Childrens Express Inc - Cresson PA Child Care Center

Noncompliance Area: Observed a torn fire station pop up tent beside the refrigerator in the Pre K Classroom upstairs. Observed a cracked bin containing wooden houses, trees, and cars by the easel in the Pre K Classroom upstairs. Observed a torn window frame on the pop up castle which allowed a metal rod to protrude creating rough edges in the Preschool Classroom. Observed foam numbers with bite marks and pieces missing in the Pre K Classroom downstairs. Observed a Jake and the Never Land Pirates Play Hut with approximately a 2 inch tear on the roof by the climber in the Pre K Classroom downstairs. Observed a tunnel with loose trim by the climber in the Pre K Classroom downstairs. Observed a number ball with approximately a 1 inch by 2 inch tear with exposed stuffing in the Pre K Classroom downstairs. Observed torn tumbling mats with exposed foam by the climber in the Pre K Classroom downstairs. Observed a torn half circle cube with exposed foam by the climber in the Pre K Classroom downstairs.

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: Observed rest equipment not labeled for the use of a specific child in the Pre K Classroom upstairs.

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: Observed children sleeping on rest equipment in the Young Toddler Classroom which lacked 2 feet of space on three sides. Observed approximately 4 inches of space between 2 children and approximately 1 foot of space between 2 children in the Young Toddler Classroom.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The file of Child #2 lacked a Child Service Report updated every 6 months. The file of Child #2 contained a Child Service Report dated 10/22/19 with the previous one dated 10/19/18.

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: The file of Child #3 lacked the complete address of the individual designated by the parent to whom the child may be released on the emergency contact form.

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: Emergency contact information for Child #5 was not present when Child #5 was in the Young Toddler Classroom.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: The file of Child #1 lacked a reviewed and updated financial agreement which should have been reviewed at least once in a 6-month period. Child #1 had an admission date of 8/26/15 with a financial agreement reviewed on 8/28/19, 9/23/19, and 11/19/19. The file of Child #4 lacked a reviewed and updated emergency contact form and financial agreement which should have been reviewed at least once in a 6-month period. Child #4 had an emergency contact form reviewed on 11/1/19 with a previous review on 4/8/19. Child #4 had a financial agreement reviewed on 11/4/19 with a previous review on 4/8/19.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 of Child #4 lacked an initial health report no later than 60 days following the first day of attendance at the facility. Child #4 had an admission date of 4/10/19 with a health report dated 10/22/19.

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 #4 lacked a current influenza immunization in accordance with the schedule 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: The file of Staff #2 lacked a health assessment conducted within 12 months prior to providing initial service in a child care setting. Staff #2 had a start date of 7/9/19 with a health assessment dated 12/2/19.

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 file of Staff #5 lacked 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 of Staff #2 lacked documentation of training regarding the emergency plan at the time of initial employment. Staff #2 had a start date of 7/9/19 with documentation of emergency plan training on 8/29/19.

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: The file of Staff #2 lacked a copy of a signed disclosure statement at initial service in a child care setting. Staff #2 had a start date of 7/9/19 with a disclosure statement dated 10/17/17. The files of Staff #4 and #5 lacked a National Sex Offender Registry Verification Certificate. Staff #4 had a start date of 11/6/19. Staff #5 had a start date of 11/27/19. The file of Staff #7 lacked a valid FBI clearance. Staff #7 had a start date of 6/3/19 with a Department of Education FBI Clearance dated 5/6/19.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #4 ,#5 , and #7 may not work in a child care position at the facility. 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 #4, #5, and #7 may not work in a child care position at the facility.

Noncompliance Area: The file of Staff #1, who was designated as an assistant group supervisor, lacked documentation of 1 year of experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate, 15 credit hours from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. 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: The files of Staff #2, #3, and #6, who were designated as an assistant group supervisors, lacked documentation of 2 years experience with 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 following the outset of service at the facility.