Jean Hightower Fcch

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: On 6/22/23, during the renewal inspection, child #1 did not have information to the family about the child's growth and development in the child's individual records.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

Regulation: 3290.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 6/22/23, during the renewal inspection, child #1 did not have evidence of a parent review and update for the emergency and the financial agreement once every 6-months.

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.

Regulation: 3290.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: On 6/22/23, during the renewal inspection, child#1 did not have consent for emergency medical care signed by the enrolling parent.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.182(4)

Description: Consent for administration of medications or special dietary needs

Noncompliance Area: On 6/22/23, during the renewal inspection, child#1 did not have consent for special diet/medication signed by the enrolling parent.

Correction Required: A child's record must contain signed parental consent for administration of medications or special dietary needs.

Regulation: 3290.102(a)

Description: Clean and good repair

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, CERTIFICATION REP. OBSERVED BROKEN AND DIRTY TOYS IN VARIOUS RUBBER MAID BINS IN THE FACILITY.

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.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, THE CERTIFICATION REP OBSERVED THAT THE PACK AND PLAY WAS NOT LABELED WITH THE CHILD'S NAME.

Correction Required: (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.123(a)(6)

Description: Admission date

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, CERTIFICATION REP. OBSERVED CHILD #1, CHILD#2, CHILD#3, AND CHILD#4 MISSING THE ADMISSION DATE ON THE AGREEMENT FORM.

Correction Required: An agreement shall specify the date of the child's admission.

Regulation: 3290.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, CERTIFICATION REP. OBSERVED CHILD #2 DID NOT HAVE THEIR 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.

Regulation: 3290.124(e)

Description: Updated every 6 months

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, CERTIFICATION REP. OBSERVED CHILD #1 DID NOT HAVE AN UPDATED EMERGENCY CONTACT FORM.

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

Regulation: 3290.182(3)/3290.182(5)

Description: Consent for emergency medical care required prior to admission/Consent for administration of minor first-aid required prior to admission

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, CERTIFICATION REP. OBSERVED CHILD #1 DID NOT HAVE AN PARENT SIGNATURE ACKNOWLEDGING CONSENT FOR EMERGENCY CARE AND CONSENT FOR MINOR FIRST-AID ON THE EMERGENCY CONTACT FORM.

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

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, THERE WERE NO VISIBLE FAMILY CHILD CARE REGULATIONS AND INSTRUCTION FOR CONTACTING THE APPROPRIATE REGIONAL CHILD CARE OFFICE POSTED IN A CONSPICUOUS LOCATION FOR PARENTS.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, CERTIFICATION REP. OBSERVED PROTECTIVE RESEPTACLE COVERS MISSING FROM VARIOUS LOCATIONS THROUGHOUT THE CHILD CARE SPACES LISTED BELOW: PLUG SOCKETS NEAR THE AIR CONDITIONER PLUG SOCKET NEXT TO THE T.V. PLUG SOCKETS IN THE KIDS BATHROOM PLUG SOCKETS IN SURGE PROTECTOR POWER STRIP UNDER DESK.

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

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: ON JULY 18, 2022, during the renewal inspection, certification rep. observed toxic cleaning products (Lysol, paint materials, hand sanitizer, Windex, and Clorox wipes)in areas listed below: In the sink drawers unlocked and accessible to the children were paint cleaner, hand sanitizer, and Lysol Under sink area covered by table cloth were fresh home spray, weed killer spray, paint cleaner brush spray. On top of rubber maid container in the sink area: were Lysol wipes, Windex, and hand sanitizer.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3290.72

Description: Emergency Numbers Posted

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, THE CERTIFICATION REP DID NOT SEE ANY VISIBLE POSTINGS OF THE EMERGENCY TELEPHONE NUMBERS ( NEAREST HOSPITAL, POLICE DEPARTMENT, FIRE DEPARTMENT, POISON CONTROL CENTER, AND AMBULANCE) POSTED IN THE FACILITY.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, THE FIRST AID KIT WAS MISSING THE SCISSORS.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: ON JULY 18, 2022 , DURING THE RENEWAL INSPECTION, CERTIFICATION REP. OBSERVED THE FOLLOWING ITEMS LISTED BELOW: TOOL UNDER THE SINK WITH A CLOTH COVERING LIGHT FIXTURE COVER MISSING IN CHILDCARE SPACE ON LOWER LEVEL BOOK SHELF NOT MOUNTED TO WALL IN TODDLER SECTION LARGE WOOD FOLDED TABLE NOT MOUNTED IN PRESCHOOL SPACE LOOSE WIRE IN GREEN BOX NEXT TO TELEVISION DAMAGED CIELING TILES UNCLEAN REFRIGERATOR IN KITCHEN. RUBBERMAID CONTAINERS OF PAPERS IN THE CHILD CARE SPACE.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Regulation: 3290.94(a)(1)/3290.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: ON JULY 18, 2022, DURING THE RENEWAL INSPECTION, THE FIRE DRILL LOG LAST RECORDED DRILL WAS DATED 4/15/22 EXCEEDING THE COMPLIANCE OF THE FAMILY CHILD CARE REGULATIONS THAT ALL FAMILY PROVIDERS MUST CONDUCT FIRE DRILLS AT LEAST ONCE EVERY 60 DAYS.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Noncompliance Area: On 8/27/19 at renewal inspection certification representative observed that the facility's refrigerator did not have a thermometer to ensure that temperature is 45 degrees or below.

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: On 8/27/19 at renewal inspection certification representative observed that the children's lunches were served on Styrofoam plates.

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: On 8/27/19 at renewal inspection certification representative observed that the file of child # 2 did not contain verification that child service reports had been completed for the child and provided to the child's parent.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3290.124(e).

Noncompliance Area: On 8/27/19 at renewal inspection certification representative observed that the facility did not have copies of the children's emergency contact forms when going on excursions away from the facility.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: On 8/27/19 at renewal inspection certification representative observed that the facility did not have a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: On 8/27/19 at renewal inspection certification representative observed that the file of child # contained a health assessment dated 9/16/11 and the file of child # 2 contained a health assessment dated 7/12/18.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

Noncompliance Area: On 8/27/19 at renewal inspection certification representative observed that the file of staff person # 1 contained verification that staff person has completed 6 hours of child care training in the past 24 months.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: On 8/27/19 at renewal inspection certification representative observed that the exit to the rear of the facility was obstructed by household items and toys.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: At the time of inspection, a few pieces of furniture or equipment used by the children were either unclean or in disrepair. The children's plastic chairs were unclean. The couch used by children was in disrepair and stains were observed on the surface. Several areas of the couch had rips in the surface exposing the cushion foam.

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: At the time of inspection, the rest equipment observed was not labeled for the use of a specific child and used only by the specified child. The Pack & Play observed in the facility had a rip in the side.

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: At the time of inspection, Child Service Reports were not completed in the last 6 months for child #1 and #4.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at 3290.124(e).

Noncompliance Area: At the time of inspection, the emergency contact information for child #1 and #4 were missing either the address or 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: At the time of inspection, child #1 and child #2 did not have health assessments in compliance with regulations. Child #1 did not have an individual file or record of an initial health assessment. Child #2's health assessment was dated 11/16/16.

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 child's record must contain initial and subsequent health reports.

Noncompliance Area: At the time of inspection, staff member #1 did not have an initial or subsequent health assessment on file at the facility.

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 on file at the facility.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: At the time of inspection, the operator did not have an individual record for child #5 enrolled in the facility.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: At the time of inspection, the emergency contact and agreement forms for child #1 and #3 had not been reviewed or updated in the last 6 months. Child #1's emergency contact and agreement last signed by parent 7/3/17. Child #3's emergency contact and agreement last signed by parent 7/3/17. Child #5 did not have a signed emergency contact or agreement form on file at the facility.

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.

Noncompliance Area: At the time of inspection, the emergency contact for child #2 and #3 did not include signed parental consent for emergency medical treatment and minor first-aid procedures by facility staff.

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

Noncompliance Area: At the time of inspection, the facility did not have written verification of the operator's annual review or update of the facility's emergency plan.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: At the time of inspection, staff member #1 did not have verification of receiving the annual 6 hours of child care training,

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: At the time of inspection, the facility was not in compliance with the Child Protective Service Law. The file for staff member #1 contained an FBI clearance dated 11/28/12 and did not contain the PA State Police nor Child Abuse clearances. Facility person #2, age 18; did not have Pa State Police, Child Abuse nor FBI clearances. The disclosure statement required under the CPSL was not observed for staff member #1.

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

Noncompliance Area: At the time of inspection, a roach was observed crawling along a wall in the child care area.

Correction Required: Evidence of infestation of insects or rodents in the facility is not permitted.

Noncompliance Area: At the time of inspection, the waste receptacle used for disposable of diapers at the diaper changing area was not hands-free. The other waste receptacles in the facility were observed without lids but used to dispose of items containing with human secretion; i.e. tissues for blowing noses.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: At the time of inspection, a few areas of the facility were in disrepair or unclean. Water stained ceiling tiles and unclean floor tiles were observed in the child care area. Soil from a potted plant was observed spread on the floor near the plant. Splintered wood was observed on the wood frame of the bathroom entrance. Rust was observed on the metal cabinet draws of the kitchenette against the wall. Crayon streaks and hand prints were observed on the wall leading up the steps.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: FILE RECORDS FOR CHILD #1, CHILD #2, AND CHILD #3 DID NOT INCLUDE A FINANCIAL AGREEMENT SIGNED BY BOTH PARENT AND OPERATOR

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

Noncompliance Area: FILE RECORDS FOR CHILD #1, CHILD #2, AND CHILD #3 DID NOT INCLUDE CONSENT FOR EMERGENCY MEDICAL CARE

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: FILE RECORDS FOR CHILD #1, CHILD #2, AND CHILD #3 DID NOT INCLUDE 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: FILE RECORD FOR CHILD #1, CHILD #2 AND CHILD #3 DID NOT INCLUDE THE ADDRESS OF DESIGNATED 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: FILE RECORDS FOR CHILD #1,CHILD #2, AND CHILD #3 DID NOT INCLUDE AN SIGNED UPDATE AT LEAST ONCE IN A SIX MONTH PERIOD

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: FILE RECORD FOR CHILD #1 CHILD #2, AND CHILD #3 DID NOT INCLUDE SIGNED PARENTAL CONSENT FOR EMERGENCY MEDICAL CARE AND ADMINISTRATION OF MINOR FIRST AID

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

Noncompliance Area: FILE RECORD FOR STAFF #1 DID NOT INCLUDE A WRITTEN REPORT OF INITIAL OR SUBSEQUENT HEALTH ASSESSMENT

Correction Required: 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: FILE RECORD FOR STAFF #1 DID NOT INCLUDE MANDATED AND PERMISSIVE REPORTING TRAINING

Correction Required: 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 #--- may not work in a child care position at the facility.

Noncompliance Area: EMERGENCY PLAN AND EVACUATION ROUTES WERE NOT DEVELOPED FOR THE FACILITY DURING INSPECTION ON 7/7/17

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3290.94 (f) and (g) (relating to fire drills).

Noncompliance Area: FILE RECORD FOR STAFF #1 DID NOT INCLUDE MINIMUM OF 12 HOURS OF CHILD CARE TRAINING

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: FIRST AID KIT FOR THE FACILITY WAS MISSING TWEEZERS AND GAUZE PADS

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.