Forest Green Childrens Center

Noncompliance Area: The child file for Child #1, who has been enrolled in care since 2/20/18, and Child #3, who has been enrolled in care since 4/13/18 lacked a valid child service report on file; the child service report for both children dated 3/5/20 was not completed on the departments approved form. The child file for Child #2 contained child service reports that were not completed every 6 months; the dates on the two most recent child service reports were 6/7/19 and 3/5/20. The 3/5/20 child service report for Child #3 is not valid as it was not completed on the departments approved form.

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: The child file for Child #2, who is a preschool aged child, lacked an updated health report at least every 12 months; the most recent health report on file is dated 7/31/18.

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: The child file for Child #1 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the two most recent review dates on the financial agreement and emergency contact information form were 3/26/19 and 11/13/19. The child file for Child #2 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the financial agreement and emergency contact information form were signed/dated 6/11/19 and had not been reviewed/updated since. The child file for Child #3 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the two most recent review dates on the financial agreement and emergency contact information form were 3/25/19 and 11/11/19. The child file for Child #4 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the financial agreement and emergency contact information form were signed/dated 3/27/19 and had not been reviewed/updated since. The child file for Child #5 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the two most recent review dates on the financial agreement and emergency contact information form were 6/6/19 and 3/2/20.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The facility emergency plan was observed to not have been reviewed at least annually; the last documented review was dated 5/21/19.

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 and kept on file at the facility.

Noncompliance Area: The staff file for Staff person #1, who has a start date working with children of 2/10/20, lacked documentation of having received emergency plan training at time of hire. The staff file for Staff person #2 through #7 lacked emergency plan training on an annual basis; the last documented emergency plan training on file is dated 5/21/19.

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: The staff file for Staff person #5 lacked a written staff evaluation on regular basis, one evaluation every 12 months; the last documented staff evaluation on file is dated 7/26/19.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: In the Preschool Room a six outlet power strip located on top of a shelving unit that was still in reach of and accessible to the preschool aged children in care was observed to be missing two protective covers.

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

Noncompliance Area: 2ND CITATION: The staff file for Staff person #3 lacked a valid FBI clearance; the FBI clearance on file is dated 5/13/14.

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 #3--- may not work in a child care position at the facility.

Noncompliance Area: Outside on the playground a plastic toy bin was observed to have a piece of the handle broken off causing a sharp edge and the bin to not be in good repair.

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: Outside on the playground, which is used by toddlers, mulch with a diameter of less than 1 inch was observed underneath the fencing which surrounds the playground and is accessible to the toddlers in care.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: The child file for child #2 contained a financial agreement form that lacked the child's departure time.

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

Noncompliance Area: The child file for child #3 contained an emergency contact information form that lacked 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: The child file for child #2, who is a young toddler, lacked an updated health report; the most recent health report on file is dated 11/11/19.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The child file for child #3 contained an updated health report that lacked 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: The child file for child #1, who is a preschool aged child, contained a copy of their immunization status which lacked the Hep A immunization as recommended by the ACIP.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The file for facility person #6 contained a current health assessment dated 10/8/18 which was conducted more than 24 months from the previously dated 4/5/16 health assessment.

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: The staff file for staff person #1, #2, #3, #4, #5, and #6 contained documentation of receiving emergency plan training that was not done on an annual basis; the dates of the last two emergency plan training's were 4/19/18 and 5/21/19.

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: The staff file for staff person #3 contained a Child Abuse clearance and State Police clearance that were not renewed at 60 months as required by the CPSL; Child Abuse clearance was obtained 5/23/14 and renewed on 7/10/19, State Police clearance was obtained on 5/1/14 and renewed on 7/1/19. Staff person #3 lacked a valid FBI clearance; the FBI clearance on file is dated 5/13/14.

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 #3--- may not work in a child care position at the facility.

Noncompliance Area: The staff file for staff person #2 contained written staff evaluations that were not completed every 12 months; the dates of evaluations were 3/29/18 and 7/8/19. The staff file for staff person #3 contained written staff evaluations that were not completed every 12 months; the dates of evaluations were 4/3/18 and 7/8/19. The staff file for staff person #4 contained written staff evaluations that were not completed every 12 months; the dates of evaluations were 3/9/18 and 7/8/19. The staff file for staff person #5 contained written staff evaluations that were not completed every 12 months; the dates of evaluations were 6/4/18 and 7/8/19.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: The child file for child #4 contained a financial agreement form that lacked the fee amount.

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

Noncompliance Area: The child file for child #6 contained a financial agreement form that lacked the admission date.

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

Noncompliance Area: The child file for child #3 and child #4 contained an emergency contact information form that lacked the health insurance name and policy number. The child file for child #5 contained an emergency contact information form that lacked 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: The child file for child #7 contained a emergency contact information form that lacked the addresses of the individuals designated by the parent to whom the child may be released to.

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 child file for child #3, who is a preschool aged child, contained a health report dated 2/2/18 which was not updated at least every 12 months from the previously dated 12/13/16 health report.

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: The staff file for staff person #2 contained a health reported dated 8/29/16 which lacked an examination for communicable diseases and the results of the examination.

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

Noncompliance Area: The child file for child #1 contained a financial agreement form that was not reviewed and updated by the parent at least once in a 6 month period; the date of last review is 10/2/17. The child file for child #1 contained an emergency contact information form that was not reviewed and updated by the parent at least once in a 6 month period; the dates of last review were 10/2/17 and 6/20/18. The child file for child #2 contained a financial agreement form and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the date of last review was 12/27/17. The child file for child #3 contained a financial agreement form that was not reviewed and updated by the parent at least once in a 6 month period; the date of last review is 4/8/17. The child file for child #4 contained a financial agreement form and an emergency contact form that were not reviewed and updated by the parent at least once in a 6 month period; the date of last review for the financial agreement form is 6/17/16 and emergency contact form is 9/9/16. The child file for child #5 contained a financial agreement form and an emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the date of last review for the financial agreement for is 4/27/17 and for the emergency contact form is 4/26/17.

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 child file for child #4 and #8 contained an emergency contact information form that lacked signed parental consent for emergency medical care; the parents initials were on the form where a signature is required. The child file for child #7 contained an emergency contact information form that lacked signed parental consent for emergency medical care.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The child file for child #4 and #8 contained an emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures; the parents initials were on the form where a signature is required. The child file for child #7 contained an emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures.

Correction Required: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The staff file for staff person #1, who has a start date working with children of 8/21/17, lacked documentation on file of having received emergency plan training at time of initial employment.

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: The staff file for staff person #2, who has a start date working with children of 9/1/16, contained mandated reporter training dated 2/10/17 which was completed more than 90 days from start date working with children.

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.

Noncompliance Area: The staff file for staff person #2 lacked documentation of having received a written staff evaluation every 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: At approximately 9:30am in the Preschool room, 3 staff and 19 preschool aged children were observed. When staff were asked to name the children whom they were responsible for, Staff person #1 identified and named 8 preschool aged children, Staff person #2 identified and named 5 preschool aged children, and Staff person #3 identified and named 5 preschool aged children thus leaving 1 preschool aged child unaccounted for. All staff were again asked to name the children whom they were responsible for. Staff person #1 identified and named 8 preschool aged children, Staff person #2 identified and named 5 preschool aged children, and Staff person #3 identified and named 5 preschool aged children thus still leaving 1 preschool aged child unaccounted for. Staff person #2 eventually identified and named 6 preschool aged children allowing for all children to be accounted for.

Correction Required: Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: In the infant/toddler room, five resting mats were observed to have small holes/tears along the side of the mat causing them not to be in good repair.

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: The facility emergency plan did not provide for an in shelter location within the facility for the children to go to in the event of an emergency.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises.

Noncompliance Area: The staff file for staff person #1, who has a start date working with children of 2/14/18, and staff person #2, who has a start date working with children of 11/27/17, lacked documentation of having received training on the facility emergency plan at time of initial employment.

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: The staff file for staff person #1, who has a start date working with children of 2/14/18, lacked a valid State Police clearance. The staff file for staff person #1 and staff person #2, who has a start date working with children of 11/27/17, lacked signed disclosure statement at time of hire.

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.

Noncompliance Area: The staff file for staff person #2, who is listed as the director, lacked documentation of 1 year experience with children.

Correction Required: A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.

Noncompliance Area: The child file for child #4 and child #5 contained child service reports that were not updated in a 6 month period. The dates of the child service reports on file for child #4 were 6/6/16 and 3/27/17. The dates of the child service reports on file for child #5 were 2/18/16 and 3/27/17.

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: The child file for child #3 contained a financial agreement form that lacked the arrival and departure times.

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

Noncompliance Area: The child file for child #3 contained a financial agreement form that lacked the name of the person(s) designated by the parent to whom the child may be released to.

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

Noncompliance Area: The child file for child #1 contained an emergency contact information form that lacked 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: The child file for child #3, who has an enrollment date of 2/1/17, contained an initial health report dated 4/10/17, which was more than 60 days following the first day of attendance.

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 staff file for staff person #1, who has a hire date of 7/1/16, contained an initial health report dated 5/2/14, which was conducted over 12 months prior to date of hire. The staff file for staff person #2, who has a hire date of 3/6/17, contained an initial health report dated 5/1/15, which was conducted over 12 months prior to date of 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.

Noncompliance Area: The staff file for staff person #2, who has a hire date of 7/1/16, lacked a tuberculosis screening and the results at time of initial employment.

Correction Required: 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: The child file for child #4 contained an emergency contact information and financial agreement form that were not reviewed and updated by the parents in a 6 months period. The dates of review were 6/18/16 and 5/1/17.

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 staff file for staff person #2, who has a hire date of 3/6/17, lacked documentation of having received emergency plan training at the time of initial employment.

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: The staff file for staff person #2, who is listed as a Group Supervisor, lacked appropriate proof of education.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.