Grandma Roses Daycare

Noncompliance Area: The file of child #1 lacked an agreement; none was present in the file.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The file of child #1 lacked an emergency contact form with the full address of the child's physician or source of medical care.

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 file of child #1 lacked an emergency contact form with the full work address 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: The file of child #1 lacked an emergency contact form with the addresses of the 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 of staff #1 lacked a health report documenting flu shot or an exemption letter from the parent.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: At the time of the inspection, there was no documentation of staff completing Emergency Plan training annually.

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.

Noncompliance Area: The files of staff#1, #2, and #3 lacked documentation of completing 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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file of staff 1 lacked documentation of completing Mandated Reporter training. The last training in the file was dated 7-23-15.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The files of staff #2 and #3 lacked timely National Sex Offender Registry reports. The NSORs on file were dated 7-13-20 for staff #2 and 7-31-20 for staff #3.

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 file of child #1 lacked an emergency contact form with the 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: The file of child #1 lacked an emergency contact form with the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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 file of child #5 lacked an emergency contact form with the full address of the individual 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 files of children #2, #3, #4, and #5 lacked documentation of parent review every 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.

Noncompliance Area: The file of staff #1 lacked documentation of completing 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: Staff #1 with a start date in care with children of 1-2-19 lacked documentation of completing Mandated Reporter training within 90 days of initial employment.

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 file of child #2 lacked an agreement with the date of the child's admission.

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

Noncompliance Area: The file of child #3 lacked an emergency contact form with the address of the child's physician or source of medical care.

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 file of child #4 lacked an emergency contact form with the health insurance policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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 file of child #1 lacked an emergency contact form with signed parental consent for emergency medical care for the child and for administration of medications or special dietary needs. Written consent is required prior to admission.

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 medications or special dietary needs.

Noncompliance Area: The file of child #1 lacked an emergency contact form with signed parental consent for administration of minor first-aid procedures by facility staff, signed parental consent for transportation, walking excursions, swimming and wading. Written consent is required prior to admission.

Correction Required: 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.A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The file of staff #1 lacked documentation of verification of child care experience at the time of initial employment and following the outset of service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file of staff #1, with a start date in care with children of 6-18-18, lacked documentation of requesting an FBI clearance. During the inspection, it was determined that staff #1 was not provisionally hired and at times was left alone with children in care. The files of staff #2 and #3 lacked signed disclosure statements.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 1 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 #1 may not work in a child care position at the facility.

Noncompliance Area: Observed in the restroom 2 Febreeze air freshener, 1 Clorox Anywhere cleaner, and 1 Clorox wipes stored on the shelf above the sink accessible to children in care due to the fact a step stool was present at the sink.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The most current physical in the file for Staff Person #1 was more than 24 months old.

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: There were no instructions for contacting the appropriate regional day care office posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location.