Renne L Evans Day Care - Sweet Valley PA Child Care Center

Noncompliance Area: A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 1 had a health assessment dated for 6/1/18 and this staff did not participate in an updated health assessment until 8/10/20. Staff # 2 had a health assessment dated for 2/8/18 and this staff did not participate in an updated health assessment until 8/7/20. Both staff did not participate in an updated health assessment as required every 24 months per regulation.

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.

Noncompliance Area: A renewal inspection occurred at the facility and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. The following staff have been employed at the center before 9/30/19 and at the time of inspection the files did not contain NSOR clearances dated prior to 7/1/20; Staff # 1 and Staff # 2. The CPSL also requires that mandated reporter training and clearances are updated every 60 months. Staff # 1 had a child abuse clearance dated for 5/22/15 and an FBI clearance dated for 8/7/20. Staff # 1 has not yet updated their child abuse and FBI clearances. Staff # 1 had mandated reporter training dated for 5/19/15 and this training has not yet been updated. Staff # 2 had a state police clearance dated for 5/29/15 this clearance was not updated until 8/19/20. Staff # 2 has a child abuse clearance dated for 6/3/15 and an FBI clearance dated for 7/15/15. Staff # 2 has not yet updated their child abuse and FBI clearances. Staff # 2 had mandated reporter training dated for 5/21/15 and this staff did not up update their mandated reporter training until 8/7/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).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. Facility Person # 1 and # 2 may not work in a child care position at the facility.

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. At that time, staff files were reviewed. Staff file # 2 had a date of hire of 7/16/18 and the file was missing documentation of a tuberculosis screening completed. Staff # 2 was working with children at the time of this inspection.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.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.

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. At that time, staff files and the emergency plan was reviewed. There was no documentation indicating the emergency plan was reviewed on an annual basis with Staff # 1. There was also not documentation indicating the emergency plan was reviewed with Staff # 2 at the time of the initial hire date of 7/16/18. Both Staff # 1 and Staff # 2 were working with children on this date.

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 and kept on file at the facility.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.

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. At that time, staff files were reviewed. First aid training for Staff # 1 was expired as of 4/2/19. First aid training in the file of Staff # 2 was completed on 9/30/18 but this training was completed online. Staff # 1 and Staff # 2 were the only staff working at the facility on the date of this inspection and they did not have documentation of valid first aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. At that time, staff files were reviewed. Staff # 2 had a date of hire of 7/16/18 and the file did not contain documentation that Staff # 2 had completed mandated reporter training. Staff # 2 was working with children on the date of this inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: On 6/27/19, a renewal inspection occurred at the facility. A physical site review was conducted. The bathroom on the upper floor had a strong smell of urine. In this bathroom, the heater cover at the toilet was rusting and is accessible to the children. In the eating area of the middle floor, near the table, the covering to the heater had come off leaving the heating element accessible to children. In the lower level of the facility, on the wall of the door to the bathroom, mold was found.

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.Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. During this time, Staff # 1 was present with 8 children. The youngest age of the children was a 1-yr old (Child # 1) and the oldest age in the group was an 11-yr old child. A 1:5 staff:child ratio would be required for the first group and a second staff person would be required for the remaining 3 children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level).The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3270.51--3270.55.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. During this time, Staff # 1 was the only staff present with a group of 8 children. The youngest age of the children was a 1-yr old (Child # 1) and the oldest age in the group was an 11-yr old child. A second staff person was required to be present after the second child entered the facility for care.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: CHILD # 4 ENROLLED AT FACILITY SINCE 6/13/16 HAS NO HEALTH REPORT ON FILE.

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: THERE ARE PEARS IN A OPEN UNCOVERED CAN IN THE REFRIGERATOR, THERE ARE PEARS NOT REFRIGERATED IN A CONTAINER ON THE COUNTER.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: CHILD # 1,2,& 3 DID NOT HAVE EMERGENCY CONTACT AND FEE AGREEMENT FORMS UPDATED IN OVER 6 MONTHS FROM 4/28/16 TO 6/7/17.

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: THERE ARE PURPLE FLOWERS WITH SHARP PICKERS ON THE STEMS AROUND THE STEP 2 BIG CLIMBER AND LITTLE TYKES ORANGE SLIDE IN THE OUTDOOR SCHOOL AGE PLAY SPACE.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: THERE ARE UNCOVERED ELECTRICAL OUTLETS IN THE KITCHEN AREA THAT IS USED AND ACCESSIBLE TO CHILDREN 5 YEARS OF AGE OR YOUNGER.

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

Noncompliance Area: THERE IS CLOROX WIPES, BLEACH, DISENFECTANT SPRAY, A CHILD'S CHILDRENS ZYRTEC AND AFRIN FOR STAFF ON TOP OF THE REFRIGERATOR ACCESSIBLE TO THE CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.