Bolands Daycare C - Carrolltown PA Family Child Care

Noncompliance Area: Observed a rest mat with a torn edge. Therefore, not in good repair.

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: The files of children #1 and #2 lacked current vaccinations in accordance with the recommendations of the ACIP for the flu vaccination.

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: Observed in the child care space an empty Ziploc bag in a tan Rubbermaid container located under the desk, accessible to children in care. Observed plastic grocery bags stored in the bottom left cupboard in the kitchenette accessible to children in care.

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 file of child #3 lacked an emergency contact form with the full address of the enrolling parent.

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

Noncompliance Area: The files of children #2, #3, and #4 lacked emergency contact forms with the full address of the individual designated by the parent to whom the child may be released.

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 of staff #2 lacked a health assessment indicating free from communicable disease.

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: The file of staff #2 with a start date of 4-2-18 lacked verification of child care experience, education and training prior to service at the facility and verification of child care experience, education and training following the outset of 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.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 of staff #2 with a start date of 4-2-18 lacked two written, nonfamily references from individuals attesting to the person's 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: The files of staff #1 and #3 had clearances that were generated for the purpose of volunteer rather than employment.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Persons #1 and #3 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 Persons #1 and #3 may not work in a child care position at the facility.

Noncompliance Area: The files of children #1, #2, and #3 lacked initial health assessments within 60 days to the start of being in child care.

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: The files of children #1, #2, and #3 lacked subsequent health assessments either every 6 months or annually.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe 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: The facility lacked an Emergency Plan.

Correction Required: The facility shall have an emergency plan