Circle of Friends - Camp Hill PA Child Care Center

Noncompliance Area: The file for child #2 (enrolled (7/2015) included an initial health assessment dated 7/15/16.

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 (DOB 6/5/16) did not include a record of an influenza immunization, nor did the file include a letter of exemption.

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

Noncompliance Area: The file for staff person #1(hired 7/1/2020) did not include an updated FBI clearance, previous one dated 10/23/14. The file for staff person #2, #3 and #4 did not include a completed NSOR Certificate.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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 #2, #3 and #4 may not work in a child care position at the facility.

Noncompliance Area: On the date of inspection, it was observed that there was not an operable fire detection system or provider failed to document operable fire detection system because the alarm did not sound when activated. This condition at the facility poses a threat to the health or safety of children.

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

Noncompliance Area: The file for staff person #1 contained an updated State Police clearance dated 1/21/2020. This update was obtained after the previous clearance expired on 1/8/2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: It was observed that there were plastic bags accessible to children in the 2 year old room.

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: The file for child #2 contained a health assessment that was obtained 90 days (12/19/16) after admission date of 9/19/16.

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 Child #3 did not have a medication log for Ibuprofen that was on site.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: The file for staff person #2 with a hire date of 9/20/18, contained an initial health assessment and TB test dated 10/3/18.

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. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment.

Noncompliance Area: The file for child #1 did not contain a fee agreement.

Correction Required: A child's record shall 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: According to documentation on file at the time of inspection, staff person #1 was hired 8/27/18 and staff person #2 was hired 9/20/18. Upon beginning work in the facility, their record did not contain completed DHS FBI clearance information required under the CPSL and did not contain documentation the facility person had been fingerprinted for the FBI clearance required for provisional hiring under the CPSL. Staff person #1 did not complete mandated reporter training until 2/20/19, 6 months after hire.

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: It was observed that toxins were accessible to children in the Pre-K room. *CORRECTED ON SITE

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

Noncompliance Area: It was observed that a written plan identifying the means of transporting a child to emergency care was not posted in the Nap Room and the School Age area (gym).

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: It was observed that, existing facility staff received updated training regarding the emergency plan in a timeframe that exceeded the annual requirement.

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.