Mechanicsburg Learning Center Iii - Mechanicsburg PA Child Care Center

Noncompliance Area: The written plan of daily activities was observed not to be posted in the toddler classroom.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Soiled diapers were observed to be discarded directly into a trash bag on the floor.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: A child's diaper was observed to be changed on the carpeted floor of the facility, which therefore was unable to be wiped with a sanitizing solution after the diaper change was completed.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: Facility person #1 was observed not to wash their hands between children's diaper changes. Facility person #1 was observed to change gloves between diaper changes, but did not wash their hands between diaper changes.

Correction Required: A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: On 12/19/2019, it was observed that the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was observed not to be posted in any of the child care spaces. Continued non-compliance: on 3/2/2020, it was observed that the written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was observed not to be posted in the room at the end of the hall to the left of the entrance to the building, which was corrected on site.

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: On 12/20/2019, it was observed that the file of child #5, 7 months old at the time of inspection, contained documentation of only two DTAP and Pneumococcal vaccinations and did not contain documentation of an influenza vaccination. The files of children #2 and #3 did not contain documentation of current influenza vaccinations. Continued non-compliance: on 3/2/2020, it was observed that the file of child #5, 7 months old at the time of inspection, contained documentation of only two DTAP and Pneumococcal vaccinations and did not contain documentation of an influenza vaccination. The files of children #2 and #3 did not contain documentation of current influenza vaccinations.

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: There was a current child service report on file for child #4 at the time of inspection, dated 8/26/19, however it was dated more than 6 months from the previous child service report, which was dated 10/1/18.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).

Noncompliance Area: The written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was observed not to be posted in any of the child care spaces.

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: The file of child #1, 8 months old at the time of inspection, contained documentation of only two DTAP and Pneumococcal vaccinations and did not contain documentation of an influenza vaccination. The file of child #5, 7 months old at the time of inspection, contained documentation of only two DTAP and Pneumococcal vaccinations and did not contain documentation of an influenza vaccination. The files of children #2, 3, and 4 did not contain documentation of current influenza vaccinations.

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 file of facility person #1, hired 10/28/19, contained a health assessment and tuberculin skin test results dated 11/23/19, which therefore were not dated within 12 months prior to providing initial service and were not on file at the time of hire. The file of facility person #2, hired 9/12/19, contained a health assessment and tuberculin skin test results dated 8/15/18, which therefore were dated more than 12 months prior to providing initial service.

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. 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.

Noncompliance Area: The file of facility person #2 did not contain any 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: It was observed that a copy of the regulations under which the facility is certified and instructions for contacting the appropriate regional day care office were not posted in a conspicuous location utilized by parents, which was corrected on site.

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: There was not documentation on file that facility person #6 (hired 9/9/19), facility person #1 (hired 10/28/19), or facility person #2 (hired 9/12/19) had emergency plan training until 12/9/19. Facility persons #4 and #5 had current emergency plan training on file at the time of inspection, dated 12/9/19, however it was dated more than on year from the previous training, dated 10/8/18.

Correction Required: 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 and kept on file at the facility.

Noncompliance Area: The emergency plan was observed not to be posted in a conspicuous location.

Correction Required: The operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: The file of facility person #1, hired 10/28/19, did not contain a copy of a request for the FBI clearance and did not contain a copy of a completed FBI clearance, as the FBI clearance on file did not include the complete rap sheet, as required under the CPSL. The disclosure statement on file for facility person #2, hired 9/12/19, did not include a date or witness signature, as required under the CPSL.

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. LACKING REQUIRED HIRING DOCUMENTS: Facility Person #1 may not work in a child care position at the facility.