Lil Angels Daycare Center - Pine Grove PA Child Care Center

Noncompliance Area: On10/17/19 during a renewal inspection, when Rep was conducting an initial supervision check, 7 children were present in the infant room and both staff named 2 of the same children leaving one child unidentified for supervision.. The director had made supervision lists for the staff but they had not been checked by one of the staff. Later in the day, Rep conducted a second supervision check and a different staff in the infant room reported that she did not know who was assigned to her for supervision. Another staff present then told her. An acceptable plan was submitted 11/14/19. When Rep returned to verify correction on 2/18/2020, facility person #2 identified 4 young toddlers as being assigned to her for supervision. Another staff identified a group of 4 infants & young toddlers in her group and a third staff identified 10 preschoolers in her group. Rep then counted all children and found there to be 19 children present. Rep again asked facility person #2 if she had 4 children assigned to her and she responded yes. Another staff person then told her that she had 5 children in her group not 4. Facility person #2 reported that she forgot because she threw away the paper with her group on it because it got soiled.

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. The legal Entity must submit a written supervision policy and procedures for the facility to the NE Regional Office for approval. All current and new staff must sign an acknowledgment of the policy & procedure.

Noncompliance Area: On 10/17/19, facility does not give parents accident/injury reports. The original report is kept in a center file. Copies are not placed in children's file. An acceptable plan was submitted on 11/14/19 that stated you will correct this by getting a copier...keep a copy for the daycare folder, one for the child's folder and the original for the parents. When Rep returned on 2/18/2020 to verify corrections, original accident/injury reports are given to parents and a copy is placed in the center file but director reports a copy is not kept in child's file.

Correction Required: A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: On 10/17/19,The operator could not find a file for facility person #4 during the inspection. An acceptable plan was submitted 11/14/19 and stated that folders would be put in their proper place and that Facility person #4 has a file at the facility. When Rep returned on 2/18/2020 to verify corrections, the operator reported that the file for facility person #4 has never been found and only has a PSP clearance dated 1/11/2020 and pediatric first aid/CPR certification for facility person #4.

Correction Required: An individual record is required for each facility person. The director/legal entity will view the DHS vodcast regarding staff files in the presence of the Certification Rep. This will be a scheduled appointment with the Rep.

Noncompliance Area: On 10/17/19, Facility person #2 began working in child care on 4/29/19. She has a disclosure statement dated 4/29/19, a PSP clearance dated 5/1/19, a child abuse clearance dated 5/1/19 and a request for FBI clearance dated 7/11/19 and an FBI clearance certification dated 7/11/19. The operator reports that facility person #2 was suspended from 5/10/19 until 7/11/19. Facility person #2 and operator acknowledge that facility person #2 working in child care from 4/29/19 to 5/10/19 without an FBI request or clearance. An acceptable plan of correction was submitted on 11/15/19. On 2/18/2020, Rep returned to verify corrections and Facility person #4 had a PSP clearance date 1/11/2020. No other clearances for facility person #4 are at the facility. The director states the original file is missing and cannot be found since 10/17/19.

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. Facility Person #4 may not work in a child care position at the facility.

Noncompliance Area: Rep observed a merry-go-round toy on the play ground that is embedded into the ground. It is not embedded over protective surface covering only grass and dirt.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: Rep observed a pack & play in use that was not labeled with the child's name.

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: When Rep was conducting an initial supervision check, 7 children were present in the infant room and both staff named 2 of the same children leaving one child unidentified for supervision.. The director had made supervision lists for the staff but they had not been checked by one of the staff. Later in the day, Rep conducted a second supervision check and a different staff in the infant room reported that she did not know who was assigned to her for supervision. Another staff present then told her.

Correction Required: 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: Children #1, #2 & #3 have service reports dated 12/11/18. They have not been updated in the last 6 months.

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 #3 is a preschool child. He has a health report dated 5/15/18., which is over 12 months old. The health report does not contain a statement that the child appears to be free from communicable disease and able to participate in child care.

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 health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: Child #1 is 2 years old. The immunization record on file indicates that the child has only 1 dose of each of the following vaccines: Hep B, DTAP, HIB, Pneumococcal and polio. This is not in accordance with ACIP recommendations. There is no exemption on file.

Correction Required: 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: Rep observed an epi-pen for child #4. Written instructions from the prescribing physician or the RX label are not present at facility. This is a rescue medication.

Correction Required: A staff person shall administer a prescription medication only if written instructions are provided from the individual who prescribed the medicine. Instructions for administration contained on a prescription label are acceptable.

Noncompliance Area: Facility person #1 has a current health report dated 9/11/19. The previous health report is dated 3/28/17. The period between is greater that 24 months. Facility person#2 began working in child care on 4/29/19 and has an initial health report dated 5/8/19.

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.

Noncompliance Area: The operator has not notified local traffic authorities annually, in writing of the location, ,vehicle and pedestrian routes around the day care that used by those accessing the facility.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: Safe drop off and pick up points, bike routes and pedestrian crossways are not posted in the facility or given to the parents in writing.

Correction Required: Safe pedestrian crossways, pick-up and drop-off points and bike routes shall be appropriately determined in the vicinity of the facility and communicated to the children and parents in writing. Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: Child #2 has an emergency contact form and fee agreement that was last reviewed/updated 7/10/18 which is more than 6 months ago.

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.