End Of The Rainbow Day Care Center Inc - Red Lion PA Child Care Center

Noncompliance Area: Plastic bags were observed to be accessible to children in the older infant classroom, which was corrected on site.

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 emergency contact form on file for child #1 did not include the telephone number of the child's 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 of facility person #7, hired 11/18/19, contained tuberculosis screening results dated 1/30/2020, which therefore were not completed within 12 months prior to hire.

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: Bottles for infants in the older infant room were observed not to be labeled with the child's name, which was corrected on site.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The files of facility persons #1 and #5 did not include written references attesting the persons' suitability to serve as a facility person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The files of facility persons #5, #2, and #4 contained documentation of current emergency plan training at the time of inspection, however the training was not conducted at the time of initial employment. Documentation of training was dated 12/16/19 for facility person #5 (hired 12/5/19), 12/16/19 for facility person #2 (hired 12/2/19), and 6/18/19 for facility person #4 (hired 6/10/19).

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Noncompliance Area: Facility persons #8, 9, 10, and 11 had current fire safety training at the time of inspection, however it was dated more than 12 months from the previous training. Dates of training were dated September 2018 and November 2019 for facility persons #8, 9, and 11 and September 2018 and February 2020 for facility person #10.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: The file of facility person #1, hired 10/22/19, did not contain a date or witness signature on the disclosure statement, as required under the CPSL, which was corrected on site. The completed NSOR verification was on file, but it is dated 11/6/19, and therefore was not on file at the time of hire. The file does not contain copies of requests for the NSOR verification, as required for provisional hiring under the CPSL. The file of facility person #2, hired 12/2/19, does not contain a completed FBI clearance or NSOR verification. The LE did not have an approved waiver to hire provisionally at the time of inspection. The file does not contain copies of requests for the clearance or verification, required for provisional hiring under the CPSL. The file also did not contain a witness signature on the disclosure statement, as required under the CPSL, which was corrected on site. The file of facility person #3, hired 10/28/19, does not contain a completed child abuse clearance. The completed NSOR verification was on file, but it is dated 11/6/19, and therefore was not on file at the time of hire. The file does not contain copies of requests for the NSOR verification, as required for provisional hiring under the CPSL. The file also did not contain a witness signature on the disclosure statement, as required under the CPSL, which was corrected on site. The file of facility person #4, hired 6/10/19, contained a completed child abuse clearance, dated 6/25/19, and a completed FBI clearance dated 6/12/19, which therefore were not on file at the time of hire. The does not contain a copy of the request for the child abuse clearance and did not contain a copy of the request for the FBI clearance at the time of hire, as the request for the FBI clearance is dated 6/11/19. The file of facility person #5, hired 12/5/19, does not contain a completed child abuse clearance for employment purposes, as the clearance on file is for volunteer purposes. The file does not contain a completed NSOR verification. The LE did not have an approved waiver to hire provisionally at the time of inspection. The file of facility person #6, hired 8/5/19, did not include a date on the disclosure statement, as required under the CPSL, which was corrected on site. The file of facility person #7, hired 11/18/19, does not contain a completed FBI clearance or NSOR verification. The LE did not have an approved waiver to hire provisionally at the time of inspection.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility person #2, 3, 5, and 7 must be removed from a child care position by the close of business. Effective 12/31/19 provisional hires may not work in a child care position when a waiver approval is not on file.

Noncompliance Area: The files of facility persons #5 and #7, both being utilized as aides, did not contain documentation of any education or experience.

Correction Required: An aide shall have attained one of the qualification levels specified in 3270.37(b)(1)-(3). A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Cleaning materials were observed to be accessible to children under the diaper changing table in the older infant classroom, which was corrected on site.

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: A magic eraser in the young infant classroom was observed not to be labeled to specify the content, which was corrected on site.

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 stored away from food, food preparation areas and child care spaces.

Noncompliance Area: It was observed during inspection that the red vinyl couch cushion was ripped and there was dust under the refrigerator in the pre-school room.

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: It was observed during inspection that staff #1's original State Police and Child Abuse Clearances from 2013 were not in her file.

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: It was observed during inspection that the poles on the basketball hoop had peeling paint.

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

Noncompliance Area: An infant was observed to be sleeping in a crib, and there was not 2 feet of space on 3 sides of the crib.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.