Neomias Nurturing Hands Childcare - Erie PA Group Child Care Home

Noncompliance Area: The blue table on the 1st floor had a tear in the top. There was a child chair that was broken in the kitchen.

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.

Noncompliance Area: Foam letters with bite marks were observed in the toddler room.

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: The pack-n play's in the infant room and the mats in the closet in the toddler room were not labeled for individual use.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The file for Child #1 contained an agreement form that was lacking the parent's signature.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The file for Child #1 contained an agreement form that was lacking the release people of the child.

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

Noncompliance Area: The files for Child #2 and #3 contained emergency contact forms that were lacking the name, address and phone number of the child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Noncompliance Area: The files for Child #1, 2, 3, 4, and 5 all contain emergency contact forms that were lacking the parent's work address. The files for Child #2, 3, 4, 5 all contain emergency contact forms that were lacking the parent's work phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The files for Child#1, 2, 3 and 5 all contain emergency contact forms that are lacking parental signature for consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The files for Child #2, 3, 4, and 5 all contained emergency contact forms that were lacking health insurance name and policy number.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: The files for Child #3, 4, and 5 all contain emergency contact forms that are lacking the release people addresses. The file for Child #3 contained an emergency contact form that was lacking the phone number of the release people.

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 upstairs rooms were lacking posted emergency transportation plans.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: The file for Child #1, who was enrolled 11/15/19, was lacking an initial health assessment.

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: Children's Mucinex and Children's Benadryl in the kitchen was lacking the name of the child on it. There were 3 tubes of diaper cream that were lacking the name of the child to whom they belong.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: There were three tubes of diaper cream that were under the changing table in the baby room that were accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: The file for Staff #2 was lacking an initial health assessment. The file for Staff #3 and #4 were lacking initial health assessments and TB tests.

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.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.