Castle Academy - Harleysville PA Child Care Center

Noncompliance Area: On 9/19/2019, during an unannounced verification visit, the following was observed: Upon arrival and during the inspection two staff were observe working with 14 older toddlers. They director stated she was aware of the ratio concern and was working on staffing adjustments (resulting from staff call outs) to maintain ratio.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: Triple paste Medication labeled "keep out of the reach of children" (for child #1) was observed in the cubbie area accessible to the children in the older toddler room. Medication that expired Jan 2019, for Child #2, was observed in the pre-k classroom.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: On 8/23/2019 during the renewal inspection the file for staff person #2 did not include TB testing dates, the file for staff person #4 contained an expired health assessment dated 3/16/2017.

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 8/23/2019 the file for staff person #5 had a health assessment on file that did NOT include examination for communicable diseases and the results of that examination and the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: During the renewal inspection on 8/23/2019 staff person #1#2 and #4 did not have verification of Emergency plan training on file at the facility.

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: During the renewal inspection on 8/23/2019 the file for staff person #4 did not include fire safety training

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: On 8/23/2019 the file for staff person #1, hired on 3/11/2019 did not include a PA Criminal Clearance and staff person #3, hired on 11/7/2018 did not include and FBI clearance on file at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Staff Person #1 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. Staff Persons #1 and #3 may not work in a child care position at the facility.

Noncompliance Area: During the renewal inspection on 8/23/2019, a review of the fire drill log revealed a fire drill was held on 4/30/2019 and not again until 7/12/2019.

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: On 8/10/2018, exposed bolts were observed on the fence in areas accessible to the toddlers on the toddler playground.

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: On 8/10/2018 several plastic bags were observed in areas accessible to the children (toddlers) in the butterfly room.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: On 8/10/2018, three infants were observed sleeping behind a half wall in the infant room. The teaching staff were in separate areas of the classroom and unable to see the infants who were sleeping in their cribs.

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.

Noncompliance Area: On 8/10/2018, staff person #1 did 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 8/10/2018, The operator did not have verification on file at the facility that the water safety instruction was taught by a certified lifeguard.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.

Noncompliance Area: On 8/10/2018 staff person #2 was functioning as a Group Supervisor. Staff person #2 has an Associates Degree on file and verification of 10 years of child care experience but does not have transcripts to verify 30 credit hours in early childhood education, child development, special education, elementary education or the human services field to qualify as a Group Supervisor

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.

Noncompliance Area: On 8/10/2018, staff person #3 was functioning as an assistant group supervisor and did not have verification of a high school diploma on file at the facility.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 30 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field.