Kattys Child Care - Lebanon PA Family Child Care Home

Noncompliance Area: No smoke detector in the attic/converted bedroom space.

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

Noncompliance Area: Crayons did not have proof of non toxic.

Correction Required: Arts and crafts materials shall be nontoxic.

Noncompliance Area: The transportation first aid kit did not have water or tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.A first-aid kit, including the contents as specified in 3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: A space heater was utilized in the childcare space without approval from the local fire department.

Correction Required: Portable space heaters, if allowed by local ordinance, may be used while children are in care, if the units are used in accordance with the manufacturer's operating instructions.

Noncompliance Area: Dishes used by the children were washed/rinsed but not sanitized.

Correction Required: Toys soiled by secretion or excretion shall be cleaned with soap and water, rinsed and sanitized before being used by a child.

Noncompliance Area: During a inspection summary followup on 12/6/18, children's rest equipment was placed 2 feet on 3 sides.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: HHM 1 and 2 moved into the home September 2018 and did not have required clearances on file. PA criminal history clearance, child abuse, and FBI were requested on the day of inspection with the child abuse and state police clearances being completed. FBI fingerprint appointment scheduled for 10/23/18.

Correction Required: At renewal, the legal entity shall submit clearances required by the CPSL for each individual 18 years of age or older who resides in the facility at least 30 days in a calendar year if the individual moved into the facility following the date of the previous application for a registration certificate.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.

Noncompliance Area: Upon arrival on the day of inspection, a preschool child was observed napping in the childcare room. Provider and 2 other children were in the dining area of the kitchen. The preschooler was unable to be properly supervised as the room opening is not more than 50% and he was on the floor out of sight.

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). Children must be supervised at all times.

Noncompliance Area: Child 3 and 4 did not have physicals on file; both children enrolled August 2018.

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: Child 5 did not have physical signed by physician; only immunizations attached; no notation of physical completed.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: Child nor staff washed hands prior to receiving snacks/drinks.

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

Noncompliance Area: HHM 1 was preparing food for the children. HHM 1 does not have a current physical/tb.

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 on file at the facility.

Noncompliance Area: No written infant statement of formula and feeding provided by parent of enrolled infant.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: An adult visitor to the childcare space did not have an individual record.

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

Noncompliance Area: SLEEP MATS WERE RIPPED, EXPOSING FOAM.

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.