Norma de Hoyos Day Care 2

On 7/9/25 during an unannounced inspection Cert rep observed the following incident regarding ratios: Staff 1-3 were present in the Lower level Lunch room with16 children. When cert rep questioned this it was determined Staff:child ratios were exceeded due to the ages of the children(2 older toddler, and 14 younger toddlers).

During an unannounced inspection on 7/9/25 Cert rep observed 12 children in Room 3 multiple times over the course of the inspection. This room has a measured capacity of 8. The time period of when this room would be over capacity was not indicated on the daily schedule.

During an unannounced inspection on 7/9/25 Staff 2 did not complete mandated reporter training within 60 months of their previous mandated reporter training. This is evidenced by mandated reporter trainings on file being dated 2/1/20 and 2/20/25. Staff 2 is reported to have worked in a child care position between 2/1/25-2/20/25.

On 7/9/25 during a complaint investigation Cert rep observed the following incident regarding supervision: Staff 1-3 were present in the Lower level Lunch room with16 children(2 older toddler, and 14 younger toddlers). Staff 1 named and identified 4 children(1 OT, 3 YT) as being in their group, Staff 2 named and identified 5 children(5 YT) as being in their group, and Staff 3 named and identified 5 children(5 YT) as being in their group. When cert rep questioned this it was determined that 1 child was identified as being in both Staff 1 and Staff 3's group, and 3 of the children were not identified as being in any assigned group.

Staff persons 9 and 11 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

During a renewal inspection on 1/9/25 and 1/10/25 Cert rep noted the following concerns regarding the CPSL: 1) NSOR clearance's for Facility Person's 1, 2, 3, 4, 5 were not completed in the past 60 months. Evident by NSOR certificate's dated 11/6/2019 for all five staff. 2) Staff 6 and Staff 8 had a PSP request dated 9/24/24 and 1/2/24 respectively on file but did not have the PSP clearance certificate on file. Staff were outside of their 45 day provisional hire window (See code sheet for DOH) 3) Staff 7 did not have a FBI clearance certificate or request on file. 4) Staff 6 and 9 had disclosure statements that were not dated. Staff 6's disclosure statement did not have a witness signature.

During a renewal inspection on 1/10/25 Cert rep observed the following school buses owned by the facility and driven for transportation did not have a valid Pennsylvania State Police inspection for School buses: 2012 Chevrolet Express Cutaway, 2015 Chevrolet Express Cutaway, 2002 Chevrolet Bus, 2010 Chevrolet Bus, and the 2019 Blue bird Bus. All five School buses had an inspection sticker that expired 8/31/2024. This inspection is a Department of Transportation requirement.

During a renewal inspection on 1/9/25 and 1/10/2025 it was noted that Staff 7 has not completed Emergency plan training. It has been more than 90 days since Staff 7's date of hire. Staff 10 and 11 have not completed emergency plan training in 2023 or 2024.

During a renewal inspection on 1/9/25 cert rep supervisor observed Windex on a low accessible shelf in the unlocked yellow closet in the infant/toddler room. Clorox wipes were observed to be accessible to children in school age classroom. Both are cleaning materials and labeled "keep out of reach of children"

During a renewal inspection on 1/9/25 Cert rep supervisor observed the downstairs lunchroom/Room 6 did not have a first aid kit. This room is licensed as child care space.

During a renewal inspection on 1/10/25 Cert rep observed the first aid kit on the 2019 Bluebird Bus/Bus #20 did not have tweezers.

During a renewal inspection on 1/9/25 cert rep supervisor observed there was no handwashing signs in the bathroom of the preschool/Classroom #1, and the boy's bathroom in the downstairs lunch room/Room 6. Additionally Cert rep supervisor observed children not washing their hands before lunch in room 6/downstairs lunch room. Staff "cleaned" the children's hands with a paper towel that was wet with water only.

During a renewal inspection on 1/9/25 Child 1's health assessment does not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. Child 1 and Child 4's health assessment does not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

During a renewal inspection on 1/9/25 Cert rep supervisor observed Medication logs for the following Child 8 did not have signed parental consent to administer the Child's Acetaminophen. Child 10's medication log indicated both Tylenol and ibuprofen were administered to the child. No where on Child 10's medication log does it indicate parental consent to administer ren did not include sign parental consent to administer Tylenol or ibuprofen.

During a renewal inspection on 1/9/25 Cert rep supervisor observed medication log for Child 8 that did not state the name of the medication on the log. This medication log noted this medication was a prescription medication.

During a renewal inspection on 1/9/25 Cert rep supervisor observed Child 10's medication log is two pages. On the first page of Child 10's log both Albuterol and Amoxicillin are listed. Only 1 dosage amount is listed, and it does not indicate which medication this dosage applies to. Both medications were administered to Child 10.

During a renewal inspection on 1/9/25 Cert rep was unable to see documentation the emergency plan was sent to the local municipality. Staff reported they did not remember sending the emergency plan to the local municipality.

During a renewal inspection on 1/9/25 Cert rep noted Child 2's initial health assessment was dated 7/23/24. This is more than 60 days after the child's enrollment date. (See code sheet for date of enrollment).

During a renewal inspection on 1/10/25 Cert rep noted Staff 8 does not have 2500 hours(2 years) of child experience verified on file. Staff 8 has an associate's degree in early education and 1059 hours of childcare experience on file. Staff 8 has been working as a group supervisor.

During a renewal inspection on 19/25 and 1/10/25 it was noted the facility only has one Group supervisor. Staff reported that at any given time the maximum number of children present at the facility is 108, which would require 3 group supervisors. The director cannot act as a group supervisor because more than 45 children are enrolled.

During a renewal inspection on 1/9/25 Staff 9 and 12 do not have documentation of verification of childcare experience in their files. Staff 9 and 12 have high school diplomas in their files. Staff 9 and 12 have been working as assistant group supervisors.

During a renewal inspection on 1/9/25 it was noted the following information is not being provided in writing to the parents: daily schedule and hours of operation.

During a renewal inspection on 1/9/25 and 1/10/25 Child 5's fee agreement did not state the fee amount or the child's arrival and departure times.

During a renewal inspection on 1/9/25 and 1/10/25 it was noted Child 2's Child Service Report was not dated. Child 2 has been enrolled for more than 6 months(see code sheet of date of admission).

During a renewal inspection on 1/9/25 and 1/10/25 Child 3's emergency contact form did not have Child's DOB. Child 3's and Child 5's emergency contact forms did not have parents' home and work addresses and phone numbers. Child 4's emergency contact form did not have father work address and phone number.

During a renewal inspection on 1/9/25 and 1/10/25 Child 7's emergency contact form did not have name, address and telephone number of the child's physician or source of medical care. Child 5's emergency contact form did not have information on health insurance coverage and policy number.

During a renewal inspection on 1/9/25 and 1/10/25 Child emergency contact form did not list the release persons address. Child 7's emergency contact form did not have name address or phone of release persons.

During a renewal inspection on 1/10/25 Cert rep observed the emergency medical transportation plan was not located on the transportation vehicles or in the binders taken with staff when transportation is provided for children. Staff reported this plan is not taken with them when transporting children.

During a renewal inspection on 1/9/25 cert rep supervisor observed the emergency contact form for Child 2 and Child 11 had been updated in the children's files, but was not updated in the emergency contact form in the children's classroom. This was evident by information such as parent's address and number numbers not being present on the emergency contact forms in the classroom but were present on the master copy in the children's file.

During the Renewal Inspection on 1/4/2024, Staff #1 had completed clearance information on file. However, the FBI clearance on file for Staff #1 was dated 2/2/2023. The prior FBI clearance on file was dated 1/12/2017.

During the Renewal Inspection on 1/4/2024, it was observed that the play structure in the outdoor play area did not have at least 6 inches of rubber mulch surrounding the fall areas for this equipment that requires embedded mounting.

During the Renewal Inspection on 1/4/2024, The most recent emergency drill conducted at the facility was documented to have been on 12/20/2022.

During the review of child files on 1/5/2024, the initial health report on file for Child #1 was dated 12/28/2023. This was not within 60 days of the child's first day of attendance at the facility. See LIS code sheet.

On 1/4/2024, Staff #2 did not have verification of education and previous childcare experience on file. See LIS code sheet.

On 1/4/2024, Staff #2 did not have two written, nonfamily references on file. See LIS code sheet.

An unannounced investigation was conducted on 9/28/2023. Following staff interviews, it was determined that the facility did previously use a highchair for discipline. On 9/28/2023, Staff #1, also admitted that a previously enrolled 4-year-old child had been physically restrained to prevent him from punching himself in the face and banging his head on the floor.

Staff person #2 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): The required pre-service health and safety training.

On 9/28/2023, staff persons #1, #2 and #3 did not have any written, nonfamily references on file. See LIS code sheet.

Staff persons #1, #2 and #3 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR).

An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children. An acceptable plan of correction was received on 1/30/2023. An unannounced verification visit was conducted on 2/17/2023. At 11:07 AM on 2/17/2023, Staff #2, #3 and #4 were observed working with a with a mixed age group of 47 young school age and older school age children. Four staff are required to maintain the required staff to child ratio for this mixed age group. Staff #5 had reportedly went to use the restroom. Staff #5 did not return to the classroom until 11:17 AM.

An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children. An acceptable plan of correction was received on 1/30/2023. An unannounced verification visit was conducted on 2/17/2023. At 11:07 AM on 2/17/2023, Staff #2, #3 and #4 were observed working with a with a mixed age group of 47 young school age and older school age children. Four staff are required to maintain the required the staff to child ratio for this mixed age group. Staff #5 had reportedly went to use the restroom. However, Staff #5 did not return to the classroom until 11:17 AM.

Staff #2 completed pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on 12/3/2022. However, the previous pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) certification on file for Staff #2 was dated 12/3/2019; thus, it had expired in December of 2021.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Professional development in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR)

Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: The required pre-service health and safety training and Pediatric First Aid/CPR. See LIS code sheet.

An unannounced inspection was conducted on 12/27/2022, Staff #1 did not have the completed DHS FBI, child abuse or National Sex Offender Registry (NSOR) clearances or the requests for these clearances on file. Staff #1 was observed working unsupervised with a group of children on 12/27/2022.

An unannounced inspection was conducted on 12/27/2022. Staff #1 was observed working alone with a mixed age group of 15 young school age and older school age children. The required staff to child ratio for this mixed age group is 1 staff to 12 children.

During the Renewal Inspection on 1/25/2022, Staff #1 and Staff #2 did not have the National Sex Offender Registry (NSOR) clearance on file. Staff #3 was rehired on 10/5/2021. The most recent state police clearance on file for Staff #3 on 1/25/2022 was dated 4/21/2016. Staff #4 had current clearances on file, However, the previous state police and child abuse clearances on file were dated 8/17/2016 and 8/2/2016. They were renewed on 9/23/2021 and 10/4/2021.

Staff #2 was identified as the cleaning person in the facility. On 1/25/2022, Staff #2 did not have the health assessment and tuberculosis screening required at initial employment on file.

On 1/25/2022, Staff #2 and Staff #5 did not have any written, nonfamily references on file.