Brenda D Hickman Family Child Care Home

Noncompliance Area: The rest equipment for child #1 was not labeled with the child's name.

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.

Noncompliance Area: The fee agreement on file for child #1 lacked the names of 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 emergency contact information on file for children #3 and 4 lacked 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 most current emergency contact information on file for child #1 lacked the telephone number of all 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.

Noncompliance Area: The most current health assessment on file for child #1, who was enrolled on 12/8/2019, lacks an initial health report within 60 days of enrollment. There is no health assessment on file.

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

Noncompliance Area: The most current immunization record on file for child #2 lacks verification of a flu shot within the past year as in accordance with the schedule recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: Based on a conversation with the operator and medication log on file, child #4's parent brings a prescription medication for the child every day. Parent brings one pill in a baggie which is not in the prescription container in which it was received. Staff #1 has been administering the medication and written instructions were not provided from the individual who prescribed the medicine.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: Observed a medication log for child #4. Written consent for administration of medication was not present in the log.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The files for staff #1 and 2 lacked a current health assessment which was conducted within the past 24 months.

Correction Required: 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 emergency contact information on file for children #3 and 4 lacked signed 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: The last review of the emergency plan was not completed within the past year. Last review on file is dated 4/9/2018.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: The file for staff #2 lacked verification of training regarding the emergency plan within the past year.

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. A facility person's record shall include records of training required by the Department.

Noncompliance Area: The files for staff #1 and 2, who worked in a child care position prior to 9/30/2019, lacked verification of a National Sex Offender Registry certificate by 7/1/2020. There are now certificates on file and dated 7/8/2020.

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: In the kitchen, observed 3 first aid kits that were sitting on the floor beside the refrigerator and in reach of children.

Correction Required: A first-aid kit shall be inaccessible to children.

Noncompliance Area: In the toy room, observed a child's play crib which was partially blocking the back door which leads to the outside deck.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: The fee agreement on file for child #3 lacks the amount of the fee to be charged and the date on which the fee is to be paid. Previously cited under SIN-00153466.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The file for child #3 lacks a child service report within the past six months. The last child service report on file for child #3 was completed on 9-3-2018. Previously cited under SIN-00153466.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: The emergency contact information on file for child #2 lacks the name, address and telephone number of the child's physician and a health insurance name and policy number. Previously cited under SIN-00153466.

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.

Noncompliance Area: The emergency contact information on file for child #2 lacks the work address and work telephone number of the enrolling parent. Previously cited under SIN-00153466.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Previously cited under SIN-00153466.

Noncompliance Area: The file for child #2, who is of preschool age, lacks an initial health assessment dated no more than 1 year prior to the first day of attendance at the facility. Child #2 has been enrolled for longer than 60 days. Previously cited under SIN-00153466.

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

Noncompliance Area: The file for child #1, who is of preschool age, lacks a current and updated health report within the past 12 months. Previously cited under SIN-00153466.

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

Noncompliance Area: The file for child # 2 lacks a review of the child's immunized status according to recommendations of the ACIP. Previously cited under SIN-00153466.

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

Noncompliance Area: The rest equipment for children #3 and #5 was not labeled.

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.

Noncompliance Area: The fee agreements on file for #3 and #5 lack a signature from the parent.

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

Noncompliance Area: The files for children #1, #2, and #4 lack a child service report within the past six months. The last child service report on file for children #1, #2, and #4 was completed on 9-3-2018.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: The emergency contact information on file for child #3 lacks the name, address and telephone number of the child's physician and a health insurance name and policy number.

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.

Noncompliance Area: The emergency contact information on file for child #3 lacks the work address and work telephone number of the enrolling parent. The emergency contact information on file for child #5 lacks the name, address, and phone number of the individuals designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. 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 emergency contact information on file for children #2 and #4 lack written consent signed by a parent for emergency medical care and administration of minor first-aid procedures by facility staff.

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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The files for child #3, who is of preschool age, and child #5, who is an older toddler, lack an initial health assessment dated no more than 1 year prior to the first day of attendance at the facility. Both children have been enrolled for longer than 60 days.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Noncompliance Area: The file for child #1, who is of preschool age, lacks a current and updated health report within the past 12 months.

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

Noncompliance Area: The files for children #3, and #5 lack a review of the child's immunized status according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record must contain initial and subsequent health reports.

Noncompliance Area: The emergency contact information and fee agreement on file for children #1, #2, and #4 were last updated and reviewed on 9-3-18.

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: A copy of the applicable regulations under which the facility is certified was not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of registration 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: The file for staff #2, with start date of 2-1-19, lacked initial emergency plan training within one week of hire.

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. A facility person's record shall include records of training required by the Department.

Noncompliance Area: The file for staff #1 lacked six of the required clock hours of child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: The fee agreements on file for child #2 and #4 lacked the names of 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 emergency contact information on file for child #3 lacked the address of the persons 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 for child #3, who is a young toddler, lacked a current updated health report within the past 6 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record must contain initial and subsequent health reports.

Noncompliance Area: The file for staff #1 lacked verification of a TB screening.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, 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: The emergency contact information for child #2 lacked a review/update at least once in a 6-month period. The last review of the emergency contact information was 07-02-2017.

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: The file for child #1 lacked a fee agreement.

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The file for staff #1, lacked 3 of the required hours of child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Noncompliance Area: The file for staff #1, lacked verification 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 records of training required by the Department.

Noncompliance Area: Based on staff interviews, there have been times that children #1 and #2 have come to daycare and within minutes fall asleep on the floor. Their individual rest equipment was not used at this time. Appropriate rest equipment was observed to be used for mid-day napping.

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.

Noncompliance Area: Based on interviews, it was determined that staff #1, while not feeling well, ask facility person #2 to watch Child #1. While resting, Staff #1 fell asleep for 10 minutes. This resulted in child #1 not being supervised by a person who is qualified as a staff person. Facility person #2 has valid clearances on file.

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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: The facility's current certificate was not posted.

Correction Required: The facility`s current certificate of registration 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: Documentation of the last review of the emergency plan was dated July, 2016.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: In the main child care space, the inside of the exit door which leads to the back deck was obstructed with multiple inside riding toys. In the living room, the inside of the door which leads to the front of the house was obstructed with a large fan and multiple toys.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: The files of children #2, #3, #4, and #5 lacked financial agreements with the fee amount and date to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The file of child #1 lacked a child service report.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: The files of children #3, #4 and #5 lacked financial agreements with the names of person(s) to whom 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 files of children #1, #2, #3, #4, and #5 lacked financial agreements with information regarding extra services, if applicable.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: The files of children #1, #3, #4, and #5 lacked the full physical address of the doctor or source of medical care.

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 files of children #3, #4, and #5 lacked emergency contact forms with the full physical work address of the enrolling parent(s).

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 and #5 lacked emergency contact forms with written parental consent 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 files of children #2, #3, #4, and #5 lacked emergency contact forms with the full physical addresses of the person(s) to whom child(ren) 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 facility did not have a letter posted about emergency transportation in the event of a medical emergency.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: The files of children #2 and #5 lacked initial health assessments within 60 days to the start of being in child care. The file of child #1 lacked a health assessment. The enrollment date of said child is 1-17-13.

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 #2 and #5 lacked subsequent updated health reports 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 file of child #5 lacked a health assessment signed by a physician, PA, CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: The file of child #5 lacked a health assessment indicating the child is able to participate in child care and free from communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: The file of child #5 lacked an emergency contact form with written parental consent for special diet or medications, if applicable, transportation, walking excursions, swimming and wading.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The files of children #2 and #5 lacked emergency contact forms with written parental consent for administration of minor first aid procedures by facility staff. Written consent is required prior to admission.

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: The file of staff #1, a household member with regular interaction with children in care, lacked an FBI clearance.

Correction Required: 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 first-aid kit lacked soap.

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.