A Childs First Step Ii

Regulation: 3270.192(2)(iv)

Description: Transcript, diploma and letters

Noncompliance Area: Staff#1 did not have proof of education in the file .

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Regulation: 3270.37(b)

Description: Aide qualifications

Noncompliance Area: On the day of observing the files. Staff#1 who listed as an Aide did not have proof of education in the file.

Correction Required: An aide shall have attained one of the qualification levels specified in §3270.37(b)(1)-(3).

Noncompliance Area: DURING THE INSPECTION OBSERVED THE FILE FOR STAFF#1 WHICH DI NOT HAVE THE CURRENT NSOR CLEARANCE IN THE FILE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 01may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 # 01 may not work in a child care position at the facility.

Noncompliance Area: ON THE DAY OF VISIT OBSERVED THE FILE FOR CHILD#1 WHICH DID NOT HAVE A PHYSICAL IN THE FILES.

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.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: ON THE DAY OF VISIT OBSERVED THE FILES FOR CHILD#3, CHILD#4 AND CHILD#5 WHO HAD 6 MONTHS UPDATES ON THE EMERGENCY CONTACT FORMS WERE 3/18/18 AND THE NEXT UPDATE WAS 5/2/19. THE AGREEMENT FORMS FOR CHILD#3, CHILD#4 AND CHILD#5 WAS NOT UPDATED EVERY 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.

Noncompliance Area: ON THE DAY OF VISIT OBSERVED THE CEILING TILE IN THE BASEMENT WHICH APPEAR TO HAVE A DRY SPOT FROM AN OLD LEAK. THE OUT DOOR EGRESS AREA WAS BLOCKED BY TRASH.

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 THE DAY OF VISIT OBSERVED PEELED PAINT ON THE 1ST FLOOR AND SECOND FLOOR OF THE FACILITY

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, THE BASEMENT DID NOT HAVE THE DAILY ACTIVITY PLAN POSTED.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities shall be posted in the group space.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 1,2,3, AND 4 AGREEMENT FORM WAS NOT SIGNED BY THE OPERATOR.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 2,3 AND 4 FEE AMOUNT WAS NOT SPECIFIED ON THE AGREEMENT FORM.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 3 AND 4 AGREEMENT FORM DID NOT STATE THE DATE FEE IS TO BE PAID.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 2 AND 3 AGREEMENT DID NOT LIST THE SERVICES TO BE PROVIDED ON THE AGREEMENT 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: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 4 AGREEMENT FORM DID NOT LIST THE ARRIVAL AND DEPARTURE TIMES OF THE CHILD.

Correction Required: An agreement shall specify the child`s arrival and departure times.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 1 AGREEMENT FORM DID NOT LIST THE PERSON WHOM THE CHILD MAY BE RELEASED TO.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 1,2,3, AND 4 AGREEMENT FORM DID NOT STATE THE CHILDS ADMISSION DATE.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, THE EMERGENCY CONTACT FORM FOR CHILD 1 AND 5 DID NOT STATE THE ADDRESS FOR THE PHYSICAN. CHILD 5 EMERGENCY CONTACT FORM DID NOT STATE THE PHYSICIAN PHONE NUMBER ON THE FORM.

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: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 3 EMERGENCY CONTACT FORM DID NOT LIST THE ENROLLING PARENT TELELPHONE NUMBER.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 2 AND 5 WAS MISSING INFORMATION FROM THE EMERGENCY CONTACT FORM. CHILD 2 WAS MISSING THE HEALTH INSURANCE PROVIDER NAME FROM THE EMERGENCY CONTACT FORM. CHILD 5 WAS MISSING THE HEALTH INSURANCE POLICY NUMBER FROM THE EMERGENCY CONTACT FORM.

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: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 3 AND 5 EMERGENCY CONTACT FORM DID NOT LIST THE RELEASE PERSON ADDRESS.

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: DURING THE RENEWAL INSPECTION ON 4/4/17, THE BASEMENT DID NOT HAVE A PLAN IDENTIFYING THE MEANS OF TRANSPORTING A CHILD TO EMERGENCY CARE POSTED IN THE CHILD CARE SPACE.

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: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 1,2,3,4, AND 5 DID NOT HAVE THE EMERGENCY CONTACT FORM UPDATED IN A SIX MONTH TIME FRAME. CHILD 1,2,4 AND 5 AGREEMENT FORM HAS NOT BEEN UPDATED IN A SIX MONTH TIME FRAME.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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: DURING THE RENEWAL INSPECTION ON 4/4/17, CHILD 1 WAS MISSING A HEALTH REPORT AND IMMUNIZATION FROM THEIR FILE. CHILD 3 WAS MISSING A HEALTH REPORT FROM THEIR FILE.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A health report shall include a review of the child`s immunized status according to recommendations of the ACIP.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, STAFF 2 AND 4 DID NOT HAVE VERIFICATION OF HEALTH REPORT AND TB RESULTS ON FILE.

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: DURING THE RENEWAL INSPECTION ON 4/4/17, THE EMERGENCY CONTACT FORM FOR CHILD 1 DID NOT HAVE A PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE FOR CHILD.

Correction Required: A child`s record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, THE EMERGENCY CONTACT FOR CHILD 1 DID NOT HAVE A PARENTAL CONSENT FOR SPECIAL DIET OR MEDS.

Correction Required: A child`s record shall contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: DURING THE RENEWL INSPECTION ON 4/4/17, THE EMERGENCY CONTACT FORM DID NOT HAVE A PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST AID.

Correction Required: A child`s record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, THE EMERGENCY CONTACT FORM FOR CHILD 1 DID NOT HAVE A PARENTAL CONSENT FOR TRANSPORTATION, WALKING EXCURSIONS, SWIMMING AND WADING.

Correction Required: A child`s record shall contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, STAFF 4 FILE DID NOT CONTAIN PROOF OF AGE.

Correction Required: A facility person`s record shall include verification of age.

Noncompliance Area: DURING THE RENEWAL INSPECTION 4/4/17, STAFF 3 AND 4 DID NOT HAVE TWO WRITTEN, NON FAMILY REFERENCES ATTESTING TO THE STAFFS SUITABILITY TO SERVE AS A FACILITY EPRSON.

Correction Required: A facility person`s record shall include two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person

Noncompliance Area: DURING THE RENEWAL INSPECTON ON 4/4/17, STAFF 1, 3 AND 4 FILE DID NOT HAVE VERIFICATION OF EMERGENCY PLAN TRAINING.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, STAFF 2 AND 3 FILE DID NOT HAVE VERIFICATION OF FIRE SAFETY TRAINING.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility`s fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, STAFF 3 AND 4 WERE MISSING DOCUMENTS FROM THEIR FILE. STAFF 3 FILE WAS MISSING CHILD ABUSE AND FBI CLEARANCE FROM THEIR FILE. STAFF 4 WAS MISSING A COPY OF THE REQUEST FOR FBI, VERIFICATION OF MANDATED REPORTER AND SIGNED DISCLOSURE STATEMENT.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #4--- may not work in a child care position at the facility.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, THE OUTDOOR PLAY SPACE HAD SOME UNSAFE AREAS. THERE WAS TRASH, METAL GATE, WOOD GATE, SHEET ROCK, METAL POLE, METAL HOLDER FOR DRAIN PIPE HANGING FROM THE WALL WITH SHARP EDGES IN THE OUTDOOR PLAYSPACE, ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

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: DURING THE RENEWAL INSPECTION ON 4/4/17, THE BATHROOM HAD A TOXIC PLUG IN ACCESSIBLE TO CHILDREN CAUSING A POTENETIAL HAZARD TO 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.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 4/4/17, THE FIRST AID KIT ON THE FIRST FLOOR WAS MISSING SOAP.

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: DURING THE RENEWAL INSPECTION ON 4/4/17, THE HALLWAY GOING TO THE YARD WAS MISSING SHEET ROCK AND HAD WIRES AND, FIBER GLASS EXPOSED AND ACCESSIBLE TO CHILDREN CAUSING A POTENTIAL HAZARD.

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.