1ST CH OF GOD LRG AND PLAY CTR - Mechanicsburg PA Child Care Center

Noncompliance Area: Small chalk pieces, less than one inch in diameter, and a plastic bag were observed to be on the outdoor play space, where an infant and young toddlers were receiving care. Corrected on site.

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 most recent health assessment on file for facility person #2, hired 6/1/2018, was dated 6/8/2018. An updated health assessment was not on file. The file of facility person #5, hired 6/29/2020, contained a health assessment, including tuberculosis screening results, dated 8/22/18, which therefore was not conducted within 12 months prior to hire.

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: The health assessment on file for facility person #4 indicated that the facility person had communicable diseases, and no additional information was provided.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: The file of facility person #1 contained a state police clearance dated 8/17/2020. The previous state police clearance was dated 5/26/15. Therefore, the requirement to have the clearances updated every 60 months, as per the CPSL, was not met. The file of facility person #3 contained a state police clearance dated 8/5/2020. The previous state police clearance was dated 6/12/15. Therefore, the requirement to have the clearances updated every 60 months, as per the CPSL, was not met. The file of facility person #6 contained a state police clearance dated 8/5/2020. The previous state police clearance was dated 5/26/15. Therefore, the requirement to have the clearances updated every 60 months, as per the CPSL, was not met. The file of facility person #5, hired 6/29/2020, did not contain a completed NSOR verification certificate, a signed disclosure statement, or a completed Department of Human Services FBI clearance. The file contained a completed Department of Education FBI clearance, which does not meet the requirements of the CPSL. The LE does not have an approved waiver to hire provisionally.

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 #5 must be removed from a child care position by the close of business. Effective 12/31/19 provisional hires may not work in a child care position when a waiver approval is not on file.

Noncompliance Area: Hand sanitizer was observed to be accessible to children in the Tigers classroom. Corrected on site.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The water at the sink in the Panda classroom was observed to be 123 degrees Fahrenheit and the water at the sink in the Starfish classroom was observed to be 119 degrees Fahrenheit.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: The first aid kit in the infant room was observed not to contain tweezers. The first aid kit in the starfish classroom was observed not to contain tweezers or tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: The ceiling outside of the PreK/School-Age classroom was observed to be in disrepair. The closet outside of the same classroom was observed to be accessible to children. The closet contains a ladder with access to the roof of the building.

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: On 5/24/19, the file of child #4 (17 months old at the time of inspection), did not contain documentation of MMR or Varicella vaccines. Continued non-compliance: on 7/2/19, the file of child #4 still did not contain documentation of MMR or Varicella vaccines.

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: On 5/14/19, diaper cream was observed to be stored in an area accessible to children in the restroom next to the toddler classroom. Continued non-compliance: On 7/2/19, diaper cream was again observed to be stored in an area accessible to children in the restroom next to the toddler classroom. Baby powder was also observed to be accessible to children in the same location. Both were corrected on site.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: A bike on the outside play area was observed to have a cracked pedal.

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: Refrigerators in the kitchen, Pre-K Pandas room, Toddling Turtles, and Penguins rooms did not contain thermometers.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: The current agreement for child #3 did not specify the persons 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 emergency contact form for child #1 did not include addresses for two of the release persons listed.

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 written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the Toddling Turtles or Penguins classrooms. The plan was posted in the Penguins classroom at the time of inspection.

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.