Fishers Of Knowledge

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/24/19, CHILD # 1 FILE DID NOT HAVE A CHILD SERVICE REPORT THAT FELL WITH THE REQUIRED 6 MONTH UPDATE.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/24/19, ALL OF THE EMERGENCY CONTACT INFORMATION IN THE CHILD CARE SPACES WERE NOT WITHIN THE REQUIRED 6 MONTH UPDATE.

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 informationIf emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/24/19, THE OPERATOR DID NOT HAVE THE MENU CONSPICUOUSLY POSTED.

Correction Required: An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: DURING THE RENEWAL INSPECTION ON 7/24/19, THE WATER TEMPERATURE IN THE IN THE FRONT BATHROOM MEASURED AT 120 F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: Observed the high chair table in the infant area had missing T-shaped safety straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: Observed infant asleep in a crib labeled #1 when on the crib chart the assigned crib was #2.

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: Child #2's emergency contact information did not include the work address of the enrolling parent. Corrected on site: Child #3's emergency contact information did not include the work address and work telephone number of the enrolling parent.

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

Noncompliance Area: Observed child #1's emergency contact information did not include the 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: Child #4's health report did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: Staff person #2's health assessment is not within 24 month time period.

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.

Noncompliance Area: Staff person #1 and #3's health assessment did not include an examination for communicable diseases and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Noncompliance Area: Staff person #3's health assessment did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: Observed diaper rash creams child accessible in the bathroom.

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: Observed the rugs throughout the facility appeared dirty.

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: Observed peeled pain in the indoor play space.

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

Noncompliance Area: Observed bottles with milk on counters.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Noncompliance Area: Observed bottles given to infants not labeled.

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

Noncompliance Area: Observed infant asleep with bottle.

Correction Required: Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Noncompliance Area: Observed staff out of ratio as staff stated person responsible for young toddlers group of 5 children called out.

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. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: Observed Playroom did not have written plan of daily activities posted.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Child #1's agreement 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: Child #1, #2, #5, #6 and #7's agreements 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: Child #1, #5, #6 and #7's agreements did not specify the date of the child's admission.

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

Noncompliance Area: Child #1, #2, #3, #4, #5, #6, #7, #8 and #9's agreements did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: Child #5's emergency contact information did not include the address and telephone number 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: Child #7's emergency contact information did not include the home address, work address or work telephone number for the enrolling parent.

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

Noncompliance Area: Child #2 and #5's emergency contact information does not include the 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.

Noncompliance Area: Observed the Playroom did not have 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.

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: Child #2 and #9's health reports did not include the child's immunized status according to recommendations of the ACIP.

Correction Required: A health report shall include a review of the child`s immunized status according to recommendations of the ACIP.

Noncompliance Area: Child #5, #6 and #8's record did not contain parental consent for swimming and wading.

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

Noncompliance Area: Staff person #1 and #2's record did not include verification of child care experience, education and training prior to service at the facility.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff person #2 did not have a signed disclosure statement on 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: Observed that the emergency plan did not provide for a method of facility persons to connect with parents as soon as reasonably possible when an emergency situation arises and has ended.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises. The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: Staff person #1 does not have mandated reporter training on file.

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

Noncompliance Area: Observed there was a missing protective receptacle cover in the electrical outlet in the Preschool Room.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: Observed the first-aid kit in the Toddler Room was missing the gauze 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: Observed plaster on the wall showing in the bathroom located in the Playroom.

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

Noncompliance Area: Observed back exit from facility was obstructed by a box.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.