Charmaine E Turner Family Child Care Home

Noncompliance Area: The file for children #1 and #3, both enrolled for more than 6 months, did not contain service reports or documentation one was shared with the family. The file for child #4 contained a service report which was not updated within the required 6 month time period, the most recent report on file was dated 5/31/19.

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 file for child #1 enrolled since 9/2019 and child #2 enrolled since 1/31/2020 did not contain financial agreements.

Correction Required: An agreement shall be signed by the operator and the parent.An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: The file for child #1 did not contain emergency contact information.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: The file for child #4 contained emergency contact information which did not include the health insurance coverage and policy number for the child.

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: The file for child #3 contained emergency contact information that did not include the address of the individual 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 #1, enrolled for over 60 days, did not contain a health report.

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 #3, who was a preschooler when the health report was due to be updated, contained a health report dated 8/16/2018.

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 #4 contained an immunization record that did not include documentation of receiving the influenza vaccine within the last 12 months. The influenza vaccination date on file was 2-6-2019.

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: The file for child #3 contained a financial agreement which has not been updated in over 6 months. The file for child #4 contained an agreement and emergency contact information which were not updated within the required 6 month time period. The documents for child #4 are now current.

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 files for child #1, enrolled since 09/2019, and child #2, enrolled since 1/31/2019, did not contain signed parental consent for emergency medical care for the children or 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 emergency medical care for the child. Written consent is required prior to admission.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 facility's current certificate of compliance was not posted. The posted certificate expired on 6/29/2019.

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 top surface of a padded child size table in the main care space was ripped exposing the inner foam filling which present a choking hazard to the infants and toddlers in care.

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. 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: The files for children #2 and #5 did not contain agreements.

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

Noncompliance Area: The files for children #3, #4, and #5, all enrolled for longer than 6 months, did not contain child service reports.

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 for children #3 and #4 contained emergency contact information which did not include a health insurance policy number.

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: The facility did not have a written plan posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an 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 for children #3 and #4 did not contain health reports. Both children have been attending for longer than 60 days.

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 #5 contained a health report which did not include the statement that the child is able to participate in child care and appears to be free from contagious or 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 for child #3, a preschooler, did not contain written verification the child was immunized in accordance with the recommendations of the ACIP.

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.

Noncompliance Area: The file for staff #1 contained a health assessment that has not been updated in 30 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: A written statement giving the formula and feeding schedule for child #2, an infant in care on the day of the inspection, was not obtained from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: Child #1 did not have a file at the facility on the day of the inspection.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: The files for children #3 and #4 contained agreements and emergency contact information last updated on 6-19-18. The file for child #5 contained emergency contact information last updated on 10-16-17.

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 #5 did not contain signed parental consent for emergency medical care or administration of minor first-aid procedures by facility staff.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. 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 for staff #1 contained documentation of completing 6 of the required 12 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 file for staff #1, the only staff person present when children are in care, did not contain documentation of current first-aid training. The training on file for staff #1 expired in 12/2018.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.A facility person's record shall include records of training required by the Department.

Noncompliance Area: A bottle in use by a child in care lacked a label with the child's name.

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

Noncompliance Area: An electrical outlet in the upstairs care space, accessible to children 5 years of age of younger, lacked a protective cover.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: A section of unattached trim near the base of the wall in the upstairs care space had sharp edges and pinch points. The trim was accessible to the children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Two child size chairs in the upstairs playroom had torn seats exposing the foam padding. Small pieces of the padding were accessible children still placing items in their mouths.

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. 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: Rest equipment for the children in care, including mats and a basinet, were not labeled for use by a specific child.

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: An infant was observed sleeping in a basinet with loose blankets under him. Based on statements made by the provider, the infant also sleeps with a small pillow in the bassinet.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: The file for child #1 contained an agreement which did not specify the amount of the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The file for child #3, enrolled for longer than 6 months, did not include a form to provide information to the family about the child's growth and development in the context of the services being provided.

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 for child #1 and child #2 include agreements which did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The files for children #1-3 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The file for child #3 contained emergency contact information which did not include 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.

Noncompliance Area: The files for child #1 and child #2 contain emergency contact information that did not include health insurance policy numbers.

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: The file for child #3, enrolled for more than 60 days, lacks a health report.

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 file for child #2 contained a health report which did not include a review of the child's immunized status.

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

Noncompliance Area: Staff #1 was observed placing a soiled diaper on a table in the upstairs play room prior to throwing it in the hands free can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The file for child #1 contained emergency contact information and a financial agreement last updated on 4-4-17. The file for child #3 contained emergency contact information and a financial agreement last updated on 7-11-17. These time frames exceed the 6 month requirement.

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 facility lacked a posted copy of the applicable regulations under which the facility is certified.

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 facility's emergency plan lacked a plan for sheltering in place at the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises..

Noncompliance Area: Staff #1 admitted they denied access to the facility to the parents of a child.

Correction Required: A parent of a child in care shall be permitted free access, without prior notice, throughout the center whenever children are in care, unless a court of competent jurisdiction has limited the parental right of access to the child and a copy of the order is on file at the facility. Opportunity shall be provided for parents to participate in the facility`s program. The operator shall maintain a yearly file which documents general announcements to promote parent participation. The file shall be updated annually.

Noncompliance Area: A latex balloon was in the toy bin accessible to children still placing objects in their mouths.

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: Two infants, 4 and 5 months old, were in bouncey seats when I arrived. When asked where the babies slept, the provider admitted they sleep in the bouncy seats which is not the sleeping position recommended by the American Academy of Pediatrics.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The file of child #1 and 4 contained financial agreements not signed by the operator.

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

Noncompliance Area: The file of child # 1, 2 and 3 lacked the amount of the fee to be charged on the financial agreement.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The files of child #3 and 4 contained financial agreements which lacked the arrival and departure times of the child.

Correction Required: An agreement shall specify the child`s arrival and departure times.

Noncompliance Area: The files of child #1 and 3 contained financial agreements which lacked the persons designated by the 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 files of child #1, 2, 3 and 4 contained financial agreements which lacked the date of the child's admission.

Correction Required: An agreement shall specify the date of the child`s admission.

Noncompliance Area: The files of child #1 and 4 contained emergency contact forms which lacked the persons who shall be contaced in an emergency.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The file of child #2 contained an emergency contact for the child with a date of birth of 8/15/1992, which is not the correct birth date of the child.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: The file of child #4 contained an emergency contact which lacked the name, address and telephone number of the child's physician.

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 file of child #4 contained an emergency contact that did not have the home and work addresses of the enrolling parent.

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

Noncompliance Area: The file of child #1, 2, 3 and 4 contained emergency contacts which lacked the health insurance coverage and policy number for the child.

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: The file of child #4 contained an emergency contact which lacked the name and 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: A hands-free covered for diapering lacked a plastic liner.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: Two infants, 4 and 5 months of age, were being fed bottles propped up by blankets in bouncy seats.

Correction Required: An infant 6 months of age or younger shall be held while being bottle fed.

Noncompliance Area: The child care space contained a piece of unstable furniture which is three open shelves high with a bulky television set on top which could fall on the children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The files of child #1, 2, 3 and 4 lacked signed parental consent for emergency medical care for the child.

Correction Required: 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 child #1, 2, 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 provider stated children are taken on excursions when infants are not in care, but the files of child #3 and 4 lacked signed parental consent for walking excursions.

Correction Required: A child`s record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The file of staff #1 lacked documentation of a health assessment including the results of their tuberculin test.

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: In an unlocked cabinet under the bathroom sink, "Totally Awesome" cleaner, "TAT Ant and Roack Killer" and a spray bottle that is not fully legible as to its contents was accessible to children. On a shelf next to the toilet, mouthwash and "Locking Hair Wax" labeled "keep out of the reach of children" were accessible to children. Hand sanitizer was next to the hand soap on the sink in the bathroom accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.