Day Star Learning Center - Carlisle PA Child Care Center

Noncompliance Area: On 8/5/19 at approximately 11:40 am, Child #1 was exhibiting negative behaviors (hitting other children and therapeutic support staff), throwing chairs and trying to hit the legal entity with a door stop. Child opened the door and ran out. Staff #1 and #2 members were present with 9 school age children but did not attempt to secure the child. Child #1 was out of staff #1 sight for approximately 30 seconds as child #1 went around a fence and into a busy parking area of a business next to the child care facility. ***Continued Deficiency: Staff did not complete the required direct supervision training on managing difficult behaviors of children by expiration of the current Certificate of Compliance dated 2/17/20.

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

Noncompliance Area: Staff #2 did not have on file two nonfamily references

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: Staff #1 start date was 9/25/19. BaseD on the documentation on file, staff #1 did not receive emergency plan training until 10/21/19.

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 #3 and Staff #4 did not have evaluations on file.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: An area rug located in room #1 (pre-school room) was observed to have a tear approximately 3-4 inches in length that separated the rug from the rug binding, The area rug poses a tripping hazard for children and risk of injury.

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.Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: In room #2 ( Toddler Room), The corner of the wall on the right near the closet was observed to have crumbling plaster and paint from the wall.

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 8/5/19 at approximately 11:40 am, Child #1 was exhibiting negative behaviors (hitting other children and therapeutic support staff), throwing chairs and trying to hit the legal entity with a door stop in hand. Child opened the door and ran out. Staff #1 and #2 members were present with 9 school age children but did not secure the child. Child #1 was out of staff #1 sight for approximately 30 seconds as child #1 went around a fence and into a busy parking area of a business next to the child care facility.

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.

Noncompliance Area: Staff #1, #2, #3 did not have on file a current health assessment.

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.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 #3 did not have on file a complete FBI clearance. Staff #4 did not have on file a child abuse clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and #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. Facility Person #3 and #4 may not work in a child care position at the facility.

Noncompliance Area: The scissors and tweezers were observed to be missing from first-aid kit located in the older toddler childcare space.

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 infant/ young toddler childcare space, a pack and play was observed to have a hole in the side the size of a quarter and the nap cots were not labeled for use of each specific child.

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.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 did not have on file an agreement or emergency contact form that was updated within a 6-month period. Child #2 started care on 01/26/17.

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

Noncompliance Area: Child #1 did not have on file an updated health assessment completed within the last 12 months.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: Staff #1 & #2 did not have on file an 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 #1 did not have on file documentation emergency plan training occurred within 1 week of hire. Staff #3-#5 did not have on file documentation of annual emergency plan training.

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.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.