Brainy Bunch Educational Center Llc

Regulation: 3270.123(a)(3)

Description: Services proceeded

Noncompliance Area: At the time of the inspection, the file of child #4 did not include the child service report.

Correction Required: 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 in § 3270.124(f) (relating to emergency contact information).

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of the inspection, the file of child #1 did not include the address and phone number of the release person 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.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: At the time of the inspection, the file of child #2-4 did not include a 6 month review of the emergency contact and the financial agreement.

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.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of the inspection, the annual review of the emergency plan was not included in the file of staff person #1 and 2.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: At the time of the inspection, peel paint was observed on the preschool doorframe and the back wall of the main room.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: At the time of the inspection, handwashing was not observed by staff #3 and child #4-5 after diaper changes at 11:35 AM.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.123(a)(2)/3270.123(a)(7)

Description: Date fee to be paid/Services considered extra

Noncompliance Area: At the time of inspection, child #1 and #3 Financial Agreement Forms did not specify when the fee is to be paid. Children #1 through #6 Financial Agreement Forms did not specify which services are to be considered as extra.

Correction Required: An agreement shall specify the date on which the fee is to be paid. An agreement shall specify the services which are to be considered as extra.

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: At the time of inspection, children #1, #3 and #6 Financial Agreement Forms 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.

Regulation: 3270.124(b)(2)/3270.124(b)(6)

Description: Physician name, address, phone/Insurance coverage information

Noncompliance Area: At the time of inspection, child #5 Emergency Contact Form did not list the name, address or telephone number of the child's physician/medical facility. Children #1, #3, and #5 Emergency Contact Forms did not list the health insurance policy information.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care. 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: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: At the time of inspection, children #1, #2, and #3 Emergency Contact Forms did not list enrolling parents work addresses. Children #1, #2, #3, #5 and #6 Emergency Contact Forms did not list the enrolling parents work telephone numbers. Child

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

Regulation: 3270.124(b)(4)/3270.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: At the time of inspection, children #4 and #5 Emergency Contact Forms did not include written consent by 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 shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: At the time of inspection, children #1, #2, #4, and #6 Emergency Contact Forms did not include the addresses of the individuals 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.

Regulation: 3270.124(c)

Description: Each child care space

Noncompliance Area: At the time of inspection, children Emergency Contact Forms were not available in the individual childcare space for which each child was receiving care.

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: 3270.131(e)/3270.182(1)

Description: ACIP recommended immunization record /Initial and subsequent health reports

Noncompliance Area: At the time of inspection, child #5 did not have documentation of immunization record on file.

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

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: At the time of inspection, staff person #1 did not have a health assessment on file.

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.