Echo Child Development Center - Uniontown PA Child Care Center

Noncompliance Area: The files for children #1 and #2 lacked documentation of having received the influenza vaccine within the last 12 months.

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 files for Staff #1, #2, and #5 contained health assessments which were not updated within the required 24 month time period. All three staff now have current health assessments on file.

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.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: A lighter and a pair of adult scissors were accessible to children in an unlocked drawer in the Fellowship Hall.

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

Noncompliance Area: Based on documentation on file, staff #4 did not complete 6 hours of training within the required 12 month time period.

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: The file for staff #3 contained mandated reporter training that was not updated within the required 60 month time period. The training was initially completed on 5/21/15 and updated on 6/16/20. The training is now current.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: The file for staff #3 contained a state police clearance that was not updated within the required 60 month time period. The previous clearance was dated 5/19/19 and was updated on 6/25/20. The file for staff #3 also contained an expired child abuse clearance dated 6/29/15.

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. Staff #3 may not work in a child care position at the facility.

Noncompliance Area: Four containers of Murphy's Oil Soap were accessible to children on the bottom shelf of an unlocked cabinet in the restroom near the Fellowship Hall.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: On 3/11/20, at approximately 1:15 PM, two young toddlers were observed alone in the toddler room. Both children were sleeping in cribs. Staff #1, who was assigned to supervise the children, was observed across the hall in the infant room.

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.

Noncompliance Area: On 3/11/20, at approximately 1:15 PM, two young toddlers were observed alone in the toddler room. Both children were sleeping in cribs. Staff #1, who was assigned to supervise the children, was observed across the hall in the infant room.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: A broken arm was observed on the rocking chair in the infant room. The screw used to repair the arm was loose and created a pinch point. The arm was also unstable.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: The file for child #1, with a date of admission of 4-11-19, contained an agreement which was not signed by the parent.

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

Noncompliance Area: The file for child #1, with an admission date of 4-11-19, contained an agreement which did not specify the child's arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The file for child #1, with an admission date of 4-11-19, contained an agreement which 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 file for child #1 contained emergency contact information which did not include the address 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 file for child #3 contained emergency contact information that did not include a 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.