Abc Review Child Care Center - Somerset PA Child Care Center

Noncompliance Area: Observed a group of older toddlers playing in the school age play are which contained multiple small objects and gravel with a diameter of less than 1 inch.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: Observed the agreement for child file #3 and #5 did not contain the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: Observed child file #1, 2, and 5 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: Observed the emergency contact information for child file #3 did not contain the address of the individual designated by the parent to whom the child may be released.

Correction Required: 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.

Noncompliance Area: Observed child file #1 and #4 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Observed staff file #7, contained an updated health assessment which was dated more than 24 months after the previous valid health assessment.

Correction Required: 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.

Noncompliance Area: At the time of inspection staff file #1, 4, 5, and 7 contained NSOR verification letters, required by the CPSL to be obtained prior to 7/1/20, which were dated after 7/1/20. Observed staff file #2, 3, and 6, who were required to obtain the NSOR verification letter prior to starting in a child care position, contained NSOR verification letters which were dated after their first day in a child care position. Observed staff file #1 contained updated child abuse and criminal background clearances which were dated more than 60 months after the previous valid clearances. Observed staff file #4 contained an updated criminal background clearances which were dated more than 60 months after the previous valid clearances. Observed staff file #2, a provisional hire, contained a child abuse clearance which was dated after their first day in a child care position and the file did not contain a copy of the application for the clearance as required by the CPSL. Observed staff file #3, a provisional hire, contained a child abuse clearance and criminal background clearance which were dated after their first day in a child care position and the file did not contain a copy of the application for the clearance as required by the CPSL. Observed staff file #6, a provisional hire prior to covid 19, contained a child abuse clearance and FBI clearance which were dated after their first day in a child care position and the file did not contain a copy of the application for the clearance or fingerprint receipt as required by the CPSL. Observed staff file #7 contained an updated criminal background clearance receipt and not the actual clearance certification as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -7- may not work in a child care position at the facility. 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.

Noncompliance Area: Observed multiple exposed bolts on the gates and gate posts and in the corners of the preschool, school age, and toddler play areas.

Correction Required: 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.

Noncompliance Area: Observed an older toddler, who was still placing objects in his mouth, have access to games with small parts of less than an inch in diameter in the school age cabinet. Observed older toddlers in a school age play area which had gravel and rubber mulch with a diameter of less than 1 inch. Observed 2 areas of exposed dirt and small stones with a diameter of less than 1 inch in the play area used by young and old toddlers. Observed the young toddlers walk through the preschool play area which has rubber mulch with a diameter of less than 1 inch.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: Observed young toddlers sleeping in the infant room in pack n plays which did not have 2 feet of space on three sides. In the upstairs room, observed young toddlers in pack n plays, older toddlers on mats, and preschool age children on mats which did not have 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: Observed child file #1 who has been enrolled for more than 6 months did not contain a child service report written on the departments approved form.

Correction Required: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Observed child file #2, did not contain updated written verification from a physician of the child receiving the second Hep A vaccination.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Observed the facility did not have written notification of safe routes posted in a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: Observed child file #2 did not contain documentation of parental review of the emergency contact information in the previous 6 months.

Correction Required: 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: Observed staff file #2 and #3 did not contain documentation of training in the emergency plan at the time of initial hire.

Correction Required: 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 and kept on file at the facility.