Chesterbrook Academy - Lancaster PA Child Care Center

Noncompliance Area: It was observed in the Beginner A toddler room that the sensory table was unclean and smelled like standing water. In the outdoor play space, the large storage box used to store toys, was filled with wet debris along with broken and wet toys and balls.

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 in the bathroom used by Beginner A toddler room that plastic bags containing diapers were accessible to mouthing children and in the Beginner B toddler room wipes in bags indicating to keep out of reach of children due to suffocation hazard were accessible to children.

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: It was observed in the school age room that a daily schedule was not posted.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Agreement for child #6 did not specify child's admission date.

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

Noncompliance Area: Emergency contact form for child #1 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: Emergency contact form for child #6 did not include release person's address.

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: Health reports for child #5, #6, #7, #8, and #10 did not include the immunized status of all vaccines as recommended by the ACIP.

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

Noncompliance Area: Health assessment on file for staff person #1, #6, #8, #10, and #13 did not include an examination for communicable diseases and the results of that examination or 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: It was observed and stated that the facility did not notify the local traffic authorities in writing within the last year of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: File for staff person #4, #5, #7, #11, and #13 did not include 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: The file for staff person #1 hired 10/21/19, does not contain completed FBI clearance and NSOR was applied for on 11/27/19, which was not at the time of initial hire. The file for staff person #3 hired 6/17/19, does not contain FBI clearance and disclosure statement signed and placed on file was not witnessed. The file for staff person #5 hired 09/04/19, does not contain documentation of completion of mandated reporter training. The file for staff person #9 hired 10/16/19, contains written verification that NSOR was applied for on 11/27/19, not at the time of initial hire. The file for staff person #10 hired 7/15/19, does not contain completed FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1, #3, #9, and #10 may not work in a child care position at the facility.

Noncompliance Area: It was observed in the in the preschool room that multiple children were playing with toys, engaged in small muscle activities, and moving around the room between cots in the same space where children were sleeping.

Correction Required: Preschool and school-age children may not be involved in small or large muscle activity in the same group space in which children are sleeping or resting.

Noncompliance Area: It was observed in the Intermediate room that an outlet was left uncovered accessible to children under 5 years of age.

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

Noncompliance Area: It was observed that screens in the windows throughout the building were ripped, contained holes, and were not in good repair.

Correction Required: Screens shall be in good repair.

Noncompliance Area: It was observed that the phone number of the nearest hospital was not posted by each telephone in the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.