Multicultural Community Resource Center - Erie PA Child Care Center

Noncompliance Area: On 10/22/19, Certification Representative observed less than 2 feet of space on two sides of the pac 'n' plays were Child #1 and #2 were sleeping.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The Fee Agreement in the file for Child #4 was not signed by the operator.

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

Noncompliance Area: The Fee Agreement in the file for Child #4 did not include the names of the release persons.

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

Noncompliance Area: The Emergency Contact Forms in the files for Child #1 and #2 did not include the address of the child's physician or source of medical care. The Emergency Contact Form in the file for Child #2 did not include the phone 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: The Emergency Contact Form in the file for Child #1 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits. The Emergency Contact Form in the file for Child #2 did not include the 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.

Noncompliance Area: The Emergency Transportation Plan was not posted in the Common Room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: The health report in the file for Child #2 did not include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The initial health assessments in the files for Staff Person #2 and #3 were dated after the first day working in child care. The most recent health assessments in the files for Staff Person #4, #8, #10, and #11 exceeded 24 months between assessments. The most recent health assessments in the files for these employees are current. The files for Staff Person #6 and #7 did not include an initial health assessment or TB Screening. The file for Staff Person #5, #12, #13 and #14 did not include health assessments conducted within the past 24 months.

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 first aid kit in Vehicle #3 (2011 Dodge Caravan) did not include tweezers.

Correction Required: A first-aid kit, including the contents as specified in 3270.75 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: The Emergency Contact Form in the file for Child #1 did not contain signed parental consent for emergency medical care for the child or signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The files for Child #1, #2 and #3 did not include a copy of the Fee 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 #6 included one letter of reference. The file for Staff Person #7 did not include any letters of reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The most recent trainings in the facility's Emergency Plan exceeded one year between trainings: 2/28/18-9/19/19. The initial training in the facility's emergency plan in the file for Staff Person #2 was conducted thirty days after the Staff Peron's first day working in child care. The most recent training annual training in the facility's Emergency Plan for Staff Person's #1-#11 is current. The files for Staff Person's #12, #13 and #14 do no include documentation of annual training in the facility's emergency plan.

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: Fire safety training has not been conducted at the facility in the past 12 months. The most recent annual fire safety training at the facility was conducted 3/27/18.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. 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 files for Staff Person's #12, #13 and #14 did not include documentation of the required 6 hours of training for the last full year of service.

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.