Jeannette Manning

Noncompliance Area: DURING THE RENEWAL INSPECTION A CHILD WAS SLEEPING ON REST EQUIPMENT THAT DID NOT HAVE 2 FEET OF SPACE ON 3 SIDES.

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: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 1 (ENROLLED 3/4/19) DID NOT INCLUDE A HEALTH REPORT.

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: DURING THE RENEWAL INSPECTION THE FILE OF CHILD 3 (DOB 9/10/18) DID NOT INCLUDE AN UPDATED HEALTH REPORT.

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

Noncompliance Area: DURING THE RENEWAL INSPECTION STAFF 1 ASSISTED 3 CHILDREN WHO WERE USING TRAINING CHAIRS AND CHANGED THEIR DIAPERS WITHOUT WASHING HANDS AFTER ASSISTING EACH CHILD.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: DURING THE RENEWAL INSPECTION THERE WERE BOTTLES THAT WERE NOT LABELED.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE EMERGENCY CONTACT INFORMATION FOR CHILD 5 (ENROLLED 2/5/14), AND THE FINANCIAL AGREEMENT FOR CHILD 1 (ENROLLED 3/4/19), CHILD 2 (ENROLLED 9/11/18), CHILD 3 (ENROLLED 2/4/19), CHILD 4 (ENROLLED 5/19/14) AND CHILD 5 (ENROLLED 2/5/14) DID NOT INCLUDE A 6 MONTH REVIEW AND UPDATE.

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: DURING THE RENEWAL INSPECTION THERE WAS A CAN OF RAID INSECT SPRAY AND A RUSTY CAN OF PAINT UNDER THE SINK THAT WAS ACCESIBLE TO CHILDREN.

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.

Noncompliance Area: DURING THE RENEWAL INSPECTION THE BASEBOARD IN THE SIDE ROOM WAS IN DISREPAIR EXPOSING SHARP EDGES. THERE WERE SHARP POINTY TOOLS IN AN UNLOCKED DRAWER IN THE CHILD CARE SPACE THAT WAS ACCESSIBLE TO CHILDREN. THE DOOR FRAME LEADING TO THE SIDE ROOM WAS IN DISREPAIR EXPOSING PEELING TAPE AND SHARP EDGES. THE HANDLES ON THE SINK WERE IN DIS REPAIR AND DID NOT WORK. THE SINK WAS BACKED UP AND NOT DRAINING PROPERLY. THE FLOOR TILES IN THE BATHROOM WERE TORN AND LOOSE POSING A TRIPPING HAZARD. THE AREA WHERE THE HOT WATER HEATER AND GAS FURNACE ARE LOCATED IS ACCESSIBLE TO CHILDREN. THE TARP ATTACHED TO THE GATE IN THE OUTDOOR PLAY AREA WAS TORN AND FRAYED. A MAT USED FOR REST EQUIPMENT WAS TORN.

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.

Noncompliance Area: THERE WAS A METAL COLUMN IN THE OUTDOOR PLAY SPACE WITH RUSTY PEELING PAINT. THERE WAS DAMAGED PAINT AND PLASTER AROUND THE DOOR FRAME.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: FILE RECORD FOR CHILD #1, CHILD #2, AND CHILD #3 DID NOT INCLUDE RELEASE PERSONS ON THE AGREEMENT

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

Noncompliance Area: FILE RECORD FOR STAFF #1 AND STAFF #2 DID NOT INCLUDE A HEALTH ASSESSMENT

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.

Noncompliance Area: FILE RECORD FOR STAFF #1 DID NOT INCLUDE A HEALTH ASSESSMENT COMPLETED IN LAST TWENTY-FOUR MONTHS; LAST COMPLETED 9/8/16

Correction Required: 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.

Noncompliance Area: FILE RECORD FOR CHILD #1, CHILD #2, AND CHILD #5 DID NOT INCLUDE A REVIEW AND UPDATE OF THE FINANCIAL AGREEMENT

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: FILE RECORD FOR CHILD #4 DID NOT INCLUDE CONSENT FOR EMERGENCY MEDICAL CARE

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.

Noncompliance Area: FILE RECORD FOR CHILD #4 DID NOT INCLUDE SIGNED CONSENT FOR MINOR FIRST AID PROCEDURES

Correction Required: 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 #2 DID NOT INCLUDE EMERGENCY PLAN TRAINING

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.

Noncompliance Area: FILE RECORD FOR STAFF #1, STAFF #2 AND STAFF #3 DID NOT INCLUDE CHILDCARE TRAINING

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

Noncompliance Area: FILE RECORDS FOR STAFF #1, STAFF #2, AND STAFF #3 DID NOT INCLUDE FIRST AID TRAINING

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: At the time of inspection, an infant's pack & play was not labeled with the child's name.

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, children were observed drinking from styrofoam cups.

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

Noncompliance Area: At the time of inspection, child #1 and #4 did not have current child service reports completed within the last six months.

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 form for child #1 and #3 were missing either name, address and/or telephone number of the individual designated by the parent to who 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 #2 did not have a completed health assessment on file at the facility. Observed in the child's record was a shot record dated 09/02/2016

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. A health report shall include a review of the child's health history.

Noncompliance Area: At the time of inspection, bottles and sippy cups were observed unlabeled; without the children's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: At the time of inspection, the emergency contact form for child #3 did no contain signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: 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 emergency plan observed did not include information about shelter in place at the facility.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises..

Noncompliance Area: At the time of inspection, the operator had not documented in writing the annual review 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 written verification of receiving initial or annual emergency plan training.

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.

Noncompliance Area: At the time of inspection, the operator did not have a letter to provide to parents of enrolling children explaining the emergency procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.