Kio Family Day Care

Noncompliance Area: Observed rest equipment used by child #2 but not labeled.

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.

Noncompliance Area: The file of child #2 with an enrollment date of 4-2-19 lacked an initial health assessment within 60 days following the first day in attendance at the facility. The only health assessment on file was dated 12-6-19.

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, a young toddler, with an enrollment date of 8-23-18, lacked an updated health report. The only health assessment on file was dated 12-27-18

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: The file of child #1 lacked the subsequent health report. The file of child #2 lacked an initial health report.

Correction Required: A child's record must contain initial and subsequent health reports.

Noncompliance Area: The file of children #1, #2, and #3 lacked emergency contact forms with the work addresses and telephone numbers 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 health insurance coverage and 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 and #3 lacked emergency contact forms with the full physical address and telephone number 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 #3 with an enrollment date of 8-23-18 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.A child's record must contain initial and subsequent health reports.

Noncompliance Area: Observed a blue nap mat labeled #2 with exposed foam on the side. Observed a blue, green, and red colored shelf was damaged in the green section.

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 #1 lacked a child service report.

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 3290.124(e).

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 files of children #1 and #3 lacked emergency contact forms with the full physical 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 file of child #1 lacked an emergency contact form with the work address of the parent. The files of children #2 and #5 lacked emergency contact forms with the full physical work address of the 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 written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The files of children #1 and #5 lacked an emergency contact form with the health insurance 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, #3, and #5 lacked emergency contact forms with address of the individual designated by the parent to whom the child may be released. The file of child #2 lacked an emergency contact form with the full 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 children #1 lacked proof that parent reviewed the emergency contact form and financial agreement every 6 months. The files of children #3 and #5 lacked proof that parent reviewed the financial agreement form every 6 months.

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: The file of child #3 with an enrollment date of 1-2-13, lacked updated health report at least every 12 months; missing 2014 and 2015.

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: The file of child #1 lacked an emergency contact form with signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Correction Required: 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: The files of staff #1 and #2 lacked disclosure statements.

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: Observed a fire drill log with the following dates: 11-28-16 and 9-7-17; indicating fire drills were not conducted at least 4 times a year.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.