First Step To Success Family Child Care

Noncompliance Area: The operator, Staff #1, allowed Individual #1 with convicted crimes of physical violence and moral corruptness to enter the facility.

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Noncompliance Area: On 8/25/20, during blended inspection, results of Child Abuse and NSOR Clearances were not observed in the file belonging to Individual #1 (DOB 7/10/2002). Additionally, results of NSOR Clearance was not observed in the file belonging to Staff #2.

Correction Required: At renewal, the legal entity shall submit clearances required by the CPSL for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year if the individual attained 18 years of age following the date of the previous application for a registration certificate.The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: On 5/29/19, a cracked steering wheel on a riding toy and a cracked plastic cone containing sharp edges were observed on the outdoor play space. Two torn play mats were observed in the child care space.

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: On 5/29/19, health insurance coverage and policy number was not observed on the emergency contact information belonging to Child #2.

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: On 5/29/19, an updated health report was not observed in the file belonging to Child #1. The last health report was dated 5/15/18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: On 5/29/19, an initial health assessment including results of tb screening by Mantoux method was not observed in the file belonging to Staff #1 (hired 7/9/18). An updated health assessment was not observed in the file belonging to Staff #2. The last health assessment was dated 4/25/17.

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 on file at the facility.An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE AN AGREEMENT SIGNED BY THE PARENT

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

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE CHILD'S ARRIVAL AND DEPARTURE TIMES

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

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE DESIGNATED RELEASE PERSONS ON THE FINANCIAL AGREEMENT

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

Noncompliance Area: FILE RECORD FOR CHILD #1 AND CHILD #2 DID NOT INCLUDE THE DATE OF THE CHILD'S ADMISSION ON THE FINANCIAL AGREEMENT

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

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE HEALTH INSURANCE COVERAGE AND 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.

Noncompliance Area: FILE RECORD FOR CHILD #2 DID NOT INCLUDE DESIGNATED RELEASE PERSON'S 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: FILE RECORD FOR CHILD #2 DID NOT INCLUDE SIGNED REVIEW AND UPDATE OF THE FINANCIAL AGREEMENT; LAST COMPLETED ON 8/29/18

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: FILE RECORD FOR CHILD #1 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST AID PROCEDURES

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.

Noncompliance Area: There was no signature on the emergency contact information in the file for facility child #3 at the time of inspection on 6/4/18.

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

Noncompliance Area: There was no written proof of a fee agreement in the file for facility child #2 at the time of inspection on 6/4/18.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The parent's employment information was missing from the emergency contact information in the file for facility child #1 at the time of inspection on 6/4/18.

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

Noncompliance Area: The emergency contact information in the file for facility child #3 was not update in the past six-months.

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: Staff 1 and 3 did not have proof of annual training on the emergency plan.

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.

Noncompliance Area: STAFF 1 AND 2 DID NOT HAVE PROOF OF THEIR YEARLY/BIENNIAL CHILD CARE TRAINING. EACH STAFF NEEDED 6 HOURS.

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