Jewish Community Center - Pittsburgh PA Child Care Center

Noncompliance Area: Room H, Room M, and Room K included Magna tiles which were cracked and broken.

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: Room E and Room F, which have toddlers in the room, had sensory bottles that had peeling glue on the lids, which was coming off in pieces smaller than 1 inch.

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: At nap time, there were occupied rest mats in Room C and Room G that were not 2 feet apart 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: An infant was observed sleeping on a boppy pillow on the floor of the Infant 2 Room for 5 - 10 minutes. Educators will ensure that all sleeping infants are placed in a crib or crib mattress sleep surface certified as sleeping surface for an infant and recommended by the American Academy of Pediatrics unless there is a medical reason, which then written and signed documentation from a physician will be placed in the child's record at the facility.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The files for Child #1, #2, #3, #4, #5, #6, #7, #8, #9 and #10 contained agreements which lacked an operator signature.

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

Noncompliance Area: The files for Child #2, #3, #4, #5, #6, #7, #8, #9 and #10 contained agreements which lacked enrollment dates.

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

Noncompliance Area: The files for Child #1 and #2 contained original agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: The file for Child #8 contained an emergency contact form which lacked the work address and telephone number of the enrolling parent.

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

Noncompliance Area: The file for Child #9 contained an emergency contact form which lacked an address for a release person.

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 file for Child #5 contained most recent health report dated more than 12 months ago. The file for Child #9 contained consecutive health reports dated more than 12 months apart.

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: The file for Child #3, age 17 months, contained documentation of immunization history with two doses of the Pneumococcal vaccination. The files for Child #3, age 17 months, #4, age 2 years, #9, age 4 years and #10, age 4 years, contained documentation of immunization history which lacked current doses of the influenza vaccination.

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: An expired Acetaminophen labeled for Child #11 was observed in Room N.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The most recent health assessment on file for Staff person #1 is dated 8/2/17, more than 24 months ago. The most recent health assessment on file for Staff person #2, dated 7/10/19, is dated more than 24 months after the previous health assessment dated 6/8/17. The most recent health assessment on file for Staff person #4 is dated 5/24/17, more than 24 months ago.The most recent health assessment on file for Staff person #13, dated 4/26/19, is dated more than 24 months after the previous health assessment dated 2/24/17. The most recent health assessment on file for Staff person #17 is dated 6/14/17, more than 24 months ago.

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.

Noncompliance Area: An unlabeled bottle containing a white liquid was observed in the Infant 1 Room.

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

Noncompliance Area: The liability insurance documentation on file at the facility expired 7/1/19.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.