Grandma Marys Day Care Center Inc - Burgettstown PA Child Care Center

Noncompliance Area: In the main classroom a toy bin labeled ginger was observed to be cracked along the edge.

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 silver cabinet located in the back classroom was observed not to be secured to the wall creating a falling hazard.

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

Noncompliance Area: The file for child #2 was observed not to contain a child service report completed within the last 6 months. This is evidenced by the most recently dated child service report on file being dated 11/9/2018.

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 agreement form on file for child #2 was observed not to contain documentation of the child's arrival and departure time.

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

Noncompliance Area: The emergency contact form on file for child #2 was observed not to contain documentation of it being reviewed by the parent and documented with a dated signature within the last 6 months as evidenced by the most recently dated signature being dated 11/9/2018.

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

Noncompliance Area: The immunization record on file for children #1 and #2 were observed not to contain documentation of the children receiving an influenza vaccination within the last 12 months 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: Medication stored at the child care facility for child #1 was observed not to contain a medication log.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: The file for staff person #1 was observed not to have on file documentation of a valid 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: The emergency contact and agreement information on file for child #2 was observed not to contain documentation of it being reviewed by the parent and documented with a dated signature within the last 6 months as evidenced by the most recently dated signature being dated 11/9/2018.

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: In the boys restroom a hand washing sign was observed to be missing above the sink.

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.

Noncompliance Area: Each of the brown storage cabinets located in the child care facility were observed not to be secured to the wall creating a falling hazard to the children in care.

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

Noncompliance Area: The file for staff person #5 whose date of hire was 2/12/2018 was observed not to contain documentation of a health assessment being completed within 12 months of staff person #5's date of hire. This is evidenced by there not being a valid health assessment on file for staff person #5.

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 file for staff person #2 was observed not to contain documentation of a TB test being completed within 12 months prior to staff person #2's date of hire. Also, the file for staff person #5 was observed not to contain documentation of a TB test being completed within 12 months prior to staff person #5's date of hire.

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 file for staff person's #1, #2, #3, and #5 were observed not to contain 2 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: The file for staff person #4 was observed not to contain documentation illustrating that staff person #4 had been trained in the facility's emergency plan within the last 12 months. This is evidenced by the most recent documentation of training in the facility's emergency plan being 1/9/2017.

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.