Blocks For Tots Group Home Day Care - Pittsburgh PA Group Child Care Home

Noncompliance Area: The agreement form in the file for child #3 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 file for child #1, #2 and #3 did not include the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.A child's record must contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: The emergency contact information in the file for child #1 and #2 did not include an address for the child's physician. The emergency contact information in the file for child #3 did not include a phone number 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 emergency contact information in the file for child #1 did not include a work address for the child's mother. The emergency contact information in the file for child #3 included an incomplete work address , as well as, no work phone number for the child's father.

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

Noncompliance Area: The emergency contact information in the file for child #3 did not include the written consent signed by a parent for emergency medical care

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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: The emergency contact information in the file for child #1 did not include addresses for either of the release persons. The emergency contact information in the file for child #2 did not include addresses for 2 of the release persons. The emergency contact information in the file for child #3 did not include addresses for 5 of the 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 child #3, enrolled more than 60 days, did not include an immunization record.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: The file for child #1 did not include evidence of a flu shot or a Hep A vaccination. The file for child #2 did not include evidence of a flu shot. Neither files included a written statement of exemption by a parent due to personal or religious beliefs.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: The last health assessment in the file for staff person #1 was dated more than 24 months ago.

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.

Noncompliance Area: The emergency contact information in the file for child #3 did not include parental consent for administration of minor first-aid procedures by facility staff.

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: While children were playing in the backyard, which is the facility's outdoor play space, a small puddle of dark green water was observed sitting in a plastic toy.

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

Noncompliance Area: The last emergency plan training in the file for staff person #1 was more than 12 months ago.

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: The file for staff person #2, hired provisionally on 12/19/19, did not include proof of the NSOR certificate at hire. The file also included a NSOR certificate dated 1/14/20 and based on conversation with the operator, the staff person was not removed from their child care position until 1/9/20. The file for staff person #3 included both a state police and FBI clearance that was missing a disposition on the rap sheet. The file for staff person #2 included mandated reporter training dated beyond their first 90 days of employment.

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: While children were playing in the backyard, which is the facility's outdoor play space, a half empty bag of rock salt was observed on the ground near the shed.

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: The garbage can in the facility's bathroom, which contained both trash and soiled diapers, was unlined.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.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.