Chesterbrook Academy - Royersford PA Child Care Center

Noncompliance Area: On 1/13/2020, the facility self- reported that staff member #1 aggressively disciplined child #1 when she picked him up under the arms and carried him across the room with little concern for the child.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Noncompliance Area: At the time of inspection, the file for staff person #7 did not include an initial health assessment with TB results. The file for staff member #10 did not include an initial health assessment with TB results. The file for staff member #11 included a health assessment dated 5/17/17, more than 24 months following the date of signature. The file for staff member #12 included a health assessment dated 5/31/17, more than 24 months following the date of signature. The file for staff member #13 did not include an initial health assessment with TB results.

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: At the time of inspection, the file for staff member #8 included a health history, dated 8/2/17; which did not indicated a physical exam.

Correction Required: An adult health assessment must include a physical examination. 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: At the time of inspection, written statements giving the formula and feeding schedule for an infant was not obtained from the parents of infants observed in the infant room.

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

Noncompliance Area: At the time of inspection, the emergency contact form for child #3 and #5 did not contain the parent's signatures for consent of emergency medical care and/or administration of minor first-aid procedures by a facility person.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: At the time of inspection, the staff files for staff member #10, #14 and #15 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Correction Required: 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: At the time of inspection, the operator did not have written verification of initial emergency plan training for staff member #8 and #9.

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: At the time of inspection, the file for staff member #17 did not include verification of receiving annual 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: At the time of inspection, the files for staff members #13 and #17 did not contain verification of the annual 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: At the time of inspection, the following staff members were not in compliance with the Child Protective Service Law. The file for staff member #1, hired 8/28/18; did not include verification of completion of the Mandated Reporter Training, required under the CPSL. The file for staff member #2, hired 3/8/14; included a PA Child Abuse clearance dated 6/6/14 and a FBI clearance dated 5/30/14, both more than 60 months old. The file for staff member #4, hired 3/8/14; did not include a copy of the completed FBI clearance. The file for staff member #5, hired 3/20/19; did not include a copy of the request for PA Child Abuse clearance or a copy of the completed clearance. The file for staff member #6, hired 4/7/17; included a PA State Police clearance dated 3/27/14 and a PA Child Abuse clearance dated 4/29/14, both more than 60 months old. The file for staff member #7, hired 11/22/16; did not include verification of completion of the Mandated Reporter Training, required under the CPSL.

Correction Required: Facility Person #--- may not work in a child care position at the facility. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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.

Noncompliance Area: At the time of inspection, the files for staff member #13 and #17 did not include an annual staff 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: At the time of inspection, the files for staff members #3,#5, #8, #10, #14, #18 and #19, hired as assistant group supervisors; with high school diploma did not include the two years of verified experience working children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: At the time of inspection, the file for staff member #16, hired as an Aide: did not include verification of a minimum of an 8th grade education and 2 years of experience with children.

Correction Required: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: At the time of inspection, a few areas of the facility were either unclean or in disrepair. Air vents in rooms 6, 8, 9 and 10 were unclean. In room 3 peeling paint on walls and a sink with rusty surfaces were observed. In room 6 dirty tape residue was observed on surfaces. In the bathroom of room 6, rust was observed around the toilet base. In room 8 a few spider webs were observed. Rust was observed on the radiator cover in the bathroom of room 8.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: During the renewal inspection on 5/17/18, the mulch under the outdoor play equipment measured less than 1 inch or was completely gone causing no shock absorbing protective surface covering for the fall height of the equipment.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.