Barbs Care-a-lot

Noncompliance Area: On the young toddler playground there were greater than 10 pieces of rubber mulch observed that had come from the adjacent preschool playground. Young toddlers were observed playing on the young toddler playground.

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 refrigerator located in the outdoor pavilion contained a thermometer registering 60 degrees. Milk and eggs were observed in the refrigerator.

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 file for child #1 contains an emergency contact form that is missing the address for the emergency release persons.

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: The file for staff person #2, hired 8/20/2019, contains documentation of mandated reporter training completed on 12/30/2019. The file for staff person #5, hire date 10/7/2019, contains documentation of mandated reporter training completed on 3/1/2020. The trainings were not completed within 90 days of hire as required by CPSL. The file for staff person #8 contains current mandated reporter training completed on 2/17/20 which is greater than 60 month from the prior training on 1/8/15. The file for staff person #10 contains current mandated reporter training completed 2/23/20 which is greater than 60 months from the prior training completed on 2/16/15. The file for staff person #11 contains current mandated reporter training completed on 3/3/20 which is greater than 60 months from the prior training completed on 1/28/15. The file for staff person #13 contains current mandated reporter training completed on 5/25/20 which is greater than 60 months from the prior training completed on 3/27/15.

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

Noncompliance Area: The file for staff person #1, hire date 7/12/2019, contains an NSOR dated 7/23/2020. The file for staff person #4, hire date 3/17/2014, does not contain documentation of the NSOR. CPSL requires all staff hired before 9/30/2019 to obtain the NSOR by 7/1/2020. The file for staff person #1 is now current. Staff person #4 may not work in a child care position until the NSOR is received. The file for staff person #3, hire date 6/8/2020, contains verification of requesting the NSOR on 7/15/2020 and does not contain an NSOR confirmation. The file for staff person #5, hire date 10/7/2019, contains an NSOR dated 7/23/2020. The file for staff person #6, hire date 10/30/2019, contains verification of requesting the NSOR on 7/15/2020 and does not contain an NSOR confirmation. The file for staff person #7, hire date 3/11/2020, contains an NSOR dated 7/23/2020. CPSL requires all staff hired after 9/30/2020 to obtain the NSOR prior to employment or if hired provisionally with a waiver to request the NSOR prior to employment and obtain the NSOR confirmation within the 45 day provisional hire period. The files for staff persons #5 and #7 are now current. Staff persons #3 and #6 may not work in a child care position until the NSOR is received. The file for staff person #8 contains Criminal History that expired 1/8/20 , child abuse that expired 3/19/20 and FBI that expired 3/3/20. The file contains current criminal history dated 2/6/20, current child abuse dated 3/25/20 and current FBI clearance dated 3/14/20 which were all completed greater than 60 months from the prior clearance. The file for staff person #9 contains criminal history that expired 1/8/20, child abuse that expired 5/20/20 and FBI that expired 2/17/20. The file contains current criminal history dated 2/6/20, current child abuse dated 6/30/20 and current FBI dated 6/25/20, all completed greater than 60 months from the prior clearance. The file for staff person #4 contains criminal history that expired 3/4/19, child abuse that expired 3/31/19 and FBI that expired 3/17/19. The file contains current criminal history dated 7/29/29, current child abuse dated 8/5/19 and current FBI dated 8/1/19 all completed greater than 60 months from the date of the prior clearance. The file for staff person #12 contains a child abuse clearance that expired on 8/7/2020 and does not have a current child abuse clearance. Staff #12 must be removed from a child care position until a current clearance is obtained.

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 Persons #4, #3 and #6 may not work in a child care position at the facility.

Noncompliance Area: A protective outlet cover was missing from the electrical outlet accessible to children under the age of 6 in the pre-k bathroom.

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

Noncompliance Area: Air fresheners labeled keep out of the reach of children were stored on the back of the toilet in the staff bathroom. Although the bathroom is labeled 'staff only', the door was open and children were present in the adjacent classroom.

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: A water damaged ceiling tile, with staining and sagging, was observed in the ceiling of the older toddler classroom.

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: Based on statements from staff it was verified that staff person #1 has used harsh language in the presence of children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: An infant child was observed sleeping in a crib that was individually labeled for a different 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.

Noncompliance Area: The refrigerator in the kitchen did not have a thermometer.

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 file for child #2 contains emergency contact information that lacks the address for the child's physician.

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

Noncompliance Area: The file for child #2 contains emergency contact information that lacks the address for the designated release persons.

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: The files for child #1 and #3, both preschool aged, do not contain verification of an influenza vaccination received in the previous 12 month period as required according to the ACIP schedule.

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 file for staff person #2 and #5 contain current health assessments that were conducted more than 24 months after the previous health assessment. The files for staff person #3 and #4 do not contain current health assessments conducted during the previous 24 month period.

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.