Grether Camilo - Allentown PA Family Child Care Home

Noncompliance Area: Household member 1 did not have the state police clearance on file.

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: Child 1 did not have a child service report on file.

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 3290.124(e).

Noncompliance Area: On the date of inspection, 10/9/2019, it was found that there was not an operable smoke detector hooked up to the ceiling or the wall of the basement. Due to construction, it was taken down.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The emergency plan was last reviewed in writing by operator on 11/14/2017.

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.

Noncompliance Area: When certification representative arrived to the facility, staff 1 was present with the children. When reviewing files, it was found that staff 1 did not have updated first aid training on file. The first aid training on file expired in November of 2018.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: Upon arrival, certification representative observed child 1 sleeping on a "sleep fixed positioner" that was not a crib or pack and play surfaces. There was no medical documentation on file. Certification representative also observed child 2, also 2 months old, sleeping in a pack and play with a toy in it.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Child 2 did not have a date of admission or health insurance coverage information on file.

Correction Required: An agreement shall specify the date of the child's admission.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: Child 3 had an outdated emergency form past six months. Child 2 did not have documentation of an emergency form and fee agreement filled out upon her date of admission.

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: The provider did not have infant bottles labeled.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: Child 1 did not have permission for emergency medical care and minor first aid.

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.

Noncompliance Area: Facility's pack n' play, which is used by one specific child, was not labeled with the child's name on it.

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: Children 1-3 did not have updated emergency forms and fee agreements. They were last dated 11/15/2016.

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: Staff 1 did not have emergency plan training documented.

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 facility's first aid kit was missing soap and twizzers.

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: INSPECTOR OBSERVED A CHILD LAYING IN THE PLAY PEN. THE PLAY PEN IS NOT LABELED FOR THE USE OF A SPECIFIC CHILD AND USED ONLY BY THE SPECIFIED CHILD.

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.