Diana Caraballo Home Group Daycare - Lancaster PA Family Child Care

Noncompliance Area: An infant was observed sleeping in a pack-and-play that had less than 2 feet of space around three sides of the rest equipment.

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: An infant was observed sleeping in a pack-and-play with a neck-pillow.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the front room nor the back room.

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: At the time of inspection, the facility was unable to provide documentation that staff person 2 had updated her mandated reporter training. The previous training on file was dated 1/27/2015 and is no longer valid (more than 5 years old). Staff persons 1 updated her trainings, but after a period of 5 years (dated 1/27/2015 and subsequently 6/30/2020).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The first aid kit in the front room did not include tape or soap. The first aid kit in the back room did not include soap. (CORRECTED ON SITE)

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: A drainage pipe located on the playground was loose and two rusty nails were exposed.

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.

Noncompliance Area: The agreements on file for children 1, 2, and 3 did not shall specify the persons designated by a parent to whom the child may be released.

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

Noncompliance Area: The vaccination record on file for child 2 listed just one Hepatitis A vaccination. As the child is 3 years old, the child should have received a second Hepatitis A vaccination.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The most recent health assessment on file for staff person 1 was no longer valid as it was more than 24 months old (dated 2-20-17).

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: Written notification of safe routes were not posted at a conspicuous location in the child care facility.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: During the previous year, financial agreements were updated in May of 2018, then subsequently more than 6 months later in May/June of 2019.

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: The emergency contact forms located in the the emergency backpack were past due to be updated (signatures more than 6 months old). The emergency contact forms had been updated in the master files.

Correction Required: If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: The record for staff person 1 included documentation of just 3 hours of annual training hours from the previous year.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Two areas along the vinyl fence were cracked/broken (not in good repair).

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.

Noncompliance Area: Air freshener, Lysol wipes, Lysol sprays, and a container of cleaner were observed in areas accessible to the children in care. (CORRECTED ON SITE)

Correction Required: Cleaning materials and other toxic materials shall 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.