Johnson Group Child Care H

Regulation: 3280.123(a)(1)

Description: Amount of fee

Noncompliance Area: On 5/19/23, during the renewal inspection, child #2 did not have the fee to be charged per day or per week on the agreement form.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Regulation: 3280.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: On 5/19/23, during the renewal inspection, child #2 did not the insurance policy and insurance policy plan number available on the emergency contact form.

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: 3280.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: On 5/19/23, during the renewal inspection, child #1 did not have evidence of an review or updated emergency contact and agreement form.

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: 3280.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: On 5/19/23, during the renewal inspection, child #2 did not have Parental consent for administration of minor first-aid procedures by staff on the emergency contact form.

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: ON SEPTEMBER 13,2020, DURING YOUR RENEWAL INSPECTION, STAFF PERSON # DID NOT HAVE A NSOR PRESENT IN THEIR STAFF FILE.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 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 #1 may not work in a child care position at the facility.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION THE CERTIFICATION REPRESENTATIVE OBSERVED THAT THERE WERE BROKEN AND DIRTY TOYS STORED IN THE TOY HOUSE/LOG CABIN LOCATED IN THE OUTDOOR PLAY SPACE. THERE WAS ALGAE AND WEEDS GROWING IN THE SANDBOX. THE BOLTS ON THE TABLE/BENCH WERE RUSTED. THIS IS CONTINUED NON-COMPLIANCE.

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: DURING THE UNANNOUNCED INSPECTION THE AGREEMENT IN THE FILE FOR CHILD 1 (ENROLLED 11/27/18), CHILD 2 (ENROLLED 9/10/18), CHILD 3 (ENROLLED 5/23/18) AND CHILD 4 (NO ENROLLMENT DATE) DID NOT SPECIFY THAT SERVICES WILL INCLUDE THE PROVISION OF A CHILD SERVICE REPORT TO THE PARENT; AND THE FILE FOR CHILD 2 DID NOT CONTAIN A CHILD SERVICE REPORT. THIS IS CONTINUED NON-COMPLIANCE.

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 3280.124(f).

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION THE FILE OF CHILD 4 DID NOT INCLUDE THE DATE OF THE CHILD'S ADMISSION AND DID NOT CONTAIN AN AGREEMENT SIGNED BY THE OPERATOR.

Correction Required: An agreement shall be signed by the operator and the parent.An agreement shall specify the date of the child's admission.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION THE EMERGENCY CONTACT INFORMATION IN THE FILE OF CHILD 2 DID NOT INCLUDE THE PARENTS WORK ADDRESS AND TELEPHONE NUMBER. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION THE EMERGENCY CONTACT INFORMATION IN THE FILE OF CHILD 2 (ENROLLED 9/10/18) DID NOT CONTAIN A 6-MONTH UPDATE. THIS IS CONTINUED NON-COMPLIANCE.

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 informationA 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 UNANNOUNCED INSPECTION THE FILE FOR CHILD 1 (DOB 2/9/18) DID NOT CONTAIN A HEALTH REPORT. THIS IS CONTINUED NON-COMPLIANCE.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA child's record must contain initial and subsequent health reports.

Noncompliance Area: DURING THE UNANNOUNCED INSPECTION THE FILE OF CHILD 1 (DOB 2/9/18) DID NOT INCLUDE WRITTEN VERIFICATION OF VACCINES. THIS IS CONTINUED NON-COMPLIANCE.

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: DURING THE UNANNOUNCED INSPECTION THE BATHROOM WAS IN NEED OF CLEANING AS EVIDENCED BY STAINS ON THE BASE OF THE TOILET AND FLOOR. THE FOLLOWING HAZARDS WERE IN THE OUTDOOR PLAY SPACE: UNCLEAN, BROKEN BICYCLES AND OTHER TOYS WERE PLACED INSIDE THE PLAY HOUSE/CABIN; THE FENCE WAS RUSTED AND IN NEED OF REPAIR WITH RUST-STAINED INSERTS FALLING OUT. THIS IS CONTINUED NON-COMPLIANCE.

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

Noncompliance Area: During the renewal inspection the Certification Representative observed that there were broken and dirty toys stored in the toy house/log cabin located in the outdoor play space.

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: During the renewal inspection, the Certification Representative observed that the rest equipment used in the child care space was not labeled for individual use.

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: During the renewal inspection the Certification Representative reviewed child records for Child 1 (enrolled 11/27/18), Child 2 (enrolled 9/10/18) and Child 3 (enrolled 5/23/18). The agreement form in each child file did not specify that services will include the provision of a Child Service Report to the parent; and the files for child 2 and Child 3 did not contain a Child Service Report.

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 3280.124(f).

Noncompliance Area: During the renewal inspection, the Certification Representative observed that the emergency contact form in the files for Child 1, Child 2 & Child 3 did not contain the enrolling parent's work address. The emergency contact form in the files for Child 1 & Child 2 did not contain the enrolling parent's work telephone number.

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

Noncompliance Area: During the renewal inspection, the Certification Representative observed that the emergency contact form in the file for Child 3 did not contain documentation of a parent's 6-month review and update.

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: During the renewal inspection, the Certification Representative observed that the file for Child 1 (DOB 2/9/18) did not contain a 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

Noncompliance Area: During the renewal inspection, the Certification Representative observed that the file for Child 1 (DOB 2/9/18) did not include a health report which included a review of the child's health history. The record only provided immunization information.

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

Noncompliance Area: During the renewal inspection, the Certification Representative reviewed the immunization information in child files and observed that Child 2 (DOB 1/23/16) received 3 of the 4 recommended doses of Pneumococcal ; and Child 3 (DOB 11/1/11) received 1 of the 3 recommended doses of Hepatitis B.

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: During the renewal inspection the Certification Representative observed Staff 1 complete a diaper change. Staff 1 did not wash the child's hands after diapering until after the Supervisor Certification Representative pointed out that she had not washed the child's hands.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: During the renewal inspection, Certification Representative observe Staff 1 perform a diaper change. Staff 1 did not use a protective cover on the changing surface. After removing the soiled diaper, Staff 1 left the soiled on the service beside the child where the soiled diaper came into contact with the unprotected surface and the child. The diaper area did not contain a plastic-lined, hands-free covered can. Staff 1 opened the door leading to the emergency exit and discarded the soiled diaper in a plastic-lined can without a lid that was located outside of the childcare space in the hallway leading to the emergency exit.

Correction Required: 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: During the renewal inspection, Certification Representative observed Staff 1 spray the cloth changing surface with a toxic chemical after completing the diaper change.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: During the renewal inspection, the Certification Representative observed that Staff 1did not have a health assessment in her file.

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: During the renewal inspection, the Certification Representative observed that the bottles were not labeled.

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

Noncompliance Area: During the renewal inspection the Certification Representative observed that the emergency contact form and the financial agreement form for Child 3 did not contain documentation of a parent's 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 Certification Representative observed that the file for Staff 1 contained an incomplete CPSL disclosure statement which did not have a witness signature.

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: During the renewal inspection Certification Representative observed the following hazards in the outdoor play space: unclean, broken bicycles and other toys were placed inside the play house/cabin; a 2-3' rusted led pipe was lying under a bench; a brown, metal guardrail located at the base of the fence was bent with a sharp edge protruding into the play space.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: During the renewal inspection, the Certification Representative observed an uncovered electrical outlet accessible to children. The outlet was located in the childcare space beside the window.

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

Noncompliance Area: During the renewal inspection the Certification Representative observed toxic materials in the following locations: toxic cleaners were located in the bathroom on the floor behind the toilet; a toxic air freshener was plugged into an electrical outlet that was accessible to children; toxic chemicals were located in the hallway leading to the entrance to the play space which is also used as an emergency exit.

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 Certification Representative observed that the cords to the window blinds were hanging close to the floor and were accessible to children. The Certification Representative also observed that the bathroom was in need of cleaning as evidenced by stains on the base of the toilet and floor. A wall in the path of egress leading to the outdoor play space was cracked, and chipped with falling plaster/cement.

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

Noncompliance Area: During the renewal inspection the Certification Representative observed multiple hazards obstructing the path of egress leading to the entrance to the outdoor play space that is also used as an emergency exit. Obstructions included: a plastic trash bag; a lawn mower; a ladder; toxic chemicals and a stroller. Certification Representative also observed multiple hazards accessible to children along the path of egress including exposed electrical wires and access to the electric panel, as well as access to the gas meter, furnace, and hot water heater. A toy and an empty, plastic fishbowl were placed on top of the hot water heater. Sharp tools, rubber traffic cones, and an insulated beverage cup were sitting on the furnace. A baby bib was hanging from the gas lines leading from the gas furnace.

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, child #3 and #4 did not have a financial agreement form on file at the facaility. Child #1 and #2 did not have Child Service Reports completed with the last six months and provided to the parents to explain their child's growth and development.

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 3280.124(f).

Noncompliance Area: At the time of inspection, the facility did not have emergency contact information on file for child #3 and #4.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information shall reference who shall be contacted in an emergency.

Noncompliance Area: At the time of inspection, child #1 and #2 were missing the addresses of the individual(s) 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 enrolled 10/30/17 did not have a current health assessment on file at the facility.

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

Noncompliance Area: At the time of inspection, staff member #1 did not have a current 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 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.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 facility did not have a file for child #3 and #4.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility. Information in a child's record shall be kept current by the operator.

Noncompliance Area: At the time of inspection, water stained ceiling tiles were observed in the main room and chipped/peeling paint was observed on the baseboard in the bathroom.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces 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 RECORD FOR CHILD #2 AND CHILD #3 DID NOT INCLUDE THE ADDRESS AND PHONE NUMBER OF PHYSICIAN OR SOURCE OF MEDICAL CARE

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: EMERGENCY CONTACT INFORMATION DID NOT INCLUDE WORK ADDRESS FOR ENROLLING PARENT FOR CHILD #2 AND CHILD #3

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

Noncompliance Area: EMERGENCY CONTACT INFORMATION DID NOT INCLUDE HEALTH INSURANCE POLICY NUMBER FOR CHILD #1 AND #4

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: EMERGENCY CONTACT INFORMATION DID NOT INCLUDE THE ADDRESS OF A DESIGNATED RELEASE PERSON FOR CHILD #2 AND CHILD #4

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: CERTIFICATION REPRESENTATIVE OBSERVED THATSAFE ROUTES WERE NOT POSTED IN THE FACILITY

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: FILE RECORD FOR CHILD #1 DID NOT INCLUDE SIGNED CONSENT FOR ADMINISTRATION OF MINOR FIRST AID

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.