Willow Tree Early Learning Center - Allentown PA Child Care Center

Noncompliance Area: There was no thermometer in the "crawlers" refrigerator.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: Child 2 did not have the health insurance policy number on file.

Correction Required: 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Noncompliance Area: Child 1 and 3 had outdated emergency forms and fee agreements. Child 1's emergency form and fee agreements were last updated on 6/6/2019. Child 3's emergency contact form was last updated on 12/6/2018 and the fee agreement will be updated on 6/6/2019. Child 4's emergency contact form was last updated on 5/23/2019 and child 5's emergency contact form was last updated on 6/6/2018.

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 informationA 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Noncompliance Area: Child 1 had an outdated health assessment. The health assessment was last updated in February of 2018. Child 3 needs an updated health assessment. Child 3, who is an infant, last had her health assessment updated on 2/19/2019.

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: Child 3 did not have updated immunizations on file. She had outdated DTAP, HIB and Pneumococcal immunizations.

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: Staff 2, 3 and 9 did not have proof of experience on file. Staff 2 also did not have proof of education on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff 2 did not have a health assessment or TB screening on file.

Correction Required: 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 plan was not reviewed within a year. It was last reviewed on 12/12/2018. Staff 4, 5, 6, 7 and 8 also had outdated emergency plan training. Staff 4's emergency plan training was last conducted on 10/18/2018. Staff 5's emergency plan training was last conducted on 8/17/2018. Staff 6's emergency plan training was last conducted on 12/28/2017. Staff 7's emergency plan training was last conducted on 2/11/2018 and staff 8's was last conducted on 1/3/2018.

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 and kept on file at the facility.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: The emergency plan was not posted in a conspicuous location.

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

Noncompliance Area: Staff 1, who was in her provisional hire period, had a volunteer state police clearance on file. Staff 2, who was in her provisional hire period, did not have proof of applying for the child abuse, state police or FBI clearance on file. Staff 3, who was past her provisional hire date, did not have an FBI clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1, 2 and 3 may not work in a child care position at the facility. 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 Person # 1, 2 and 3 may not work in a child care position at the facility.

Noncompliance Area: There were more then 60 days between fire drills. There was a fire drill conducted on 7/2/2019 and not again until 10/9/2019. 10/9/2019 was also the date of the last fire drill from the date of inspection on 12/18/2019.

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: Child 1 last had his child service report dated 6/1/2018.

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).

Noncompliance Area: Child 2 did not have his health insurance information on file.

Correction Required: 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: An infant bottle was not labeled with the correct name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: Staff 1 did not have proof of education on file. Staff 2 did not have proof of education or verification of child care hours on file. Staff 4 did not have verification of child care hours on file.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.