insurance coverage and policy number. Child #2: Name, address, and phone number of child's physician. Health insurance coverage and policy number.”

Correction date in the state record: Jul 14, 2023

3290.124(a) Each child emergency contact person

“During renewal inspection conducted 6/20/2023-6/27/2023, the facility did not have emergency contact form on file for Child #4.”

Correction date in the state record: Jul 14, 2023

3290.123(a)(1)/3290.123(a)(5) Amount of fee/Designated release persons

“During renewal inspection conducted 6/20/2023-6/27/2023, the following was missing from children's fee agreements: Child #1: Release person(s). Child #2: Fee amount. Release person(s).”

Correction date in the state record: Jul 14, 2023

3290.105(a) Clean, age appropriate

“During renewal inspection conducted 6/20/2023--6/27/2023, rest equipment was not labeled. Certification representative observe a child sleeping in an unlabeled pack-n-play.”

Correction date in the state record: Jun 27, 2023

3290.63 Protective Outlet Covers 5 yrs. or less

“During renewal inspection conducted 6/20/2023--6/27/2023, an uncovered electrical outlet was observed by the built-in bookcase. Electrical outlet was accessible to children 5 years of age and younger.”

Correction date in the state record: Jun 27, 2023

3290.18 General Health and Safety

“During renewal inspection conducted 6/20/2023-6/27/2023, facility's emergency plan did not address practice drills or continuity of operations.”

3290.64(a) Locked or inaccessible - in original container

“During renewal inspection conducted 6/20/2023--6/27/2023, operator reported that they are currently using the upstairs bathroom for children as there is something broken in the one downstairs. There were several items labeled "keep out of reach of children" underneath the sink and on a stand in the bathroom. Items were accessible to children.”

3290.95(a)/3290.95(b) System in compliance/Operator or designated staff responsibility

“During initial inspection conducted January 11, 2023, facility did not have proof of purchase on file for 10-year lithium-ion battery-operated smoke detectors.”

Correction date in the state record: Jan 13, 2023

3290.192(2) Health assessment, TB test

“During initial inspection conducted 1/11/2023, Facility Person #2 did not have initial health assessment on file with results of TB skin tests. Operator reports that Facility Person #2 will be a staff member in the facility.”

Correction date in the state record: Mar 29, 2023

3290.102(a) Clean and good repair

“During initial inspection conducted 1/11/2023, there were several nails poking out of a garden area in the backyard.”

Correction date in the state record: Jan 13, 2023

3290.73(c) Has all items

“During initial inspection conducted 1/11/2023, facility's first-aid kit did not contain soap.”

Correction date in the state record: Jan 13, 2023

3290.70(d) Above ground window opening restricted to 6"

“During the initial inspection conducted 1/11/2023, windows on the second and third floors of the facility were not modified or adapted to limit the opening to 6 or fewer inches.”

Correction date in the state record: Jan 27, 2023

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

“During initial inspection conducted 1/11/2023, Facility Person #1 and Facility Person #2 informed Certification Representative that they moved to Pennsylvania two (2) years ago. Prior to that they resided in Bronx, NY. Facility Person #1 and Facility Person #2 do not have proper out-of-state clearances on file at the facility.”

Correction date in the state record: Feb 3, 2023

3290.18 General Health and Safety

“During initial inspection conducted 1/11/2023, facility did not develop a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.”

Correction date in the state record: Jan 13, 2023

3290.31(g) Age and training

“During initial inspection conducted 1/11/2023, Facility Person #1 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.”

Correction date in the state record: Jan 18, 2023