Alliance Child Care Center - Mckeesport PA Child Care Center

Noncompliance Area: The thermometer placed in the refrigerator in green room, blue room, red room and nursery was not operating.

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.

Noncompliance Area: The agreement for child #1, #2 and #4 did not include the services to be provided to the family and the child.

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: The agreement for child #2 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The record for child #2, #3 and #4 contained the original agreement.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The emergency contact information for child #4 did not include the health insurance coverage and policy number for the 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.

Noncompliance Area: The record for staff #2 included a current health assessment dated more than 24 months following the date of their previous health assessment. The record for staff #4 did not include a current 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.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.

Noncompliance Area: The operator did not document in writing the review and update of the emergency plan at least annually since the last review documented in writing on 4/5/2019.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: The operator did not assure that facility persons received training regarding the emergency plan on an annual basis; the last documented training was on 3/1/2019.

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 and kept on file at the facility.

Noncompliance Area: The record for staff#3 included verification of mandated reporter training completed on 6/22/2020, more than 60 months following the date of the last training completed on 6/23/2015. The record for staff #5 included verification of mandated reporter training completed on 5/26/2020, more than 60 months following the date of the last training completed on 3/23/2015.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The record for staff #1, who began working in child care on 4/18/2016, lacked a child abuse clearance and NSOR certificate; the record for staff #2, who began working in child care on 1/11/1999, included an invoice for a state police clearance, which is not a valid clearance, and lacked a NSOR certificate; and the record for staff #3, who began working in child care on 9/16/1999, lacked a 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. Facility Person #1, #2 and #3 may not work in a child care position at the facility.

Noncompliance Area: The director did not complete a minimum of one written evaluation of staff persons every 12 months; the last evaluation of staff persons was 3/1/2019.

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: In the yellow room, the following toxic materials labeled keep out of the reach of children were observed in a cabinet with a failed childproof lock, in an area accessible to children: Bordeaux Butt Pasted and A+D ointment.

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: In the outdoor play space, there were two areas on the lattice attached to the chain link fence that were broken, creating sharp edges and a potential hazard to children in care.

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: A sign on which the requirement for a facility person and an able child shall wash his hands after toileting and before eating was not posted at one of the two urinals in the restroom on the first floor.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: Cracked storage containers that posed potential pinch points for children in care were observed in the following areas: on a shelf in the orange room and on a shelf in the big room.

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.