Abc Review Child Care Center

Noncompliance Area: Observed a group of older toddlers playing in the school age play are which contained multiple small objects and gravel with a diameter of less than 1 inch.

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: Observed the agreement for child file #3 and #5 did not contain the date of the child's admission.

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

Noncompliance Area: Observed child file #1, 2, and 5 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: Observed the emergency contact information for child file #3 did not contain the address of the individual designated by the parent to whom the child may be released.

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: Observed child file #1 and #4 did not contain written verification of ongoing flu vaccines administered in accordance with the schedule recommended by the ACIP.

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: Observed staff file #7, contained an updated health assessment which was dated more than 24 months after the previous valid health assessment.

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: At the time of inspection staff file #1, 4, 5, and 7 contained NSOR verification letters, required by the CPSL to be obtained prior to 7/1/20, which were dated after 7/1/20. Observed staff file #2, 3, and 6, who were required to obtain the NSOR verification letter prior to starting in a child care position, contained NSOR verification letters which were dated after their first day in a child care position. Observed staff file #1 contained updated child abuse and criminal background clearances which were dated more than 60 months after the previous valid clearances. Observed staff file #4 contained an updated criminal background clearances which were dated more than 60 months after the previous valid clearances. Observed staff file #2, a provisional hire, contained a child abuse clearance which was dated after their first day in a child care position and the file did not contain a copy of the application for the clearance as required by the CPSL. Observed staff file #3, a provisional hire, contained a child abuse clearance and criminal background clearance which were dated after their first day in a child care position and the file did not contain a copy of the application for the clearance as required by the CPSL. Observed staff file #6, a provisional hire prior to covid 19, contained a child abuse clearance and FBI clearance which were dated after their first day in a child care position and the file did not contain a copy of the application for the clearance or fingerprint receipt as required by the CPSL. Observed staff file #7 contained an updated criminal background clearance receipt and not the actual clearance certification as required by the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -7- may not work in a child care position at the facility. 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.

Noncompliance Area: Observed multiple exposed bolts on the gates and gate posts and in the corners of the preschool, school age, and toddler play areas.

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: Observed an older toddler, who was still placing objects in his mouth, have access to games with small parts of less than an inch in diameter in the school age cabinet. Observed older toddlers in a school age play area which had gravel and rubber mulch with a diameter of less than 1 inch. Observed 2 areas of exposed dirt and small stones with a diameter of less than 1 inch in the play area used by young and old toddlers. Observed the young toddlers walk through the preschool play area which has rubber mulch with a diameter of less than 1 inch.

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: Observed young toddlers sleeping in the infant room in pack n plays which did not have 2 feet of space on three sides. In the upstairs room, observed young toddlers in pack n plays, older toddlers on mats, and preschool age children on mats which did not have 2 feet of space on three sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: Observed child file #1 who has been enrolled for more than 6 months did not contain a child service report written on the departments approved 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: Observed child file #2, did not contain updated written verification from a physician of the child receiving the second Hep A vaccination.

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: Observed the facility did not have written notification of safe routes posted in a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: Observed child file #2 did not contain documentation of parental review of the emergency contact information in the previous 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: Observed staff file #2 and #3 did not contain documentation of training in the emergency plan at the time of initial hire.

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: Observed staff file #2 contained an FBI fingerprint clearance which was applied for and obtained more than 90 days after the initial date of providing child care. Observed staff file #3 contained a receipt for the criminal background check and not the actual criminal background clearance which is required for employment in a child care position.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # -3- may not work in a child care position at the facility.

Noncompliance Area: Observed a spot of detached fence with rough edges to the left of the toddler play area entrance gate.

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: Observed staff #2 who was swimming in the deep end of the pool and unable to see, assess, or be physically present with her assigned group of 3 school age children who were playing in the shallow end of the pool.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: At the time of arrival at the swimming pool, staff #1 was asked which children she was specifically responsible for supervising. Staff #1 responded that she was responsible for a mixed age group of 7 young and older school age children, which consisted of 1 child on a bench on the deck of the pool and 6 in the pool swimming.

Correction Required: The staff-child ratios while children are swimming are Infant 1:1; Young or older toddler 1:2; Preschool 1:5; Young school-age 1:6; Older school-age1:8

Noncompliance Area: Observed the emergency contact form, which was present at the swimming pool, for child #1 did not contain signed parental consent for swimming.

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

Noncompliance Area: Observed a wooden roof slat on the preschool climber which was loose and damaged. Observed a torn diaper changing pad in the infant diaper changing area.

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: Observed multiple staples on the floor along the wall supporting the open gate between the older toddler area and the preschool area.

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: Observed child file #1 and #2 contained most recent child service reports which are dated more than 9 months ago.

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: Observed child file #3 did not contain the address of the individual designated by the parent to whom the child may be released.

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: Observed prescription clotrimazole diaper cream, in the toddler area of the main room,which did not contain written instructions provided from the individual who prescribed the medicine.

Correction Required: 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: Observed in the boys room diapering area, the foot pedal on the hands-free covered can was not working and the staff would need to open the lid with their hand.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: Observed the telephone in the infant room and the telephone on the shelf by the entrance way to the pre k area did not have the emergency phone numbers posted by the telephones.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: Observed the hand washing area in the young toddler area of the main room, did not contain steps or a platform for the able toddlers to reach the source of running water to wash their hands.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Noncompliance Area: Observed the group of school-age children on a swimming excursion at the high school pool. At the time of the swimming excursion, the facility had medication which requires a medication log to be maintained if the medication is administered, but the staff responsible for the children did not have a medication log present with the medication.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: Observed the group of school-age children on a swimming excursion to the high school pool. At the time of the swimming excursion, Staff #1 and #2 who were counted in the staff child ratio, stated they had received water safety training from a video and did not receive the training from a certified lifeguard.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Noncompliance Area: Observed an extra rest mat in a cabinet with a peeling cover and exposed foam. Observed a blue/green toddler rest mat by the copier which had exposed foam.

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: Observed a large amount of small stones with a diameter of less than 1 inch in the toddler play area.

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: Observed child #1 was placed into a pack 'n play which was labeled for the use of child #2.

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: Observed Infant Acetaminophen which was not labeled with the name for whom it was intended in a cabinet in the young toddler room.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: Observed a small purple bottle in the infant room which was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: At the time of the inspection 11:15am, there were 4 young toddlers in the young toddler room with no staff physically present in the young toddler room. The staff person #1, who was assigned to supervise the children was in the infant room across the hallway obtaining the toddler lunches.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Observed Mr Clean cleaning solution accessible to children in an unlocked cabinet in the main preschool area of the facility.

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: Observed a detached drawer front on the cabinet by the bathrooms and by the microwave. Observed an upper cabinet which was detached/loose hinges and would not close properly. Observed a broken latch support board with rough edges at the entrance to the toddler play area.

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: Observed in the outside play area, spots of peeling paint on the metal John Deere toy and on the wings of the metal airplane toy. Observed spots of peeling paint on the exterior door trim of the entrance door.

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

Noncompliance Area: Observed in the infant room, the underside of a bouncy seat had detached fabric. Observed an extra rest mat in the upstairs room had a peeling cover and exposed foam. Observed splintering edges on the back of a shelf near the preschool area. Observed cubbies in the entrance area which were not securely anchored to the wall and were a fall hazard. Observed a wooden shelf on the toddler side of the stage area which was not securely anchored to the wall.

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: Observed in the toddler play area, several spots of bare dirt which contained a number of small stones with a diameter of less than 1 inch.

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: Observed in the infant room, an infant sleeping in a rocking cradle without a medical reason documented in a statement signed by a physician.

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: Observed child file #4, who had been in attendance for more than 6 months, did not contain a child service report completed within the previous 6 months.

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: Observed children's files #4 and #5 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: Observed staff file #5 contained an initial health assessment which was dated more than 2 months after providing initial service in a child care setting. Observed staff file #6, contained an updated health assessment which was dated more than 24 months after the previous health assessment.

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: Observed children's files #1, #2, #3, and #4 did not contain documentation of parental review of the financial agreement within the previous 6 months.

Correction Required: Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: Observed the facility did not have the current certificate of compliance posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: Observed staff file #1, #2, #3, and #4 did not contain documentation of 2 years experience with children.

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

Noncompliance Area: Observed a low electrical outlet in an unlocked closet in the infant/toddler room accessible to children who were walking.

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

Noncompliance Area: Observed orange oil, cinnamon oil, and shaving cream all labeled "keep out of the reach of children" accessible to children in an unlocked cabinet in the girls' bathroom. Observed ice melt material accessible to children by the entrance door.

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: Observed a hot glue gun located in an unlocked cabinet accessible to children on the stage area.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Observed the downstairs infant room did not have a first-aid kit in the child care space.

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: Observed a detached fake brick in the school-age area. Observed a damaged wall vent in the preschool area. Observed a detached gate in the school-age outdoor play area.

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: Observed peeling paint on the emergency steps located within the school-age play area. Observed peeling paint on the basketball hoop post in the school-age outdoor play area.

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

Noncompliance Area: Observed the documented fire drills revealed that 2 times within the previous 12 months that the facility conducted fire drills more than 60 days apart. These 2 times were 2/20/17 to 5/17/17 and from 5/17/17 to 8/15/17.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Observed a damaged gate latch to the toddlers outdoor play area and a broken rake handle in the preschool play area. Observed a brown cabinet in the infant/toddler hallway area which was not securely anchored to the wall. Observed exposed foam on a rest mat and loose support screws on a wooden sand table. Observed splintering wood edges on the door to the children's bathroom.

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: Observed the infant room did not have a written plan of daily activities posted in the infant room.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Observed a young toddler napping in a pack n play in the hallway outside of the infant room while the staff responsible for supervising the young toddler was in the infant room with 2 infants and 1 young toddler.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Observed the infant room did not have a posted emergency transportation plan or the emergency contact information for all of the children receiving care in the room.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.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: Observed diaper creams accessible to children in an unlocked cabinet below the diaper changing table in the infant/young toddler area.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: Observed a package of yogurt labeled"keep refrigerated" which was not refrigerated in a lunch box located on the top of the cubbies.

Correction Required: Potentially hazardous food brought from the child`s home or provided by the facility shall be refrigerated.

Noncompliance Area: Observed a bottle in the infant room which was not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child`s name.

Noncompliance Area: Observed a bottle of white out labeled "keep out of the reach of children" accessible to children on a counter top on the stage area which is accessible 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.