D Shields Dba Glad Center

Regulation: 3270.106(a)

Description: Clean, age appropriate

Noncompliance Area: Observed cot list not filled out.

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.

Regulation: 3270.75(c)

Description: Has all items

Noncompliance Area: Observed downstairs classroom first aid kit missing soap and tape.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: Observed hole in wall in bathroom over sink and in childcare space pretend play area.

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.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: Observed water in bathrooms measuring at 116 degrees.

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

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed chipped paint in first floor child care space.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.77(a)

Description: No peeling paint or plaster

Noncompliance Area: Observed chipped paint in child care facility.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Regulation: 3270.82(h)

Description: Handwashing signs

Noncompliance Area: Observed bathroom missing handwashing 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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: During the renewal inspection on 1/26/23, the file reviewed for child #1 and child #2 was missing an updated health report. File only contained immunization record.

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.

Regulation: 3270.131(d)(5)/3270.131(e)(1)

Description: Immunization record/Exemption documentation from parent/guardian

Noncompliance Area: During the renewal inspection on 1/26/23, the immunization record for child #1 and child #2 were missing annual influenza vaccine.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. 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.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: During the renewal inspection on 1/26/23, the training record reviewed for staff #1 and staff #2 was missing Health and safety professional development training update required by OCDEL by December 30, 2022.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: During the renewal inspection on 1/26/23, the file reviewed for staff person #1 was missing updated 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.

Regulation: 3270.183(a)

Description: Locked cabinet

Noncompliance Area: During the renewal inspection on 01/26/23, the child files reviewed were not being stored in a locked cabinet.

Correction Required: Child records are confidential and shall be stored in a locked cabinet.

Regulation: 3270.69(b)

Description: 110º F or less

Noncompliance Area: During the renewal inspection on 1/26/23, hot water temperature tested at 120° F.

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

Regulation: 3270.123(a)(6)

Description: Admission date

Noncompliance Area: During renewal inspection 08/29/22, agreement forms on file for child #1, #2 and #3 did not contain the admission date

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

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: During renewal inspection 08/29/22, emergency contact form on file for child #1 did not contain name, address and telephone number of child's physician.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.124(b)(6)

Description: Insurance coverage information

Noncompliance Area: During renewal inspection 08/29/22, emergency contact form on file for child #1 did not contain health insurance coverage and policy information.

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: 3270.151(c)(3)/3270.151(c)(4)

Description: Exam communicable disease/Information re: medical problems

Noncompliance Area: During renewal inspection on 08/29/22, health assessment on file for staff person #1 did not indicate that staff person was free from communicable disease and suitable to work in child care.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include information on medical problems that might threaten the health of the children or prohibit a staff person from providing adequate care to children.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During renewal inspection on 08/29/22, file of staff person #1 did not contain completed PA State Police Criminal History Clearance; clearance on file was "Request Under Review".

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

Regulation: 3270.36(b)(5)/3270.192(2)(ii)

Description: HS/GED + 2 yrs/Exp, educ., training prior to facility

Noncompliance Area: During renewal inspection on 08/29/22, file of staff person #1 did not contain verification of education to qualify staff person for position performing (ASSISTANT GROUP SUPERVISOR).

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: During the renewal inspection the emergency contact information for the children in care were not present in the 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: During the renewal inspection child #2 and 3 did not have a current health assessment on file.

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: During the renewal inspection a annual written notification to the local traffic safety authorities of location was not on file,

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: During the renewal inspection child #1-3 did not have an emergency contact or financial agreement on file.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: During the renewal inspection there was an electrical outlet without a protective receptacle cover in the front of the child care space.

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 there was toxic materials (hand sanitizer) accessible to children in the front of the child care space area.

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: During the renewal inspection 2 of the rugs in the child care space were in need of cleaning.

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 dolls and some of the indoor play equipment that the children use was not clean.

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 written plan of daily activities for the entire day was not posted in the child care space.

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

Noncompliance Area: During the renewal inspection child #1 and 2 emergency contact and financial agreement was not updated at least once in a 6-month period.

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 renewal inspection staff #1 and 2 did not have a current health assessment on 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.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: During the renewal inspection there was not a current copy of the insurance policy on file 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: During the renewal inspection child #2 emergency contact did not contain signed parental consent for administration of minor first-aid procedures on file.

Correction Required: 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: During the renewal inspection there was a toxic plug in accessible to the children in the child care space.

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: During the renewal inspection the thermostat was broken and not able to determine the temperature in the child care facility.

Correction Required: The indoor temperature shall be at least 65 F.

Noncompliance Area: During the renewal inspection the first-aid kit did not contain soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: During the renewal inspection the bathroom did not have a hand washing sign posted.

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: DURING RENEWAL INSPECTION ON 12-20-17, CERT REP OBSERVED AN OUT OF DATE HEALTH ASSESSMENT IN THE FILE OF CHILD 5.

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: Cert rep observed a child- size character chair that was damaged, ripped with the stuffing exposed.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child`s size, age and special needs.

Noncompliance Area: Cert rep observed the operator lay an 8 month old on her stomach when placing the sleeping infant down for a nap.

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 agreement for child #1, 3, 4 and 5 was not signed by the operator.

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

Noncompliance Area: The agreements for child #1-5 did not specify the child`s arrival and departure times.

Correction Required: An agreement shall specify the child`s arrival and departure times.

Noncompliance Area: The agreement for child #1-5 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The agreement for child #1-5 did not specify the date of the child`s admission.

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

Noncompliance Area: The emergency contact information for child #1 did not include the address of the child's physician. The emergency contact information for child #3, 4 and 5 did not include the name address and phone number of the child's physician.

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: The emergency contact information for child #2 did not include the parent's (mom) work address and phone number.

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

Noncompliance Area: The emergency contact information for child #1, 2, 4 and 5 did not include the health insurance coverage and policy number for the child.

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: The emergency contact information for child #1, 2, 4 and 5 did not include either one or all of the following name, address, phone number, for the individual 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: Staff person #1 did not have an updated health assessment in their record. The health assessment in staff's record was dated 11/19/14.

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 operator did not have a written statement from the parent of the infant enrolled, giving the formula and feeding schedule for the infant.

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

Noncompliance Area: The operator did not have a copy of the insurance policy on file at the facility. Cert rep observed the operator contact the insurance provider, during the inspection, to request a copy of the insurance policy to be emailed to the operator.

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: Staff person #2 and 3 did not have verification of prior child care experience in their record.

Correction Required: A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: Staff person #2 did not have 2 written references in their record.

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: Staff persons #1 and 3 did not have verification in their record of obtaining an 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: Staff person #1 did not have verification of participating in annual firesafety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility`s fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: Staff person #1 did not have verification of completing Mandated Reporter training, as required by CPSL.

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

Noncompliance Area: The operator did not have verification of any staff persons present at the facility on the day of the inspection being competent in first-aid techniques.

Correction Required: One or more facility persons competent in first-aid techniques shall be at the facility when one or more children are in care.

Noncompliance Area: Cert rep observed protective covers missing from 3 electrical outlets in the facility.

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

Noncompliance Area: The hot water temperature in the bathroom measured 118 degrees.

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

Noncompliance Area: Cert rep observed a cable wire protuding out of the floor and extending out into the dramatic play area, posing 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.

Noncompliance Area: Cert rep observed an area on the wall in the dramatic play area where the paint was peeling.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Cert rep observed the facility's fire drill log where a fire drill was documented as ocurring on 9/23/16 and the next drill is documented as ocurring on 1/11/17.

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: Cert rep observed a staff person and a volunteer at the facility that did not have the required clearances and signed disclosure statements, as required by CPSL.

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

Noncompliance Area: A hole in the concrete ground was observed in the outdoor play space.

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.