Lynne Laudermilch - Hershey PA Family Child Care Home

Noncompliance Area: Food residue was observed at the bottom of the refrigerator.

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.

Noncompliance Area: The rabies vaccination for the operator's dog has expired.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: Containers of air-freshener plug-ins and sprays (both labeled "keep out of the reach of children" were observed in area accessible to the 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: At the time of inspection, a basket of crayons was observed in an area accessible to the toddlers in care. Some of the crayons were broken and less than 1 inch in diameter.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: At the time of inspection, the emergency contact forms on file for children 4 and 5 were incomplete. The emergency contact information on file for child 4 did not include the child's health insurance policy number. The emergency contact information on file for child 5 did not include the child's health insurance policy number, nor addresses for listed release persons.

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. 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: At the time of inspection, the most recent health assessment on file for child 3 (young toddler) was dated in October of 2018 (more than 6 months old). The health assessment is past due for an update.

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: At the time of inspection, the emergency contact forms on file for children 1, 2, 3, and 5 were past due to be updated. The most recent parent signatures were dated more than 6 months prior to the date of inspection.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: At the time of inspection, two plastic toy bins were observed to have cracks in them. (CORRECTED ON SITE)

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: At the time of inspection, laundry baskets that were being used to store toys were observed to be cracked.

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 record for child #1 did not include emergency contact information.

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: At the time of inspection, the emergency contact information on file for children 3 and 4 did not include the enrolling parents work address or work phone number.

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

Noncompliance Area: At the time of inspection, the records for children 2 - 4 did not include written parental consent for emergency medical care, and for consent for administration of minor first aid procedures by facility staff.

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 administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: At the time of inspection, the record for child #4 did not include the telephone number of an individual listed as a release person.

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: At the time of inspection, it was observed that the operator did not have a child was his hands after being diapered.

Correction Required: A staff person shall ensure that a child`s hands are washed before meals and snacks, after toileting and after being diapered.

Noncompliance Area: At the time of inspection, it was observed that a soiled disposable diaper was not immediately placed into a plastic-linded, hands-free covered can. It was placed onto the changing surface until the provider was able to place it into the trash can in the bathroom.

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.