Beautiful Beginnings Childcare Llc

Noncompliance Area: The Emergency Contact Form in the file for Child #2 did not include the address of 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 Emergency Contact Form in the file for Child #1 did not include the release persons' addresses.

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 Child #2, a Preschool Child, did not include an updated health report conducted within the past 12 months. An updated health report was due for this child prior to the suspended regulations on 3/6/20.

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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: The most recent immunization record in the file for Child #1, did not include documentation of a flu shot administered in the past 12 months: March, 2018.

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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: The trash can utilized for changing diapers was not hands-free.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The Emergency Contact Form and Fee Agreement in the file for Child #2 have not been updated by the parent since the child's enrollment: 5/3/19. Updates were required for this child prior to suspended regulations on 3/6/20.

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: Observed a sharp knife, which was accessible to children, in an unlocked lower cabinet in the kitchen.

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

Noncompliance Area: The file for Staff Person #1 did not include documentation of Mandated Reporter Training conducted within the past 60 months. Most recent certificate: 5/12/15.

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 applications for Child Abuse and FBI clearances in the file for Staff Person #3 were dated after the staff person's first day caring for children 2/22/20): Application/Child Abuse Clearance: 2/24/20. Application/FBI Clearance: 2/27/20. These clearances are now current. The file for Staff Person #2 did not include 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. Facility Person #2 may not work in a child care position at the facility.

Noncompliance Area: Observed disinfectant wipes and a spray bottle of cleaner, which were accessible to children, on 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.

Noncompliance Area: Observed in the outdoor play space: Fence boards with protruding nails loose and pulling away from framework to the right of the shed. End connectors of aluminum siding at both corners of the house had fallen to the ground. This created sharp edges at the bottom of house. Exposed protruding nails also observed on the left side of the house.

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: Observed a cracked Tonka Truck with rough edges in the toy bin in the Main 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.

Noncompliance Area: Observed in the Main Room: A plastic shopping bag, containing clothes, hanging on a clothes hook, which was accessible to children. A Styrofoam bowl on the floor near the table.

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: On December 19th, 2019, at approximately 2:00 PM Staff Persons #1 and #2 were in the Main Room with 10 children. Six Preschool Children and 1 Young Toddler were seated at the table eating a snack. 2 Young Toddlers and 1 Preschool child were still napping on rest mats. When asked to name the children they were supervising, Staff Person #1 identified the 7 Preschool Children who were in the room. Staff Person #2 identified the three children who were napping: 2 Young Toddlers and Child #1, a Preschool Child already identified by Staff Person #1. Child #2, a Young Toddler, who was seated at the table, was not identified by either staff person. When asked to identify the children again, Staff Person #1 identified her 7 Preschool Children a second time. She then reminded Staff Person #2 that she had the Preschool children and he had the Toddlers. A second time, Staff Person #2 identified the three napping children. Staff Person #1 then reminded Staff Person #2 that he was assigned Child #2, the Young Toddler, who was seated at the table.

Correction Required: All staff persons at the facility will be required to attend an OCDEL approved on-site training regarding supervision of children conducted by an Early Learning Resource Center representative. Proof of this training for all current staff will be submitted to the regional office. Training will not count towards annual minimum of 6 clock hours of child care training.

Noncompliance Area: Observed a bottle, which was not labeled with the child's name, in the Main Room.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The file for Staff Person #3 did not include two written letters of reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: On the date of the inspection, it was observed that the interconnected smoke detectors were not functioning properly due to: smoke detector in the main room near the office was not responding. This condition at the facility poses a threat to the health and safety of children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of compliance with 34 PA Code 403.23 is required. The provider will demonstrate an operable interconnected smoke detection system to an agent of the department.

Noncompliance Area: The file for Staff Person #3, whose first day working in child care was 11/10/19, did not include documentation of an application for the National Sex Offender Registry (NSOR) Verification.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490. 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 #3 may not work in a child care position at the facility.

Noncompliance Area: On 10/21/19, at approximately 1:15 PM, Staff Person #1 did not know the name of Child #1 when asked to name the children in her group.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Originally cited on 8/6/19 during renewal inspection: The immunization record in the file for Child #2 did not include documentation of a flu shot.

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.A child's record must contain initial and subsequent health reports.

Noncompliance Area: Originally cited on 8/6/19 during renewal inspection: The Emergency Contact Form in the file for Child #3 had not been updated since enrollment (11/26/18). The Fee Agreement in the file for Child #3 had not been updated in the past six months. Most recent update: 1/9/19.

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: On 10/21/19, at approximately 1:15 PM, Staff Person #2, a Secondary Staff Person, was observed supervising four children in the main child care area by herself. Staff Person #1, a Primary Staff Person was in another room supervising her own group of children.

Correction Required: A primary staff person shall supervise the performance of a secondary staff person

Noncompliance Area: On 10/21/19, at approximately 1:00 PM, Staff Person #1 was observed on the porch of the facility when the certification representative arrived. This left Staff Person's group of 1 Younger Toddler, 2 Older Toddlers and 1 Preschool Child who were napping unsupervised.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b). 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.

Noncompliance Area: Observed two loose bolts in the frame of the slide in the outdoor play space. This created a possible pinch point between the platform and the wall of the structure.

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: On 8/6/19, at approximately 9:00 AM, Staff Person #1 and #2 were supervising a group of six children of mixed age levels. Neither staff could name Child #1.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: At 9:30 AM on 8/6/19, Child #1, an infant, was observed sleeping in a bouncer. Staff Person #2 informed certification representative that the child had been sleeping in the bouncer for 20 minutes.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The files for Child #2 and #4, who had each been enrolled for more than six months (Child #2: 11/7/18, Child #4: 11/26/18) did not include Child Service Reports.

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 3280.124(f).

Noncompliance Area: The Emergency Contact Forms in the files for Child #1 and Child #3 did not include the policy numbers for the health insurance coverage.

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 Emergency Contact Forms and Fee Agreements in the files for Child #2 and #5 had not been updated since enrollment. Child #2: (11/7/18). Child #5: 11/14/18. The Emergency Contact Form in the file for Child #4 had not been updated since enrollment (11/26/18). The Fee Agreement in the file for Child #4 had not been updated in the past six months. Most recent update: 1/9/19.

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.

Noncompliance Area: The file for Child #2, a Young Toddler, did not contain an updated health report conducted within the past six months.

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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: The immunization record in the file for Child #2 did not include documentation of a flu shot.

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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: The health assessment in the file for Staff Person #1 was conducted after the staff person's first day working in child care at the facility. This health assessment is current. The file for Staff Person #1 did not include documentation of a TB Screening. The health assessment and TB Screening in the file for Staff Person #4 were conducted more than 12 months prior to the staff person's first day working in child care at the facility. This health assessment and screening are not valid.

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: Observed dangling cords for the two window-mounted air conditioners in the main room. This presented a potential hazard to children in care.

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

Noncompliance Area: On 8/6/19, at approximately 9:30 AM, Staff Person #2 was observed providing care for 4 children in the Infant Room, which has a measured capacity of 3.

Correction Required: Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.

Noncompliance Area: On 8/6/19, at approximately 9:15 AM, Staff Person #3 was observed caring for 6 School-Age Children and 2 Preschool Children who were eating breakfast in the Activity Room, which has a measured capacity of 2.

Correction Required: When the capacity of a space is exceeded while children are eating, the number of children present in the space may not be more than twice the measured capacity of the space.

Noncompliance Area: The orange snow fence, which served as a barrier between the outdoor play space and the neighbor's driveway, had been removed.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: Observed a cracked electrical outlet plate, which created a possible pinch point, in the infant room. Observed in the outdoor play space: Broken wooden frame where gazebo had been removed, broken wood on the picnic table, splintering, wooden fencing propped up against the metal fence, and a lawnmower near the shed.

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: Teeth marks were observed on several of the foam shape blocks in the bin in the main child care space. This creates a potential choking hazard for children who are still placing objects in their mouths.

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 Fee Agreements in the files for Child #1 and #2 did not include the names of the release persons.

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

Noncompliance Area: The emergency contact form in the file for Child #1 did not include the policy number for the health insurance coverage.

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: Emergency transportation plans were not posted in the child care areas of the facility.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: The file for Staff Person #1 included only one written letter of reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The files for all staff members did not include documentation that staff were trained on the emergency plan at initial training.

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. 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 health assessment in the file for Staff Person #1 did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that 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.

Noncompliance Area: The health assessment in the file for Staff Person #1 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care. 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 facility's emergency plan did not include shelter in place at the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: There was no barrier between the outdoor play space used by the facility and the neighbor's back yard, which contained several loose boards with exposed nails.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: The register in the main room was separated from the wall, creating a possible pinch/crush point. Boards with exposed nails and several stacked bricks were observed along the fence line in the outdoor play area. Rust was observed on the handrail leading from the rear door to the outdoor play area.

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.