Creation Playstation - Emmaus PA Child Care Center

Noncompliance Area: Facility person # 1 hired and working in child care since 7/29/19, did not have a health assessment at time of hire. Facility person # 2 did not have a health assessment conducted in more than 24 months from 11/15/13 to 3/1/19.

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 emergency plan was not reviewed in more than 12 months. Emergency plan reviewed 5/31/18 to 8/23/19.

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: The facility does not have a local fire, ambulance, police or hospital listed on the emergency phone lists in each classroom.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: Child 2 - DOE - 1/3/17 - did not receive 6 month updated child service reports. Child 2 has child service reports on filed dated 4/10/17 and 4/4/18. Child 3 - DOE - 11/23/15, child 6 - DOE - 8/24/15 and 7 - DOE - 9/23/15 have been enrolled for more than 6 months and have not received updated child service reports within 6 months. Child 5 - 3/7/16 - has been enrolled for more than 6 months and does not have a child service report on file.

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: Emergency contact information for child 1 does not include the address of the child's physician or source of medical care.

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: Emergency contact information for child 8 does not include the address 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: Emergency contact information for child 8 was not updated in a 6-month period. Updated for child 8 was done 9/16/17 and 8/22/18. Fee agreement and emergency contact information for child 6 was not updated in a 6-month period. Fee agreement was updated 8/28/17 and 8/20/18 and the emergency contact information was updated 8/28/17 and 8/1/18. Fee agreements for child 2 and 7 were not updated in a 6 month period. Fee agreement for child 2 was updated 1/3/17 and 8/21/18 and for child 7 - 9/21/15 and 8/27/18.

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: Child 8 - DOE - 9/18/17 does not have an initial report on file dated no later than 60 days following the first day of attendance at the facility. The only health report on file for child 8 is dated 9/12/18.

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: Staff 7 and 13 do not have updated health assessments on file. Staff 7 has a health assessment on file dated 9/7/16 and staff 13 has a health assessment on file dated 8/23/16. Staff 2 - DOH - 8/22/18 - does not have a health assessment on file.

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: Staff 10 - DOH - 10/18/17 and staff 2 - DOH - 8/22/18- do not have a tuberculosis screening by the Mantoux method completed at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.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.

Noncompliance Area: Staff 9's health assessment does not include an examination for communicable diseases and the results of that examination nor does it include the physician's or CRNP's assessment of the person's suitability to provide child care. Staff 1's health assessment does not have an acceptable examination for communicable diseases and the results of that examination. A box was added stating "unknown" and checked.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Child 6 does not have signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff which is required prior to admission. Parents initialed the boxes.

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

Noncompliance Area: Child 1 - DOE - 9/18/17, child 3 - DOE - 11/23/15, child 4 -DOE - 11/13/17 , child 5 -DOE - 3/7/16 , and child 8's -DOE - 9/8/17 file does not contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The only fee agreement in the file is dated 8/22/18.

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: Staff 2 - DOH - 8/22/18 did not receive training regarding the emergency plan at the time of initial employment. Staff 2 received training regarding the emergency plan 9/2/18

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.

Noncompliance Area: Staff 5 - DOH - 6/21/17,and staff 6 - DOH - 6/18/17 did not participate in fire safety training annually. Staff 5 and 6 completed fire safety training 8/24/18.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.