Deborah Rogers Family Child Care Home - Norristown PA Family Child Care Home

Noncompliance Area: The Certification Representative observed a container filled with rubber bands and other items with a diameter of less than 1 inch in the main child care spaces where toddlers receive care..

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. 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: Child 1 was observed by the Certification Representative sleeping on the black leather sofa in the main child care area.

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: Service agreements information in 3 out of a sample of 5 children's records did not contain services provided and the parents did not receive the original agreements.

Correction Required: An agreement shall specify 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 at 3290.124(e).A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: 3 out of a sample of 5 children's records reviewed the emergency contact information did not have release person's name, address and phone number/

Correction Required: Update the records of all currently enrolled children to ensure compliance with the regulation.

Noncompliance Area: Facility did not have a written plan posted that identified the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: Child #1 immunization record did not include the influenza shot.

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

Noncompliance Area: Certification Representative observed a diaper change series and the diaper changing surface was not cleaned after each use.

Correction Required: Diaper changing surfaces must be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: Staff person #1 health assessment did not include the date the Mantoux test was read.

Correction Required: Update the Adult Health assessment for Staff Person # 1 to include the date the Mantoux test was read.

Noncompliance Area: During the renewal inspection on 1/14/2020, CR observed 2 medication bottles containing pills on a window ledge in the front of the childcare space which belong to the LE accessible to children

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

Noncompliance Area: During the renewal inspection 1/14/2020, CR observed cleaning materials and other toxic materials stored in an unlocked cabinet in the 1st floor bathroom and closet in main childcare space accessible to children A bleach and water spray bottle in the main childcare space was not in a container that specified the content

Correction Required: Cleaning materials and other toxic materials must be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: During the renewal inspection 1/14/2020 CR observed multiple first Aid kits on an entertainment center accessible to children

Correction Required: A first-aid kit shall be inaccessible to children.

Noncompliance Area: Damage paint was observed by the Certification Representative on the base of the wall near the black sofa in the main child care space.

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

Noncompliance Area: A fire evacuation plan was not posted at the facility.

Correction Required: Fire evacuation plans shall be developed and posted.

Noncompliance Area: Child #1 and 2 did not have updated health assessments in file.

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: Child #3 did not have emergency contact reviewed and signed by parent in last 6months.

Correction Required: 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.