Matilda Theiss Child Development Center

Noncompliance Area: The emergency contact form on file for Child #1 does not include a complete address for all listed 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: The most recent health assessment on file for Child #2, a young toddler, which is dated 6/29/20, more than 6 months after the previous health assessment, dated 8/5/19.

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 immunization record on file for Child #3, who is 5 years old, includes only 3 of 4 Pneumococcal vaccinations, as is recommended by the ACIP for a child this age. The immunization record on file for Child #3, who is 5 years old, contains zero influenza vaccinations, which are recommended annually by the ACIP. The immunization record on file for Child #4, who is 4 years old, contains zero influenza vaccinations, which are recommended annually by the ACIP.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

Noncompliance Area: The staff evaluation on file for Staff person #3, dated 12/2019, is dated more than 1 year after the hire date of 7/7/18. The staff evaluation on file for Staff person #2, dated 12/2019, is dated more than 1 year after the previous evaluation.The staff evaluation on file for Staff person #1, from 12/2019, is dated more than 1 year after the previous evaluation.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: There was a chair in the preschool room which was missing a bolt, making it unsteady. There was a tear in the upholstery on a couch in the preschool room,

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: The file for Child #2 did not include written parental consent for the facility to obtain 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 shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: The emergency contact form on file for Child #2 did not contain complete addresses for all listed 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: The file for Child #3, 3 years old, does not include documentation of an annual influenza vaccination as recommended by the ACIP. The immunization record on file for Child #1 did not include the required number of DTAP, HIB, Pneumococcal, or Polio vaccinations as recommended for a child of that age. The most recent influenza vaccination on file for Child #1 is dated 9/14/16, more than 1 year ago, as recommended by the ACIP.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: The initial health assessment on file for Staff person #2, with a hire date of 11/5/18, is dated 4/18/19, after hire.

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 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: The initial tuberculosis screening on file for Staff person #2, with a hire date of 11/5/18, is dated 4/18/19, after hire.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, 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: The most recent fire safety training on file for Staff person #1, dated 9/10/18, is dated more than 1 year after the previous fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: The first aid kit in the preschool room did not include tape.

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: There was paper peeling off of a playhouse in the outside playground. There were foam magnetic animal-shaped toys which had teeth marks in them.

Correction Required: Toy s, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: There was a fabric stacking ring which had tears in it which had exposed foam pieces that children could put 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: There was no medical emergency transportation plan posted in the pre-school room.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: There was no initial health assessment on file for Staff person #2, with a hire date of 6/1/18. The current health assessment on file for Staff person #3, dated 10/31/17, is dated more than 24 months after the previous health assessment, dated 10/12/15.

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.

Noncompliance Area: The initial health assessment on file for Staff person #1, dated 11/15/17, does not include an assessment from the physician or health care professional the staff person is suitable to provide child care.

Correction Required: An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Noncompliance Area: The first aid kit in the preschool room did not include soap or 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: There were no hand washing signs at the toilets in the preschool room.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: The emergency contact form on file for Child #2 did not include the telephone number for the child's physician or health care provider. The emergency contact form for Child #4 did not include the address for the child's physician or health care provider.

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 form for Child #2 and Child #3 did not include the policy number for the child's health care coverage.

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: The emergency contact form for Child #1, Child #2, Child #3, and Child #5 did not include complete names and/or adderesses for all listed 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: The most recent health assessment on file for Child #4 and Child #5, who are both preschool age, are both dated more than 12 months after the previous health assessment.

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 file for Child #3 does not include a health assessment which includes a statement from the health care provider indicating that the child is able to participate in child care and appears to be free from contagious 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: The initial health assessment on file for Staff person #2 does not include a statement from the health care professional that the staff person is suitable to work in childcare.

Correction Required: An adult health assessment must include the physician`s or CRNP`s assessment of the person`s suitability to provide child care.

Noncompliance Area: The most recent 6 month emergency contact form and financial agreement review is dated more than 6 months ago,

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: The file for Staff person #1 and Staff person #2 each contain only 1 personal, written nonfamily reference.The file for Staff person #3 and #4 did not include 2 written nonfamily references.

Correction Required: A facility person`s record shall include two written, nonfamily references from individuals attesting to the person`s suitability to serve as a facility person

Noncompliance Area: The FBI clearance on file for Staff person #1, was incomplete.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Noncompliance Area: The first aid kit with the preschool age children in the outdoor playspace did not include 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: There was a plastic bag laying on the ground in the infant/young toddler outdoor playspace.

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

Noncompliance Area: There were areas of peeling paint in the PS 2 room, under the mirror and in the quiet time area.

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 bathroom in PS 1 did not have a handwashing sign posted at the toilet.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.