Martha P Hurtado

Noncompliance Area: There was no file present for Child # 1 or Child # 6 at the time of the renewal inspection which closed out on 1/9/2020.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: There was no file present at facility for Staff #3 whom was the only staff caring for children on 12/18/19 at the facility upon initial start of renewal inspection.

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

Noncompliance Area: Staff # 2 did not have a high school diploma or educational equivalent on file at the time of the renewal inspection.

Correction Required: The operator shall have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department at the time of registration renewal.

Noncompliance Area: Staff # 1 and #2 did not have their verification of their current required child care training hours at the time of the renewal inspection.

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

Noncompliance Area: There was no verification on site at facility to confirm first-aid training was completed for Staff # 1, #2 or #3 whom was observed caring for child at the facility during the renewal inspection site reviews.

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.

Noncompliance Area: Upon arrival to facility, it was observed that Staff # 3 did not have a file on site and therefore there were no State Criminal Clearance; Child Abuse of FBI clearance on site. There was no mandated reporter training for Staff #3 or NSOR verification at the onset of the renewal inspection. Staff #1 did not have their Child Abuse clearance verification on file during the renewal inspection that was finalized on 1/9/20. The signed disclosure for Staff # 1 and #2 were not present and on file at the facility during the renewal inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 3-- may not work in a child care position at the facility.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: There were seven children present and being cared for on 1/9/20 during the renewal inspection.

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: Staff had 5 children in their care which ranged from an infant to preschool. One preschooler was in the restroom on another floor of the facility unaccompanied by an adult at the time of the OCDEL rep arrival. The staff went up to the restroom leaving the remaining children in care with the OCDEL rep.

Correction Required: The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: On the date of the inspection, it was observed that there was not an operable smoke detector on the second floor of the facility as the smoke detector was not present.

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

Noncompliance Area: The grate over the heating and air duct was not placed as a cover on the tile. Instead, the grate was disconnected from the floor and connected to toys that were under the table. The sharp edges of the grate were exposed at the time of the unannounced monitoring.

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: Child #1 and #2 did not have their fee amount present on their Agreement Form at the time of the renewal inspection.

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

Noncompliance Area: Payment date was not present on the Agreement form for Child # 2 at the time of the renewal inspection.

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

Noncompliance Area: The services that were going to be provided for Child # 3 were not present on their Agreement form at the time of the renewal inspection.

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: Release person's name was not present on the Agreement form for Child # 3 at the time of the renewal inspection.

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

Noncompliance Area: Parents' work address and parent's work telephone number were not present on the Emergency Contact Form for Child #3 at the time of the renewal inspection.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: Review of files reveal that Child # 1 did not have their release person's address listed on their Emergency Contact Form at the time of the renewal inspection; Child # 2 did not have their release person's phone number listed.

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 emergency transportation plan had not been created or posted at the time of the renewal inspection.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: The current license was not posted at the facility at the time of the renewal inspection.

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: There was no written verification of any staff having first-aid training at the time of the renewal inspection.

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.

Noncompliance Area: Staff #1 did not have their Disclosure statement; Child Abuse Clearance or Pa State Criminal clearance available and on file at the time of the renewal inspection.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 -- may not work in a child care position at the facility until the clearances have been received. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee.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 # 1 --- may not work in a child care position unsupervised at the facility until all clearances have been retrieved and are on file at facility.

Noncompliance Area: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF CHILD #3 AND CHILD #5 DID NOT CONTAIN EVIDENCE OF A SIGNED FEE AGREEMENT.

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

Noncompliance Area: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF CHILD #3 DID NOT CONTAIN EVIDENCE OF A SIGNED EMERGENCY CONTACT FORM.

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: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1 AND CHILD #2 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR OBTAINING EMERGENCY MEDICAL CARE.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1, CHILD #2 AND CHILD #5 DID NOT CONTAIN HEALTH INSURANCE POLICY NUMBER.

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: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF AN UPDATED HEALTH ASSESSMENT, THE HEALTH ASSESSMENT ON FILE WAS DATED 3/18/15.

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.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #2 DID NOT CONTAIN EVIDENCE OF AN INITIAL HEALTH ASSESSMENT.

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. A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #2 DID NOT CONTAIN EVIDENCE OF TUBERCULOSIS SCREENING BY THE MANTOUX METHOD.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM AND FEE AGREMMENT OF CHILD #4 DID NOT CONTAIN EVIDENCE OF BEING REVIEWED AND UPDATED AT LEAST ONCE IN A 6 MONTH PERIOD.

Correction Required: 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: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1 AND CHILD #2 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR ADMINISTRATION OF MINOR FIRST AID.

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: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THERE WAS NO EVIDENCE THAT THE FACILITY'S EMERGENCY PLAN HAD BEEN REVIEWED AND UPDATED ANNUALLY, THERE WAS NO EVIDENCE THAT STAFF HAD BEEN TRAINED IN 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. 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: ON NOVEMBER 2, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #2 DID NOT CONTAIN EVIDENCE OF A CHILD ABUSE CLEARANCE, THE FILE OF STAFF #2 DID OT CONTAIN EVIDENCE OF MANDATED REPORTER TRAINING.

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: ON JANUARY 13, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1 DID NOT CONTAIN WRITTEN CONSENT FOR OBTAINING EMERGENCY MEDICAL CARE.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: ON JANUARY 13, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT OF CHILD #1 DID NOT CONTAIN DESIGNATED RELEASE PERSONS ADDRESS AND PHONE NUMBERS.

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: ON JANUARY 13, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF CHILD #2 AND CHILD #3 DID NOT CONTAIN AN INITIAL HEALTH ASSESSMENT.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.

Noncompliance Area: ON JANUARY 13, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF CHILD #1 DID NOT CONTAIN A HEALTH ASSESSMENT.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: ON JANUARY 13, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #2 DID NIOT CONTAIN A HEALTH ASSESSMENT.

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.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: ON JANUARY 13, 2017 DURING THE RENEWAL INSPECTION, THE HEALTH ASSESSMENT OF STAFF #2 DID NOT CONTAIN A TUBERCULOSIS SCREENING BY THE MANTOUX METHOD.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.A facility person`s record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: ON JANUARY 13, 2017 DURING THE RENEWAL INSPECTION, THE EMERGENCY CONTACT FORM OF CHILD #1 DID NOT CONTAIN SIGNED PARENTAL CONSENT FOR ADMINSTRATION OF MINOR FIRST AID.

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: ON JANUARY 13, 2017 DURING THE RENEWAL INSPECTION, THE FILE OF STAFF #1 DID NOT CONTAIN EVIDENCE OF A MINIMUM OF 6 CLOCK HOURS OF CHILD CARE TRAINING.

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