Delphine Matthews Family Child Care Home

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/17/19, THE THERMOSTAT IN THE REFRIGERATOR READ 50 F .

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/17/19, THE FILE OF STAFF PERSON # 1 CONTAINED A HEALTH ASSESSMENT DATED 11/2/16 WHICH FALLS OUTSIDE OF THE 24 MONTH REQUIREMENT.

Correction Required: 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: DURING THE RENEWAL INSPECTION ON 7/17/19, THERE WAS NO APPLICABLE REGULATIONS POSTED WITH THE INSTRUCTIONS FOR CONTACTING THE APPROPRIATE REGIONAL DAY CARE OFFICE POSTED AT THE SAME LOCATION.

Correction Required: The facility's current certificate of registration 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: DURING THE RENEWAL INSPECTION ON 7/17/19, THERE WAS PEELING PAINT AND PLASTER AT THE BASE OF THE STAIRWELL IN THE LIVING ROOM.

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

Noncompliance Area: During the inspection on 9/17/18 the facility did not a daily schedule.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: During the inspection on 9/17/18 the file records for child #1 and 2 did not include a completed financial agreement form.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: During the inspection on 9/17/18 the file records for child #1 and 2 did not include a completed emergency contact form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: During the inspection on 9/17/18 the file records for child#1,2,3,and 4 did not include a 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.

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: During the inspection on 9/17/18 the file records for child #1 did not include a health assessment. The file records for child #3 and 4 did not include a current health assessment.

Correction Required: A child's record must contain initial and subsequent health reports.

Noncompliance Area: During the inspection on 9/17/18 the file records for child #1 did not include signed parental consent for emergency medical care for the child and signed parental consent for administration of minor first-aid procedures by facility staff.

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

Noncompliance Area: During the inspection on 9/17/18 the file records for staff persons #1 and 2 did not include an biennial minimum of 12 clock hours of child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: During the inspection on 9/17/18 the file record for staff person #2 did not include a FBI clearance. .

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, mandated reporter training and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: Observed staff person #1 threaten a child with "Spanking their hinnie."

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family.

Noncompliance Area: Cat and Dog file did not contain up to date veterinarian`s certificate of current rabies immunization.

Correction Required: A veterinarian`s certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: Child #2's agreement was not signed by the operator and the parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: Child #1 and #2's files did not contain up to date Child Service Reports.

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).

Noncompliance Area: Child #2's agreement did not specify the date of the child`s admission.

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

Noncompliance Area: Child #1 and #2's emergency contact information did not include the name, address and telephone number of the child`s physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child`s physician or source of medical care.

Noncompliance Area: Child #1 and #2's emergency contact information did not include the home and work addresses and telephone numbers of the enrolling parent.

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

Noncompliance Area: Child #1 and #2's emergency contact information does not include the written consent signed by a parent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: Child #1 and #2's emergency contact information does not include information on the child`s special needs.

Correction Required: Emergency contact information must include information on the child`s special needs, as specified by the child`s parent, physician, physician`s assistant of CRNP, which is needed in an emergency situation.

Noncompliance Area: Child #1 and #2's emergency contact information does not include health insurance coverage and policy number.

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: Child #1 and #2's emergency contact information does not include address and telephone number of the individual designated by the parent to whom the child may be released.

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: Staff person #1 and #2's health assessments did not include the answer to question #2 about communicable diseases.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: Child #1 and #2's record does not contain signed parental consent for emergency medical care for the child and signed parental consent for administration of medications or special dietary needs.

Correction Required: A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child`s record must contain signed parental consent for administration of medications or special dietary needs.

Noncompliance Area: Child #1 and #2's record does not contain signed parental consent for administration of minor first-aid procedures by facility staff and signed parental consent for transportation, walking excursions, swimming and wading.

Correction Required: A child`s record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.A child`s record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: Observed that the facility does not have a facility accident file.

Correction Required: A child`s record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child`s file.

Noncompliance Area: Staff person #2 did not have a signed disclosure statement on file.

Correction Required: 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: Observed that facility did not haver an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3290.94 (f) and (g) (relating to fire drills).

Noncompliance Area: Observed that shelter in place emergency plan did not provide for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Noncompliance Area: Observed that the facilty telephone was not operable.

Correction Required: A facility shall have an operable telephone. A facility that has an unpublished telephone number shall make the number available to the parent, the release persons of the children in care, an agency that oversees or funds the facility and the appropriate regional office of the Department.

Noncompliance Area: Observed that first-aid kit for excusrsions did not contain a bottle of water.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3290.73(c).