Louise Harris Family Child Care Home

Noncompliance Area: The emergency contact in the file for child #2 did not include the address or phone number of the child's physician.

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 emergency contact information in the file for child #1 did not include the written consent signed by a parent for emergency medical care 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: There were several small area of chipping paint on the outer walls of the facility's front porch.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The smoke detector unit on the 3rd floor was not able to operate due to a dead battery. In addition, the unit had been removed from the ceiling and was sitting on a shelf.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: Based on conversation with the operator, household member #1, who is awaiting trial on misdemeanor charges of weapon position, simple assault and recklessly endangering another person, is residing in the facility.

Correction Required: The operator may not allow an individual to enter the facility if the operator knows that the individual has been convicted or is awaiting trial on charges involving a crime of child abuse, child neglect, physical violence or moral corruptness.

Noncompliance Area: The file for child #1, enrolled more than 6 months, did not include 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 emergency contact information in the file for child #1 did not include the work address for the child's mother.

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

Noncompliance Area: The emergency contact information in the file for child #1 did not include the policy number for the child's insurance.

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 last two updates in writing by a parent in the file for child #1, #2 and #3 were dated more than 6 months apart.

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 last health report in the file for child #1, a young toddler, was more than 6 months ago.

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 following toxics were accessible to children in the bathroom: Several hair products, including wig shine and dry shampoo, in a cabinet behind the toilet and 2 tubs of styling gel on a low shelf in the closet. All items included instructions to keep out of the reach of children.

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: There was no gate between the hall and the kitchen, making the stove accessible to children in care.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Based on conversation with the operator, children of toddler age play on the gazebo outdoors, which is surrounded by small white stones with a diameter of less than 1 inch.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: The emergency contact information in the file for child #1 did not include the health insurance name and policy number.

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 last update in writing by a parent in the emergency contact information and the agreement form file for child #1 was more than 6 months ago.

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: Diapers were being discarded into a can that was not hands-free.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: There were several lotions and hair products on a low shelf in the bathroom closet, making them accessible to children. All labels included instructions to keep out of the reach of children.

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: The file of child #1 and 3 lacked 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 in accordance with the updates regarding the emergency contacts.

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 #4 contained an emergency contact form that did not contain the address of the child's physician.

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 #4 contained an emergency contact that did not contain the health insurance coverage and policy number of the child.

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 file of child #2 and 3 contained an emergency contact form that did not contain the addresses of the release persons.

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 #4, now a school-age child with a start date of 5/19/10, contained immunization records but lacked a health report at the time of admission and the required subsequent health reports after.

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: The file of child #3, a young toddler, contained a health report dated 3/10/16 which lacked the required 6 month updates.

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, now preschool age, contained a health report dated 8/2/13 and lacked the required annual updates. The file of child #2, now a school-age child, contains a health report dated 4/8/10 and lacked the required updates.

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 staff #1 lacked documentation of a tuberculosis screening and the results of that examination.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Noncompliance Area: The files of child #1, 2, 3 and 4 contained emergency contact forms and financial agreements which had updates exceeding the required time frame of 6 months.

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: The file of child #4 did not contain signed parental consent for emergency medical care or for administration of first-aid procedures.

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: The facility lacked an individual record for facility person #1.

Correction Required: An individual record is required for each facility person.

Noncompliance Area: There is no record of initial or subsequent health reports for staff #1, including the results and subsequent tuberculin skin tests.

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: The facility lacked a completed emergency plan.

Correction Required: The facility shall have an emergency plan.

Noncompliance Area: The facility lacked documentation of a minimum of 12 biennial hours of child care training for staff #1.

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

Noncompliance Area: The facility lacked one or more persons competent in first-aid techniques at the facility when children are in care.

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