Emanuel Christian Group Home

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Fee agreement for child 1 did not specify the services to be provided to the family and the child. Child 2 was missing a child service report.

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 § 3280.124(f).

Regulation: 3280.123(a)(4)

Description: Arrival/departure times

Noncompliance Area: During renewal inspection certification reviewed children's files Fee agreement for child 1 did not specify the child's arrival and departure times.

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

Regulation: 3280.124(b)(3)

Description: Parent home/work address, phone

Noncompliance Area: During renewal inspection certification rep reviewed children's file. Emergency contact for child 2 was missing work addresses and telephone numbers of the enrolling parent.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Regulation: 3280.131(d)(5)/3280.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: During renewal inspection certification rep reviewed children's file. The file of child 1 and 2, enrolled more than 60 days at the facility, did not contain documentation of an influenza vaccination within the past year, as required per the ACIP recommended schedule.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During renewal inspection certification rep reviewed emergency plan. The emergency plan did not include continuity of operations. During renewal inspection certification rep looked for shaken baby syndrome policy and did not see the policy

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.26(b)

Description: Emergency plan

Noncompliance Area: During renewal inspection certification rep reviewed emergency plan. The emergency plan was last updated 7/2022

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3280.31(e)

Description: Age and training

Noncompliance Area: During renewal inspection certification rep reviewed staff files. Staff 1 was missing 8 annual training hours.

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

Regulation: 3280.52(c)

Description: Mixed age levels

Noncompliance Area: During renewal inspection certification observed one staff with 9 mixed aged children by herself. The age of the youngest child was 2, oldest child was 4.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at §3280.52(b).

Regulation: 3280.77(a)

Description: No peeling paint or plaster

Noncompliance Area: During renewal inspection certification rep observed chipped paint on the white wall

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: During renewal inspection certification rep reviewed fire drill log. Fire alarm system was not tested every 30 days. Last fire alarm test date was 5/2023

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3280.14/3280.20

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: At time of renewal inspection, the facility's emergency plan did not include a plan for continuity of operations as required under federal regulation 45 CFR 98.41(a)(1)(vii). Also, the facility did not have policies developed regarding shaken baby syndrome/abusive head trauma, and child maltreatment as required under federal regulation 45 CFR 98.41(a)(1)(vii).

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3280.26(a)(6)

Description: Emergency plan

Noncompliance Area: At time of renewal inspection, the facility had not conducted and recorded an emergency drill within the past year.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FACILITY'S EMERGENCY PLAN DID NOT INCLUDE ACCOMMODATIONS REGARDING HOW INFANTS AND TODDLERS, AND CHILDREN WITH DISABILITIES WILL BE SAFELY EVACUATED DURING AND EMERGENCY.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities and children with chronic medical conditions.

Regulation: 3280.95(a)/3280.95(b)

Description: FIRE DETECTION/Staff responsibility

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, A RECEIPT INDICATING THE DATE OF PURCHASE OR INSTALLATION FOR THE FIRE SYSTEM WAS NOT ON FILE AT THE FACILITY AS REQUIRED UNDER ACT 62.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The primary staff person or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION THE HEALTH ASSESSMENT FOR STAFF PERSON #1 DID NOT INCLUDE STATEMENTS ANSWERED BY THE PHYSICIAN REGARDING THE PERSON'S SUITABILITY TO PROVIDE CHILD CARE, OR THE EXAM RESULTS OF ANY COMMUNICABLE DISEASES.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE AGREEMENT ON FILE FOR CHILD #1 AND #2 HAD NOT BEEN UPDATED WITH A NEW SIGNATURE AND DATE EVERY SIX MONTHS AS REQUIRED. LAST UPDATE FOR CHILD #1 IS DATED 4/1/19 AND LAST UPDATE FOR CHILD #2 IS DATED 10/22/18.

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: AT TIME OF RENEWAL INSPECTION THE EMERGENCY INFORMATION FOR CHILD #1 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE OR FOR THE ADMINISTRATION OF MINOR FIRST AID PROCEDURES.

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: AT TIME OF RENEWAL INSPECTION, AN UNLABELED SPRAY BOTTLE CONTAINING BLEACH AND WATER WAS OBSERVED BY THE DIAPER CHANGING TABLE.

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: AT TIME OF RENEWAL INSPECTION, THE FIRST AID KIT WAS MISSING TWEEZERS AND TAPE.

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.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION THE OUTDOOR PLAY AREA HAD A PLAY HOUSE WITH A DISSAMBELED ROOF THAT WAS STORED INSIDE THE HOUSE. THE PLAY HOUSE WAS ALSO FILLED WITH THE PLAY MATS USED FOR SURFACING. CAR PARTS THAT WERE WAITING TO BE THROWN AWAY WERE ALSO BEING STORED BEHIND THE PLAY HOUSE.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE CHILDREN'S REST EQUIPMENT WAS NOT LABELED FOR THE USE OF A 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 TIME OF RENEWAL INSPECTION, THE AGREEMENT GIVEN TO THE PARENT, AND THE ONE ON FILE AT THE FACILITY FOR CHILD #1, DID NOT INCLUDE ALL REQUIRED INFORMATION.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE EMERGENCY INFORMATION FOR CHILD #2 DID NOT INCLUDE THE ADDRESSES OF THE RELEASE PEOPLE. THE EMERGENCY INFORMATION FOR CHILD #1 HAD NOT BEEN REVIEWED/ UPDATED WITH A SIGNATURE AND DATE IN THE PAST 6 MONTHS. LAST DATE OF REVIEW IS 3/28/18.

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. 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: AT TIME OF RENEWAL INSPECTION, A WRITTEN PLAN IDENTIFYING HOW A CHILD WILL BE TRANSPORTED TO EMERGENCY MEDICAL CARE WAS NOT DEVELOPED AND POSTED IN EACH CHILD CARE SPACE AND WAS NOT TAKEN ON EXCURSIONS.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, IT WAS OBSERVED THAT STAFF PERSON #3 DID NOT WASH THE CHILD'S HANDS OR HER OWN HANDS AFTER CHANGING A DIAPER.

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

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE DIAPER CHANGING SURFACE WAS NOT SANITIZED AFTER STAFF PERSON #3 CHANGED A CHILD'S DIAPER.

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: AT TIME OF RENEWAL INSPECTION, STAFF PERSON #1 AND #2 HAD NOT COMPLETED THE 6 HOURS OF REQUIRED CHILD CARE TRAINING.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE FILE FOR STAFF PERSON #3 AND #4 DID NOT CONTAIN COMPLETE CRIMINAL HISTORY INFORMATION AS REQUIRED UNDER THE CPSL. THE FILE FOR STAFF PERSON #3 (HIRED 9/6/18) AND STAFF PERSON #4 (HIRED 11/28/18), CONTAINED VOLUNTEER PA CRIMINAL CLEARANCES, NOT EMPLOYMENT CLEARANCES. THE FILE FOR STAFF PERSON #4 DID NOT CONTAIN A RECEIPT TO ACKNOWLEDGE REGISTRATION OR THAT FBI FINGERPRINTING WAS COMPLETED.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 AND #4 may not work in a child care position at the facility. 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 THE TIME OF INSPECTION CHILD #1'S EMERGENCY CONTACT FORM DID NOT CONTAIN PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE OR ADMINISTRATION OF MEDICATIONS OR SPECIAL DIETARY NEEDS.

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 medications or special dietary needs.

Noncompliance Area: AT THE TIME OF INSPECTION CHILD #1'S EMERGENCY CONTACT FORM DID NOT CONTAIN PARENTAL CONSENT FOR MINOR FIRST-AID PROCEDURES OR TRANSPORTATION AND WALKING EXCURSIONS.

Correction Required: 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.A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #2 DID NOT HAVE A HEALTH ASSESSMENT OR TUBERCULOSIS SCREENING.

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.An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: AT THE TIME OF INSPECTION STAFF PERSON #1'S HEALTH ASSESSMENT DID NOT INCLUDE AN EXAMINATION FOR COMMUNICABLE DISEASES OR ASSESSMENT OF THE PERSON'S SUITABILITY TO PROVIDE CHILD CARE.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician`s or CRNP`s assessment of the person`s suitability to provide child care.

Noncompliance Area: AT THE TIME OF INITIAL INSPECTION THE FACILITY DID NOT HAVE A PLAYSPACE

Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per child