Darlene D Cooley Family Child Care Home - Erie PA Family Child Care Home

Noncompliance Area: Originally cited on 11/20/19, SIN-00166333. The emergency contact forms in the files for Child #2 and Child #3 did not include the policy number for the children's family policy or medical assistance benefits.

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: Originally cited on 11/20/19, SIN-00166333. The file for Child #1, who has been enrolled for more than 60 days, did not include an initial 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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: Originally cited on 11/20/19, SIN-00166333. The immunization record in the file for Child #2 was not in accordance with the schedule recommended by the ACIP. Child #2 18 months old: No record of Hep B, no Rotavirus, No DTAP, no PCV-13, no Polio, missing 2nd/3rd HIB.

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

Noncompliance Area: The windows were not limited to opening 6 or fewer inches in the two upstairs bedrooms where children in care nap.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: Observed a hole in the left bedroom door, which created a potential splintering hazard for children who were 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: Observed plastic trash bags near the basketball station in the basement, which serves as the indoor play space.

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 toddlers in care were napping on beds and pack n plays that were not labeled for the use of the 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: At approximately 1:00 PM, Staff Person #1 was upstairs putting the five unrelated toddlers in care down for naps. One of the toddlers was using the toilet, and the other four were not yet sleeping. At this time, two additional related children arrived for care. Staff Person #1 went downstairs to tend to these two children, leaving the five toddlers upstairs unsupervised for approximately five minutes.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: The fee agreement in the file for Child #2 did not specify 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 emergency contact forms in the files for Child #2 and Child #3 did not include the policy number for the children's family policy or medical assistance benefits.

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 #1, who has been enrolled for more than 60 days, did not include an initial 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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: The immunization record in the file for Child #2 was not in accordance with the schedule recommended by the ACIP. Child #2 18 months old: No record of Hep B, no Rotavirus, No DTAP, no PCV-13, no Polio, missing 2nd/3rd HIB.

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

Noncompliance Area: The waste can in the upstairs bathroom, which is used to discard soiled diapers, was not hands-free.

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: On 11/20/19, between the hours of 1:00 PM and 3:30 PM, Staff Person #1 was providing care for six toddlers, three younger toddlers and three older toddlers. Five were unrelated and one was related to the operator.

Correction Required: The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If no infants are in care, five toddlers are permitted.

Noncompliance Area: Observed two outlets that lacked protective receptacle covers on the extension cord next to the Coca Cola table in the dining room.

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