Ida Curet - Lancaster PA Family Child Care Home

Noncompliance Area: At the time of inspection, small pieces of chalk(less than 1 inch in diameter) were observed in an area accessible to the toddlers in care. (CORRECTED ON SITE)

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The most recent rabies vaccination on file for one of the dogs has expired.

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 the time of inspection, the operator reported that she did not have a written health and safety plan that aligns with CDC guidance to minimize the risk of COVID-19.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. The child care program must have a written health and safety plan that aligns with CDC guidance to minimize the risk of COVID-19. The safety plan must be communicated to staff and enrolled families. At a minimum the safety plan must address: a.Screening procedures, b.Child drop-off and pick-up policies, c.Sick policies, d.Mask policy, and e.Cleaning/sanitation procedures

Noncompliance Area: The mandated reporter training on file for staff person 1 was more than 5 years old and is no longer valid.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The wooden lid on the sandbox was able to separate from the base, allowing for the sharp edges of screws to be exposed.

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: Small rocks and mulch (less than 1 inch in diameter) were observed in an area accessible to the infants & toddlers in care.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: The agreement on file for child 2 did not specify the persons 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 emergency contact information on file for child 1 did not reference who shall be contacted in an emergency.

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 information for child 2, 3, and 4 did not include complete information regarding the child's physician. Child 2 - Missing phone number of physician Child 3 - Missing address and phone number of physician Child 4 - Missing name, address and telephone number of physician.

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 (EC) information on file for child 2 did not include the enrolling parent's work telephone number. The EC information on file for child 3 did not include the enrolling parent's work, nor home telephone numbers.

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

Noncompliance Area: The emergency contact information on file for child 4 did not include the child's health insurance coverage and 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 contact information on file for child 1 did not include the name, address and telephone number of the individual designated by the parent to 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 emergency contact form on file for child 5 was updated after a period of 6 months. It was signed/dated by a parent on 6/8/18 and more than 6 months later on 4/16/19.

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

Noncompliance Area: Child 1 was enrolled in the program on 11/12/18. His initial health report was not obtained within 60 days. The printout on file was dated 3/28/19 and has not been signed by a doctor. Child 3 has been enrolled since 2-28-19. The child's record does not include an initial 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.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: Per documentation on file at the time of inspection, children 1 and 3 have not been vaccinated according to the schedule recommended by the ACIP. Child 1 is 10 months old , and the documentation on file only includes 2 of the 3 age-appropriate DTAP, HIB, and Pneumococcal vaccinations. Somebody hand wrote in dates, but there is no indication on the file that this was done my a medical professional. Child 2 is 3 years old. The documentation on file shows 3 of the 4 age appropriate DTAP, HIB, and Pneumococcal vaccinations. The documenation also includes just one of the two age appropriate Hepatitis A vaccinations.

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.