G B T Kids Academy Ii

Regulation: 3280.123(a)(3)

Description: Services proceeded

Noncompliance Area: Child service reports were not being completed every 6 months in accordance with these regulations.

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). Revise and submit written policies and procedures regarding the completion of child service reports every 6 months to ensure ongoing compliance.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: One child's agreement did not specify the persons designated by a parent to whom the child may be released. (#1)

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

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: Several children's agreements did not specify the date of the child's admission. (#1. #3, #4 and #5)

Correction Required: An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: One child's emergency contact information did not include health insurance coverage and policy number information. (#4)

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. Obtain and submit a written copy of the missing health insurance information for the identified child. Ensure that all children's records contain emergency contact information as specified in these regulations.

Regulation: 3280.124(f)/3280.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Three children's records did not contain emergency contact and financial agreement information that had been updated within the past 6-months. (#3, #4, and #5)

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. 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. Obtain and submit a written copy of the current up-to date emergency contact and financial agreement information for the identified children. Ensure that this information is updated every 6 months for all enrolled children as specified.

Regulation: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: Several children's records did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#1 and #3-not corrected) (#4, and #5-corrected)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

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

Description: Immunization record/ACIP recommended immunization record

Noncompliance Area: One child has been enrolled for more than 60 days, and their record did not include written verification of current up-to-date immunizations. (#3)

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP. Submit a copy of the current up-to-date immunizations for the indicated child. Ensure that children's records include current up-to-date immunizations within 60 days following the first day of attendance at the facility. In accordance with the Department of Health regulations, the child cannot return to care until written verification of current up-to-date immunizations have been obtained and submitted.

Regulation: 3280.182(3)/3280.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: Two children's records did not contain written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission. (#1-not corrected) (#2-corrected)

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. Obtain and submit written verification of signed parental consent for emergency medical care and for administration of minor first-aid procedures by facility staff prior to admission for the indicated children. Ensure that this information is in all children's records.

Regulation: 3280.123(a)(1)/3280.123(a)(2)

Description: Amount of fee/Date fee to be paid

Noncompliance Area: One child's agreement did not specify the amount of the fee to be charged per day or per week and the date to be paid. (#2)

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid. Update the agreements to specify the amount of the fee to be charged per day or per week and the date to be paid. Submit a copy of the updated agreement. Ensure this information is completed for all children's files.

Regulation: 3280.123(a)(5)

Description: Designated release persons

Noncompliance Area: Several children's records did not contained agreements that did not specify the persons designated by a parent to whom the child may be released. (#2, #3, #4, #5)

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. Update the agreements to specify the persons designated by a parent to whom the child may be released. Submit a copy of the updated agreements.

Regulation: 3280.123(a)(6)

Description: Admission date

Noncompliance Area: Several children's agreements did not specify the date of the child's admission. (#1, #2, #3, #4 and #5)

Correction Required: An agreement shall specify the date of the child's admission. Specify the date of admission on the child's agreement and submit a copy of the properly completed agreement for verification of compliance. Ensure that all agreements include the date of the child's admission.

Regulation: 3280.124(f)/3280.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: Emergency contact information in one child's record was not being updated every 6 months. (#1)

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. 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. Revise and submit written policies and procedures to ensure that children's emergency contact information is updated at least every 6 months or as soon as the information changes.

Regulation: 3280.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: One child's record did not contain a health report completed within the past 12 months as required for children older toddler age to preschool age. (#3)

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. Obtain and submit a current up-to-date health report for the indicated child. Ensure that an updated health report is obtained every 12 months for children older toddler to preschool age.

Regulation: 3280.26(a)(1)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not provide for shelter of children during an emergency including lock down at the facility procedures.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. Amend the facility emergency plan to include lock down procedures. Submit a written copy of the amended emergency plan.

Regulation: 3280.26(a)(5)

Description: Emergency plan

Noncompliance Area: The facility's emergency plan did not include provide for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

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. Amend the facility emergency plan to include accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions. Submit a written copy of the amended emergency plan.

Regulation: 3280.32(a)/3280.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The facility was not in compliance with the CPSL and with Chapter 3490 (relating to protective services): Two facility person's record did not contain the required CPSL hiring documents. (#1- the STATE POLICE was for volunteers and not for employees-corrected) (#2- mandated reported training more than 60 months old)

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS. 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 #2 cannot work in a child care position at the facility until the required CPSL documents have been obtained, completed and submitted as specified. Submit a copy of the required, completed CPSL clearance documents for the identified staff person. Ensure that all staff persons (new and existing) have the required CPSL clearance documents within the required timeframes in accordance with the CPSL.

Regulation: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: During renewal inspection, cert rep observed an out of date review signature for the emergency contact information and financial agreement in the file of Child 1.

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.

Regulation: 3280.94(a)(5)

Description: Evacuation routes posted

Noncompliance Area: During renewal inspection, cert rep observed missing evacuation route posting at the facility.

Correction Required: The primary staff person or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility.

Noncompliance Area: During renewal inspection on 4/3/19, cert rep observed missing documentation of TB screening in the file of Staff 1.

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: During renewal inspection on 4/3/19, cert rep observed Staff 2 had out of date documentation of 6 annual hours of child care training.

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

Noncompliance Area: During renewal inspection on 4/3/19, cert rep observed rear exit door was unable to be opened, even though there were no locks or any physical obstruction stopping the door from opening.

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

Noncompliance Area: Daily activity plan not posted.

Correction Required: The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: Child # 3 does not have complete physician information in the emergency contact form.

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: Children # 2 & 3 do not have complete information for release persons on emergency contact forms.

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 # 1, date of enrollment 10/2/17, does not have a physical on file.

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.A child's record must contain initial and subsequent health reports.

Noncompliance Area: Operator did not document annual review of emergency plan.

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: DURING RENEWAL NSPECTION ON 3/16/17, STAFF # 2 DID NOT HAVE DOCUMNENTATION OF EMERGENCY PLAN TRAINNG IN FILE.

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.