Beautiful Beginners Childcare

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of the inspection the facility did not have their fire drills conducted every 60 days as required.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)

Description: FIRE DETECTION

Noncompliance Area: At the time of the inspection the facility did not have their fire detection system tested every 30 days as required.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3280.105(a)

Description: Clean, age appropriate

Noncompliance Area: At the time of the inspection the facility did not have rest equipment labeled for the use of a specific child and used only by the specified 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.

Regulation: 3280.124(c)

Description: Each child care space

Noncompliance Area: At the time of the inspection the facility's class did not have an emergency contact form for child #1.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the investigation facility did not have the following policies written: 1. Recognition of potential signs /symptoms of shaken baby syndrome and abusive. 2.Strategies for coping with a crying, fussing, or distraught child. 3. The prevention and identification of child maltreatment. Also, the facility's emergency plan did not address the continuity of operations and specify the role of a volunteer.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.171(a)

Description: Pick up and drop off points

Noncompliance Area: At the time of the inspection the facility did not notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around their group childcare facility.

Correction Required: The operator shall notify local traffic safety authorities in writing of the location of the facility and about the program's use of pedestrian and vehicular routes around the group child care facility.

Regulation: 3280.171(c)

Description: Safe routes posted

Noncompliance Area: At the time of inspection, the facility did not have a written notification of safe routes posted by the operator at a conspicuous location in the childcare facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of inspection children #1 & #3 did not have a signed financial agreement by the parent.

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.

Regulation: 3280.26(a)(1)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the facility did not have a shelter and lock down procedure in their emergency plan.

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

Regulation: 3280.26(a)(2)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the facility did not have an evacuation plan in place in the emergency plan as required.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by § 3280.94 (relating to fire drills).

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the facility's emergency plan did not have accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the facility did not have an annual emergency drill log completed as required.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.26(f)

Description: Emergency plan

Noncompliance Area: At the time of the inspection the emergency plan and subsequent plan updates were not sent to the local municipality and county EMA on file.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3280.78

Description: Lighting

Noncompliance Area: At the time of inspection, the facility had three sections of lights out in the front class area causing the area to be poorly lit for safety and supervision.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3280.94(a)(1)

Description: Every 60 days

Noncompliance Area: At the time of the inspection the facility did not have fire drills completed every 60 days as required.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: At the time of inspection, the facility did not have documentation of fire system testing every 30 days as required.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met

Regulation: 3280.151(c)(1)/3280.151(c)(2)

Description: Physical examination/Mantoux TB

Noncompliance Area: At the time of inspection facility person #1 did not have a bi-annual health assessment on file.

Correction Required: An adult health assessment must include a physical examination. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Regulation: 3280.26(c)

Description: Training regarding plan

Noncompliance Area: At the time of inspection facility person #1 did not have annual updated emergency plan training on file.

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: 3280.31(e)

Description: Age and training

Noncompliance Area: At the time of inspection facility person #1 did not have 12 hours of annual childcare training.

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

Regulation: 3280.31(e)(4)(i)

Description: Age and training

Noncompliance Area: At the time of inspection facility person #1 did not have first aid / CPR on file.

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: 3280.76

Description: Building Surfaces

Noncompliance Area: At the time of inspection facility have several ceiling times in the front childcare space that had water damaged and needed to be replaced.

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.

Regulation: 3280.78

Description: Lighting

Noncompliance Area: At the time of inspection there were several light out throughout the facility causing the areas to be dark. At the time of inspection facility have several ceiling times in the front childcare space that had water damaged and needed to be replaced.

Correction Required: Rooms, hallways, stairways, outside steps, porches and ramps shall be lighted by artificial or natural light.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: At the time of inspection facility person #1 had an expired Child Abuse clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. 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 #--- may not work in a child care position at the facility.

Regulation: 3280.151(c)(1)/3280.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: At the time of inspection staff person #1 Deloris Whidbee, and #2 Precious Chatman did not have bi-annual health assessment on file.

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: 3280.151(c)(2)/3280.192(3)

Description: Mantoux TB /Health assessment, TB test

Noncompliance Area: At the time of inspection staff person #1 Deloris Whidbee, and #2 Precious Chatman did not have Mantoux test reading /test results on file.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. 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: 3280.31(e)

Description: Age and training

Noncompliance Area: At the time of annual inspection staff person #1 Deloris Whidbee, #2 Precious Chatman and #3 Musadu Hunt did not have 12 hours of annual training on file at the facility.

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

Regulation: 3280.31(e)(4)(i)/3280.31(f)(10)

Description: Age and training/Age and training

Noncompliance Area: At the time of inspection staff person #3 Musada Hunt did not have Pediatric first aid / CPR training on file.

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. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3280.151(c)(1)/3280.192(3)

Description: Physical examination/Health assessment, TB test

Noncompliance Area: At the time of inspection staff person #1 Deloris Whidbee, and #2 Precious Chatman did not have bi-annual health assessment on file.

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: 3280.175(a)

Description: Age appropriate restraints

Noncompliance Area: While conducting a complaint inspection on 5/17/23 Cert Rep was informed that staff person#1 transported a child to the hospital in personal car not using required restraints for a child younger than 7 yrs. old.

Correction Required: A child 7 years of age or younger shall be transported in accordance with the requirements for parents and guardians as stated in 75 Pa.C.S. §4581 (relating to restraint systems).

Regulation: 3280.19(a)(1)

Description: Inpatient hospitalization or ER treatment of child

Noncompliance Area: While conducting a compliant inspection on 5/17/23 Cert Rep confirmed an incident occurred resulting in a child being transported to the emergency room on 5/8/23. Provider contacted the parent at time of incident, The regional office was not informed of the incident of a child being transported to the emergency room within 24 hours.

Correction Required: The operator shall immediately notify a child's parent and shall telephone notice to the appropriate regional office within 24 hours if a child in care at the facility is hospitalized or receives emergency room treatment.

Regulation: 3280.19(b)

Description: Mail or deliver written report to regional office within 72 hours

Noncompliance Area: While conducting a compliant inspection on 5/17/23 Cert Rep confirmed that an incident occurred; a child was injured and transported to the hospital. An incident report was written at the time of the incident but the Provider did not mail a copy of the written report to the regional office within in 72 hours after emergency room treatment.

Correction Required: The operator shall mail or deliver a written report to the appropriate regional office within 72 hours after hospitalization of a child in care, emergency room treatment of a child in care, death of a child in care, a facility fire requiring the services of a fire department.

Regulation: 3280.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: While conducting a compliant inspection on 5/17/23 it was observed staff person #1 file did not include verification of child care experience, education and training prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: While conducting a compliant inspection conducted on 5/17/23 it was observed that staff person #1 file did not include annual 12 clock hours of training.

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

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: While conducting a complaint inspection on 5/17/23 Cert rep assessed ratio; observing mixed ages infants, younger toddler, and older toddlers a total of 6 children present being supervised by one teacher.

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). The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times.

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: While conducting a compliant inspection on 5/17/23 it was observed chipped paint in the front classroom.

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

Regulation: 3280.104

Description: High Chairs

Noncompliance Area: It was observed on 9/23/22 the high chair did not have safety T-strap in place.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Regulation: 3280.123(a)(1)

Description: Amount of fee

Noncompliance Area: It was observed on 9/23/22 child #1 and 2 agreement form did not document fee amount

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3280.123(a)(2)

Description: Date fee to be paid

Noncompliance Area: It was observed on 9/23/22 child # 1 and 2 agreement form did not document date fees to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: It was observed on 9/23/22 child # 2,3,4, 5, and 6 agreement form did not document specific release person.

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

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: It was observed on 9/23/22 child #6 emergency contact form did not document health insurance coverage or policy number for insurance.

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: 3280.163(a)(3)

Description: Fruit/vegetable

Noncompliance Area: It was observed on 9/23/22 the lunch served to the children did not contain fruit or vegetables.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one fruit or vegetable.

Regulation: 3280.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: It was observed on 9/23/22 child # 1,2, 5, and 6 emergency contact form did not document parents consent for transportation.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed on 9/23/22 there was no verification of the annual emergency drill being conducted

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: It was observed on 9/23/22 staff person #1 file did not include verification of 12 hours of annual training

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

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: It was observed on 9/23/22 staff person #1 file did not include verification of FBI clearances. Staff person #1 may not work with in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 must obtain verification of FBI clearance required under CPSL. Facility person # 1 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the FBI completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3280.65

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: It was observed on 9/23/22 the electrical outlet located in front room child care space did not have a receptacle cover.

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

Regulation: 3280.69(a)

Description: 110º F or less

Noncompliance Area: It was observed on 9/23/22 the sink located in children's bathroom water temperature measured at 119° F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110° F.

Regulation: 3280.75(c)

Description: Has all items

Noncompliance Area: It was observed on 9/23/22 the first aid kit designated for the main child care space was missing tweezers, scissors, soap, and disposable gloves.

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.

Regulation: 3280.95(b)

Description: Staff responsibility

Noncompliance Area: It was observed on 9/23/22 facility did not have verification of alarm system being tested annually.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Noncompliance Area: A Staff attempted to retrieve something from the front room while the children were sleeping in the rear childcare room. She returned in less than a minute.

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. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: There was no agreement form on file for Child#5 at the time of the renewal inspection.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: Child #5 did not have a completed Enrollment form at the time of the renewal inspection.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

Noncompliance Area: Address and phone number of physician for Child #4 were not present on their Emergency Contact form during the renewal inspection.

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: Review of files reveal that Child # 2 and #4 did not have their parent's work address or their parent's work number listed on their Emergency Contact form during the renewal.

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

Noncompliance Area: Child # 1 and #2 did not have their medical insurance policy numbers listed on their Emergency Contact forms at the time of the renewal inspection.

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: Release person's address was not listed on the Emergency Contact form for Child # 2 at the time of the renewal inspection.

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: Child # 3 and #4 did not have their initial health assessment at the time of the renewal inspection.

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.

Noncompliance Area: Child #2 did not have an updated health assessment on file at the time of the renewal inspection.

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.

Noncompliance Area: Child # 4 did not have any record of their immunizations at the time of the renewal inspection.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: Review of files reveal that Staff # 2 and # 3 did not have a current health exam at the time of the renewal inspection.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.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: Staff # 1 and #2 did not have updated Emergency Plan Training at the time of the renewal inspection.

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.

Noncompliance Area: Staff #1 and #2 did not have documentation of their annual minimum of 6 clock hours of child care training at the time of the renewal inspection.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Staff # 3 did not have their Child Abuse Clearance results on file at facility at the time of the renewal inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law.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.

Noncompliance Area: The last fire drill documented on the facility's log was 7/10/19 at the time of the renewal inspection.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: Review of files reveal that Child #1 and #3 did not have their parent's work address and work telephone numbers listed on their Emergency Contact form at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Child #5 did not have their release person's address listed on their emergency contact form at the time of the renewal inspection.

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: Review of files reveal that Child # 3 and #4 did not have current health assessments on file at the time of the renewal inspection. Child #3 had a health assessment dated 9/19/17 and Child #4 did not have a health assessment on file at the facility.

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

Noncompliance Area: Review of files reveal that Staff # 1 and # 3 did not have verification of their annual minimum of 6 clock hours of child care training at the time of the renewal inspection.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Staff # 2 did not have their State Criminal clearance results at the time of the renewal inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2-- may not work in a child care position at the facility. 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 #--- may not work in a child care position at the facility.

Noncompliance Area: ON MARCH 19, 2018 DURING THE UNANNOUNCED INSPECTION, ACCORDING TO THE FIRE DRILL LOG THE FACILITY HAS NOT HAD A FIRE DRILL EVERY 60 DAYS, THE LAST FIRE DRILL WAS CONDUCTED 6/2017.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.

Noncompliance Area: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM FOR CHILD #4 DID NOT CONTAIN HEALTH INSURANCE POLICY NUMBR.

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: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF CHID #2, CHILD #3 AND CHILD #4 DID NOT CONTAIN EVIDENCE OF A HEALTH ASSESSMENT.

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.

Noncompliance Area: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF A 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: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF TB SCREENING BY THE MANTOUX METHOD.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.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: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE FEE AGREEMNET OF CHILD #1, CHILD #3 AND CHILD #4 DID NOT CONTAIN EVIDENCE OF BEING REVIEWED AND UPDATED AT LEAST ONCE IN A SIX MONTH PERIOD.

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 AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #3 DID NOT CONTAIN PARENTAL CONSENT FOR OBTAINING EMERGENCY MEDICAL CARE

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.

Noncompliance Area: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM FOR CHILD #1, CHILD #2 AND CHILD #3 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST AID.

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.

Noncompliance Area: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF VERIFICATION OF AGE.

Correction Required: A facility person`s record shall include verification of age.

Noncompliance Area: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 AND STAFF #3 DID NOT CONTAIN EVIDENCE OF TWO WRITTEN REFERENCES ATTESTING TO THEIR SUITABILITY TO SERVE AS A FACILITY PERSON

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 AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF # 2 AND STAFF #3 DID NOT CONTAIN EVIDENCE OF BEING TRAINED IN THE FACILITY EMERGENCY PLAN.

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.

Noncompliance Area: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, tHE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF CRIMINAL BACKGROUND CLEARANCE, CHILD ABUSE CLEARANCE, FBI CLEARANCE AND MANDATED REPORTER TRAINING. THE FIILE OF STAFF #2 DID NOT CONTAIN EVIDENCE OF MANDATED REPORTER TRAINING.

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.

Noncompliance Area: ON AUGUST 8, 2017 DURING THE RENEWAL INSPECTION, LYSOL DISINFECTING SPRAY, LYSOL WIPES AND HAND SANITIZER WAS OBSERVED ON THE RED SHELF NEAR DESK ACCESSIBLE TO CHILDREN.

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.