Just About Me Early Learning Center

Noncompliance Area: At the time of inspection, the emergency contact forms for child #2, #3 and #4 were missing the addresses of the release persons .

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, the health assessment observed for child #1, D.O.B 12/10/18 was dated 3/21/19.

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 shall contain initial and subsequent health reports.

Noncompliance Area: At the time of inspection, the file for child #4, age 2 years old; contained a health report dated 6/13/18.

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 shall contain initial and subsequent health reports.

Noncompliance Area: At the time of inspection, the file for staff member #1 did not include a health assessment dated in the last 24 months. Observed in staff member #1's file was a sick visit summary dated 10/22/19 and some other health document dated 5/15/17.

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 file for staff member #1 did not contain two written nonfamily reference letters 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: At the time of inspection, the file for staff member #1, hired 10/3/17; did not include a valid FBI clearance. The FBI clearance observed in the file was dated 9/24/14 which was over 60 months old and not valid after 9/24/19. A request receipt for FBI finger printing dated 10/30/19 was also observed in the file for staff member..

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

Noncompliance Area: At the time of inspection, the indoor play space was observed with furniture and other storage items which doesn't allow for space for large muscle activity.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding. Outdoor or indoor play space shall be safe for large muscle activity.

Noncompliance Area: At the time of a inspection, dust was observed on the base of the television and the television stand. The fish tank cover/hood was observed with water stain marks. A wooden storage shelve in the corner of the school-age children's area was observed with dust.

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: At the time of inspection, two incidents of unsafe infant sleep were observed. First incident was when an infant was placed in a Pack and Play on a u-shape pillow and second was when an infant was observed laying in a Pack and Play with a bottle in the child's mouth.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. 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: At the time of inspection, on two occasions staff were observed lacking in supervision. Staff member #6 walked away from her assigned group of 4 children, ages 3 to 5 years old; to enter the back of the facility with no transfer of responsibility to another qualified staff member. The four preschool children assigned to staff member #6 were left in the front of facility with the visiting Spanish Teacher, whom wasn't staff; and staff member #7 whom was responsible for supervising her own assigned group of four ( 2 year old) children. Staff member #5, whom was responsible for 3 infants; was observed leaving out of the infant area with one infant to change a diaper in the back area; without transferring responsibility of supervision to another qualified staff member of the remain two infants.

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.Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: At the time of inspection, the emergency contact forms for child #5, #6, #7 and #9 were missing release persons addresses.

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, the files for child #1 and child #2 did not include a treatment plan for their chronic health problems.

Correction Required: A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Noncompliance Area: At the time of inspection, prescription medication for child #1 was observed without the original label.

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

Noncompliance Area: At the time of inspection, prescription medication for child #1, #2 and #3 were observed on site without medication logs signed by the child's parent giving written permission to administer the medicine.

Correction Required: An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Noncompliance Area: At the time of inspection, the file for staff member #4, hired 8/27/18; 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 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 file for child #7 did not include a written statement giving the formula and feeding schedule obtained from the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: At the time of inspection, the emergency contact and/or agreement forms for child #4, #5 and #9 had not been reviewed or updated in the last 6 months, with the parents' signatures.

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: At the time of inspection, the emergency contact form for child #4 and #7 did not contain signed parental consent for emergency medical care and consent for administration of minor first-aid procedures by facility person.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall 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 file for staff member #3 did not include the required 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: At the time of inspection, staff members #1 did not have written verification of receiving 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 and kept on file at the facility.

Noncompliance Area: At the time of inspection, the file for staff member #2. hired 1/31/17; included a PA State Clearance dated 12/09/14 which was completed for the purpose of "Housing" instead of "employment". The file for staff member #3, hired 10/3/18 ; included a FBI clearance which indicated a record but the rap sheet was not included in the file.

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

Noncompliance Area: At the time of inspection, the files for staff member #3 and #5 did not include all the necessary verification of qualifications required for the position of assistant group supervisor, in which they were hired. Staff member #3, hired 10/3/18; did not have the required two years of verification of experience working with children. Staff member #5 hired 10/3/17; did not have verification of a high school education nor the two years of required verified experience working with children.

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

Noncompliance Area: At the time of inspection, the school age children whom arrived in the afternoon were observed using the designated indoor play space as their classroom (child care space).

Correction Required: Outdoor or indoor play space shall be measured at 65 square feet per childOutdoor or indoor play space in which children are receiving care may not be used simultaneously for other business, co`mmercial, social or another purpose unrelated to the child care being offered.

Noncompliance Area: At the time of inspection, the facility was observed with a few visible hazards. On top of the thin partial wall which separated the indoor play space from the child care space was a commercial dehumidifier. The dehumidifier 's base is wider than the width of the wall and is a fall risk from a high surface. The clutter and over crowding of items or storage containers / furniture are hazards of tripping and limits easy access in/out of the facility.

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: At the time of inspection, one of the three toilets in the facility for children was broken.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: At the time of inspection, six space heaters were observed in use at the child care facility.

Correction Required: Portable space heaters are not permitted.

Noncompliance Area: At the time of inspection, the ride on toys and other play items in the indoor play area were unclean.

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: At the time of inspection, an infant child was observed placing a toy in their mouth and the toy remained available for use of other children without being sanitized.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Noncompliance Area: At the time of inspection, during nap time the rest equipment was observed less than 2 feet apart on three 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: At the time of inspection, a 7 month old child was observed sleeping in his rest equipment with a stuffed animal attached to a pacifier in the child's mouth.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.

Noncompliance Area: At the time of inspection, a child service report observed for child #2 did not include dates to include dates to reflect a report had been completed within the last six months.

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: At the time of inspection, the health assessment of staff member #7 did not include tuberculosis screening by the Mantoux method at initial employment.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: At the time of inspection, the facility did not have a current document verifying annual notification sent to the local traffic safety authorities in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility after 5/9/16.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: At the time of inspection, the insure coverage and registration for the vehicle used to transport children was not available on file at the facility.

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Noncompliance Area: At the time of inspection, the facility's general liability insurance was not observed at the facility.

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.

Noncompliance Area: At the time of inspection, the emergency contact and agreement forms for child #1 had not been reviewed or updated by the child's parent within the last 6 months.

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: At the time of inspection, staff member #7 did not have 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: At the time of inspection, the facility was observed with boxes and storage items cluttered in the hallway leading to the very back door exit and other child care areas. The hallway leading from the bathroom was observed with 6 or 7 metal folding chairs lended against the wall representing a tipping hazard and obstruction of a means of egress.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.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, the operator had not documented in writing the annual review or update 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 and kept on file at the facility.

Noncompliance Area: At the time of inspection, facility persons #1 and #5 had not received the annual emergency plan training for 2017. Staff member #2, #4, #6 and #7 did not have verification of receiving the initial emergency training at initial employment nor did they have the annual emergency plan training for 2017.

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: At the time of inspection, the staff record for staff #1 hired 11/14/2016, did not include verification of education to qualify for a position as child care staff. Staff member #1's record contained a high school diploma from Jamaica and it didn't include an evaluation of the education to determine the equivalency to U.S. Department of Education standards.

Correction Required: An individual 16 years of age or older who is enrolled in an approved training curriculum may be used as a staff person, if the curriculum is conducted by an institution approved by the Department of Education and accredited by an accrediting agency recognized by the United States Department of Education or the Council on Postsecondary Education and acceptable to the Department of Education.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: At the time of inspection, the file for staff #7 hired on 9/29/17 did not contain completed PA State Criminal clearance required under the CPSL and did not contain a copy of a request for PA State Criminal required under the CPSL. The file for staff #7 also did not contain a completed Child Abuse clearance required under the CPSL and did not contain a copy of a request for Child Abuse clearance required under CPSL.

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

Noncompliance Area: At the time of inspection, the first-aid kit used for excursion from the facility did not contain a bottle of water.

Correction Required: One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3270.75(c).

Noncompliance Area: At the time of inspection, a few areas of the facility were in disrepair. In the pre-school area, the metal protective covering on the radiator was in need of repair. The air conditioner and the ceiling tile near the air conditioner in young toddler area was covered with dirt/debris. The small fan used near the indoor play area was observed with dust/ debris on the surfaces. The storage cabinet in the play area was observed with dirt smudges on the surface. The metal light frame on the ceiling of the indoor play area was observed with rust on the surface. The amount of items and furnishings cluttered around the facility was viewed as a hazard.

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.