Dilcy V Sansom Family Child Care Home

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for child #1 lacked emergency contact information that included written consent signed by a parent for emergency medical care prior to admission on 2/5/25.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: The file for child #2 that is an older toddler lacked a child health report that was completed within the past 12 months. The child health report in the file was dated 5/1/24.

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

Regulation: 3290.182(5)

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

Noncompliance Area: The file for child #1 lacked emergency contact information that included parental consent for administration of minor first-aid procedures by facility staff prior to admission on 2/5/25.

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.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 (See LIS Code Sheet) lacked state police, child abuse, and FBI clearances that were completed 60 months from the previous clearances. The state police clearances in the file are dated 3/5/20 and 4/1/25. The child abuse clearances in the file are dated 6/24/20 and 7/3/25. The FBI clearances in the file are dated 6/19/20 and 6/30/25.

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 and a copy of the completed clearance information required under the CPSL.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: The file for child #2 lacked an initial child health report that was completed no later than 60 days following the first day of attendance at the facility (See LIS Code Sheet). The child health report in the file is dated 8/6/24.

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

Regulation: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: The file for child #1 lacked a child health report that was completed 12 months from the previous health report. The health reports in the file were dated 10/24/22 and 8/1/24.

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

Regulation: 3290.151(a)(2)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The file for Staff #1 contains a health assessment that is more than 24 months old.

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.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: The file for Staff #1 was lacking the 1 hour Health and Safety update.

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

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator was not providing the parents with information on how to access the regulations electronically.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The operator failed to conduct an annual emergency drill.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3290.123(a)

Description: Signed

Noncompliance Area: The file for Child #2 was lacking an agreement form.

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

Regulation: 3290.123(a)(6)/3290.182(2)

Description: Admission date/Application, admission, withdrawal dates

Noncompliance Area: The file for Child #1 was lacking an admission date.

Correction Required: An agreement shall specify the date of the child's admission. A child's record must contain the dates of application, admission and withdrawal of the child.

Regulation: 3290.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: The files for Child #1 and #2 contained emergency contact forms that were lacking the enrolling parent's work addresses and phone numbers.

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

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: The file for Child #2 was lacking signed written parental consent for emergency medical care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: The file for Child #2 contained an emergency contact form that was lacking the child's health insurance ID number. The file for Child #3 contained an emergency contact form that was lacking the child's health insurance name.

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.

Regulation: 3290.131(e)

Description: Immunization record

Noncompliance Area: The file for Child #3 contains an initial health assessment dated more than 60 days after the child's enrollment date.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Regulation: 3290.131(e)(1)

Description: Parent written verification from Doctor.

Noncompliance Area: The file for Child #1 contains an immunization record that is lacking 1 dose of DTAP and the annual influenza vaccine. The file for Child #3 contains an immunization record that is lacking one dose of the Hepatitis A vaccine.

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.

Regulation: 3290.182(5)

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

Noncompliance Area: The file for Child #2 contained an emergency contact form that was lacking signed parental consent for the administration of minor first-aid procedures by facility staff.

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.

Regulation: 3290.22(b)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: The operator did not provide the parents with information on how to access the regulations electronically.

Correction Required: The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: The facility lacked documentation of an annual emergency drill being conducted.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: The provider lacked documentation of the emergency plan being sent to the county emergency management agency and local municipality.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: Facility was lacking evacuation routes on the 2nd floor.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Regulation: 3290.24(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations during an lock down emergency.

Correction Required: The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for accommodations of infants, toddlers, children with disabilities, or children with chronic medical conditions.

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

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: Documentation establishing that the facility's emergency plan had been sent to the local municipality was not available.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Noncompliance Area: A wooden TV stand in the main child care space was observed to have several exposed finish nails on the back of the fixture in areas accessible to children in care. In the outside play space, a toddler-sized ride-on plastic toy was observed to have a cracked, jagged edge. The aforementioned areas of concern posed the potential for laceration and/or puncture injuries.

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.

Noncompliance Area: The file for Child #1, a seven-month-old child, did not include documentation of the following vaccines: second and third Dtap, first Rota, second and third PCV 13, second HiB, and second IPV. The file for Child #2, a two-year-old child, did not include documentation of second Hep A vaccine. The file for Child #3, a four-year-old child, did not include documentation of third HiB vaccine.

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

Noncompliance Area: Although the file for Staff #1 contained a current DHS Child Abuse Clearance, the previous clearance was completed more that 60 months ago. The files for Staff #1 and #2 contained current National Sex Offender verifications; however, each was completed after the due date of 07/01/2020.

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 and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for Staff #1 contained documentation of completion of Mandated Reporter training; however, said training was completed more that 60 months ago.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Noncompliance Area: A pink plastic ride-on car with cracked, jagged edging was observed in the outside play space in an area accessible to child in care. Contact with the cracked plastic edging could result in laceration injuries.

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.

Noncompliance Area: The file for Child #1 contained an emergency contact form that did not include written consent by child's parent for facility persons to provide emergency medical care or minor first aid procedures.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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: The files for Child #2 and #3, both preschool-aged children, contained health assessments that were completed more than 12 months ago.

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: The file for Child #3 did not contain documentation of one of the required Hepatitis A vaccines as per the recommendations of the ACIP.

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

Noncompliance Area: The files for Staff #1 and #2 contained health assessments that were completed more than 24 months ago.

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.

Noncompliance Area: Although the file for Staff #1 contained a current Child Abuse clearance, the previous clearance was completed more than five years ago.

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 and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: The file for Child #1 did not include the medical insurance 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: The files for Child #1 and Child #2 contained emergency contact forms that did not include the addresses of persons to whom each child can 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: A plastic post cap was observed near the front entrance to the facility in an area accessible to children in care. The cap was broken and had jagged edges presenting the potential for laceration. One bolt securing the toilet to the floor was observed to be rusting and protruding in an area accessible to children in care. Two nails were observed protruding from the deck and wooden privacy fence in the outdoor play space in areas accessible to children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: A small area of peeling paint was observed on the window sill in the child care space in an area accessible to children in care.

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

Noncompliance Area: The following were observed in areas accesible to children who are still placing things in their mouths: Several rest mats with torn seams, which made the inner foam material accessible to children,a hair tie was observed on the floor, and a book with deterioration to the cover.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The files for Child #1 and Child #2 contained agreement forms that did not include the date of admission.

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

Noncompliance Area: The file for Child #1, a young toddler in care for more than 60 days, did not include an intial health assessment.

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.

Noncompliance Area: The following were observed in the outside play space in areas accessible to children: A 2x1/2 piece of glass, BBQ grill scraper with a sharp metal edge, a three-pronged garden tool, loose nails on railing, a nearly empty bottle of wine, an approximately 9 in. aluminum tube (roughly 1/2 in diameter) with rusted, sharp edges and two fishing poles with hooks attached to lines.

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

Noncompliance Area: The file for Staff #1 contained current clearances; however, the disclosure statement was undated making it impossible to determine if provisional hiring was done correctly.

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 and a copy of the completed clearance information required under the

Noncompliance Area: An electrical outlet in an area accessible to children under the age of six lacked a protective cover.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: An aerosol spray can of room freshener that was lableled "Keep out of reach of children" was observed in the bathroom in an area accessible to children.

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.

Noncompliance Area: The air temperature in a child care space was measured at 86.9 degrees fahrenheit.

Correction Required: If the indoor temperature exceeds 82 F in a child care space, a means of mechanical air circulation shall be operating.

Noncompliance Area: The stove in the kitchen area, which is accessible to children, lacked a protective feature that would prevent children from potentially turning on the stove top burners, which are accessible to children.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Although there were emergency numbers posted in the facility, they were not posted by the telephone.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: The following hazards were observed in the outdoor play space in areas accessible to children: An approximately 9"x1" piece of wood with a 4" protruding nail at the end, numerous exposed nails and screws protruding through wooden fence, exposed U-shaped nails/fasteners on railing, and an exposed screw on the shed.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility`s outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: In the outdoor play space, multiple empty plastic bags were observed on the ground and were accessible to children who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: In the main child care space, play pens were observed that were not labeled for the use of a specific child.

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: Based on a statement by the operator, the older toddler and preschool children do not use rest equipment and nap directly on the floor.

Correction Required: Bed linens may not be used alone as age-appropriate rest equipment.

Noncompliance Area: There are no clearances on file for adult household member #2.

Correction Required: New CPSL clearances for the legal entity and for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year will be required by the Department if an application for renewal is received following expiration of the current certificate of registration.

Noncompliance Area: The facility did not have a written plan of daily activities and routines.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: The previous service reports for children #1,#2,#3,#4,and#5 were dated more than 6 months prior to the current 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: The fee agreements on file for child #3 and #4 did not 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 emergency contact information on file for child #1 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: The emergency contact information on file for child #2 did not include the work address and work telephone number 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: The emergency contact information on file for child #1 and #4 did not contain the name of the child's health insurance and policy number. The emergency contact information on file for child #2, #3, and #5 did not contain the child's health insurance 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: The emergency contact information on file for child #1 did not include the address or telephone number of the individual designated by the parent to whom the child may be released. The emergency contact information on file for children #2 and #5 did not include the 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: The initial health assessment on file for child #1 and #5 was not provided within 60 days following the first date of attendance at the facility. There are current health assessments on file for child #1 and #5.

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 must contain initial and subsequent health reports.

Noncompliance Area: The file for child #2 did not include a current health report 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.A child`s record must contain initial and subsequent health reports.

Noncompliance Area: The health assessment on file for facility operator #1 did not contain verification of a Tuberculosis screening by the Mantoux method at initial employment. There are noTuberculosis screenings on file for facility operator #1.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.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: There were no written statements obtained from parents giving the formula and feeding schedule of the infants enrolled at the facility.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: On the steps leading to the outside play space, an open bottle of liquor (Cognac) was observed posing a threat to the health and safety of the chldren. In the outside play space, sharp metal wire was observed posing a threat to the health and safety of the children.

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

Noncompliance Area: The emergency contact information on file for child #1 was reviewed 04/07/15 and 1/10/17. The emergency contact information on file for child #2 was reviewed 02/29/16 and 03/13/17. The emergency contact information on file for child #3 was reviewed 02/26/16 and 03/13/17. The emergency contact information on file for child #4 was reviewed 02/16/16 and 03/13/17. All children have been in care for longer than six months.

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 instructions for contacting the appropriate regional day care office were not posted at the faciility.

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: The emergency plan was last udpated and reviewed by the operator on 08/17/2012.

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.

Noncompliance Area: The facility file lacked documentation that staff #3 received training regarding the emergency plan at the time of initial employment, on an annual basis, and at the time of each plan update.

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.

Noncompliance Area: The file for staff #1, who is often the only person present when caring for children, contained the most recent verification of first aid training which expired 1-24-2017.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: In the outside play space, cigarette butts were observed on the ground near the edge of the fence.

Correction Required: Ashes and cigarette or cigar butts are prohibited in a child care space, a play space or a food preparation area.

Noncompliance Area: The front door, the back door leading to the outside play space and the large glass window in the main child care space were observed without a visual strip or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.