Chris Steeles Home Daycare

Noncompliance Area: In the playroom observed a cracked plastic food item that could result in a child being pinched.

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: The files for child #1 and child #2 did not contain documentation of a flu shot received during the previous 12 month period as recommended by the ACIP immunization schedule and did not contain an exemption.

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: Observed in the playroom a rusted heating vent that was accessible to the children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: The file for child #3, a young toddler, does not contain an initial health report received within 60 days following the first day of enrollment. The file does contain a current health report.

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, a preschool aged child, contains a current health report that was conducted more than 12 months after the previous health report. The file does contain a current health report.

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: The files for child #1 and child #2, both preschool aged, do not contain documentation of an influenza vaccination received in the previous 12 month period as required by the ACIP recommended schedule.

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 is peeling and chipping paint on the fence around the swimming pool deck. The children walk beside this fence when entering and exiting the family child care home.

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

Noncompliance Area: The file for child #2 contained an agreement that was not signed by the operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The agreement for child #2 did not include a fee amount.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The files for child #1, #2 and #3 contained the original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The file for child #1 contains emergency contact information that does not include the addresses and phone numbers for the designated release persons.

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: The file for child #3 contains an initial health report that was completed more than 60 days following the first day of attendance.

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: It was observed that the diaper genie used to dispose of soiled diapers requires being opened by hand and requires the diaper to be pushed through the opening.

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 for staff person #1 does not contain a signed disclosure statement as required under CPSL.

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.

Noncompliance Area: Based on statements by the operator, during third shift care staff are sleeping on and off leaving the children unsupervised.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).