Growing Moments Llc

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON AUGUST 7, 2019, PROVIDER STATED THAT SHE HAD TAKEN CHILDREN SWIMMING ON AUGUST 1, 2019, AND DID NOT HAVE A PERSON CERTIFIED IN LIFEGUARD TRAINING INCLUDED IN THE SUPERVISION.

Correction Required: Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant. When children are swimming, supervision shall include one person certified in lifeguard training, as described in 3290.31(e)(4)(iii) (relating to age and training).

Noncompliance Area: DURING UNANNOUNCED INSPECTION ON AUGUST 7, 2019, PROVIDER STATED THAT SHE HAD TAKEN CHILDREN SWIMMING ON AUGUST 1, 2019. PROVIDER DID NOT HAVE DOCUMENTED COMPLETION OF WATER SAFETY TRAINING FROM A CERTIFIED LIFEGUARD.

Correction Required: Competence in water safety instruction is demonstrated by the completion of basic instruction in water safety from a certified lifeguard.A facility person who is counted in the staff-child swimming ratio shall annually complete water safety instruction.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE PACK AND PLAY AND THE BOTTLE USED BY CHILD #1 WERE NOT LABELED FOR THE USE OF THE SPECIFIC 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.Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, CERTIFICATION REPRESENTATIVE OBSERVED CHILD #4 GO UPSTAIRS TO USE THE BATHROOM UNATTENDED AT 10:45 AM. AT 10:46 AM, STAFF #1 THEN WENT UPSTAIRS TO ASSIST THE CHILD, LEAVING 3 CHILDREN DOWNSTAIRS UNATTENDED UNTIL 10:49 AM.

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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE AGREEMENT OF CHILD #1 DID NOT SPECIFY THE AMOUNT OF THE FEE TO BE CHARGED PER DAY OR PER WEEK, OR THE DATE ON WHICH THE FEE IS TO BE PAID.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE AGREEMENT OF CHILD #1 DID NOT SPECIFY THE SERVICES TO BE PROVIDED TO THE FAMILY AND CHILD.

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: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE AGREEMENT OF CHILD #1 WAS NOT SIGNED BY THE OPERATOR, AND DID NOT SPECIFY THE DATE OF THE CHILD'S ADMISSION.

Correction Required: An agreement shall be signed by the operator and the parent.An agreement shall specify the date of the child's admission.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE EMERGENCY CONTACT INFORMATION OF CHILD #1 DID NOT INCLUDE THE ADDRESS OR TELEPHONE NUMBER 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: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE EMERGENCY CONTACT INFORMATION AND FINANCIAL AGREEMENTS OF CHILD #1 WERE NOT UPDATED AT LEAST ONCE IN A 6 MONTH PERIOD (LAST DATE OF SIGNATURE INDICATED WAS 5-13 AND 5-14-18.)

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: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE RECORD OF CHILD #1 (DOB:12-22-17) DID NOT CONTAIN A HEALTH REPORT CONDUCTED WITHIN 6 MONTHS OF PREVIOUS HEALTH REPORT (DATE OF ASSESSMENT WAS 4-20-18).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record must contain initial and subsequent health reports.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, STAFF #1 WAS UNABLE TO LOCATE FILES FOR CHILDREN #2, #3, #4, #5 AND #6.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE MOST RECENT DATE OF REVIEW INDICATED ON THE EMERGENCY PLAN FOR THE FACILITY WAS ON 5-1-17.

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: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE EMERGENCY PLAN WAS NOT POSTED IN A CONSPICUOUS LOCATION IN THE FACILITY.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE RECORD OF STAFF #1 DID NOT CONTAIN DOCUMENATION OF A BIENNIAL MINIMUM OF 12 CLOCK HOURS OF CHILDCARE TRAINING.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, CERTIFICATION REP OBSERVED AN OUTLET UNDER THE KITCHEN SINK THAT WAS NOT COVERED (UNLOCKED CABINET) AND AN OUTLET BY THE COMPUTER DESK THAT DID NOT HAVE PROTECTIVE RECEPTACLE COVERS IN PLACE, AND WERE ACCESSIBLE TO CHILDREN.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, CERTIFICATION REPRESENTATIVE OBSERVED VARIOUS CLEANING MATERIALS AND TOXICS (HOT SHOT BUG REPELLENT, TURPENTINE, BLEACH) IN THE CLOSET OF THE BATHROOM, WHICH WAS UNLOCKED THEREFORE ACCESSIBLE TO CHILDREN.

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: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE FIRST-AID KIT IN THE FACILITY DID NOT CONTAIN TAPE OR SOAP.

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: DURING RENEWAL INSPECTION ON APRIL 4, 2019, CERTIFICATION REPRESENTATIVE OBSERVED THE BASEBOARD HEATER DETACHED FROM THE WALL, IN NEED OF REPAIR, THE RAILING NEXT TO THE STAIRS AND THE WALL UNDERNEATH WERE VISIBLY DIRTY, AND THE CHAIR IN THE DINING ROOM HAD A HOLE WITH EXPOSED FOAM AND MATERIALS, IN NEED OF REPAIR. CERT REP ALSO OBSERVED A LARGE WIRE HANGING ACROSS THE OUTDOOR PLAY AREA, AS WELL AS SHARP GARDENING TOOLS PRESENT IN THE SPACE.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, CERTIFICATION REPRESENTATIVE OBSERVED CHIPPING PAINT IN THE DINING ROOM AREA, AND IN THE MIDDLE CHILDCARE SPACE.

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

Noncompliance Area: DURING RENEWAL INSPECTION ON APRIL 4, 2019, THE FIRE DRILL LOG INDICATED THAT THE MOST RECENT FIRE DRILL WAS CONDUCTED ON 2-9-18.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, A WRITTEN PLAN OF DAILY ACTIVITIES WAS NOT DEVELOPED AND POSTED AT THE CHILD CARE HOME.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THERE WAS NO DOCUMENTATION ON FILE AT THE FACILITY DEMONSTRATING THE CAT HAS THE PROPER RABIES VACCINATION.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, CHILD SERVICE REPORTS WERE NOT BEING COMPLETED EVERY SIX MONTHS AS REQUIRED. CHILD #1 AND #2 (ENROLLED 11/2016) DID NOT HAVE CHILD SERVICE REPORTS ON FILE AT THE FACILITY

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: AT TIME OF RENEWAL INSPECTION, THE EMERGENCY INFORMATION FOR CHILD #1, #3, AND #4 DID NOT INCLUDE SIGNED, WRITTEN CONSENT FOR EMERGENCY MEDICAL CARE. CHILD #3 AND #4 DID NOT HAVE SIGNED, WRITTEN CONSENT FOR MINOR FIRST AID PROCDEURES BY FACILITY STAFF.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: AT TIME OF RENEWAL INSPECTION, THE EMERGENCY INFORMATION FOR CHILD #1 AND #2 DID NOT INCLUDE THE HEALTH INSURANCE INFORMATION OR 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. 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 TIME OF RENEWAL INSPECTION, THE EMERGENCY INFORMATION FOR CHILD #1 AND #2 DID NOT INCLUDE THE ADDRESSES OF THE RELEASE PEOPLE.

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 TIME OF RENEWAL INSPECTION, EMERGENCY PHONE NUMBERS WERE NOT POSTED AT THE FACILITY.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: CHILDREN AT THE CHILD CARE WERE LEFT UNSUPERVISED.

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 TIME OF INSPECTION ON 4-14-17, THE COTS AND PACK AND PLAYS USED BY THE CHILDREN WERE NOT LABELED WITH INDIVIDUAL NAMES OR NUMBERS TO INDICATE WHICH CHILD USES WHICH REST EQUIPMENT.

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 TIME OF INSPECTION ON 4-14-17, THE AGREEMENTS FOR CHILD #1, #2, AND #3 WERE NOT SIGNED BY THE OPERATOR.

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

Noncompliance Area: AT TIME OF INSPECTION ON 4-14-17, THE EMERGENCY CONTACT FORM FOR CHILD #1 AND #2 DID NOT INCLUDE THE HEALTH INSURANCE POLICY NUMBER. THE EMERGENCY CONTACT FORM FOR CHILD #3 DID NOT INCLUDE THE NAME OF THE HEALTH INSURANCE/MA COVERAGE.

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: AT TIME OF INSPECTION ON 4-14-17, THE EMERGENCY CONTACT FORM FOR CHILD #1, #2, AND #3 DID NOT INCLUDE THE ADDRESS OF THE RELEASE PERSON.

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 TIME OF INSPECTION ON 4-14-17, THE FILE FOR CHILD #1 AND #2 (DATE OF ENROLLMENT: 12/2016) DID NOT CONTAIN INITIAL HEALTH REPORTS FROM THE TIME OF ENROLLMENT.

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

Noncompliance Area: AT TIME OF INPSECTION ON 4-14-17, PROVIDER INDICATED THAT DIAPERS ARE CHANGED ON A TOWEL OR BLANKET, WHICH IS NOT ABLE TO BE CLEANED AND SANITIZED AFTER EACH USE.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: AT TIME OF INSPECTION ON 4-14-17, THE FILE FOR STAFF PERSON #1 DID NOT CONTAIN AN INITIAL PHYSICAL UPON HIRE AND TB REPORT.

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 on file at the facility.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 TIME OF INSPECTION ON 4-14-17, THE GENERAL MEAL PLAN WAS NOT DISCUSSED WITH PARENTS

Correction Required: The operator shall discuss the general menu plan with the parent so that the daily nutritional needs of the child can be met.

Noncompliance Area: AT TIME OF INSPECTION ON 4-14-17, THERE WAS NOT A WRITTEN STATEMENT FROM THE PARENT GIVING THE FORMULA AND FEEDING SCHEDULE FOR THE INFANT IN CARE.

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

Noncompliance Area: AT TIME OF INSPECTION ON 4-14-17, THERE WAS NO DOCUMENTATION THAT STAFF PERSON #1 RECEIVED TRAINING REGARDING THE FACILITY'S EMERGENCY PLAN AT THE INITIAL 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.

Noncompliance Area: AT TIME OF INSPECTION ON 4-14-17, THE FILE FOR STAFF PERSON #1 DID NOT CONTAIN A PHOTO ID WITH DATE OF BIRTH TO VERIFY AGE.

Correction Required: A staff person shall be 18 years of age or older.

Noncompliance Area: AT TIME OF INSPECTION ON 4-14-17, THE FILE OF STAFF PERSON #1, (HIRE DATE NOT IN FILE), DOES NOT CONTAIN COMPLETED CPSL PAPERWORK AS REQUIRED. THE FILE FOR STAFF PERSON #1 DID NOT CONTAIN A SIGNED DISCLOSURE STATEMENT.

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. 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..