Mcdowell Preschool Child Development - Erie PA Child Care Center

Noncompliance Area: The file for Child #4, who has been enrolled for more than 60 days, did not include an initial health report. A health report was due for this child prior to the suspended regulations during COVID-19.

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

Noncompliance Area: The immunization record in the file for Child #1 did not include documentation of a flu shot conducted within the past 12 months: October, 2018. The immunization records in the files for Child #2 and #3 did not include documentation of a flu shot.

Correction Required: 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. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The emergency contact form in the file for Child #4 did not include health insurance coverage and policy number for the child.

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 binder in the classroom did not include an emergency contact form for Child #2.

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.

Noncompliance Area: The emergency contact form and fee agreement in the file for Child #1 have not been updated since the child's enrollment: 8/23/18.

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: The initial health assessment in the file for Child #2 was dated more than 60 days after the child's enrollment. This health assessment is current. The file for Child #4, who has been enrolled for more than 60 days, did not include an initial health assessment.

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

Noncompliance Area: The immunization record in the file for Child #2 did not contain documentation of the Rotavirus vaccines. The immunization records in the files for Child #1, #2 and #3 did not contain documentation of a flu shot for the past 12 months. Child #1: 2017, Child #2: 2016, Child #3: 2014. The file for Child #4 did not include an immunization record.

Correction Required: 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: Medication log/parental consent forms were not on site for the Epi-Pen, Benadryl, and inhaler for Child #1.

Correction Required: A parent shall provide written consent for administration of medication or a special diet.

Noncompliance Area: The most recent health assessments in the files for Staff Person #1 and #2 exceeded 24 months between assessments. The most recent health assessments in the files for each staff person are current.

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: Observed adult scissors, which were accessible to children, on top of the microwave in the classroom.

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

Noncompliance Area: The Emergency Contact Form in the file for Child #1 did not include the address and telephone number of the child's physician.

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 initial health reports in the files for Child #2 and Child #3 are dated more than 60 days after the child's first day of attendance at the facility. The most recent health reports in the files for both children are current.

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 initial health assessment in the file for Staff Member #1 did not include an examination for communicable diseases and the results of that examination or the physician's or CRNP's assessment of the person's suitability to provide child care. The most recent health assessment in the file for Staff Member #1 is current and includes this information.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. 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 file for Staff Person #1, hired as an Assistant Group Supervisor, did not include verification of 2 years experience with children.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: The initial health assessment in the file for Child #1, enrolled for more than 60 days, was dated later than 60 days following the first day of attendance at the facility. The initial health assessment in the file for Child #1 is current.

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. A child`s record shall contain initial and subsequent health reports.