M & M Kids - Coraopolis PA Family Child Care

Noncompliance Area: *FOURTH CITATION: At 2:12pm it was observed that a preschool child opened the half door between the dining room and the kitchen, walked through the kitchen to the play room in the rear of the facility unsupervised, and returned to the living room with a toy. It was observed that Staff person #1 and Staff person #2 had their backs to the child while they were talking to a parent who was standing in the front doorway of the facility and did not know that the child left the room until the child returned. PREVIOUSLY CITED 3-16-20, 6-15-20 and 7-16-20

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. 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: The sliding glass door that served as an exit to the play room in the rear of the facility was obstructed with toys on the floor that were placed directly in front of the door.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Noncompliance Area: At 11:15 AM when additional children arrived at the home, the operator went outside to meet them, leaving a child alone and unsupervised in the family room. It was noticed at 11:30 AM that a one year old child had gone upstairs alone and was unsupervised.

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. 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). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: Upon arrival at 12:00 PM on Monday, June 15, 2020, there were 10 children outside playing in the fenced in front yard with no adult visible. The children ranged in ages from 1 year old up to 9 years old.

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. 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). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: In the sunroom there was a interactive toddler standing toy that had visible dirt. In the family room, there was a child's wooden chair that had a broken support bar running between two of the chair's legs.

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: In the kitchen, there was a bag full of plastic bags hanging from the door handle making it accessible to children who are still placing objects in their mouths. In the outside play area, there was foam that was flaking from the Treehouse play structure and a bike seat that had exposed foam, both items were accessible to children who are still placing objects in their mouths. In the outside play area, there were small plastic pieces from broken toys and soda lids located throughout the grass area that were accessible to children who are still placing objects in their mouths.

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: Children in care on Monday, March 16, 2020 were not supervised by a staff person at all times. A young toddler was taken upstairs by a household member who was not being supervised.

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. 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). TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: The file for child # 1, # 2, and #3 lacked an agreement that was signed by the parent.

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

Noncompliance Area: The file for child # 5 lacked an updated child service report, (3/1/18 and 3/15/19).

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 for child # 4 contained an agreement that did not specify the date of the child's admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The file for child # 4 contained a emergency contact form that did not reference who shall be contacted in an emergency.

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: The file for child # 1, # 2, and #3 contained a emergency contact form that did not include written consent signed by a parent for emergency care.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: The file for child # 1, # 2, and #3 contained a emergency contact form that did not include information on health insurance coverage or policy numbers.

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 for child #1, #2, #3, and #4 contained a emergency contact form that did not include the address of the individuals designated by the parent to whom the child may be released.

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 for child #4 contained a emergency contact form that was updated at a interval greater than 6 months (2/27/18 and 3/15/19) and still requires an update. The file for child #5 contained an emergency contact form that was updated in a interval greater that 6 months (3/1/18 and 3/15/19) and still requires an update.

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 information