ABC 24 HR CHILD CARE ABOVE AND BEYOND 24 HR CH - Erie PA Child Care Center

Noncompliance Area: On 2/10/2020 at 12:30pm Staff #1 administered 1 ML of the medication Risperdal to Child #1, the correct dosage was to be .33ML, resulting in too much being given.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: In both the infant/toddler area and the preschool area, there were foam blocks/letter boards observed with bite marks in them.

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 rest equipment cots that were being stored in the Preschool area and main 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 contains an emergency contact form that was lacking the medical insurance 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 file for Child #2 contained an emergency contact that was lacking the addresses to their 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 file for Child #1 and #3 contain emergency contact forms and financial agreements that need a six moth update with the parents signature.

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: The file for Child #2, whose enrollment date was 12/10/18 was lacking an initial health assessment and copy of their immunization status.

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: The file for Child #3 contained an immunization record that was lacking two doses of DTAP, two doses of HIB, two doses of pneumococcal, and I dose of polio, The file for Child #4 contained an immunization record that was lacking 1 dose of DTAP.

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: In the infant room, there were 3 med logs that were lacking the name of the medication, one listed the medication name as "treatment."

Correction Required: A medication log shall include the name of the medication.

Noncompliance Area: The file for Staff #8 contained a TB test that was read after the staff's start date.

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 file for Staff #1 was lacking two non-family references.

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: The file for Staff#5 was lacking annual 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: The file for Staff #5 was lacking annual fire safety.

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: The file for Staff #1 contained a DOE FBI clearance. The file for Staff #4 was lacking their state police and NSOR clearances. The file for Staff #6 was lacking a signed disclosure statement. The file for Staff #7 was lacking proof of applying for and getting fingerprinted for the FBI clearance. The file for Staff #8 contained a disclosure statement that was not signed and dated.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #4, #7 -- 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.

Noncompliance Area: The file for Staff #2, #3, #4, #7 acting in a AGS in the facility was lacking verification of 2 years experience with children, therefore can only act in the role of Aide.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.