Mama Bears - Mc Kees Rocks PA Child Care Center

Noncompliance Area: Child #1, enrolled 6-10-19, lacked an health assessment.

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: Child #2 had an immunization record that lacked a current MMR, varicella, and influenza vaccination as 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: There was an expired epi-pen in the preschool room.

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

Noncompliance Area: There was no battery in the battery operated smoke detector in the Fish room and in the infant room making the smoke detectors inoperable. The batteries in the smoke detectors in the kitchen and in the hallway that leads to the exit door to the outdoor play area were covered in a plastic covering causing the smoke detectors to be inoperable.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of compliance with 34 PA code 403.23 is required.

Noncompliance Area: Staff person #1 lacked an annual written evaluation.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: There was an uncovered outlet on the top of an egg hatching unit accessible to children on the floor in the preschool room.

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

Noncompliance Area: There was a container of hand sanitizer accessible to children on a table in the entryway of the facility. There was a container of hand sanitizer and a container of Clorox wipes accessible to children on a desk in the lobby of the facility.

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: There was crack on a toy bin in the young toddler room that caused a pinch point to be accessible to the children. The toy shelf in the older toddler room became separated at a joint thereby causing bolts and sharp edges to be accessible to the 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: It was observed that a young toddler had a rubber band on the child's thumb that measured less than one inch in diameter. The band had fallen out of the child's hair.

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: Child #1 and child #2 lacked current child service reports.

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 had a most recent health assessment dated 5-22-18.

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.

Noncompliance Area: Child #2 had an immunization record that lacked a current influenza vaccination as 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: Staff reported that albuterol medication was administered to a child in the infant room at 8:00am and it was not documented on the medication log by 11:10am.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: It was reported that staff in the infant room were preparing infant bottles at the sink that is used for handwashing after diapering in the diapering area.

Correction Required: The diapering area may not be used for food preparation or food service.

Noncompliance Area: Staff person #1, with a documented start date with children of 5-20-19, had an initial TB test dated 1-29-18.

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.