Kiddie Academy Of Plumsteadville - Plumsteadville PA Child Care Center

Noncompliance Area: At the time of the inspection the record of staff person #1 contained proof of one hour of child care training for this current 12 month cycle.

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: At the time of the inspection the first aid kit in the room known as "the sea" (room #4) the frist aid kit was located on the children's craft table.

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

Noncompliance Area: At the time of the inspection the facility's fire drill log did not include the hypothetical location of the fire.

Correction Required: A written record shall be kept of the date, the time of day, the hypothetical location of the fire, the evacuation time, the names of facility persons and the number of children participating in the fire drill.

Noncompliance Area: At the time of the inspection the record of child #1 was lacking in a current valid health assessment.

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 the inspection the record of staff person #7 had a health assessment which did not include 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: At the time of the inspection the records of staff persons #2 AND #1 were lacking in the 6 hours of child care training required for the current year of service at the facility.,

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 staff records of staff persons #4 #5 and #6 had disclosure statements which were signed and dated over 60 months prior to the date of the inspections.

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: At the time of the inspection the record of staff person #3 was indicated they were at the AGS level of staff and their record lacked the experience required to qualify them for that position.

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.

Noncompliance Area: At 10:50 AM on the date of the inspection staff member #3 was responsible for a group of 3 infants in the "Busy Little Bees" room of the facility. This writer did observe for a period of at least 90 seconds staff member #3 focused and concentrating on tasks at the sink area while the children in their primary care group were being cared for by staff member #2 who already had a primary care group of 4 children including one infant. A few moments later staff member #2 was observed once again to have a group not satisfying the ratio requirements, due directly to the lack of supervision by staff member #3. This non compliance was observed by both this writer and the director of the facility. At 11:15 on the date of the inspection, in room #2 during diapering staff was not following the established protocol of the facility to have their primary care group at the table while they performed the diapering. leaving the second staff person with a group of children exceeding the ratio requirements.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in 3270.51 (relating to similar age level). Children must be supervised at all times.

Noncompliance Area: At the time of the inspection, the changing table in the Secret Garden older infants and in the Owl Pals Young 2's room was cracked at the plastic base posing a hazard to children.

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 the inspection, there was an albuterol inhaler for child #1 that did not contain the original label for administration.

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 the inspection, there was no hands free covered can used for diapering in the Silly Sea Turtles Young Infant room or the Older 2's classroom.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: At the time of the inspection, the changing table in the Secret Garden Older Infants and Silly Sea Turtles Young Infants was dirty underneath the changing pad.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: At the time of the inspection, staff #26 was overdue for a health assessment . The last health assessment was conducted on 10-19-15 therefore another one should have been done 10-19-17.

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 health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

Noncompliance Area: At the time of the inspection, staff #15 (date of hire 9-19-12) did not have an updated FBI clearance on file. The last clearance on file for FBI was dated 7-2-12 and therefore expired on 7-2-17. Since this clearance has expired, the Child Abuse Clearance and State Police Clearance will need to be updated as well.

Correction Required: 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 #15 may not work in a child care position at the facility.