Kim Rugg Family Child Care Home - Quakertown PA Family Child Care Home

Noncompliance Area: At the time of the inspection, there was no health assessment and immunization record on file for child #3.

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

Noncompliance Area: At the time of the inspection, there was no date or signature of the physician on the health report for child #5.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: At the time of the inspection, there was no signed consent for emergency medical care for the child and no signed parental consent for administration of minor first-aid procedures by facility staff on the emergency contact form for child #2, 4 and 5.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must 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 the renewal inspection, the provider had just obtained a rescue dog, George, who had not yet received a veterinarian's certificate of current rabies immunization.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: At the time of the renewal inspection, the agreement forms for the children did not specify the dates of the children's admissions.

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

Noncompliance Area: At the time of the renewal inspection, the emergency contact forms for child #1 did not have the addresses of the release individuals.

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 the renewal inspection, the file of child #3 had a copy of her immunizations but the physical exam paper was not completed or signed by the Physician.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Noncompliance Area: At the time of the renewal inspection, the files of child #1 and #2 did not have updated health assessments in their files.

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 must contain initial and subsequent health reports.

Noncompliance Area: At the time of the renewal inspection, it was observed that diaper creams were on the counter and accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: At the time of the renewal inspection, there was no verification that the mandatory health and safety training mandated by the federal government was completed by the provider.

Correction Required: A facility person's record shall include records of training required by the Department.

Noncompliance Area: At the time of the renewal inspection, the first aid and CPR training verification dated 12/2/18 was completed on-line as opposed to by a professional in the field.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: At the time of the renewal inspection, the provider's file had only 4 of the mandatory 6 hours of annual child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: ON 11/15/17, STAFF #1 ACKNOWLEDGED THAT A CHILD BEGAN DRINKING FROM A SIPPY CUP THAT BELONGED TO ANOTHER CHILD. STAFF #1 DID NOT REMOVE THE SIPPY CUP FROM THE CHILD CARE SPACE TO BE 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: ON 11/15/17, A T-SHAPED SAFETY STRAP WAS NOT OBSERVED ON THE HIGHCHAIR LOCATED IN THE KITCHEN.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: ON 11/15/17, THREE PACK N PLAYS USED FOR NAPPING WERE NOT LABELED FOR THE INDIVIDUAL USE.

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.