Aracelis Daycare

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: Facility children #1 and #2's emergency contact forms did not have the enrolling parents work information.

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

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: Facility staff #1 did not have the approved Department of Human Services FBI clearance on file. The clearance on file is one that is not an approved clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3290.113(e)

Description: Restraints prohibited

Noncompliance Area: At the time of inspection on 7/12/204, Certification Representative observed two children in highchairs in front of the tv watching a children's show. When asked, the operator stated the children were placed in the highchairs so she could prepare lunch.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3290.31(f)

Description: Age and training

Noncompliance Area: Facility staff #1 and #2 did not complete 12 clock hours of child care training annually.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Regulation: 3290.94(a)(4)

Description: Hypothetical locations

Noncompliance Area: The fire drill log did not reflect that the hypothetical location of the fire was rotated for each drill.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed child #1's emergency contact information did not include the name, address and telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed child #1's emergency contact information did not include the work telephone number of the enrolling parent.

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

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed child #1's emergency contact information did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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.

Regulation: 3290.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed child #1's emergency contact information did not include 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.

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed child #1 and #2's emergency contact information form was not reviewed/updated within the 6-month period. Observed child #1's financial agreement form was not reviewed/updated within the 6-month period.

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.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed child #1 and #2's records did not include initial and subsequent health reports.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Regulation: 3290.151(c)(1)/3290.192(2)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed staff person #2's file did not include verification of an adult health assessment including the results of tuberculin skin tests.

Correction Required: An adult health assessment must include a physical examination. 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.

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed child #1's record did not contain signed parental consent for administration of minor first-aid procedures by facility staff.

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

Regulation: 3290.24(c)

Description: Training regarding plan

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed staff person #1 and #2's file did not include verification of annual emergency plan training. Last training conducted was on 6/30/2019.

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.

Regulation: 3290.31(f)(4)(i)/3290.31(g)(10)

Description: Age and training/Health and Safety Training - Pediatric first aid/CPR

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed staff person #1's file did not include verification of completion of training by a professional in the field of first-aid and CPR.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Pediatric first aid and pediatric cardiopulmonary resuscitation.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed staff person #1 and #2's record did not include 12 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.31(g)

Description: Age and training

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed staff person #2's file did not include verification of completion of CCDBG health and safety professional development training.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (g)1-10.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed staff person #1's file did not include verification of state police clearance, child abuse clearance and FBI clearance. Observed staff person #2's file did not include verification of updated state police clearance. The last clearance on file is from 2/22/2017.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 #1 and #2 may not work in a child care position at the facility.

Regulation: 3290.75(a)

Description: No peeling paint or plaster

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed peeled paint in the childcare space.

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

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During the renewal inspection conducted on 6/14/2023 observed evacuations routes were not posted in the first and second floor of the facility.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.106

Description: Refrigerator

Noncompliance Area: During the renewal inspection conducted on 6/15/22 observed the thermometer in the refrigerator was not operational.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: During the renewal inspection conducted on 6/15/22 observed child #3 and #4's agreements did not specify the date of the child's admission.

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

Regulation: 3290.124(b)(1)

Description: Child's name, birth date

Noncompliance Area: During the renewal inspection conducted on 6/15/22 observed child #3 and #4's emergency contact information did not include the birth date of the child.

Correction Required: Emergency contact information must include the name and birth date of the child.

Regulation: 3290.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During the renewal inspection conducted on 6/15/22 observed child #1's emergency contact information did not include the telephone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3290.131(e)(2)(i)

Description: Religious belief/strong personal objection

Noncompliance Area: During the renewal inspection conducted on 6/15/22 observed child #2's file did not include an exemption from the influenza immunization.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Regulation: 3290.151(c)(1)/3290.151(c)(4)

Description: Physical examination/Information re: medical problems

Noncompliance Area: During the renewal inspection conducted on 6/15/22 observed staff person #1's health assessment did not include a physical examination and stated "no" for the staff person being able to work in child care.

Correction Required: An adult health assessment must include a physical 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.

Regulation: 3290.31(f)(4)(i)

Description: Age and training

Noncompliance Area: During the renewal inspection conducted on 6/15/22 observed staff person #1's first-aid and CPR training was done online only and does not state "pediatric" on the card. Observed staff person #2's file includes training for life support/CPR and AED program rather than first-aid and CPR training.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and CPR. All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During the renewal inspection conducted on 6/15/22 observed staff person #1's state police clearance, child abuse clearance, FBI clearance and mandated reporter training expired.

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. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During the renewal inspection conducted on 6/15/22 observed Lysol disinfectant spray on the sink in the bathroom child accessible.

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.