Donna Lee Gezzi Family Child Care Home

Noncompliance Area: 2nd CITATION: The file for child #2, a young toddler, lacked a current health assessment updated within the last 6 months. PREVIOUSLY CITED ON 12-13-19.

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

Noncompliance Area: The file for child #1, a 5 year old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last year in accordance with the schedule recommended by the ACIP.

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: 2nd CITATION: The file for household member #1 lacked a disclosure statement and an FBI clearance. PREVIOUSLY CITED ON 12-13-19.

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, child #3, child #4, and child #5 had a child service report that exceeded 6 months between 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 file for child #1 had an agreement that lacked 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 file for child #3 and child #5 had an agreement that lacked the child's admission date.

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

Noncompliance Area: The file for child #5 had an emergency contact form that lacked the name of the health insurance and the 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 file for child #2 and child #3 had an emergency contact form that lacked the address and telephone number of the individual designated by the parent to whom the child may be released. The file for child #4 and child #5 had an emergency contact form that lacked the address 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 file for child #3, a young toddler, lacked a current health assessment updated within the last 6 months.

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

Noncompliance Area: The file for child #1, a 5 year old, and child #3, a 23 month old, had an immunization record that lacked verification of the Influenza vaccination being administered within the last year in accordance with the schedule recommended by the ACIP. The file for child #3, a 23 month old, had an immunization record that lacked documentation of the 4th dose of the DTAP vaccination by age 18 months and the 1st dose of the MMR vaccination by age 15 months in accordance with the schedule recommended by the ACIP.

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: After diapering, staff person #2 did not have an older toddler wash their hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: During lunch time, it was observed that staff person #2 was preparing lunch on the same surface as the changing table. Staff person #2 stated that the surface was sanitized between uses and the changing pad was moved to prepare food on the counter top.

Correction Required: The diapering area may not be used for food preparation or food service.

Noncompliance Area: On 12-13-19, it was observed that the operator did not have a fire extinguisher located in the kitchen. The fire extinguisher was located on a high shelf in the child care space downstairs. This condition at the facility poses a threat to the health or safety of children.

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

Noncompliance Area: The file for child #1, child #2, child #3, child #4, and child #5 had an emergency contact form and agreement that exceeded 6 months between updates.

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 file for household member #1 lacked a disclosure statement and an 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 and a copy of the completed clearance information required under the CPSL.

Noncompliance Area: At 9:23 a.m., staff person #2 had 8 children in care including an infant, 3 toddlers, and 4 preschoolers. Staff person #2 said that the infant and a toddler were dropped off that morning due to a death in the family of a nearby neighbor, and those 2 children are not usually at the facility and are not enrolled.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.

Noncompliance Area: The file for child #2 had an agreement that lacked the fee amount.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The file for child #2, child #3, child #4, and child #5 had a child service report that exceeded 6 months between updated 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 file for child #2 had an agreement that lacked 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 file for child #1 and child #2 had an agreement that lacked the child's admission date.

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

Noncompliance Area: The file for child #2 had an initial health assessment that was dated over 60 days after the child's start date at the facility.

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: Staff person #1 changed a young toddler's diaper and placed the soiled diaper into a plastic bag and then placed the bag into the plastic-lined hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: Staff person #1 was using a fabric covering on the changing pad and changing the covering daily with 2-3 children being changed each day on the same changing pad.

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

Noncompliance Area: The file for staff person #1 lacked a current health assessment updated within the last 24 months.

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: The file for child #2, child #3, child #4, and child #5 had an emergency contact form and agreement that exceeded 6 months between updates.

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 file for child #2 and child #3 had an emergency contact form that lacked 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: The certificate of compliance and the phone number for contacting the regional day care office were not posted in a conspicuous location used by parents.

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 file for staff person #1 had 6 hours of child care training and lacked 6 hours of child care training within the last 2 years.

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

Noncompliance Area: The file for staff person #1 had first-aid training that expired on 2-6-18 and requires current first-aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: In the downstairs child care space at 9:30 a.m., it was observed that child #3, an infant, was sleeping in a car seat that was in a pack 'n play for several minutes.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The file for child #1, child #2, and child #5 lacked a current child service report updated within the last 6 months.

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 file for child #3 and child #4 had an agreement that lacked the child's admission date.

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

Noncompliance Area: The file for child #2 had an emergency contact form that lacked the physician's telephone number.

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 file for child #2 had an emergency contact form that lacked the addresses of the individuals 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 file for child #2, a young toddler, lacked a current health assessment updated within the last 6 months.

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

Noncompliance Area: The file for child #1, a preschooler, lacked a current health assessment updated within the last 12 months. The file for child #5, a preschooler, had a health assessment that exceeded 12 months between assessments.

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 #1 and child #2 lacked an emergency contact form and agreement updated within the last 6 months. The file for child #5 had an emergency contact form and agreement that exceeded 6 months between updates.

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 file for household member #3 was missing a copy of the state police clearance.

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: The file for staff person #1 lacked a state police clearance. The file for staff person #1 had a volunteer child abuse clearance and requires a child abuse clearance for employment. The file for household member #2 had volunteer state police and child abuse clearances, and requires state police and child abuse clearances for employment.

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: From 11:15 a.m. to 11:20 a.m., it was observed that the provider had 8 unrelated children in care, including 2 infants, 2 young toddlers, an older toddler, and 3 preschoolers. At 12 p.m., it was observed that the provider had 7 unrelated children including an infant, 2 young toddlers, an older toddler, 2 preschoolers, and a school-age child.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.

Noncompliance Area: In the downstairs child care space, there was a bottle of Fabreze Air Freshener on a shelf by the stairs that was 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.