Maria I Robles - Lebanon PA Family Child Care Home

Noncompliance Area: Older toddlers and preschoolers were using pack and plays as rest equipment. The equipment is not age appropriate.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: Spacing of the pack and plays was not 2 feet on 3 sides. pack and play was placed right next to the changing table.

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: Child 3, 4, 5 did not have a child service report completed within a 6 mth period.

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).A parent is required to review and update the emergency contact information, the child service report, 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: Child 5 did not have the emergency contact form and agreement updated within a 6 mth period.

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, the child service report, 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: Child 5 and 7 did not have current physicals on file. child 5 enrolled March 2019 with no physical on file. child 7 last physical dated 7/30/18.

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. A child's record must contain initial and subsequent health reports.

Noncompliance Area: Staff 2 did not have initial emergency disaster plan training. Date of employment 6/2019.

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. A facility person's record shall include records of training required by the Department.

Noncompliance Area: Staff 2 did not have 1st aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.A facility person's record shall include records of training required by the Department.

Noncompliance Area: Staff 1 did not have 12 hours biennial training hours on file for 2/2017-2019.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.A facility person's record shall include records of training required by the Department.

Noncompliance Area: Staff 2 did not obtain an FBI clearance when added as staff. Staff 2 was volunteer until June 2019.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2-- may not work in a child care position at the facility. 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. Facility Person #--2- may not work in a child care position at the facility.

Noncompliance Area: Upon review of enrolled children and attendance roster, provider is overcapacity in the Am with 7 children and 8 children in the PM.

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: The kitchen exit door was blocked by a pack and play.

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: Child 1 and 2 did not have updated child service reports. Last completed 5/2018.

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).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: Children's files reviewed contained the original agreement signed by parent/provider.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: Child 3 did not have emergency contact form and agreement updated in a 6 mth period. Last update 5/18.

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: Child 3 did not have updated physical. Last physical 4/30/18. 2 (two) yr old physical due 10/18.

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.A child's record must contain initial and subsequent health reports.