Delco Child Day Care Association-h

Regulation: 3270.123(a)(5)

Description: Designated release persons

Noncompliance Area: Two children's records contained agreements that did not specify the persons designated by a parent to whom the child may be released. (#1 and #5)

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreements.

Regulation: 3270.124(f)/3270.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Emergency contact information in two children's record was not being updated every 6 months. (#3 and #4)

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. Revise and submit written policies and procedures to ensure that health reports are obtained every 6 months for children infant to young toddler age. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes. The child's/children's record has/have current information.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: One child's record did not contain a health report completed within the past 6 months as required for a child from infant to young toddler age. (#1)

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. Revise and submit written policies and procedures to ensure that health reports are obtained every 6 months for children infant to young toddler age.

Regulation: 3270.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Two children's records did not contain the parent's signature indicating written consent for administration of minor first-aid procedures by facility staff. (#1 and #2)

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Obtain and submit written verification of signed parental consent for administration of minor first-aid procedures by facility staff. Ensure that all children's records contain the required parental consents prior to admission.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The facility's written policies on shaken baby syndrome, abusive head trauma, and child maltreatment did not include the identification and prevention of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Revise and submit the facilities policies to include the identification and prevention of child maltreatment.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: The letter given to parents regarding the emergency plan did not explain the emergency procedure updates (lockdown and accommodations) to the plan as required in 3270.27 subsection a.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan. Revise the letter given to parents to ensure that it explains the emergency procedures and updates (lockdown and accommodations) to the plan as required in 3270.27 subsection a. Submit a copy of the revised letter.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan did not include all facility persons in the plan or plans for continuity of operations.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: At the time of the renewal inspection the certification representative observed that the emergency plan did not provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY HAD AN EMERGENCY PLAN THAT DID NOT PROVIDE FOR ACCOMMODATIONS FOR INFANTS AND TODDLERS.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: AT THE TIME OF THE RENWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE PROVIDER DID NOT HAVE PROOF OF PURCHASE FOR THE FIRE SYSTEM.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #2 DID NOT HAVE DESIGNATED RELEASE PERSONS SPECIFIED ON THE AGREEMENT.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT INFORMATION DID NOT INCLUDE THE MEDICAL POLICY NUMBER FOR CHILD # 1 & #4.

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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #3 AND #7 HAD HEALTH REPORTS THAT WERE NOT UPDATED IN THE LAST 12-MONTH PERIOD.

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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE AGREEMENT HAD NOT BEEN UPDATED IN THE LAST 6-MONTH PERIOD, FOR CHILD # 3 AND #7.

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.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #1 DID NOT HAVE CONSENTS SIGNED FOR EMERGENCY MEDICAL CARE AND MINOR FIRST- AID.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 DID NOT HAVE VERIFICATION OF EDUCATION ON FILE.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 HAD ONLY 4 CLOCK HOURS OF CHILD CARE TRAINING IN THE LAST 12 MONTHS.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT CHILD #5 & #6 DID NOT HAVE THE "SERVICES PROVIDED" LISTED ON THE AGREEMENT.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE AGREEMENT FOR CHILD #4, #5, & #6 DID NOT DESIGNATE THE RELEASE PERSONS .

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE AGREEMENT FOR CHILD #5 & #6 DID NOT HAVE THE DATE OF ADMISSION LISTED.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORM FOR CHILD #2 DID NOT HAVE THE INSURANCE POLICY NUMBER LISTED.

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: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT FIRST-AID BAG THAT EACH TEACHER TAKES ON WALKS OR TO THE PLAYGROUND ONLY HAVE A LIST OF EMERGENCY TELEPHONE NUMBERS FOR EACH CHILD. THEY DO NOT CONTAIN THE "EMERGENCY CONTAACT INFORMATION" , AS REQUIRED. THIS WAS ALSO CONFIRMED VERBALLY.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTAATIVE OBSERVED THAT CHILD #8 DID NOT HAVE A HEALTH ASSESSMENT ON FILE AT THE FACILITY. THE CHILD'S DOA IS 9/13/18.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE FACILITY HAD ONLY AN EXPIRED INSURANCE POLICY VERIFICATION ON FILE.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESNTATIVE OBSERVED THAT CHILD #3 DID NOT HAVE A 6-MONTH REVIEW/UPDATE SIGNATURE FOR THEIR AGREEMENT FORM.

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.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY CONTACT FORM FOR CHILD #4, #5, AND #8 DID NOT HAVE SIGNED CONSENT FOR EMERGENCY MEDICAL CARE AND FOR MINOR FIRST AID.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT STAFF #1 DID NOT HAVE VALID VERIFICATION OF THE PA STATE POLICE CLEARANCE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.

Noncompliance Area: AT THE TIME OF THE RENEWAL INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THE EMERGENCY EXIT AT THE BACK OF THE FACILITY WAS BLOCKED BY SHOES AND CHAIRS.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: There were several cots that were worn in the preschool room that had holes and tears at the time of the renewal inspection.

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: Child Service Report was missing in the files from Child #1 thru #5 at time of the renewal inspection.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Child #1 and #5 were missing their release person's name on their Agreement Form at the time of the renewal inspection.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: Review of forms reveal that Child #1 and #5 were missing their parents work number or home telephone number at the time of the renewal inspection.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: Release person's address was missing from Child # 4 and Child #7 Emergency Contact Form.

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 #2 and #3 either had initials provided as consent or there was no signature on the Emergency Contact form at the time of the renewal inspection.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: High school diploma was missing from Staff #9 file upon file review during the renewal inspection.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: Review of files reveal that Staff #2 and #10 did not have verification of the required annual minimum of 6 clock hours of child care training at the time of the renewal inspection.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: Review of file reveals that Staff # 3 had Mandated Reporter Training on file at the time of the renewal inspection yet it was from an unapproved source.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Noncompliance Area: Gloves and adhesive bandages missing from the first aid kit in the preschool room at the time of the renewal inspection.

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: During the Renewal Inspection there were multiple children throughout facility that did not have at least 2 feet of space as required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

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: Child #2 did not have a CSR or any documentation at the time of the Renewal Inspection to inform the family about the child`s growth and development in the context of the services being provided.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Review of files reveal that Child #1 thru #6 were missing the date of the child`s admission at the time of the Renewal.

Correction Required: An agreement shall specify the date of the child`s admission.

Noncompliance Area: Review of files reveal that Child # 1 and #3 were missing either their release person's address and or phone number at the time of the Renewal Inspection.

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: Emergency Transportation Plan was missing from Class #2 at the time of the Renewal Inspection.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: Review of files reveal that Child # 1 did not have an updated Agreement at the time of the Renewal inspection.

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.

Noncompliance Area: Child #5 did not have a current physical on file at the time of the renewal inspection.

Correction Required: A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: Staff # 3 Diploma is need of translation and evaluation by an approved party to affirm diploma; education and or experience.

Correction Required: A facility person`s record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: At the time of the renewal inspection Staff # 3 written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person were unverifiable.

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: Review of files reveal that Staff # 1,2,3,5,6,7,8,9,10,11,12 had been at facility for more than one year and did not have verification of an annual firesafety training conducted by a fire protection professional at the time of the Renewal Inspection.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility`s fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: Review of files reveal that there was not verification of a written evaluation of staff persons on a regular basis done by Director, at minimum of one evaluation every 12 months at the time of the Renewal Inspection for Staff # 2,3,5,6,7,8,9,10,and 11 at the time of the Renewal Inspection.

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