Buttons And Bows Child Care And Learning Cntr Inc - Weatherly PA Child Care Center

Noncompliance Area: On 6/25/20, Rep observed large planters in the outside play space that are broken and have sharp edges. They are accessible to children.

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 facility parent handbook/written policies does not contain the facility supervision policy.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: Child #1, age 19 months, has received only 3 doses of DTaP, Hib and Pneumococcal vaccines. Child #1 also does not have any influenza, MMR, Varicella or HepA vaccines documented. Child #2, age 2 yrs 5 months, has only 1 dose of Hep A vaccine documented and does not have an influenza vaccine documented. Child #3, age 4 years, does not have a current influenza vaccine documented. All of these vaccinations are recommended by the ACIP for children of these ages.

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: Facility person #1, DOH 2/1/19, has a TB screening dated 7/18/16. This is more than 1 year prior to start date. Her health assessment is current.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: The current copy of the general liability insurance policy was not at the facility and could not be assessed during the inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: Facility person #2, DOH 9//19/18, has mandated reporter training dated 3/12/19. Facility person #3, DOH 9/18/18, has mandated reporter training dated 3/5/19. Both of these trainings were completed past the 90 day provisional period.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: Currently none of the staff have documentation of valid CPR/First aid training. Director reports that they just took new training and are waiting for new cards. Previous CPR/First aid expired 2/28/19.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: Rep observed a bottle of sunscreen in the outside bag which was located on a low shelf in the hallway and is accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The thermostat in the infant room displayed a current temp of 63 degrees F. A note near the thermometer indicates that thermostat should not be turned up past 62 degrees F. Children are present in the infant room.

Correction Required: The indoor temperature shall be at least 65 F.

Noncompliance Area: The first aid kit in the infant room did not contain soap. The first aid kit in the School age room did not contain scissors. All other required items were present.

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.

Noncompliance Area: On 9/19/18, Rep observed rubber mulch in the play yard around the large climber. Children that director identified as toddlers were in the play yard in the area where that mulch is located and had access to the mulch. The Rep observed numerous pieces of mulch that are less that 1' in diameter.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: On 9/19/18, Facility persons #1 & #2, both hired on 9/4/18, do not have initial health assessments or TB screenings on file. Facility person #1 has I non-family written reference on file and facility person #2 does not have any non-family written references 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. 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: On 9/19/18, facility person #2, DOH 9/4/18, did not have emergency plan training documented in the file.

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 9/19/18, Facility person #1has signed the disclosure statement on 8/20/18 and has a PSP clearance dated 9/18/18, a child abuse clearance dated 7/20/18 and an FBI clearance dated 7/19/18. The PSP clearance was requested after facility person #1 had begun to work and the child abuse clearance was requested for volunteer purposes.. Facility person #2 has a PSP clearance dated 10/11/17, a child abuse clearance dated 10/11/18 and an FBI clearance dated 12/20/17. The PSP clearance was requested for volunteer purposes and is not acceptable for employment.

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. The legal entity must send the complete individual record (file) for all new hires to the NE Regional Office for a period of 3 months. During that period, new hires may not begin work in child care until the individual record has been approved by the NE Regional Office.

Noncompliance Area: Facility person #2 was observed working in the facility on 3/6/18 and had a supervision group assigned to her. Facility person #2 does not have any clearances or proof of any requests for clearances on file at the facility. Facility person #2 was working under supervision. On 5/22/18, rep reviewed file of facility person #2 to verify corrections and found that the PSP clearance dated 3/17/17 for facility person #2 was not a certification form and that the child abuse clearance dated 3/23/17for facility person #2 had been obtained for volunteer purposes. FBI clearance was dated 3/1/6/18.

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.