Cutie Patootie Daycare - Imperial PA Child Care Center

Noncompliance Area: There were cracks observed on the following indoor and outdoor equipment, accessible to children in care, which created potential pinch points for the children: In the preschool room, on the side of a pink storage container under the teacher's table; In the older toddler area, on the bottom corner of a clear storage container; and in the outdoor play space for preschool children, by the window on the pink playhouse, on the slide attached to the castle, and in the corner of the window of the log cabin.

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.

Noncompliance Area: There was a large pile of mulch observed by the walkway to the outdoor play space for the younger children, accessible and posing a potential choking hazard to infants and toddlers in care.

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. 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: The record for staff #1(7/2/2020), #2(7/7/2020), #3(7/27/2020), #4(7/2/2020), #5(7/13/2020), #6(7/2/2020), #7(7/2/2020), #8(7/2/2020), #9(7/15/2020), #10(7/15/2020), #11(7/2/2020), #12(7/2/2020) and #13(7/8/2020), hired prior to 9/30/19, included a current NSOR Certificate, dated after 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.

Noncompliance Area: There was no handwashing sign at one of the sinks in the boys bathroom and at the toilet in the staff bathroom.

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: There was not at least 2 feet of space observed on three sides of the mats while the rest equipment was in use by children in care in the school-age room.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The emergency contact information for child #3 had not been reviewed by a parent at least once in a 6-month period since the child's date of admission on 9/27/2018.

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 information. 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: The record for child #1 and #3 lacked written verification of the influenza vaccine being administered. The record for child #2 lacked written verification of the 4th dose of the DTAP/DTP/TD being administered.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: A paring knife was observed in a staff person's bag that was sitting on a shelf in the preschool room where it was accessible and posed a potential threat to the health and safety of children in care.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The facility's current certificate of compliance was not posted.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.

Noncompliance Area: The children's sunblock labeled keep out of the reach of children was stored in an unlocked storage container on a shelf by the refrigerator in the school-age room where it was 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: The first-aid kit in the preschool room lacked gloves.

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 trim on the blackboard surface in the school-age room was not properly secured, which exposed the rough edge/loose material of the wallboard and created a potential hazard to children in care.

Correction Required: 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 following toys, play equipment and other indoor and outdoor equipment was observed to be used by or in areas accessible to children and posed to be potentially hazardous: In the 3 year old room, there was a white plastic storage container with children's tools and a foot locker containing art supplies that was cracked (pinch points); In the 1 year old room, there was a table with a missing leg and a Little Tykes toy box that was cracked (pinch point); In the school-age room, there were (3) blue storage containers that contained cars, Lincoln Logs, and Mr. Potato Head parts that were cracked (pinch points); In the outdoor play space for older children, there were was a L-shaped climbing toy, pink playhouse, pink dollhouse, and tan with blue roof playhouse that had pulled apart (pinch and crush points), there was a Step 2 slide (back, right side), castle slide, log cabin window, and L-shaped climbing toy tunnel with cracks (pinch points); and there was a playhouse with torn netting (strangulation risk). In the outdoor play space for younger children, there was a riding toy (turtle) with cracks (pinch point).

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.

Noncompliance Area: There was medication that was not in an original container observed in the office.

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.

Noncompliance Area: There was Cortizone observed in a child's bag hanging in the cubbies in the 3 year old room, accessible to children in care.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.