Joni Litzingers Childcare

Noncompliance Area: The file of child #1 lacked department approved documentation of the child's growth and development. At the time of the inspection, director was given the opportunity to review the file.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The file of staff #5 with a start date of 9-5-19 had a health assessment dated 9-10-19. Therefore the health assessment was not conducted within 12 months prior to providing initial service in a child care.

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 the inspection the director was unable to locate a file for staff #9. Furthermore, the director could not provide a start date for staff #9.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: The files of staff #1, #4, #5, #7, and #8 lacked documentation of training for emergency plan at the time of initial employment.

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 files of staff #1, #3, and #4 lacked proof of completing the annual minimum of 6 clock hours of child care training.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file of staff #2 with a start date of 10-3-19 lacked a Child Abuse clearance, had a PA State Police clearance dated 10-4-19, and no documentation of Mandated Reporter training completed which was due on January 4, 2020. The file of staff #5 with a start date of 9-5-19 lacked Child Abuse and FBI clearances prior to start date. The Child Abuse clearance was dated 9-15-19 and the FBI clearance was dated 9-7-19. There was also documentation that staff #5 completed Mandated Reporter training on 2-5-2020, which was more than 90 days from date of hire. The file of staff #6 with a start date of 6-18-19 had documentation of completing Mandated Reporter training dated 9-25-19. The file of staff #7 with a start date of 10-2-19 lacked documentation of completing Mandated Reporter training within 90 days of start date. Mandated Reporter training was completed on 1-8-2020.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 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 #2 may not work in a child care position at the facility.

Noncompliance Area: The files of staff #4, #6, and #8 all identified as Group Supervisors, lacked documentation in each of their files to support the position.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university, including 30 credit hours in early childhood education, child development, special education, elementary education or the human services field and 3 years of experience with children. 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: Observed a sink in the toddler space in which water did not flow directly into a drain connected to a sewage system but rather flowed into a jug/receptacle. Based on conversation with staff the jug is dumped every 2 days rather than daily.

Correction Required: A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

Noncompliance Area: The file of staff #1 with a start date of 9-5-19 had a health assessment dated 9-10-19. The file of staff #4 with a start date in care with children of 6-18-19 had a health assessment dated 2-6-18. Therefore, the health assessment was not within 12 months.

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: The file of staff #2 lacked two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

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 file of staff #1 provisionally hired on 9-5-19 had an FBI clearance receipt dated 9-7-19. The file of staff #2 lacked a Child Abuse Clearance and a signed disclosure statement. Staff #4 with a hire date of 6-18-19 lacked documentation of completing Mandated Reporter Training.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: Observed staff person #1 hired on 9-5-19 but not as a staff person in care with children in ratio with 5 toddlers on the playground. Staff #1 and staff #5 were the only staff present with the 5 toddlers and 7 preschool children. Therefore, the staff were out of ratio.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30. IF USING TIERED LIS: The required staff:child ratios must be maintained at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: Upon review of files and conversation with the legal entity it was determined that there was not documentation to support staff #3 is employed and present at the facility site for a minimum of 30 hours per week.

Correction Required: A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

Noncompliance Area: The file of facility person #1 lacked documentation of a high school diploma or a general educational development certificate.

Correction Required: An aide shall have a high school diploma or a general educational development certificate. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: Observed in the pre school room, a wooden shelf located to the left of the entrance had a corner with splintering wood.

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: The main room, toddler room, preschool, and multi-purpose room lacked a written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: The file of child #1 with an enrollment date of 9-5-18, lacked a health assessment within 60 days of enrollment. The only health assessment on file was dated 2-6-19.

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: The file of staff #1 with a start date in care with children of 10-30-18, lacked a full PA State Police report. The receipt for request dated 4-27-15 was the only document in the file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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: Observed the sink in the toddler room lacked a hand washing sign.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: Observed on the floor in the infant/young toddler room a Bumbo that was described as hazardous by the United States Consumer Product Safety Commission due to the fact that it lacked the safety strap. Observed in the preschool room a yellow plastic basket damaged and broken on the bottom. Observed in the child care space upon entry a brown plastic bin with a broken handle.

Correction Required: Children's toys and equipment, including furniture and rest equipment, described as hazardous by the United States Consumer Product Safety Commission may not be used by children at the facility and may not be on the premises at the facility. At the time of inspection, the operator shall submit to the Department written affirmation on a form provided by the Department stating that the facility is in compliance with this requirement.

Noncompliance Area: Observed in the craft room used by all children in care plastic bags stored in the bottom drawer of the cabinet by the closet. The drawer was not secured making the plastic bags accessible to children. Observed in the child care space upon entry plastic bags hanging from cubby hooks. The cubby hooks were at the height of the toddlers making them accessible to children in care.

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: Observed in the preschool room rest mat #1 and #5 torn at the end with exposed foam. Observed in the infant/young toddler room rest equipment not labeled for the use of a specific child; none of the pack and play cribs were labeled.

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 preschool room lacked a daily schedule.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: The file of staff #1 with a start date of 9-24-18 lacked proof of education, transcript or a diploma.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: Observed in the young toddler space a box fan sitting on the floor accessible to children in care.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: Observed in the toddler room 1 electrical outlet lacking the protective receptacle cover.

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

Noncompliance Area: Observed in the craft room an unlocked closet housing the following items: on the floor, 2 cans of 409 cleaner labeled keep out of the reach of children, 1 bottle of Lysol cleaner labeled keep out of the reach of children, 1 bottle of bleach water, and paint cans.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: The infant room, toddler room, preschool room, and school age room upon entry lacked a first aid kit.

Correction Required: A first-aid kit shall be in a child care space.

Noncompliance Area: Observed in the craft room, a first aid kit stored in the bottom right drawer of a cabinet located near the closet. The drawer was not secured, making the first aid kit accessible to children.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: The restroom in the hallway lacked hand washing signs at the toilet and at the sink.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: Observed the following dates on the fire drill log: 10-6-17, 12-8-17, 2-14-18, 4-19-18. Therefore, fire drills were not held within 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Observed in the unsecured drawers of the desk in the preschool room a spool of beading wire, AAA batteries, pennies, dimes, staples, and thumb tacks.

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: Observed in the restroom used by children in care, the second drawer labeled 'locked cabinet meds/creams/sanitizing solution', Infant's Advil, and a jar of A and D ointment accessible due to a faulty lock.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: Observed in the infant room, a Nuby brand orange bottle not labeled for a specific child.

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

Noncompliance Area: Observed in the infant room Pack 'n Play #3 and #4 with loose fitted sheets posing a suffocation threat. Observed in the young toddler room Pack 'n Play #3 with loose fitted sheets posing a suffocation threat.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: The file of staff #1 with a hire date of 4-11-18, lacked documentation of fingerprinting for the FBI clearance and/or the completed report. The file of staff #2 with a start date of 4-10-18, lacked a Child Abuse clearance requested for the purpose of employment.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: Observed in the restroom located in the hall, a spray bottle labeled ' sanitizing solution' in the second drawer of the cabinet labeled 'locked cabinet meds/creams/sanitizing solution'. The drawer was accessible due to a faulty child safety lock.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: Observed hot water from the sinks in both restrooms that measured 123 degrees F.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: Observed a fire drill log with the following dates: 10-6-17, 12-8-17, 2-14-18, and 4-19-18. Therefore, fire drills were conducted beyond the minimum 60 days requirement.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Observed in the toddler room a plastic blue basket that was cracked on the top and damaged on the side.

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: Copies of emergency contact forms were not present in each child care space.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

Noncompliance Area: The file of staff #1 lacked 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 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: The file of staff #1 lacked proof of education.

Correction Required: A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: The file of staff #2 lacked 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 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: The file of staff #1 lacked a health assessment with the physician's or CRNP's assessment of the person's suitability to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The files of staff #1 and #2 lacked 2 letters of reference for each staff.

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 files of staff #1 and #2 lacked verification of child care experience.

Correction Required: A primary staff person shall have attained a high school diploma or a general educational development certificate and 2 years of experience with childrenA facility person's record shall include verification of child care experience, education and training prior to service at the facility.