LEADERS OF OUR FUTURE 3 - Allentown PA Child Care Center

Noncompliance Area: Child 1 had a fee agreement from 2018 in her file. No other fee agreements were observed.

Correction Required: 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: During the annual inspection on 9/5/2019, it was observed on two different occasions that a child went to the bathroom unescorted. Both children left from the kindergarten room but were of preschool age. The children were unsupervised in the bathroom for 1-2 minutes. The bathroom is next to the classroom but staff were not able to see or hear the children from the bathroom. When staff 4 was asked who the first child was that went to the bathroom, she could not identify the child's name. During a verification visit on 10/21/2019, it was observed that staff 4 still did not take the required supervision training.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. All staff will take a training through Better Kid Care called "Supervision: What's Required."

Noncompliance Area: During the facility annual renewal visit on 9/5/2019, child 1 had an outdated child service report dated 3/1/2017. Child 2 had an outdated child service report dated 3/6/2017. Child 3 did not have a child service report on file and her date of admission is 8/1/2017. During a verification visit, it was observed that child 1 and 2 still did not have an updated child service report on file, nor was there a date of withdrawal on file. As per facility, they were not able to access the children's files at that time due to not being able to find the key to the children's files.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: During the annual renewal on 9/5/2019, child 1 did not have an emergency contact form on file. His date of admission was 5/28/2019. During a verification visit on 10/21/2019, child 1 still did not have an emergency contact form on file or a withdrawal date. As per facility, they were not able to access the children's files at that time due to not being able to find the key to the children's files.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: During the facility's annual renewal visit on 9/5/2019, children 1, 2, 3 and 5 had outdated emergency forms and fee agreements. All emergency contact forms and fee agreements were updated on 1/2/2019. During a verification visit on 10/21/2019, the facility was not able to produce updated emergency forms or fee agreements for children 1, 2, 3 and 5. As per facility, they were not able to access the children's files at that time due to not being able to find the key to the children's files.

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 facility's annual renewal visit on 9/5/2019, child 4 did not have an updated health assessment on file. The health assessment that was on file was not dated. The health assessment that was on file was not signed or dated by a physician, physician's assistant or a CRNP. During a verification visit on 10/21/2019, the facility was not able to produce an updated health assessment signed by a CRNP, physician or physician's assistant. As per facility, they were not able to access the children's files at that time due to not being able to find the key to the children's files.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddlerA 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: During the facility's annual renewal visit on 9/5/2019, Child 1 a preschool child and last had a health assessment dated 5/1/2018. It was found that child 1 needs an updated flu shot. Child 2, who is an older toddler, last had his health assessment completed on 8/21/2018. It was also found that child 2 needs an updated flu shot. Child 4 also needs an updated immunization record. The following immunizations are needed: rotavirus shot, two shots of the DTAP vaccine, another shot of the HiB vaccine; two shots of PCV 13 and one more shot of the IPV. During a verification visit on 10/21/2019, the facility was not able to produce an updated health assessment and immunizations for child 1. For child 4, the facility was still not able to produce an updated immunization record. As per facility, the children files were not able to be accessed due to the key to the children's files being missing.

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.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.

Noncompliance Area: During the annual inspection on 9/5/2019, it was observed that staff 1, 2, 3 and 4 did not have updated fire safety training. Staff 1 last had it on 2/24/2017, staff 3 last had it on 9/7/2017 and staff 4 last had it on 2/24/2017. Staff 2 did not have any fire safety training on file and she began working at the facility on 8/28/2017. During a verification visit on 10/21/2019, it was observed that staff 1-4 still did not have updated fire safety training on file.

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: During the annual renewal on 9/5/2019, the pre-k room, preschool room, office hallway and the room next to preschool all had missing outlet covers. During a verification visit, there was still 2 missing outlet covers missing from the office hallway. Children have access to the office hallway.

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

Noncompliance Area: In the toddler room, as per staff, cots were not labeled correctly.

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: In the refrigerator, there was bagged salad that was brown, showing that it was spoiled. The refrigerator also had brown dried liquid on the bottom of it and needed to be cleaned.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption.

Noncompliance Area: In the preschool room, there was no daily schedule posted.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Noncompliance Area: During the annual inspection on 9/5/2019, it was observed on two different occasions that a child went to the bathroom unescorted. Both children left from the kindergarten room but were of preschool age. The children were unsupervised in the bathroom for 1-2 minutes. The bathroom is next to the classroom but staff were not able to see or hear the children from the bathroom. When staff 4 was asked who the first child was that went to the bathroom, she could not identify the child's name.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: Child 1 had an outdated child service report dated 3/1/2017. Child 2 had an outdated child service report dated 3/6/2017. Child 3 did not have a child service report on file and her date of admission is 8/1/2017.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: Child 1 did not have an emergency contact form on file. His date of admission is 5/28/2019.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.