Hillel Academy Of Pittsburgh - Pittsburgh PA Child Care Center

Noncompliance Area: Per staff statements, the facility has been out of ratio in the Tiny Tot Room and the Young Toddler room on multiple occasions. The rooms were out of ratio for several minutes at a time.

Correction Required: When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Noncompliance Area: There was a cracked bin in the Pre--K classroom.

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 file for Child #8 did not include an emergency contact form.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The emergency contact form on file for Child #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 did not include the address and telephone number for the enrolling parent's place of employment.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The emergency contact form on file for Child #9 did not include complete addresses for all listed release persons.

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 for Child #9, who was enrolled 10/8/18, more than 60 days ago, does not include a valid health assessment .

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.

Noncompliance Area: The most recent health assessment on file for Child #1, a young toddler, is dated 3/4/19, more than 6 months ago.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The immunization record on file for Child #1, who is a young toddler, includes only 3/4 of the recommended DTAP vaccines, 3/4 of the recommended Pneumococcal vaccines, and 2/3 of the recommended vaccines for a child of this age. The most recent influenza vaccination on file for Child #4 is dated 9/28/18, more than 12 months ago. The most recent influenza vaccination on file for Child #5 is dated 10/2/18, more than 12 months ago. The immunization record on file for Child #6, a young toddler, includes only 3/4 of the recommended DTAP vaccines for a child of this age. The most recent influenza vaccination on file for Child #10 is dated 10/28/18, more than 12 months ago. The immunization record on file for Child #9, a preschool child, does not verification of having received an influenza vaccination in the last 12 months.

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 #2, with a hire date of 6/15/19, did not include an initial health assessment. The most recent health assessment on file for Staff person #3, dated 9/28/18, is dated more than 24 months after the previous 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 file for Staff person #7 included a (negative) chest x-ray but no tuberculosis test indicating a positive result and therefore requiring an x-ray or medical report indicating a previous positive tuberculosis test.

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 most recent health assessment on file for Staff person #9, dated 8/16/19, does not include an assessment from the health care professional which indicates the staff person is suitable to work in child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: There was an unlabeled infant feeding bottle in the refrigerator in the older infant room.

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

Noncompliance Area: The most recent emergency plan training for Staff person #3, dated 8/15/19, is dated more than 1 year after the previous training, competed 8/14/17.

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. 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 for Staff person #1 did not include 6 hours of training for the anniversary year 9/20/18-9/20/19. The file for Staff person #6 did not include 6 hours of training for the anniversary year 9/1/18-9/1/19. The file for Staff person #9 did not include 6 hours of training for the most recently completed anniversary year.

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 for Staff person #8, with a hire date of 8/19/19, had an invalid FBI (CJIS) clearance on file with no proof of fingerprinting prior to her start date working with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 8 may not work in a child care position at the facility.