Michele Little Day Care - Twin Rocks PA Group Child Care Home

Noncompliance Area: Observed child #1, an infant sleeping in a high chair with a blanket tucked in around his torso and shoulders. At the time of the inspection, per conversation with the child care provider, the child was sleeping in the high chair due to illness. However, there was no documentation of a medical reason documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The file of child #5 lacked an emergency contact form with the full work address of the enrolling parent.

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

Noncompliance Area: The file of child #3 with an enrollment date of 4-3-17 lacked 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 must contain initial and subsequent health reports.

Noncompliance Area: Based on conversation with the provider, observed a green sippy cup with milk and a blue sippy cup with milk returned to the frig from the table rather than discarded.

Correction Required: Food that has been previously served to a person or returned from a table shall be discarded.

Noncompliance Area: Observed a bottle not labeled with the child's name.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: The files of children #2, #3, #4, and #5 lacked documentation of parent review 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: Observed a fire drill log with the following dates: 4-22-19 and 6-26-19, which is 65 days. Therefore, not held at least every 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.

Noncompliance Area: The file of child #3 lacked an emergency contact form with the full physical work address of the enrolling parent.

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

Noncompliance Area: The files of children #2, #3, and #4 lacked emergency contact forms with the full physical address of the individual designated by the parent to whom the child may be released.

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 of child #1 with an enrollment date of 8-24-16 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The health assessment on file was dated 3-8-18. The file of child #3 with an enrollment date of 9-2015 lacked an initial health report no later than 60 days following the first day of attendance at the facility. The health assessment on file was dated 11-8-16.

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 file of staff #1 with a start date in care with children of 8-28-17 had an initial health assessment dated 1-5-18. The file of staff #2 with a start date in care with children of 9-11-18 had an initial health assessment dated 9-27-18.

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 file of staff #1 with a start date in care with children of 8-28-17 and the file of staff #2 with a start date in care with children of 9-11-18 completed emergency plan training on 1-10-19. Therefore, not at the time of initial employment.

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. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file of staff #1, provisionally hired on 8-28-18 had a request for PA State Police clearance dated 11-1-18 and had a request for a Child Abuse clearance dated 9-20-18. The file of staff #2 provisionally hired on 9-11-18 had a request for Child Abuse clearance dated 9-20-18.

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

Noncompliance Area: Observed 13 unrelated children in care. There were 5 young school age, 5 preschool, 1 older toddler, and 2 young toddlers.

Correction Required: No more than 12 children unrelated to the operator may simultaneously receive care except in a facility serving older school-age children. In a facility serving only older school-age children, a certificate of compliance may be issued for up to 15 children unrelated to the operator. The capacity established for an indoor space may not be exceeded.

Noncompliance Area: Observed in the playground, a Little Tikes brand climber with a red tunnel that was cracked and missing parts on the top.

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.