Crosspoint Christian Child Care - Harrisburg PA Child Care Center

Noncompliance Area: Mulch was accessible to children in the infant and toddler playground. Corrected during inspection.

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: Facility does not give parents a written copy of supervision policies or a general daily schedule.

Correction Required: 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: The agreements for children #1-6 and 8-10 are not signed by the operator. #5 was corrected during inspection.

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

Noncompliance Area: Original copies of agreements were on file for children #2,3,4 and 6-10.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.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: Emergency contact information for child # 3 does not include the written consent signed by a parent for emergency medical care

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Children #1,2,4 and 8 do not have information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Correction Required: Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Noncompliance Area: Emergency contact information for child #1 does not include health insurance coverage or policy number.

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: Facility is using a form that they developed and the form does not include a request for the address and telephone number of the individual designated by the parent to whom the child may be released. Information is not on file for children #1-10.

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: Child #3 does not have a current health assessment on file. The last health assessment on file is dated 05/31/19. Corrected during inspection.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The health report for child #7 does not include a review of the child's health history.

Correction Required: A health report shall include a review of the child's health history.

Noncompliance Area: According to documentation on file children # 2,3,6,8 and 9 are not immunized according to recommendations of the ACIP. These children do not have exemptions on file. Children # 3,8 corrected during inspection.

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

Noncompliance Area: The health report for child #7 does not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: An inhaler not in a prescription box and without a prescription label was observed in room 205.

Correction Required: A prescription or nonprescription medication may be accepted only in an original container. The medication shall remain in the container in which it was received. A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: Staff person #3, date of employment 10/07/19, does not have a health assessment or TB test on file. Staff persons #2,5,6,7,8, 9 have a health assessment on file but it was not obtained in a timely manner. The health assessments for these employees were obtained after they already began working with children.

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 person #3 does not have documentation of a TB test. Staff person #8 has a TB test on file but it was not obtained until she was already employed for four months.

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.