Circles-n-squares Family Child Care Home

Noncompliance Area: At the time of the inspection, there was no date on the health assessment for staff #1.

Correction Required: 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: At the time of the inspection, there was no annual review by date by the operator on the emergency plan. This date needs to be documented in writing.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: At the time of the inspection, there was exposed spackle covering damaged paint in the child care space.

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

Noncompliance Area: At the time of the inspection, there was no agreement on file for child #4.

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

Noncompliance Area: At the time of the inspection, there was nothing on the agreement and no child service report on file for child #1-4.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: At the time of the inspection, there was no birthdate of the child on the emergency contact form for child # 3 and 4.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: At the time of the inspection, there was no phone number of the child's physician on the emergency contact form for child #3 and no address of the child's physician on the emergency contact form for child #4.

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: At the time of the inspection, there was no work address of the enrolling parent on the emergency contact form for child #1-4.

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

Noncompliance Area: At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency posted in the facility.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: At the time of the inspection, there was no updated health report on file for child #1 (DOB 7-15-13). The last health report was dated 1-6-18.

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: At the time of the inspection, there TB test that was on file stated to have a chest CT conducted, but there was no verification of the chest CT on file.

Correction Required: A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Noncompliance Area: At the time of the inspection, there was no update to the emergency contact form or the agreement on file for child #1-3.

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: At the time of the inspection, there was no signed parental consent for emergency medical care for the child and no parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #4.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: At the time of the inspection, there was no disclosure statement on file for staff #1. The Child Line clearance on file for staff #1 was of household member status and not employment.

Correction Required: 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: At the time of the inspection, there was no update to the emergency plan on file in the facility.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan. The operator shall post the emergency plan in the facility at a conspicuous location.