Kelli Rydboms Kare-a-lot

Noncompliance Area: The files of children #1 and #3 lacked child service reports. There were none present in the file.

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: The files of children #1, #2, and #3 lacked documentation of parents' review every 6 months. The last parent review documented was date 8/2019. Therefore, review was due 2/2020.

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. 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: The files of staff #1, #2, #3, #6, and #7 lacked current Mandated Reporter trainings.

Correction Required: 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: The files of staff #2, #3, #4, #5, #6, and 7 lacked documentation of completing 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. 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: The files of staff #4 and #5 lacked documentation of the National Sex Offender Registry report.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 a Step 2 RV play equipment on the playground with a crack on the passenger seat.

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 file of child #2 lacked an emergency contact form with the work address of the enrolling parent.

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

Noncompliance Area: The file of child #1 lacked an emergency contact form with the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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: On September 17, 2018 at approximately 0730 14 children were observed being cared for by Staff #1,# 2, and #3. Of the 14 children present, there were 7 school agers, 4 preschoolers, 2 young toddlers, and 1 infant. At 0740, observed 16 children in care when 2 additional school age children arrived.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator.

Noncompliance Area: The file of child #5 lacked an agreement with 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 file of child #3 lacked an emergency contact form with the full address of the child's 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: The files of children #1 and #2 lacked an emergency contact forms with the parents' full work addresses.

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

Noncompliance Area: The file of child #3 lacked an emergency contact form with the policy number for a child under a family policy or Medical Assistance benefits, if applicable.

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 files of children #1, #2, #3, and #5 lacked emergency contact forms with the full physical addresses of the individuals 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: The files of staff #6 a Secondary staff person and #7 an Aide lacked health assessments.

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: The files of staff #1, #2, #3, #4, and #7 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 #2, an Aide had PA State Police and Child Abuse clearances requested for the purpose of volunteer rather than child care/employment. The file of staff #3, an Aide had a Child Abuse clearance requested for the purpose of volunteer rather than child care/employment. The file of staff #4, a Secondary staff person had a Disclosure statement lacking a date of signature. The file of staff #5, a Primary staff person had a PA State Police clearance requested for the purpose of volunteer rather than child care/employment.

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: The file of child #4 lacked an agreement with 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.

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: The file of child #5 lacked an agreement with the child's arrival and departure times.

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

Noncompliance Area: The files of children #4 and #5 lacked agreements with 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 files of children #4 and #5 lacked an agreement with the date of the child's admission.

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

Noncompliance Area: The files of children #1, #2, #3, #4, and #5 lacked financial agreements with services which are to be considered as extra or N/A if not applicable.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: The files of children #2, #3, and #4 lacked emergency contact forms with the full physical work address of the enrolling parent.

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

Noncompliance Area: The file of child #2 lacked an emergency contact form with the telephone number of the individual designated by the parent to whom the child may be released. The files of children #2 and #3 lacked emergency contact forms with the address of 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: The file of child #1 lacked proof that the emergency contact information and financial agreement was reviewed 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 information. 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: The file of child #1 lacked an initial health report 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: The file of child #1 with an enrollment date of 11-28-12, as an infant, lacked an updated health report at least every 6 months and an updated health report at least every 12 months for an older toddler or preschool child. The health assessments on file dated: 10-15-14 and 10-10-13.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerThe 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: The file of staff #1 lacked a clearance report generated 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.