Maidencreek Child Care Llc - Fleetwood PA Child Care Center

Noncompliance Area: On 12/12/2019, Child #1 was observed to be allowed to sleep in a swing in the infant room at two different times during the renewal inspection. A letter from the child's physician with a medical reason why the child was not being placed in the recommended sleeping position was not on file at the facility. A plan of correction was received stating that "Child #1 or any other child will not be allowed to sleep in the swings at any time. And will always remind staff to make sure to remove child before falling asleep." On 1/6/2020, Child #2 was observed to be sleeping in the swing at approximately 9:55 a.m. The child was not removed until the staff saw the certification representative enter the classroom.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: Staff #1 began working at the facility on 12/10/19 and was observed working on 12/12/19. This staff person's file did not contain proof that the NSOR application was submitted, and there was not an NSOR Certificate in the staff person's file. The facility provided a plan of correction that stated "The staffs information was sent to the NSOR office and she won't work until it is back. When the certificate arrives we will send a copy as proof. Staff won't start until NSOR has arrived. For future reference we will make sure every staff has that certificate and we follow the CPSL." On 1/6/2020, Staff #1 was observed to be working in the classroom, but the facility was unable to provide the NSOR certificate during the inspection. On 1/6/2020, Staff #1 was observed to

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #1 may not work in a child care position at the facility until NSOR Certificate is provided to the facility.

Noncompliance Area: On 12/12/2019, two ramps used to access the playground, and also used as potential emergency exits, were observed to be covered in snow during the inspection. A plan of correction was received from the facility that stated "The ramps were cleared during the inspection. Every day a supervisor will walk around the building to make sure all ramps are free of ice and snow." On 1/6/2020, certification representative observed the same two ramps snow covered at 10:30 a.m. It snowed overnight the night prior, but the walkways has not yet been cleared, though the facility opens at 5:30 a.m.

Correction Required: Outside walkways shall be free from ice, snow, leaves, equipment and other hazards.

Noncompliance Area: A matchbox car, with wheels less than 1 inch in diameter, was observed in the Tiger classroom. Multiple children in this classroom were observed to still place 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: The refrigerator in the Butterfly 2 classroom was observed to have a sticky shelf, with a bottle stuck to the shelf during the inspection.

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: Child #1 was observed to be allowed to sleep in a swing in the infant room at two different times during the renewal inspection. A letter from the child's physician with a medical reason why the child was not being placed in the recommended sleeping position was not on file at the facility.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The fee agreement for Child #4 did not contain a fee amount or a date on which the fee is to be paid. The fee agreement for Child #5 did not contain the date on which the fee is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Emergency contact forms for Child #1 and #4 do not contain complete information for the child's physician. Both are missing the address and phone number for the medical professionals.

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: Emergency contact form for Child #3 does not contain information regarding the insurance policy provider.

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: Emergency contact forms for Child #2 and Child #3 do not contain addresses for the designated 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: Two children who receive transportation to school by the facility did not have their emergency contact forms in the vehicle during the transportation.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.

Noncompliance Area: Child #2, an infant, began at the facility on 11/18/19, but the initial health assessment was dated 7/2/19.

Correction Required: The initial health report for an infant must be dated no more than 3 months prior to the first day of attendance at the facility.

Noncompliance Area: The most recent health assessment on file for Child #5, a preschooler, is dated 10/3/18. An updated health assessment has not yet been provided.

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 health report for Child #1 does not contain information regarding the child's ability to participate in child care, or that the child appears to be free from contagious or communicable disease.

Correction Required: 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: Written statements giving the formula and feeding schedule for 3 infants in the Butterfly 2 classroom were not observed on file at the facility.

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