Alvarez Garcia Home Day Care - Allentown PA Family Child Care Home

Noncompliance Area: The cots that the children were sleeping on were not labeled.

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 daily activity schedule was not posted in the facility.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: When certification representative was conducting the annual inspection on 12/13/2019, he observed staff 1 bring a child from upstairs. Certification representative was conducting the inspection for at least 10 minutes with the provider before she brought the child downstairs. As a result, the child was unsupervised for at least 10 minutes. Staff 1 did admit to the child sleeping upstairs since the early morning. The inspection started at 8:30a.m.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). Certification representative will conducted two unannounced visits to ensure compliance with supervision. Children must be supervised at all times.

Noncompliance Area: Child 1 did not have an updated child service report on file. The last one on file was dated 112/6/2018.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: Child 2 did not have a health assessment on file. It was 60 days after his date of admission. Child 3, who is an older toddler, did not have an updated health assessment on file. The last health assessment was from 11/19/2018.

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.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 1 did not have a fee agreement signed by parent. Child 3 last had his fee agreement and emergency contact form updated on 2/20/2019.

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: Child 1 did not have recent consent for emergency medical care and minor first aid.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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.

Noncompliance Area: There was toxics, such as cleaners, under the sink in the kitchen. There was also plastic bags accessible to the children under the bathroom sink.

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.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: Children 3, 4 and 5 did not have updated child service reports on file. Children 3 and 4 last had child service reports dated for 12/14/2017 and child 5 did not have one on file.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: Child 4 did not have a health policy number on file on her emergency contact form.

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: Children 1-4 did not have updated fee agreements on file. Children's 1-4 fee agreements were dated for 12/14/2017.

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.

Noncompliance Area: Child 1 had a health assessment last dated 6/5/2017. Her DOB was 11/19/2016. As a result, the health report was not updated within a 6 month period.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The facility did not have the family home day care regulations posted and accessible to parents.

Correction Required: The facility's current certificate of registration 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: The facility was missing soap and disposable gloves from the first aid kit.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.