The Owls Nest Daycare And Preschool Llc - Woodbury PA Child Care Center

Noncompliance Area: On 8/31/20 the lunch prepared for toddlers lacked at least one fruit or vegetable.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one fruit or vegetable.

Noncompliance Area: Staff #1 lacked a Pennsylvania State Police (PSP), Pennsylvania Child Abuse, and DHS FBI clearance updated every 60 months, current clearances were observed on file. Staff #2 was employed incorrectly as a provisional hire and lacked documentation showing a Pennsylvania Child Abuse clearance was ordered prior to employment in a child care position. No current clearance was observed on file. Staff #3 was employed incorrectly as a provisional hire and lacked documentation showing submission of applications for a Pennsylvania Child Abuse clearance and National Sex Offender Registry Certificate (NSOR) prior to employment in a child care position. No current Child Abuse clearance or NSOR clearance was observed on file. Staff #4 was employed incorrectly as a provisional hire and lacked documentation showing submission of applications for a PSP, Pennsylvania Child Abuse, DHS FBI, and NSOR prior to employment in a child care position. Staff #4 brought all current clearances to the facility on the day of inspection.

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. Staff person #2 and #3 may not work in a child care position at the facility until all current clearances obtained.

Noncompliance Area: Staff #5 lacked a written evaluation at minimum of one evaluation every 12 months. Evaluations on file were dated 9/27/18 and 2/4/20.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: On 10/29/19 at 10:50 an infant was observed sleeping in a swing, which is not a sleeping position recommended by the American Academy of Pediatrics.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: 2nd citation, previously cited at renewal inspection on 8/13/19, staff #1 lacked an adult health assessment which included an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: Staff #1 who is qualified as an aide was observed supervising 1 older toddler and 11 preschoolers alone in the preschool room.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: At 10:50 on 10/29/19, 1 staff was observed supervising 1 older toddler and 11 preschool children on the 1st floor preschool child care space.

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).

Noncompliance Area: The upstairs preschool child care space was observed having a children's dress up station which lacked anchoring to the wall creating a possible tipping hazard.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: Children #2 and #3 lacked the Department's approved form (Child Service Report) to provide information to the family about the child's growth and development in the context of the services being provided.

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: Children #1, #2, and #3 lacked parental review and update to the emergency contact information and the financial agreement at least once in a 6-month period in the previous year. Current dates were observed on file for all children.

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 information. 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: Child #1 lacked an initial health report as a school-age child.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: Staff #3 was observed having a previous health assessment dated 10/15/15 and a current health assessment dated 10/8/18, exceeding 24 months between assessments.

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 current health assessments for staff #1 and #3 lacked statements which included an examination for communicable diseases and the results of that examination and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

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 infant room was observed having a cord hanging from the radio accessible to children and the downstairs child care space was observed having infant swings with cords accessible to children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: Staff #1 and #2 lacked training regarding the emergency plan at the time of initial employment. Current training was observed on file for both staff.

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.