Carringtons Daycare - Swissvale PA Child Care Center

Noncompliance Area: In the Infant room a Pack N Play Playard was observed to not be labeled for the use of a specific child.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The child file for Child #3 and Child #4 contained an emergency contact information form that lacked the health insurance name 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: Prior to the COVID suspension effective on 3/6/20 the child file for Child #4, who has an enrollment date of 1/3/20, lacked an initial health report on file no later than 60 days following the first day of attendance.

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: Prior to the COVID suspension effective on 3/6/20 the child file for Child #4, who has an enrollment date of 1/3/20, lacked a copy of their immunization record on file no more than 60 days following the first day of attendance.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: The child file for Child #2, 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 8/29/19. 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 1/10/19. The child file for Child #5, who is an older toddler, 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 #4, lacked a valid health assessment; the health assessment on file was a child health assessment thus did not include an examination for communicable diseases and the results nor did it include the suitability of Staff person #4 to provide adequate care to children.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Noncompliance Area: Child #6, who is an infant, lacked a written feeding schedule from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The child file for Child #3, who has an enrollment date of 5/29/19 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the financial agreement form and emergency contact information form were last reviewed and signed by the parent on 5/29/19. The child file for Child #5, who has an enrollment date of 4/29/19 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6 month period; the financial agreement form and emergency contact information form were last reviewed and signed by the parent on 4/29/19.

Correction Required: 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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The staff file for Staff person #3 lacked one non family 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 staff file for Staff person #1, who has a start date working with children of 7/31/19, lacked documentation of having received emergency plan training at time of initial hire as well as on an annual basis. The staff file for Staff person #2, who has a start date working with children of 10/1/19, lacked documentation of having received emergency plan training at time of initial hire as well as on an annual basis. The staff file for Staff person #3, who has a start date working with children of 11/14/19, lacked documentation of having received emergency plan training at time of initial hire as well as on an annual basis. The staff file for Staff person #4, who has a start date working with children of 9/24/19, lacked documentation of having received emergency plan training at time of initial hire as well as on an annual basis. The staff file for Staff person #5, who has a start date working with children of 9/16/19, lacked documentation of having received emergency plan training at time of initial hire as well as on an annual basis. Staff person #7 reported that staff were trained on the emergency plan at time of hire but that the initial trainings were not documented in writing. In the emergency plan binder an emergency plan training document containing staff signatures was observed however there was no date on the document thus making it difficult to determine if the annual emergency plan training was done timely.

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.

Noncompliance Area: The staff file for Staff person #2, who has a start date working with children of 10/1/19, and Staff person #3, who has a start date working with children of 11/14/19, contained mandated reporter training dated 4/19/20 which was not completed within 90 days following the outset of service at the facility. The staff file for Staff person #4, who has a start date working with children of 9/24/19, contained mandated reporter training dated 6/18/20 which was not completed within 90 days following the outset of service at the facility.

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, Staff person #4, Staff person #5, Staff person #6 and Staff person #7 all lacked a valid National Sex Offender Registry (NSOR) certificate on file by 7/1/20 as required per the Child Protective Service Law (CPSL); the NSOR certificates on file are dated 8/5/20. The staff file for Staff person #2, who has a start date working with children of 10/1/19, and Staff person #3, who has a start date working with children of 11/14/19, lacked a copy of the application for NSOR and/or the NSOR certificate on file as required per the CPSL; the NSOR certificates on file are dated 8/5/20.

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.

Noncompliance Area: The staff file for Staff person #1, who has a start date working with children of 7/31/19, lacked a minimum of one written staff evaluation every 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: The staff file for Staff person #1, Staff person #2, Staff person #3, and Staff person #5, all considered assistant group supervisors, lacked proof of a high school diploma or GED on file.

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 downstairs gym an electrical outlet to the left of the table was observed to be missing one protective cover.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.