Hilltop Community Childrens Center - Pittsburgh PA Child Care Center

Noncompliance Area: The child file for Child #2 contained a financial agreement form that lacked the name(s) of the person(s) designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The child file for Child #3 contained an emergency contact information form that lacked the addresses for two of the individuals designated by the parent who 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 child file for Child #1, who is a preschool aged child, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP.

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 staff file for Staff person #1, who has a start date working in childcare of 7/19/20, lacked valid mandated reporter training; the mandated reporter training verification that was on file lacked a date in which it was completed thus making it difficult to determine if it was completed within 90 days from staff's first day working in childcare as required by the CPSL. The staff file for Staff person #4, who has a start date working in childcare of 3/13/20, contained documentation of mandated reporter training dated 6/25/20 which was not completed within 90 days from date of hire as required by the CPSL. The staff file for Staff person #5, who has a start date working in childcare of 9/18/19, contained documentation of mandated reporter training dated 2/17/20 which was not completed within 90 days from date of hire as required by the CPSL.

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 staff file for Staff person #1, who has a start date working in child care of 7/19/20, lacked documentation of having applied for and received a State criminal history check, a State sex offender registry check, and a State child abuse and neglect registry check from the States in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL). The staff file for Staff person #1 also contained an NSOR certificate dated 9/8/20 which was not on file by the 45th calendar day after Staff person #1's start date of 7/19/20 as a provisional hire as required by the CPSL. The staff file for Staff person #2, who has a start date working in child care of 7/20/20, applied for an NSOR certificate on 7/15/20, however a NSOR certificate was not on file by the 45th calendar day after Staff person #2's start date of 7/20/20 as a provisional hire as required by the CPSL. The staff file for Staff person #3, who has a start date working in child care of 7/20/20, contained a State Police clearance dated 7/21/20 and there was no application on file of having applied for the State Police clearance prior to working with children as required by the CPSL. The staff file for Staff person #3 also contained a FBI clearance dated 7/29/20, which was obtained after hire date, and there was no documentation on file of the date and COVID-19 related reason Staff person #3 was hired without evidence of FBI Criminal History Background Check as required under House Bill 360. The staff file for Staff person #6, who has a start date working with children of 10/10/19, applied for a NSOR certificate on 10/9/19, and the NSOR certificate was not on file by 12/31/19 which was the date in which the provisional hire period was no longer valid per the CPSL; The NSOR certificate on file is dated 1/23/20. The staff file for Staff person #7 contained a current State Police clearance and current Child Abuse clearance that were not renewed 60 months from the date of the existing clearance; the State Police clearances on file are dated 3/11/15 and 9/14/20 and the Child Abuse clearances on file are dated 6/10/15 and 9/18/20.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and #2 -- 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. Facility Person #1 and #2--- may not work in a child care position at the facility.

Noncompliance Area: The staff file for Staff person #6, who is considered an Assistant Group Supervisor, contained proof of a CDA however lacked documentation of 1 year experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: In the Young Preschool Art Room the sink located in the bathroom which is used by the children in care lacked a handwashing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: In the Older Toddler Room an orange plastic toy bin was observed to have a piece of the bin broken off causing it not to be in good repair. In the Young Preschool Room a yellow plastic file folder storage bin was observed to have a cracked corner causing a potential pinch point. In the School Aged Room a white plastic toy bin and a black plastic toy bin were both observed to contains cracks in the bins causing them not to be in good repair.

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 refrigerator located in the School Age Room was observed to lack a thermometer.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: The child file for Child #5, who has been enrolled in care since 7/22/19, contained an initial health report dated 11/7/19 which was provided more than 60 days following the first day of attendance at the facility.

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 child file for Child #4, who was a young toddler, contained updated health reports that were not provided at least every 6 months for a young toddler; the dates of the last two health reports on file were 10/26/18 and 10/30/19.

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 child file for Child #1 lacked a valid initial health report; the initial health report on file was not signed by a physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: The child file for Child #1, who is a preschooler,, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 11/16/16. The child file for Child #2, who is a preschooler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 10/20/17. The child file for Child #3, who is an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 1/3/19. The child file for Child #4, who is an older toddler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP. The child file for Child #5, who is a preschooler, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 10/11/17.

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: In the Older Toddler Room, a tube of Neosporin was observed to lack the name of the child for whom the medication is intended.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: In the Older Toddler Room, the following medications were observed to be expired: a tube of diaper ointment dated 2/18, Neosporin dated 11/19, two tubes of Desitin diaper crme dated 5/18 and 5/19, a tube of Aquaphor healing ointment dated 5/19.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.