Darlene D Cooley 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.

Noncompliance Area: Observed a protruding nail and splintering wood along the door frame inside the basement door leading to the basement. The basement is utilized daily as the indoor play space. Observed in the living room: Dismounted table legs with protruding screws on the floor. Dismounted table top, leaning against an end table and a bicycle leaning against a cabinet, which each present possible tipping hazards.

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: An easel was propped up against the door of the kitchen, which serves as an exit from the home.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: The door to the basement, which exits directly into a stairwell, did not have a lock or latch restricting the door from opening.

Correction Required: If a door or doorway opens or exits directly into a stairwell and if there is no landing beyond the door or doorway, the door shall be restricted from opening or shall be removed and a secure barrier to prevent access to the stairwell shall be erected.

Noncompliance Area: The Fee Agreement in the file for Child #1 was not signed by the parent.

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

Noncompliance Area: The Fee Agreement in the file for Child #1 did not include the date of the child's admission.

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

Noncompliance Area: The Emergency Contact Form in the file for Child #1 did not include the emergency contacts for the child.

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: The Emergency Contact Form in the file for Child #1 did not include information for the child's physician/medical care provider or health insurance coverage and policy number.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.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 most recent health assessment in the file for Staff Person #1 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. 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: The knobs on the kitchen stove, which were accessible to children, did not contain childproof protective covers. Observed two kitchen drawers which contained sharp tools, screws, nuts and bolts. The drawers did not have child protective locks, which made them accessible to children who were in care.

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

Noncompliance Area: The childproof lock on the closet beneath the sink, which contained dishwashing liquid, Pine Sol and Clorox spray, was broken. Observed a young toddler open the door and take out dishwashing liquid.

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: Cracked toys with sharp plastic edges were observed in the blue barrel in the basement child care area. These included three toy airplanes and a Little Tikes trailer, which the wheels had broken off. A cracked plastic lawn chair was observed in the corner. A bicycle lying on the floor was missing the rear wheel, and the chain was greasy. The bicycle wheel and a garden hose were observed in a toy bin in the area. One of the seats of a plastic picnic bench had been removed. Two cracked lids were observed on the gray storage bins in the first room to the right of the upstairs office.

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 facility did not have a written plan of the daily activities and routines.

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: The most recent Child Service Reports in the files for Child #2 and Child #6 are dated January 3, 2017, which makes them overdue by 4 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 facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency displayed conspicuously in every child care space.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: A television set on top of a homemade wooden shelf was observed in the child care area in the basement. The shelf was wobbly and did not have any front wall or legs to provide sufficient support for the weight of the television. The television was not mounted. An out-of-service washing machine was observed in the middle of the basement child care area.

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

Noncompliance Area: There was no file for Child #4.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: The parental updates on the fee agreements and emergency contact forms in the files for Child #1 through #3, and Child #5 through #9 were all dated more than 6 months prior to the date of the renewal inspection.

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: Bleach and other cleaning products were observed on the top shelves of the closets near the bathrooms on the main and upstairs floors. This was directly above diapers, baby wipes, paper towels and toilet tissue on the shelves below, creating a potential hazard if one of the cleaning supplies should leak.

Correction Required: Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.