Marias Daycare Ii - Lancaster PA Child Care Center

Noncompliance Area: Upon inspection of the school aged childcare space, the first aid kit was found in a location that was accessible to children in care in that space.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: Upon inspection of the first aid kit in the school aged childcare space, it was found to be missing 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.

Noncompliance Area: It was observed in the toddler cubbies that cotton balls less than one inch in diameter were accessible to mouthing children. It was observed in the toddler room that there was a plastic bag in the cubby area that was accessible to children.

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: It was observed that the following information was not given to parents at the time of enrollment: daily schedule, hours, fees, and transportation and pick up arrangements.

Correction Required: At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

Noncompliance Area: It was observed in the infant room, toddler room and Pre-Kindergarten room that the emergency contact information updated in the master files, was not updated accordingly in the child care spaces.

Correction Required: When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space. If emergency information is updated in a master file, it shall be updated accordingly in other facility records.

Noncompliance Area: File for child #1 contained a physical dated 7/23/18. Child #1 turned 2-years-old July 2019; therefore an updated physical, once every 6 months, was not obtained for the young 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: File for staff person #1 contained an initial employment start date of 6/10/19, and a copy of a positive TB test result on file with a copy of a chest x-ray completed on 5/17/17. Therefore, the required chest x-ray completed within 12 months prior to providing initial service in a child care setting was not found on file at facility.

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 conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. 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. A record of a person with a positive tuberculin skin test shall include the results of a chest x-ray and evaluation for chemoprophylaxis.

Noncompliance Area: It was observed that the operator did not send the annual traffic letter to the local traffic safety authorities.

Correction Required: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the day care facility.

Noncompliance Area: It was observed that the current certificate of compliance was not posted.

Correction Required: The facility's current certificate of compliance 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: It was observed that the emergency plan used by facility did not provide for evacuation of children from the facility building and to a location away from facility premises.

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3270.94 (f) and (g) (relating to fire drills).

Noncompliance Area: It was observed that toxic materials such as bleach, household cleaners, and cans of household paint were on the floor of the storage room accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: It was observed on the arts and crafts shelf small googly eyes, small animals, and dice were accessible to mouthing children. It was also observed in the toddler play space a plastic grocery bag was in child's cubby, on the craft shelf a plastic grocery bag containing feathers and in the infant room plastic bags were observed in the front pouch of a diaper bag all accessible to mouthing children.

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: Agreement for child #2 did not specify arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: Staff person #1 is being used as an aide and does not have on file at facility verification of minimum education level required.

Correction Required: An aide shall have a minimum of an 8th grade education and enrollment in a training curriculum described at 3270.31(c). The classroom training portion of the curriculum shall be completed. Documentation of completion of classroom training and continuing enrollment in the training curriculum shall be included in the staff person's file.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: It was observed that adhesive spray which indicates "keep out of reach of children" was on the arts and crafts shelf accessible to 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 stored away from food, food preparation areas and child care spaces.