Monica Grants Day Care - Pittsburgh PA Family Child Care Home

Noncompliance Area: The child file for Child #1, who has been enrolled in care since 9/8/18, lacked completed and updated child service reports on file at least once in a 6 month period; the date of the only completed child service report on file was dated 11/25/19. The Child file for child #2, who has been enrolled in care since 5/13/19, lacked a child service report. The child file for Child #3, who has been enrolled in care since 6/17/19, contained a child service report on file however it was not dated thus making it difficult to determine if the child service report was completed within the 6 month time frame.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: The child file for Child #1, Child #2, and Child #3 contained a financial agreement form that lacked the name(s) of the person(s) designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The child file for Child #2 contained an emergency contact information form that lacked the addresses of four of the individuals designated by the parent to whom the child may be released to. The child file for Child #3 and Child #4 contained an emergency contact information form that lacked the address of one of the individuals designated by the parent to whom the child may be released to.

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: The child file for Child #2, who has been enrolled in care since 5/13/19, contained an initial health report dated 11/7/19 which was more than 60 days following the first day of attendance at the facility.

Correction Required: 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.

Noncompliance Area: The child file for Child #1, who is a an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 11/19/17. The child file for Child #4, who is a preschool aged child, contained a copy of their immunization status which lacked an annual influenza vaccination as 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: At approximately 10:05am the operator was observed to have given a snack to Child #1 and the child began consuming the snack without having his hands washed prior to being given the snack to eat.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: The child file for Child #1 contained a financial agreement and an emergency contact information form that were reviewed by the parent however one of the dates in which the forms were to have been reviewed was unreadable making it difficult to determine when the forms were reviewed and if they were reviewed at least once in a 6 month period.

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: There was no documentation in writing that the facility's emergency plan was reviewed by the operator in 2019 as evidence by the facility only having documentation of the current emergency plan dated 1/1/20.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: Downstairs in the basement, in the child care playroom, a protective receptacle cover was observed to be missing from the following electrical outlets accessible to children 5 years of age or younger: the electrical outlet located on the wall underneath the window and the electrical outlet on the wall to the right of the doorway.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: In the kitchen the following cleaning products labeled "Keep Away/Out of Reach of Children" were observed to be stored in an unlocked cabinet underneath the kitchen sink; a bottle of Clorox a bottle of Lysol, a can of Raid, and a bottle of rug cleaner. A lock was observed on the cabinet door however at time of inspection the lock was not in use allowing the toxics to be accessible to children in care.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: Downstairs in the basement, in the child care playroom that contains all the children's toys that the children play with, a single light bulb fixture on the ceiling which is used to provide sufficient light in the playroom was observed to not be operable as evidence by the fixture was hanging from the ceiling, by the electrical wires, and when the light switch was turned to 'ON' the light did not illuminate causing the playroom to have insufficient lighting, both natural and artificial, for the children to be able to see while using the playroom causing a safety hazard. Staff person #1 self reported that the light fixture in the playroom has not been operating since around Halloween time back in October 2019 when a child who was in care at the time broke the fixture.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: A handgun located on the second floor of the residence was observed to not be contained in a locked cabinet; the handgun was inside a portable secured lock box case that was kept stored underneath a bedroom night stand.

Correction Required: If the facility is located in a residence, weapons and firearms shall be contained in a locked cabinet.

Noncompliance Area: Ammunition located on the second floor of the residence was observed to not be contained in a locked area separate from the handgun present at the facility; the ammunition was observed to be stored in a separate box underneath a bedroom night stand next to the portable secured lock box case that contained the handgun.

Correction Required: If the facility is located in a residence, ammunition shall be contained in a locked area separate from weapons and firearms.

Noncompliance Area: The child file for child #1, #2, #3, #4, and #5 contained a financial agreement and emergency contact information form that were not reviewed and updated, at least once in a 6-month period, by the parent. The date of last review and update by the parent was 7/1/18.

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.

Noncompliance Area: Outside in the front yard one of the metal bars on the dome climber was observed to be missing a screw allowing the metal bar to be semi detached causing the play equipment to not be in good repair.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.