Heavenly Hands Early Learning Child Care Academy L - Erie PA Child Care Center

Noncompliance Area: 2ND CITATION; PREVIOUSLY CITED 7/24/2020 : On 8/28/2020 at 2:05 pm staff person #1 was observed in the infant room caring for 4 infants and 1 young toddler. No other staff were present in the classroom.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: In the preschool room there was a wooden table with a missing bolt causing the table to be unstable and presenting a pinch point .

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 files for child #1, in attendance since 9/17/18, child #2 in attendance since 11/30/18 and child #3, in attendance since 6/4/18 did not contain child service reports.

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 files for child #4 and child #5 did not contain complete health insurance information.

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 for child #4 contains an emergency contact form that is missing the address for the designated emergency 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: Child #3 and child #6 were observed to be receiving care in the preschool room and emergency contact information for them was not available in the child care space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: The file for child #4, start date of 6/5/18, contains a financial agreement that has not been updated since 6/5/18. The file for child #7, start date 4/5/19, contains emergency contact information that has not been updated since 4/5/19. The file for child #9, start date 11/1/18 contains emergency contact information that has not been updated since 10/26/18.

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 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 files for child #4,school age, child #5, young toddler and child #8, school age, do not contain health assessments and all have been in attendance for greater than 60 days.

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 shall contain initial and subsequent health reports.

Noncompliance Area: The files for child #2 and child #3, both preschoolers, do not contain updated health reports during the previous 12 month period.

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 files for child #2 and child #3, both preschoolers, do not contain verification of a flu shot received during the previous 12 month period as recommended for children over 6 months by the ACIP immunization schedule.

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 staff person #3 does not contain a health assessment conducted during the previous 24 month period.

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 file for staff person #2 contains a health assessment form with a box checked stating that the physician did not conduct a physical examination.

Correction Required: An adult health assessment must include a physical examination.

Noncompliance Area: The file for child #8 does not include a financial agreement.

Correction Required: 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 file for staff person #3, hire date 6/11/18, does not include verification of the NSOR required for all child care staff by 7/1/2020 and cannot work in a child care position until it is obtained. The file for staff person #1 contains a child abuse clearance that expired on 12/24/2019. Staff person #1's current clearance was obtained on 3/23/2020 which is greater than 60 months from the prior clearance. The file for staff person #1 contains mandated reporter training that expired on 3/21/2020 and does not contain current training. The file for staff person #4 does not contain an NSOR prior to 7/1/2020 as required under CPSL. The file does contain a current NSOR.

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. Facility Person #3 may not work in a child care position at the facility.

Noncompliance Area: On 7/24/2020 at 10:40am Staff person #5 was observed caring for 1 infant, 2 young toddlers and 2 older toddlers in the infant room while staff person #6 left the room to answer the door and obtain supplies.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.