Daisy Day Care - Reading PA Child Care Center

Noncompliance Area: In the infant room, inspector observed that the toys were on a shelf high up on the wall out of reach of the children. Children are unable to play with toys due to being on the shelf on the wall. Inspector did not observe sufficient amount and variety to preclude long waits for use that are in reach of the children.

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Noncompliance Area: In the preschool room, inspector observed cots that were numbered however, there was no cot chart posted anywhere to show what cot belonged with what child. Inspector observed an infant in the infant room laying in a white metal crib. Crib was not labeled for the use of a specific child. In the infant room, inspector also observed cots and play pens that were not labeled and the rest equipment was not labeled for the use of a specific child and used only by the specified child.

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: In the infant room, inspector observed child 1 laying in a white metal crib that did not have 2 feet of space on 3 sides.

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: Children 3,4 and 5 do not have a record on file at facility and were present in the classroom the day of inspection. Staff 4 admitted the children were present and attending child care starting 12.16.19.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: When in the infant room, inspector asked staff 5 how she lays infants in the crib or play pen to sleep. Staff 5 admitted to laying infants on their sides to sleep in the crib or play pen.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Staff 3 - DOH - 4.2.19 - was not finger printed at initial hire. Staff 3 worked from 4.2.19 until 5.13.19 without being fingerprinted. Staff 3 has proof of fbi request on file dated 5.13.19 and has a completed fbi clearance on file dated 5.13.19.

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: Staff 2 - DOH - 3.28.08 has been employed for more than a year and does not have any staff evaluations on file.

Correction Required: A director is responsible for the general management of the facility, including the minimum duties described at 3270.34(a)(1) - (6).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 the infant room, inspector observed 1 infant and 4 young toddlers with staff 5.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. The required staff:child ratios must be maintained at all times. 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).

Noncompliance Area: On the second floor where the school agers are located, inspector observed a leak coming from the ceiling. The water leaking from the ceiling was brown and a plastic container was placed on the floor to catch the water.

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.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: On the second floor, inspector observed the toilet located closest to the door in the bathroom does not work.

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

Noncompliance Area: There is Desitin that expired 7/20/18 in the downstairs children bathroom. There is expired Desitin and Aveeno on the infant room changing table.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The infant room does not have a hands free lidded can for the disposable diapers.

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 first aid kit on the facility's school bus is missing tape.

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: CHILD # 1 WAS LEFT ALONE ON DAYCARE BUS WHILE BEING TRANSPORTED BY STAFF MEMBER # 1 & # 2 TO ANOTHER FACILITY WHEN STAFF AND CHILDREN ALL EXITED THE BUS .

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. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: CHILD # 1 WAS LEFT ALONE ON DAYCARE BUS WHILE BEING TRANSPORTED BY STAFF MEMBER # 1 & # 2 TO ANOTHER FACILITY WHEN STAFF AND CHILDREN ALL EXITED THE BUS .

Correction Required: 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.