Christ Church Childrens Center - Fleetwood PA Child Care Center

Noncompliance Area: On 8/17/2020, the facility hosted a Pre-K graduation ceremony in which 4 staff were observed in photographs to be within 6 feet of another person and not wearing a mask or face covering during the ceremony. This is against the Pennsylvania Office of Child Development and Early Learning Bureau of Certification Services Announcement #C-20-08 "COVID-19 Operations for Licensed Child Care" stating that "Child care staff must wear face coverings indoors; they must also wear face coverings outside where staff are unable to maintain the 6-foot social distance, unless a medical reason prevents the staff from wearing a face covering."

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

Noncompliance Area: A handle on a cabinet in the large school-age classroom was observed to be loose, causing a pinch hazard. Additional handles on this same cabinet were also loose.

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: Marbles which were less than one inch in diameter were observed in a bin in the young toddler classroom. Also observed in this classroom in the cubbies were a plastic grocery bag containing paper towel rolls and a sleeve of diapers in a plastic bag. These items were all accessible to children who are still placing objects in their mouths.

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: Through a review of records, it was observed that the facility was keeping a copy of the child reports in the children's files and providing a copy to the parents, but was not maintaining a facility file of these reports.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: A review of the fire drill log showed that fire drills went longer than the required 60-day limit from: 4/4/19-6/3/19, 6/3/19-8/2/19 and 8/2/19-10/2/19.

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: On 7/1/2019, A small blue balance beam on the playground was observed to have peeling paint. A plan of correction was received stating that by 8/31/19, "The balance beam will be sanded so that the peeling paint will be removed. In the future, all equipment will be checked by the staff on a daily basis to make sure the equipment is in good repair." On 9/16/19, the balance beam was observed to have additional spots of peeling paint.

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: On 7/1/19, The new climber installed on the playground does not have at least 9" of mulch surrounding the equipment. Mulch was measured in multiple spots, but the deepest spot measured only contained 7" of mulch. Spots on the climber near the rock climbing wall were bare, and did not have any loose fill. A plan of correction was received stating that by 8/31/19, "In the future, at least 9" of mulch will surround all climbing equipment. Mulch will be ordered and added to the current playground." On 9/16/19, mulch had not yet been delivered, leaving the playground short of 9" of mulch, as originally observed.

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.

Noncompliance Area: On 7/1/19, it was observed that the climbing equipment installed on the playground is required to be installed over loose fill ground cover, but there is not a barrier in place to prevent infants and toddlers receiving care and playing in the outdoor play space from gaining access to the small pieces of mulch less than 1" in diameter. A plan of correction was received stating that by 8/31/19, "A fence will be erected to prevent the infants and toddlers from being able to gain access to the mulch around the playground so that they cannot put small pieces of mulch in their mouth. We will ensure that the infants and toddlers do not have access to any objects that are less than 1" in diameter at all times." During an unannounced monitoring visit on 9/18/19, a barrier was not yet erected to prevent the infants and toddlers playing outside from having access to the mulch.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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: A small blue balance beam on the playground was observed to have peeling paint. A sharp knife was observed in then unlocked drawer in the Foyer room.

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 new climber installed on the playground does not have at least 9" of mulch surrounding the equipment. Mulch was measured in multiple spots, but the deepest spot measured only contained 7" of mulch. Spots on the climber near the rock climbing wall were bare, and did not have any loose fill.

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.

Noncompliance Area: The climbing equipment installed on the playground is required to be installed over loose fill ground cover, but there is not a barrier in place to prevent infants and toddlers receiving care and playing in the outdoor play space from gaining access to the small pieces of mulch less than 1" in diameter.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care. 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: A letter from the physician of Child #1 was on file to indicate that the child should be placed in an elevated position, and a small wedge was observed in the child's crib, but a medical reason for the elevation was not indicated on the documentation.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Expired Up and Up cream (exp. 9/18) was observed in the Young Toddler classroom diaper cream basket. Expired Benadryl (exp 9/18) was observed in the School-Age classroom downstairs, and was indicated to have been given to a child on 6/26, 6/27 and 6/28.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: Three red, non-refrigerated coolers were observed in the School-Age classroom downstairs, containing lunchboxes with perishable items such as cut fruit, pizza, cheese, and sandwiches containing lunch meat.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: The file for Staff #3, who began working for the facility on 7/2/19, did not contain a health assessment, TB testing results, or two written nonfamily references.

Correction Required: 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.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