Giving Of Self Partnership Child Development Cente

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On August 15, 2024 during the renewal inspection, the emergency contact form of Child #1 did not contain evidence of 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.

Regulation: 3270.124(b)(7)

Description: Name/address/phone release person

Noncompliance Area: On August 15, 2024 during the renewal inspection, the emergency contact form of Child #1 did not contain evidence of 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.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: On August 15, 2024 during the renewal inspection, the file of Staff #1 and Staff #2 did not contain evidence of updated 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.

Regulation: 3270.124(f)/3270.181(c)

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

Noncompliance Area: The emergency contact form for child #1 was dated 3/3/2022 which indicates that parent had not reviewed the form in over 6 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. 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: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The child care providers did not have a policy with procedures to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: The emergency plan did not include evacuation accommodations for infants and toddlers.

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.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: The current Pediatric First Aid and Pediatric CPR training certificates observed in staff members' #1, #2, and #3 filles were not provided by approved PQAS training professional.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Regulation: 3270.63

Description: Unsafe Areas in Outdoor Space

Noncompliance Area: A damaged fence with loose wooden panels and exposed nails was observed in the outdoor play space. The damaged fence separates the play space from the facility's waste receptacles, so repairs are necessary to restrict children from the unsafe conditions.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A few areas of the facility were observed needing repairs. In the older toddler room, the wooden frame under the sink was in disrepair and hazardous due splintering wooden. A damaged ceiling tile was observed in the PreK classroom and in the hallway near the PreK classroom.

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.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: The wall in the main hall near the entrance was observed with loose chalky plaster which flaked at the touch. Chipped or peeling paint was observed in other areas of the main hall and other small areas around the facility.

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

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Hand washing signs indicating that "A facility person and able child shall wash his/her hands after toileting and before eating was not posted at the toilet stalls in bathrooms located at the front of the facility. The school-age children's classroom bathroom was missing hand washing signs indicating hands are to be washed before eating and after toileting. The sink in the Preschool classroom did not have a hand washing. The older toddler classroom bathroom did not have a hand washing sign indicating "a facility person and an able child shall wash his hands after toileting and before eating".

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: The facility had not maintained proof of purchase and date of purchase of the interconnected fire detection device or system with the fire drill logs.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: At the time of inspection, the file for staff member #3, hired 9/1/21; included an initial health assessment dated 10/5/21 which indicated the staffer started employment a month prior to submitting the required completed initial health assessment. The file for staff member #4, hired 10/16/19, included an initial health assessment dated 6/30/2020 which indicated the staffer started employment 8 months prior to submitting a health assessment with TB results.

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: At the time of inspection, the file for staff member #2 hire 10/18/21, did not include a document verifying receipt of initial emergency plan training at the time of 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.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: At the time of inspection, the file for staff member #1 included a Mandated Reporter Training certificate dated more than 60 months (5yrs.) from completion, which is invalid under the Child Protective Service Law (CPSL).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

Regulation: 3270.95(a)

Description: Devices must be compliant

Noncompliance Area: At time of inspection, the facility had not maintained proof of purchase and date of purchase of the interconnected fire detection device or system with the fire drill logs.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

Noncompliance Area: At the time of inspection, the facility did not have Child Service Reports for Child #1.

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: At the time of inspection, the emergency contact #2 information had not been updated or reviewed by the parents of the children in the last 6 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 informationA 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: At the time of inspection, the medication log for child #3 did not identify administration dates

Correction Required: A medication log shall include the date of administration.

Noncompliance Area: At the time of inspection, the file for staff person #3 did not include current health assessment signed and dated within the last 24 months.

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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of inspection, the health assessment dated 8/02/19 for staff member #1 did not include results of an examination for communicable disease and information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: At the time of inspection, the files for staff member #2, hired as Assistant Group Supervisor; was missing two years (2500 hours) of verified experience working with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: During the investigation, staff members interviewed admitted that staff member #1, qualified as an aide: was supervising 6 children, ages 6 to 7 years old; without being supervised by another staff person qualified at minimum of an Assistant Group Supervisor.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Noncompliance Area: At the time of inspection, the facility did not have an individual file on site for staff member #1.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: At the time of inspection, the emergency contact forms for child #2, #3, #4 ,#5, #6, and #7 were missing work address and 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: At the time of inspection, the emergency contact forms for child #2 and #7 were missing release persons addresses.

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: At the time of inspection, the files for two children did not include updated health assessments. Child #1's file contained a health assessment dated 8/22/17. Child #4's file contained a health assessment dated 8/17/17.

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

Noncompliance Area: At the time of inspection, the file for staff member #4, hired 8/27/18; did not include a 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.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of inspection, the file for staff member #4 did not include the required two written, nonfamily references from individuals attesting to the person's 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: At the time of inspection, the file for staff members #1, #2, and #3 did not contain verification of the annual minimum of 6 clock 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: At the time of inspection, the file for staff member #1, hired 9/25/17; did not have a FBI Clearance acceptable under CPSL. Staff member #1's FBI Clearance, dated 9/29/17; was issued by the Pennsylvania Department of Education (PDE) and indicated a record. The PDE FBI clearance doesn't include an interpretation to indicate were this individual is safe to work in child care.

Correction Required: Facility Person #--- may not work in a child care position at the facility. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. 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: At the time of inspection, room #3 at 1:45 pm was observed over the established capacity of 15 with 18 school-age children.

Correction Required: The capacity established for an indoor space may not be exceeded.

Noncompliance Area: At the time of inspection, several pieces of furniture were observed either in disrepair or unclean. The diaper chanigng table in the infant room was observed unclean and with chipped paint. A cloth form child size sofa was observed in the young toddler room with stains. The storage shelve in the bathroom of the 3 year old room was observed with a chalky white residue. In the preschool room plastic chairs with metal legs was observed unclean with rust on the legs. In the school-age room the bookshelve was observed a layer of dust. A few desks in the school-age room had layer of white residue. A few of the wooden cubbies in the hallway were observed with dirty tape residue and woren surfaces.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child`s size, age and special needs.

Noncompliance Area: At the time of inspection, an unlabeled sleep cot was observed in the young toddler room.

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: At the time of inspection, the faciltiy did not have child service reports for child #2.

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: At the time of inspection, child #1's record did not contain an initial health assessment. Child #2's and #3's records contained health assessments dated over 12 months ago.

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.A child`s record shall contain initial and subsequent health reports.

Noncompliance Area: At the time of inspection, record for staff member #5 and #6 did not include a health assessment conducted within 12 months prior to providing initial service in the child care facility.

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.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: At the time of inspection, the facility did not have written statement giving the formula and feeding schedule obtained from the parent of infant child #1.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: At the time of inspection, the emergency contact information and/or financial agreement forms for child #2, child #3 and #4 had not been reviewed or updated in the last 6 months by the children's parents.

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: At the time of inspection, the facility did not have an individual record for facility person #1.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: At the time of inspection, staff member #3,#4,#6,#7 and #8 did not include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Staff member #3 had two written reference completed by family members.

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: At the time of inspection, the exit door leading to the outdoor play area was obstructed because the door frame expands in moist conditions which makes the door difficult to open on rainy days.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: At the time of inspection, the file for facility person #6 did not include a completed Child Abuse clearance or a receipt of application for the Child Abuse clearance which is required under CPSL. The file of facility person #7 did not include a completed FBI clearance or a receipt of application for the FBI clearance required under the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: At the time of inspection, three staff members in the position of assistant group supervisors were missing verification of qualifications for their positions. Staff member #2's record did not contain verification of education i.e. high school diploma. Staff member #3's, #4"s and #8's records did not contain verification of 2 years experience with children.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: At the time of inspection, the first-aid kit in the 3 year old classroom was missing tape. The kit in the school-age room was missing scissors.

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: At the time of inspection, a few areas of the facility were in disrepair. The young toddler room had water stained ceiling tile. The carpet in the preschool room was dirty. The surfaces including the television, television stand, and equipment near the area had a layer of dust. The school-age room had rusty around the light frame near the stained ceiling tile. In the hallway, the surface of the fire extinquiner cover was layered with dirt and dust. The cushioned bench in front of the office was observed with dark stains on the surface.

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

Noncompliance Area: At the time of inspection, a couple of area of disrepair were observed in the bathrooms. The boys's bathroom had a broken toilet and light fixtures with died bugs inside. The girls' bathroom had rust or dirt on the stainless steal railing in the handicapped stall.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: At the of time of inspection, 12 school-age children ages 5 to 15 years old were observed unsupervised without a staff person present in the room. The fifteen year female in the room was leading the group.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Noncompliance Area: At the time of inspection, the staff file for staff member #1, hired on 7/26/17; did not contain the completed PA Child Abuse clearance required under the CPSL and does not contain a copy of a request for the PA Child Abuse Clearance. The staff file for staff member #2 hired on 8/8/17, did not contain completed FBI clearance required under CPSL and does not contain a copy of a request for FBI clearance and a signed disclosure statement required under CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

Noncompliance Area: At the time of inspection, staff member #1's staff file did not include verification of education or the 2 years of experience to qualify for the position of Assistant Group Supervisor.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Noncompliance Area: At the time of inspection, the facility was non-complaint with staff: child ratios. The older toddler room had 8 children ages 2 to 3 years old with one staff member and volunteer. Volunteers aren't counted in staff: child ratios. The infant room had 4 infant ages 8 months to 1 years with facility person #2 whom hasn't verified qualification for the position as a staff person. The young toddlers room had 5 children ages 1 to 2 years old with facility person #1 and volunteer whom haven't verified qualifications for the position as staff persons. The younger school age class had 12 kids ages 5 to 15 with no staff person. The old school age class had 17 children ages 6 years old & up with 1 staff person and a volunteer.

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.