Childrens Aid Society In Clearfield Cty

Regulation: 3270.21

Description: General Health and Safety

Noncompliance Area: On the day of inspection, toilet bolts were exposed, large shelving was not secure to the wall and the furnace room and supply room were accessible to children.

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

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Based on written and video documentation it was determined that staff #1 and #2 restrained a child due to his inappropriate/unsafe acting out behaviors.

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity will hold a staff meeting to review the citation and program policy in regard to restraining a child. The legal entity will conduct a staff meeting to review the complaint investigation. The legal entity will review the programs policy in regard to acceptable behavior management interventions. Staff #1 and #2 will complete 2 hours of childcare training in regard to behavior management or handling disruptive behaviors.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: In the infant room, it was observed a cracked bin holding infant toys.

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.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: In the infant room, it was observed that the infant refrigerator did not contain a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.133(7)(i)

Description: Name of medication

Noncompliance Area: It was observed that a medication name was not included on the med log in the infant room.

Correction Required: A medication log shall include the name of the medication.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: It was observed that the gas tank on the blue Little Tikes car in the outdoor toddler play space was broken.

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.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: In the outdoor play area, it was observed that the lattice on the vent box was cracked and broken with exposed nails and a thorny bush was growing out of the box. The teeter-totters were observed to have rust.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: In the outdoor play area, the two metal doors were observed to have peeling paint.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: The bolts on the fencing in the outdoor play space were exposed and were not capped off. The non slip surfacing on the green wavy climbing equipment in the preschool outdoor play space was coming off exposing large areas of smooth surface creating a slipping hazard for the children. The wooden harp and xylophone and the platform on the tube and slide equipment in the preschool outdoor play space had wood that was deteriorated causing a hazard for splinters 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.

Regulation: 3270.102(g)

Description: Hazardous toys and equipment

Noncompliance Area: In the infant room #103. there was a Bumbo seat that lacked the required strap that was recalled by the US Consumer Product Safety Commission.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: All current staff files were reviewed on 4/19/23, 17 of the 17 files reviewed staff did not complete the Health and Safety training update by 12/30/22 as required by Announcement C-22-06. 16 of the 17 staff files have documentation of current Health and Safety training update, Staff file #3 did not contain documentation of completion of the Health and Safety training update.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's emergency plan did not include requirements for volunteer emergency preparedness training, practice drills and continuity of operations to maintain compliance with 45 CFR § 98.41(a)(1)(vii) per Announcement C-22-04.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.166(1)

Description: Written statement

Noncompliance Area: The facility lacked copies of written formula and feeding schedules obtained from the parent for the infants in care.

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

Regulation: 3270.25(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The facility lacked a means to provide enrolled family's the link to access the regulations in this Chapter electronically.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: Facility person file #2 lacked documentation of completion of emergency plan training since employment at the facility. (See LIS CODE SHEET)

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.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff file #1 contained a volunteer Child Abuse clearance dated 6/15/21 in the file. (See LIS CODE SHEET) Facility person file #2 lacked a signed and dated disclosure statement in the file. (See LIS CODE SHEET) Staff file #4 lacked a dated disclosure statement in the file. (See LIS CODE SHEET)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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. Facility Person #1, #2 and #4 may not work in a child care position at the facility.

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: The diaper cream that states keep out of reach of children was accessible to you the children in care in the young toddler room # 108.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: The first aid kit in the young toddler room #108 lacked tape in the kit. The first aid kit in the ollder toddler room #104 lacked sterile gauze pads and tape in the kit.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The file for child #1 lacked emergency contact information that included the work phone number of the enrolling parent.

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

Regulation: 3270.124(b)(5)

Description: Information re: special needs

Noncompliance Area: The files for children #2 and #3 lacked emergency contact information that included 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.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: The files for children #2, #4, and #5 lacked influenza immunizations that were administered in 2021.

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

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file for staff person #1 lacked a health assessment that was completed 24 months from the previous health assessment. The health assessments in the file were dated 7/31/19 and 8/23/21.

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.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: It was observed that an emergency drill was not conducted within the past year.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: It was observed that the facility lacked a proof of purchase for the smoke detection system.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Noncompliance Area: The file for staff person #1 lacked a health assessment that was conducted 24 months after the previous health assessment. The health assessments were dated 1/18/18 and 2/18/20.

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.

Noncompliance Area: The fire drill log was observed a fire drill was held on 10/22/19 and the next fire drill was not held until 12/26/19. A fire drill was held on 3/26/19 and the next fire drill was not held until 5/22/19. A fire drill was held on 6/6/19 and the next fire drill was not held until 8/19/19. There were more than 60 days between the fire drills being held.

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: The file for child #2 lacked an initial 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: The file for child #1 lacked a parental update to the financial agreement in 2018.

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 #1 lacked emergency contact information that included the health insurance coverage 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 files of children #2, #3, #4, #6, and #8 lacked emergency contact forms with the full physical address of physician or source of medical care. The files of children #4 and #8 lacked an emergency contact forms with the telephone number of the physician or source of medical care.

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 files of children #3, #4, #6, and #8 lacked emergency contact forms with the full work address of the enrolling parents. The files of children #4 and #8 lacked emergency contact forms with the work telephone number of the enrolling parents.

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

Noncompliance Area: The files of children #1, #2, #4, and #5 lacked emergency contact forms with written consent signed by the 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 file of child #4 lacked an emergency contact form with the health insurance coverage and policy number for the child under a family policy or Medical Assistance benefits, if applicable.

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 files of children #1, #2, #3, #4, #6, and #8 lacked emergency contact forms with the full physical 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: Observed in all child care spaces the excursion bags lacked the emergency contact forms for the children in care in each child care space.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: The file of child #7 lacked an initial health report no later than 60 days following the first day of attendance at the facility.

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 of child #5 lacked a health assessment with a review of the child's health history and a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. The only report in the file was a report of a doctor's visit.

Correction Required: A health report shall include a review of the child's health history. 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: Observed in the infant room, the garbage can used for diapering was not hands-free.

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 of staff #4 lacked a health report with information about 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.

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.

Noncompliance Area: The file of staff #3 lacked a health assessment with a statement regarding information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Correction Required: An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: The files of children #2 and #4 lacked emergency contact forms with signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. The files of children #1, #5, #6, and #7 lacked an emergency contact form with signed parental consent for emergency medical care for the child.

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: The file of child #2 lacked an emergency contact form with signed parental consent for walking excursions. The files of children #5, #6, and #7 lacked an emergency contact form with signed parental consent for swimming and wading. The file of child #8 lacked an emergency contact form with signed parental consent for transportation, walking excursions.

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

Noncompliance Area: The file of staff #2 lacked a diploma.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: Observed in the infant room a loose fitted blue and white zig zag patterned sheet creating a possible suffocation hazard.

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

Noncompliance Area: Observed in the room used for before school and summertime, the restroom did not have a handwashing sign posted. In said restrooms, also observed 1 exposed bolt on each of the toilets.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. 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.