Elaine Wiatrak Day Care

Noncompliance Area: There was no written plan of 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 emergency contact form for child #1 and #2 lacked the designated release persons address.

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 emergency contact form for child #1 and #2 were last reviewed on 12/17/18 and 10/17/19, which is more than a 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: The emergency contact form and financial agreement for child #1 and #2 were last reviewed on 12/17/18 and 10/17/19, which is more than a 6-month period.

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 emergency plan was last reviewed on 4/23/19 and 5/26/2020, which is not annually.

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 file for staff person #1 and household member #2 last completed the State Police clearance on 5/5/15, which is more than 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 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 #1--- may not work in a child care position at the facility.

Noncompliance Area: The most recent Child Service Report in the file for Child #1 was more than six months old: 5/29/2018.

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 most recent parental updates for the emergency contact form and fee agreement in the file for Child #1 exceeded six months between updates: Emergency Contact: 5/1/18-4/13/19, Fee Agreement: 4/29/18-4/13/19. The most recent updates are current.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. 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 most recent review/update of the emergency plan was documented by Staff Person #1 on 4/27/17.

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 file for Household Member #2 who resides at the facility did not include an FBI Clearance. A Disclosure Statement and three required clearances (State Police, Child Abuse, and FBI) were not on file for Household Member #3, who resides at the facility and turned 18 on 12/10/2018.

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. Facility Person # 2 and #3 may not work in a child care position at the facility.

Noncompliance Area: The fire drill log documented two fire drills conducted in the past year: 10/2/18 and 4/5/19. The most recent fire drill is current.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: The last child service report completed on child #2 was done on 2/17/17.

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 agreement for children #4 and #5 lacked the admission date.

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

Noncompliance Area: The agreement for children #4 and #5 lacked the names of the releasd persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The files for child #3 lacked an emergency contact form.

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 for children #4 and $5 lacked the addresses of the release persons.

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 shows that the child's last heath assessment was dated 2/17/17.

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

Noncompliance Area: The files show that facility person #2 had a health assessment done in June of 2015. The health assessment of facility person #2 is over 24 months old.

Correction Required: 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: Facility person #1 is living in the home without having obtained any of the required clearances, State police, child abuse and FBI.

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: Facility person #1 is lacking PA state and FBI clearances.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: There was only 2" of loose fill beneath the embedded swing set.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: The same rest equipment was used by all.

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: The files of child #1 #2 #4 and #5 did not have any Child Service Reports on file.

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 files of Child #2 and child #4 did not specify the persons 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 files revealed that child #1 was missing the physician's phone number, child #3 and #5 was missing the physician's address, and child #4 did not have any of the required information listed on the emergency contact form.

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: A review of the files revealed that child #1 did not have the policy # of the insurance policy listed on the emergency contact form. The files of child #4 did not contain the heath insurance policy nor the policy numbers.

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 addresses of the release persons for child #2 were missing from the emergency contact form. The files for child #4 lacked all of the release persons information as no one was listed.

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 files for children # 1, 4 and 5 show that these children did not have their initial physicals done within the first 60 days of enrollment.

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 files of child #2 had a heath assessment that was neither signed nor dated by a physician.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: A medication log was not being used to track medications being dispensed.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: The emergency contact forms and the agreements for children #1 #2 #4 and #5 have never been reviewed or updated since the child's initial enrollment.

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: Neither facility person #1 nor staff person #2 had updated disclosure statements on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The first aid kit was missing gloves.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.