Judith A Holler - Lancaster PA Family Child Care Home

Noncompliance Area: Upon inspection of the physical childcare space, two electrical outlets accessible to children [behind left side crib] were found that do not have protective outlet covers.

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

Noncompliance Area: Upon inspection of the physical childcare space, it was found that the temperature of the kitchen handwashing sink used by the children was 128 degrees.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Upon inspection, it was observed on multiple occasions that the provider stepped into the kitchen and out of the childcare space where the children were playing or awaiting lunch [for 30 seconds or more]. In addition, one female child was observed going from the childcare space, through the kitchen to the bathroom without direct adult supervision.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: Upon discussion of daily routine activities, the Provider indicated that the children do not get time outdoors every day.

Correction Required: Weather permitting, children shall be taken out doors daily.

Noncompliance Area: Upon inspection, toxic cleaning materials were observed to be accessible to children in an unsecured cabinet under the kitchen sink.

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: Files for child #4 and #5 contained updated child service reports, emergency contact forms, and agreements but none of these forms were reviewed or updated 6 months from the previous review as required. File for child #6 contained an updated child service report but this updated was not completed within 6 months from the previous update. Emergency contact form and agreement form for child #6 were not updated.

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).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: Child #2 began care in April 2018 but Initial health report was not obtained until October 2018. Initial health report for child was not on file no later than 60 days following the first day of attendance at the facility.

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: File for staff person #1 contained a health report dated 4/14/16 and the updated health report on file was dated 9/7/18. The updated health assessment on file was not completed within the 24 month period from the previous health assessment as required.

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 for staff person #1 did not contain a signed disclosure statement.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: It was observed that multiple cleaning materials for facility were stored under the kitchen sink cabinets which were accessible 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: It was observed that sharp steak knives, which are a visible hazard, were stored in a kitchen drawer accessible to children at facility.

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: It was observed that an evacuation plan was not developed or posted at facility.

Correction Required: Fire evacuation plans shall be developed and posted.

Noncompliance Area: Child 1 does not have a health assessment on file, An initial health assessment is required. Child 2, a toddler, last health assessment was 6/13/2016. An updated health assessment is required.

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