Meadville Childrens Center - Meadville PA Child Care Center

Noncompliance Area: The child file for Child #1, who is a school age child, contained a copy of their immunization status which lacked an annual influenza vaccination as recommended by the ACIP; the child was last vaccinated for influenza on 11/7/14.

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: The child file for Child #1 contained a financial agreement and emergency contact information form that were not reviewed and updated by a parent at least once in a 6 month period; The financial agreement form was reviewed by the parent on 8/26/19 and 5/11/20 and the emergency contact information form was reviewed by the parent on 8/28/19 and 6/1/20. The child file for Child #2 contained a financial agreement and emergency contact information form that were not reviewed and updated by a parent at least once in a 6 month period; The financial agreement form was reviewed by the parent on 5/20/19 and 6/1/20 and the emergency contact information form was reviewed by the parent on 6/6/19 and 6/1/20.

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. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

Noncompliance Area: The staff file for Staff person #2 lacked one nonfamily reference from an individual attesting to the person's suitability to serve as a facility person.

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 staff file for Staff person #1, who has a start date working with children of 1/29/20 and considered a provisional hire, lacked documentation of having applied for the National Sex Offender Registry (NSOR) verification certificate prior to working with children and was not removed from care after the 45 day provisional hire period. As of 7/1/20 Staff person #1 does not have a NSOR verification certificate on file as required by the Child Protective Service Law (CPSL). The staff file for Staff person #3, who has a start date working with children of 1/16/20 and considered a provisional hire, lacked documentation of having applied for the National Sex Offender Registry (NSOR) verification certificate prior to working with children and was not removed from care after the 45 day provisional hire period. As of 7/1/20 Staff person #3 does not have a NSOR verification certificate as required by the Child Protective Service Law (CPSL). The staff file for Staff person #3 also lacked a valid State Police clearance; the documentation on record was an invoice for record request only which is not acceptable. The staff file for Staff person #5 lacked valid Mandated reporter training; the mandated reporter training on file is dated 2/20/15 which is more than 5 years old. The staff file for Staff person #6 lacked a valid State Police clearance; the State Police clearance on file is dated 7/2/15 and is more than 5 years old.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 and Facility Person #3 -- 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 #1 and Facility Person #3--- may not work in a child care position at the facility.

Noncompliance Area: Pieces of mulch, with a diameter of less than 1 inch, were observed on the green grass area, closest to the shed, of the outdoor play space which is used by older toddlers.

Correction Required: Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

Noncompliance Area: In the Preschool Room three mats, which staff reported were used by various children who may want to take a nap, were observed to not be labeled for the use of a specific child.

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: The child file for child #2 contained a financial agreement form lacked the fee amount.

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

Noncompliance Area: The child file for child #3, who is a young toddler, contained a current health report that was not updated at least every 6 months; the dates of the two most recent health reports are 8/8/18 and 5/21/19.

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 staff file for staff person #1 contained a current health assessment dated 8/20/18 which was conducted more than 24 months from the previously dated 8/16/16 health assessment. The staff file for staff person #2 contained a current health assessment dated 3/20/18 which was conducted more than 24 months from the previously dated 1/18/16 health assessment. The staff file for staff person #4 contained a current health assessment dated 8/21/18 which was conducted more than 24 months from the previously dated 8/16/16 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 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 child file for child #1 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of review were 7/26/18 and 2/7/19. The child file for child #3 contained a financial agreement and emergency contact information form that were not reviewed and updated by the parent at least once in a 6-month period; the dates of review were 6/11/18 and 1/14/19.

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 staff file for staff person #2 and staff person #3 lacked a valid State Police clearance; the documentation on file was the invoice for criminal record.W

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). 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 and #2--- may work in a child care position at the facility but required to be supervised at all times.

Noncompliance Area: On the back porch a plastic green and beige toy kitchen was observed to have an oven door that would not remain in it's upright closed position causing it not to be in good repair and a potential tripping hazard.

Correction Required: Toys, 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: The child file for child #1 contained a health report dated 1/23/18 that lacked a statement that the child is able to participate in child care and is free from communicable 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 staff file for Staff person #1 contained an updated health assessment dated 3/9/17 which was conducted more than 24 months from the previously dated health assessment dated 11/3/14.

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: In the outdoor play space standing water which poses as a potential drowning hazard was observed in the following toys used by the children: a green plastic wheel barrow and a blue sand bucket.

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