Grams Place Inc - South Park PA Child Care Center

Noncompliance Area: A plastic bin on a three drawer unit in the Classroom was observed to have a crack in the plastic, exposing the children to potential pinch points.

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 hardware connecting the shelving units in the Classroom were observed to have missing or loose screws, rendering the shelves unstable and creating potential pinch or crush hazards. The backing of one of the shelving units was observed to have cracked and splintering wood, exposing the children to rough edges.

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

Noncompliance Area: The agreements in the file for Child #1, #2, #3, #4, #5, #6, #7, and #8 were the original, signed agreements between the parent and the operator. Staff reported that parents are given a copy of the agreement and the original is retained in the file.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The emergency contact forms in the files for Child #2 and #5 lacked addresses for the designated release person(s). The emergency contact form in the file for Child #7 lacked any individuals designated by the parent to whom the child may be released.

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 file for Child #2, an older toddler, contained a most recent health report dated 11/08/2017; lacking an updated health report in the last 12 months. The file for Child #3, a preschooler, contained a most recent health report dated 08/23/2018; lacking an updated health report in the last 12 months. The file for Child #5, an older toddler, contained health reports dated 08/24/2018 and 11/1/2019; more than 12 months passed between health assessments.

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 file for Child #1 lacked documentation of up to date flu vaccinations in accordance with the schedule recommended by the ACIP. The file for Child #2 lacked documentation of up to date flu, Hepatitis B, Rotavirus, DTAP, HIB, Pneumococcal, Polio, MMR, Varicella, and Hepatitis A vaccinations in accordance with the schedule recommended by the ACIP. The file for Child #3 lacked documentation of up to date flu and DTAP vaccinations in accordance with the schedule 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 #1 contained documentation of Child Abuse Clearances dated 06/30/2014 and 07/01/2019; more than 60 months passed between clearances.

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

Noncompliance Area: The wall in the space to the right in the Classroom was observed to have a peeling baseboard, exposing peeling paint and damaged plaster.

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: Upon review of the files for children #1, #2, #6 and #7, it was observed that child service reports were not being completed at least once every 6 months. This is evidenced by the most recent child service report on file each child being dated more than 6 months after the previous child service report.

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 emergency contact form on file for child #1 was observed not to contain complete contact information for the child's physician. This is evidenced by only the name of the medical practice being filled out in this section not the address or phone number.

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: The emergency contact form on file for child #5 was observed not to contain complete contact information for the persons whom child #5 is authorized to 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 file for child #6 was observed not to have on file documentation of a health report within the first 60 days of attendance. This is evidenced by the child's date of admission being 12/8/17 and the health report on file being dated 7/17/18.

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: It was disclosed by the operator that the child care facility is not currently using a medication log containing written consent for administration of medication, for medications being kept at the facility to be administered to children in care.

Correction Required: A parent shall provide written consent for administration of medication or a special diet. An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: Upon review of the files for children #1, #2, #3, #4, #5 and #6 it was observed that the children's files are not being reviewed at least once every 6 months and being documented with a dated signature. This is evidenced by the most recent dated signature in each child's file documenting review is more than 6 months after the previous dated signature.

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 FBI clearance on file for staff person #1 was observed to have been obtained more than 60 months after the previous clearance. This is evidenced by the previous clearance being dated 8/27/2013 and the most recent dated clearance being dated 10/12/18.

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.