Margaret Z Reed Family Day Care Home

Noncompliance Area: The agreement form in the file for child #1 did not specify the fee to be charged.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: The agreement form in the file for child #1 and #3 did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The file for child #2, enrolled since 2018, only included a single 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 agreement form in the file for child #1 did not specify the release persons.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The agreement form in the file for child #3 did not specify the child's date of admission

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

Noncompliance Area: The emergency contact information in the file for child #3 did not include the doctor's address.

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 and #3 did not include the name of the child's health 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: Two of the last three updates in writing by a parent on the emergency contact form in the file for child #2 were dated approximately 24 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 initial health report in the file for child #1, enrolled after 3/6/20, was not dated within their first 90 days of attendance as required by the COVID suspension of regulations. There was no health report on file for child #3, enrolled after 3/6/20 and who has attended the facility for more than 90 days, as required by the COVID suspension of regulations.

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.

Noncompliance Area: The last health report in the file for child #2, an older toddler, was dated approximately 28 months ago and was due to be updated during the COVID suspension of regulations..

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 list of vaccinations in the file for child #3, an 11 month-old, did not include a flu shot. The list of vaccinations in the file for child #4, an older toddler, was missing 1 DTAP, 1 PCV, 1 Hep A and the last flu shot was dated approximately 19 months ago. There was not a written statement of exemption by a parent in either file.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: Based on conversation with the operator and staff person #1, the staff person does not have a current health assessment on file.

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: Based on conversation with the operator, individual #3, a household member, prepares food for the children. The last health assessment on file for individual #3 was dated more than 24 months ago.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: Based on conversation with the operator and review of the file for child #3, an 11 month old, there is no feeding schedule.

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

Noncompliance Area: The file for child #3 did not contain signed parental consent for administration of minor first aid techniques by staff.

Correction Required: 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's emergency plan did not include a location for sheltering in place.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises..

Noncompliance Area: There was no verification of a review of the facility's emergency plan.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: There was no emergency plan training for individual #1, observed watching 4 school-age children alone.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training.

Noncompliance Area: There was no evidence of 6 hours of training in the file for staff person #2 during their last full anniversary year, 2/16/19-2/16/20, which was due before the COVID suspension of regulations.

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

Noncompliance Area: Based on conversation with the operator and staff person #1, the staff person does not have a signed disclosure statement or any of the 4 required clearances and was observed with 4 school-age children alone on the 3rd floor.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: Based on conversation with the operator, 7 of the 8 children in care at the time of the inspection were not related to the provider, as defined by the family child care regulations.

Correction Required: The number of children in care may not exceed six children at any one time who are unrelated to the operator.

Noncompliance Area: Two infants were observed sleeping in pack n plays in corners with 2 feet on only 1 side.

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: The file for child #1, enrolled for a year, did not include a child service report. The last child service report in the file for child #2 was dated more than 6 months ago.

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: Based on conversation with staff person #1, the operator, they occasionally walk down to the local child care center to pick up preschoolers and leave a non-related infant (per the state definition) with their spouse. However, their spouse is not a staff person and is not listed as a release person on the child's emergency contact form.

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 agreement in the file for child #1 was dated more than 6 months ago. The last two updates in writing by a parent on the agreement for child #2 were more than 6 months apart. The last update in writing by a parent on the emergency contact information for child #2 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: The file for child #3, enrolled more than 60 days, did not include a health report.

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.

Noncompliance Area: The file for child #1, 5 years old, and child #3, 4 years old, did not include evidence of a flu shot in the last year or the second dose of the Hep A vaccination.

Correction Required: Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

Noncompliance Area: There was a bottle of prescription medication in the top desk drawer in the entry way to the facility. There was an inhaler in a plastic bag in the front hall cubby, Both items were low enough to be accessible to children.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: The last two health assessments in the file for staff person #1, the operator, were dated more than 24 months apart.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: The previous year's certificate was posted at the facility.

Correction Required: The facility's current certificate of registration and a copy of the applicable regulations under which the facility is certified shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional day care office posted at the same location

Noncompliance Area: The last two FBI clearances in the file for staff person #1,the operator, were dated more than 60 months apart.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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: The following toxics were observed in or near the entry way to the facility: Bottles of wine in a low cabinet near the kitchen entrance; hand sanitizer on the candy dispenser at the doorway and on the cubbies at the doorway; white out and a small bottle of feminine cleanser in the top desk drawer. 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: The trash can in the facility's bathroom was unlined.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: The accordion door on the facility's bathroom was partly detached from the track. There was small areas of visible dirt on the window sill on the far left side of the 3rd floor child care space. The carpeting on the top step leading to the second floor was detaching from the wood, causing a potential tripping hazard.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: There was a plastic pencil box containing googly eyes and buttons, less than an inch in diameter, on a table in the main room, making the objects accessible to the older toddlers in care at the time of the inspection.

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 file for child #2 did not include an agreement form.

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

Noncompliance Area: The agreement form in the file for child #3 did not specify the persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The file for child #2 and #3 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: The emergency contact information in the file for child #1 did not include the written consent signed by a parent for emergency medical care.

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

Noncompliance Area: The last two updates in writing by a parent on the emergency contact information in the file for child #1 were dated more than 6 months apart. The last update in writing by a parent on the agreement form in the file for child #1 and #2 was dated 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: The garbage can in the facility's bathroom was not lidded.

Correction Required: Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Noncompliance Area: There was peeling paint at the bottom of each side of the front door, making it accessible to the children in care.

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 file for child #1 did not specify the amount of the fee to be charged or the child's arrival and departure time.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The agreement form in the file for child #1 and #3 did not specify all persons designated by a parent to whom the child may be released.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: The agreement in the file for child #1, #2 and #3 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 emergency contact information in the file for child #3 did not include written consent by a parent for emergency medical care.

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

Noncompliance Area: The emergency contact information in the file for child #3 did not include the address of the individuals designated by a 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 last update in writing by a parent on the emergency contact information in the file for child #1 was dated more than 6 months ago. The last two updates in writing by a parent on the emergency contact information in the file for child #2 were dated more than 6 months apart. The last update in writing by a parent on the agreement form in the file for child #2 was dated more than 6 months ago. The last update in writing by a parent on the emergency contact information and the agreement form in the file for child #3 was dated 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 information. 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 last two health reports in the file for child #1, who is now an older toddler, were dated more than 6 months apart while the child was still a younger toddler.

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 last health report in the file for child #2, an older toddler, was dated more than 12 months ago.

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 emergency contact information in the file for child #3 did not include written consent by a parent for emergency medical care or administration of minor first-aid techniques by a staff person prior to admission.

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.