Country Kids Child Care Inc

Noncompliance Area: The operator does not review with the parent, at the time of application, the facility's supervision policies because the facility does not have supervision policies nor does the parent receive in writing the facility's supervision policies.

Correction Required: The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: Child 4 - DOE8.28.17 - does not have an updated emergency contact form and fee agreement. Child 4 has an emergency contact form and fee agreement on file dated 12.1.18.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA 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: Staff 1 - DOH - 6.27.19 does not have a completed clearance on file and has a receipt for a state police clearance on file dated 3.11.18. Staff 2 - DOH - 10.9.18 was hired after 9.25.18 and has a PDE fbi clearance on file and does not have a DHS fib clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 and 2 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.

Noncompliance Area: In the preschool room (room 4) inspector observed six bins (2 bins with small plastic legos, 2 bins with wooden pegs and 1 bin with plastic small shapes) with items in them that are less than 1 inch in diameter. The bins are located in the cubbies, on the same wall as the door to enter the room. Provider and staff admitted that children ages 1 and 2 are in the room in the morning when the center opens and in the evening during pickup time. Inspector observed 1 and 2 year old children in the room during nap time. Inspector has pictures on the state issued phone of the items in the bin.

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.

Noncompliance Area: On 9/26/18 a complaint investigation was conducted. Inspector observed staff 1 yelling at a child singling the child out by stating "IT'S BECAUSE OF YOU THAT THE OTHER CHILDREN ARE WAITING ON THE WALL. YOU DON'T LISTEN!" During the complaint investigation, staff 2 admitted staff 3 stated in front of children in care "this child and her family needs to be Americanized before they come to this country."

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: Facility person 4 is a volunteer and does not have a completed signed volunteer disclosure statement on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 4 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.

Noncompliance Area: While conducting investigation, staff 1 admitted that there is not a director currently at the center and she was in the process of hiring a director. Inspector request staff 1 to send directors qualifications to inspector and staff has not sent any qualifications to inspector. Staff 1 does not have proof of education and experience to qualify as a director.

Correction Required: A director shall have attained one of the following qualification levels specified at 3270.34(b)(1) - (4).

Noncompliance Area: While conducting the complaint investigation, inspector observed 10 children in the preschool room. Staff 2 admitted that 1 of the children was 2 yrs old. Inspector asked staff 1 for the classroom roster. Child 1 is 2 yrs old.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Northeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: During the complaint investigation, staff 2, and 3 admitted staff 1 left the children in the preschool room unattended for approximately 2 minutes while she walked down the hallway to see if staff 3 would watch her children.

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. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: After conducting interviews, staff 2 and staff 3 admitted staff 1 used harsh, demeaning or abusive language in the presence of children by cursing in front of children.

Correction Required: A facility person may not use harsh, demeaning or abusive language in the presence of children.

Noncompliance Area: In room 1, rest equipment is not labeled for the use of a specific child and a cot chart is not posted.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: Child 2 -- DOE - 9/19/17 does not have a child service report on file and has been enrolled for more than 6 months.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Fee agreement for child 3 does not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: Emergency contact form for children 1 and 2 do not have reference who shall be contacted in an emergency.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: Emergency contact form for child 3 does not include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

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: Staff 6's health assessment does not state staff person is suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: In room 5, inspector observed two bottles not labeled with the child's name.

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

Noncompliance Area: Facility's emergency plan was not reviewed/updated within a year of the previous review/update. Last years review/update is dated 3/23/17 and this years review/update is dated 5/8/18.

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 and kept on file at the facility.

Noncompliance Area: Staff 1 - DOH - 5/17/18 does not have a completed state police clearance or proof of request for state police clearance on file. Staff 2 DOH - 6/21/18 does not have a child abuse clearance on file. Staff 2 has a volunteer child abuse clearance on file dated 10/27/17. Staff 2 has a volunteer state police clearance on file dated 10/9/17 and a completed state police clearance dated 7/2/18. Staff 5 - DOH 7/2/18 does not have proof of request and completed state police clearance on file. Staff 5 has a volunteer state police clearance on file dated 5/20/18.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person's #1, 2 and 5 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.

Noncompliance Area: Staff 7 does not have proof of education and experience on file to qualify as a group supervisor.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff 3 and 5 do not have proof of experience on file to qualify as an assistant group supervisor. Staff 4 does not have proof of education and experience on file to qualify as an assistant group supervisor.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: First-aid kit in room 2 is missing gauze pads. First-aid kit in room 3 is missing tweezers. First-aid kit in room 4 is missing band-aids.

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: In the girls bathroom, inspector observed a sharp hole in the wall located inside the bathroom stall.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: One of the sinks in the boys bathroom is missing a hand washing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: THE DIAPER CHANGING PAD IN THE INFANT ROOM WAS TORN IN THE MIDDLE.

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. Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: THERE WAS NO HEALTH INSURANCE POLICY NUMBER ON FILE FOR CHILD # 1.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: THE GATE OF THE FENCE IN THE OUTDOOR SPACE WAS BROKEN. THE WIRE MESH THAT GOES BETWEEN THE POSTS WAS BENT UP AT THE BOTTOM LEAVING ENOUGH ROOM FOR A CHILD TO GET OUT OF THE PLAY AREA.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Floors, walls, ceilings and other surfaces, including the facility`s outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: THE EMERGENCY PLAN ON FILE AT THE FACILITY WAS UPDATED ON 5/12/17. ALL STAFF WERE TRAINED ON THE EMERGENCY PLAN ON 5/31/17.

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. A facility person shall be trained witihn one week of initial employment and within one week of any emergency plan updates.

Noncompliance Area: THERE WAS A PLUG IN AIR FRESHENER IN THE BATHROOM ACCESSIBLE TO THE CHILDREN.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.