GPY Gilbertsville Early Learning Center - Gilbertsville PA Child Care Center

Noncompliance Area: A review of the fire drill log revealed a fire drill had not been held since 7/31/2020.

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

Noncompliance Area: The operator reported and confirmed to OCDEL that on 9/6/2019 at 1:45pm staff persons #1 an #2 took a group of young school aged children from the classroom to the indoor turf play area. Child #1 was left alone in the classroom bathroom and was discovered by staff person #3. When first questioned, by the director, staff person #1 failed to name all of the children in their assigned care group. Later staff person #1 came to the director and stated she was missing child #1.

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. TIERED LIS: Children must be supervised at all times.

Noncompliance Area: Child #1 receives a daily medication. The facility did not have written parental consent for the administration of the medication. Staff kept notation of the time and date given but did not include all of the specifics required to maintained on the medication log.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: On 9/11/2019 during the renewal inspection, a group of young school aged children were observed on the playground. No first aid kit was present with the children on the playground.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: On 3/12/2019 child #1 was observed sleeping in a crib. The mattress was elevated with a blanket/wedge. The operator stated the parent requested this elevated position but did not have a documented medical reason signed by the physician on file at the facility.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. 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: On 3/12/2019 staff persons #1 and #2 did not have a current health assessment with TB testing dates and results on file at the facility.

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 3/12/2019 the operator had not maintained a facility accident report file. The operator made a copy for the parent and then placed the incident in the child's file.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: On 3/12/2019 the file for staff persons #1 #2 and #3 did not include verification of education and child care experience.

Correction Required: 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: On 3/12/2019 Chapter 3270 (the regulations) and instructions for contacting the SE Regional office of OCDEL was not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: On 3/12/2019 the operator did not have verification that staff person #1, hired 2/25/2019 staff person #2, hired 2/25/2019 and staff person #3, hired 1/22/2019 received training regarding 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 and kept on file at the facility.

Noncompliance Area: On 3/12/2019 the operator did not have the emergency plan posted at the facility in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: Staff person #8 does not have a completed health assessment on file at the facility. Staff persons #2 and #4 do not have TB testing dates on file at the facility.

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 8/2/2018 the agreements for child #1 #2 #3 #4 and #5 have not been updated for over 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: On 8/2/2018 children's emergency contact forms in the binder in classroom #6 have not been updated for over a six month period.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: On 8/2/2018 the file for staff persons #1 #5 #6 #7 and #8 did not have verification that staff had received Emergency plan training as required.

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 and kept on file at the facility.