Lauren Motley Family Child Care Home

Noncompliance Area: Child 1 file did not contain the child's immunization status.

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

Noncompliance Area: Child 1,2 and 3 files did not contain an initial health report.

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

Noncompliance Area: Staff member # 1 employee file did not contain a copy of the disclosure statement, a current PA child abuse clearance and National Sex Offender Registry clearance. Staff member #2 employee file did not contain a copy of the disclosure statement and a National Sex Offender Registry clearance. Facility Person # 1 and 2 may not work in a child care position at the facility.

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 #1 and 2 may not work in a child care position at the facility.

Noncompliance Area: During the renewal inspection conducted on July 17, 2020, Certification Representative observed a bottle of weed killer on the front steps of the facility and a bottle of torch fuel on the front walkway.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: During the renewal inspection on 5/14/19, the health assessment on file for staff member #1 had not been updated once expired (3/2/17 date of last physical on file).

Correction Required: 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: During the renewal inspection on 5/14/19, the record for staff member #1 did not include the 12 biennial hours child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: During the renewal inspection on 5/14/19, the facility did not have a staff person present with verification of first-aid techniques. First-aid training was obtained via online training.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: Child #1 did not have a current health assessment on file at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Staff #1 did not have documentation of the required number of child care training hours at the time of the yearly renewal inspection.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: Upon review of facility for renewal inspection, it was determined that there were 5 toddlers and one infant in care at the time of the renewal inspection.

Correction Required: The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If one infant is in care, four toddlers are permitted.

Noncompliance Area: Child #1 did not have the address of release persons at the time of the unnanounced monitoring.

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: Review of files reveal that Staff #1 had a health assessment on file that was dated July 8, 2015. This would have made the physical out of compliance since it had exceeded the 2 year allowance.

Correction Required: 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: Upon arrival and throughout the allocated unnanouced monitoring there were 10 children that included 4 young school age and 6 preschoolers and there were 2 staff present at facility.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: Staff # 1 and Staff # 2 did not have their current 6 hours in child care training at the time of the Renewal Inspection. Upon receipt of corrections it was determined that the verification of 6 chidcare training hours had not yet been received as of 3/23/17 when the other corrections were made.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: Staff #2 did not have a Child Abuse Clearance that was able to be verified at the time of the Renewal Inspection that was completed on 2/10/17. Upon receipt of corrections it was determined that Staff #2 Child Abuse Clearance had still not been received since the correction had not been submitted to OCDEL as of 3/23/17 when all other corrections were submitted,

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.

Noncompliance Area: Child #4 did not have an Agreement at all in their file. Child #2 did not have their parent's signature on the Agreement Form.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: Review of files reveal that Child # 1 and #2 did not have a Child Service Report in their file at the time of the Renewal Inspection.

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: Agreement Form for Child # 3 was missing the release person's name at the time of the Renewal Inspection,

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: Review of files reveal that Child #3 did not have their parent's work telephone number on their Emergency Contact Form. Child #4 and #5 did not have their parent's work address listed on their Emergency Contact Form.

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

Noncompliance Area: Child #4 was missing their insurance policy number on their Emergency Contact Form at the time of the Renewal Inspection.

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: Review of files reveal that Child #1 thru #3 were missing either the release person's phone number and or address.

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 lunch that was provided at facility by provider during the Renewal Inspection consisted of chicken nuggets; mashed potatoes and gravy; peas with green beans and corn. There was no dairy product offered and the children were offered water with their lunch meal.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one dairy product.

Noncompliance Area: Child #1 and #2 did not have an updated Agreement or Emergency Contact Form.

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: Child # 1 thru #4 did not have a physical in their files at the time of the Renewal Inspection.

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

Noncompliance Area: Review of files reveal that Child #2 and #5 did not have consent for administration of minor first-aid procedures by facility staff or consent for emergency medical care.

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: Staff #2 did not have a current verifiable physical in their file at the time of the Renewal Inspection.

Correction Required: 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: Staff #2 did not have a High School Diploma on file at the time of the Renewal Inspection.

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

Noncompliance Area: Facility had the group regulations posted and not Family at the time of the Renewal Inspection.

Correction Required: The facility`s current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: There was no verification of Emergency Plan Training for Staff #1 and #2 at the time of the Renewal Inspection.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: Staff # 1 and Staff # 2 did not have their current 6 hours in child care training at the time of the Renewal Inspection.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: Staff #1 whom was the only staff with First Aid and Pediatric CPR at the time of the Renewal Inspection did not have current Pediatric Certification. The certificate expired 3/24/16.

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: Staff #1 and Staff #2 did not have a Mandated Reporter Certificate in their file at the time of the Renewal Inspection. Staff #2 also did not have a Child Abuse Clearance that was able to be verified at the time of the Renewal Inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. 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 #--- may not work in a child care position at the facility.