Community Preschool And Nursery - Pittsburgh PA Child Care Center

Noncompliance Area: In Room 1, foam blocks with teeth marks and a small corner missing off one were on a shelf and Room 2 contained a small Lincoln Log block which was less than an inch in diameter and 2 foam peg boards all accessible to children still placing objects in their mouths. While the older toddlers were in the gym, pieces of the foam puzzle mat which were less than an inch in diameter were on the floor behind the climber accessible to children still placing objects in their mouths. All items were removed and/or made inaccessible at the time of the inspection.

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: In Room 4, 4 bottles on the counter were not labeled with the name of the children for which they were intended. The bottles were labeled at the time of the inspection.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The file of facility person #1, with start date of 9/3/2020, resided outside of the state of Pennsylvania within the last 5 years and did not have the required out of state clearances on file by 7/1/2020.

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. Facility Person #1 may not work in a child care position at the facility.

Noncompliance Area: In Room 2, the lock to the cabinet under the sink was not broken making Pure Bright Bleach, Clorax Disinfectant and Clorax Hydrogen Peroxide Wipes all labeled "keep out of the reach of children" accessible to children in the room. Cherry Cough Drops labeled "keep out of the reach of children" were accessible in a drawer with a broken lock in Room 2. The lock on the cabinet was replaced and the Cherry Cough Drops were made inaccessible at the time of the inspection.

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: The first aid kit in Room 4 did not contain gloves. The gloves were added at the time of the inspection.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: The refrigerator in the infant classroom did not contain a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: The file of child #1 and 2 contained immunization records which did not contain documentation of an annual influenza vaccination which did not meet the recommendations of the ACIP.

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

Noncompliance Area: While observing diapering in Room 3 and 4, the infant and young toddler rooms, facility staff did not immediately discard the diaper directly into the plastic-lined, hands-free covered trash can. The soiled diaper was placed into the trash can after the new diaper was put on each child,

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 of facility person #2 contained a health assessment dated 5/17/2017 with an updated health assessment dated 6/4/2019, which exceeded the requirement of having a health assessment updated at least every 24 months. Facility person #2 now has a current health assessment.

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 facility did not have a written notification of safe routes posted in a conspicuous location.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: The file of facility person #2 did not contain documentation of at least 6 annual clock hours of training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file of facility person #1 contained an evaluations completed on 10/2/2017 and 12/30/2018, exceeding the requirement of a written evaluation completed by the director at least every 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: In Room 2, the preschool classroom, Oxivir TB, a cleaning product labeled "keep out of the reach of children," was accessible to children in an unlocked cabinet under the sink. In the same classroom, hand sanitizer, labeled "keep out of the reach of children," was in a backpack on a hook accessible to children.

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: In Room 3, the young toddler classroom, facility staff were picking up the children to wash their hands at the adult height sink. The classroom did not have a platform or steps for able children to easily approach the sink for handwashing.

Correction Required: Toilets and sinks shall be at proper heights for children using them or shall be easily approached by means of platforms or steps.

Noncompliance Area: The last documented fire drill was completed on 4/10/2019. The facility director stated they have not done a fire drill and were planning on doing afire drill next week.

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. A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.