Abi Bush Family Child Care Home - Claysburg PA Family Child Care Home

Noncompliance Area: The facility lacked a written plan conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: Child #3 was enrolled on 10/10/18 and lacked health assessment.

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: Child #2, #4, and #5 lacked an updated health report every 12 months as a preschool children. The most current health assessment observed for child #2 was dated 9/26/18, the most current health assessment observed for child #4 was dated 10/2/18, and the most current health assessment observed for child #5 was dated 9/26/18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: Child #2, who was enrolled on 8/22/18, lacked written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: Child #1 lacked an influenza vaccination in accordance with the schedule recommended by the ACIP or a parent exemption letter. Children #2, #4 and #5 lacked written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered in accordance with the schedule recommended by the ACIP. The most current written verification observed for child #2 accompanied the outdated health assessment dated 9/26/18, the most current written verification observed for child #4 accompanied the outdated health assessment dated 10/2/18 and the most current written verification observed for child #5 accompanied the outdated health assessment dated 9/26/18.

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: The most current health assessment for staff #1 was dated 8/21/18, exceeding 24 months.

Correction Required: 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 facility lacked a written statement giving the formula and feeding schedule for an infant observed in care.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The facility lacked a COVID-19 Health and Safety plan and screening procedures to asses the symptoms of COVID-19 for children. The dining room was observed having a vacuum cord laying on the floor and plugged into the wall creating a choking hazard for an infant observed in care.

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

Noncompliance Area: The operator lacked training regarding the emergency plan on an annual basis. No current review of emergency plan was observed.

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.

Noncompliance Area: Staff #1 lacked a current Pennsylvania State Police (PSP), Pennsylvania Child Abuse clearance, and an National Sex Offender Registry (NSOR) certificate. The most current PSP clearance was dated 7/6/15 and most current Pennsylvania Child Abuse clearance dated 7/8/15. Household member #2 lacked an NSOR certificate.

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 #1 may not work in a child care position at the facility until all clearances and NSOR certificate are obtained.

Noncompliance Area: Staff #1 lacked Mandated Reporter training updated every 60 months. The most current training was dated 6/29/15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Noncompliance Area: The bathroom sink cabinet accessible to children was observed having an assortment of soaps and cleaners under the sink which had manufacturer labels stating "keep out of reach of children".

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The outdoor play space was observed having adult and child glider swings with torn fabric on the seats.

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: The hutch located in the dining room was observed having a glue stick in an unlocked bottom cabinet accessible to all ages of children in care with a manufacture label stating "Keep of reach of children 3 years and younger, choking hazard".

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 lacked labels for the use of a specific child.

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.