Michelle C Brown-hayes Fcch

Noncompliance Area: During renewal inspection on 2/19/2020, while doing a walk of the facility the facility's thermometer read 48 degrees

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: During renewal inspection on 2/19/2020, while reviewing pet file, the facility has 4 cats, 3 of which did not verification of a veterinarian's certificate of current rabies immunization on file

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: During renewal inspection on 2/19/2020, while reviewing children's files, Child # 3 whose enrollment date 4/3/19 last agreement was signed 3/14/19

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 information 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: During renewal inspection on 2/19/2020, the facility's vehicle that is used to transport children insurance dated 9/25/19

Correction Required: A vehicle shall be insured in accordance with the requirements of 75 Pa.C.S. 1701-1799.7 (relating to the Motor Vehicle Financial Responsibility Law).

Noncompliance Area: During renewal inspection on 2/19/2020, while reviewing staff files, Staff # 2 did not have 6 hours of annual childcare training hours in file

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: During renewal inspection on 2/19/2020, while reviewing staff files, Staff # 2 did not have documentation in file to show that a mandated reporter training was completed

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- 2 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 #---2 may not work in a child care position at the facility.

Noncompliance Area: During allocated unannounced monitoring, facility did not have sufficient play equipment and materials for children

Correction Required: Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Noncompliance Area: During unannounced monitoring on 4/11/19, HH member # 1 did not have a FBI clearance in file

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. 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. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 2/27/19, Cert Rep and Cert Supervisor observed the following -the yellow toy piano was heavily stained with dirt, the play kitchen set in the child care space was heavily stained with dirt - the blue cushion child chair was ripped on the arms of the chair. -The two small red children's car in the child care space had dirt build up in the crevices of the chairs

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: During renewal inspection on 2/27/19, facility owner served lunch on Styrofoam plates

Correction Required: Styrofoam cups and plates may not be used.

Noncompliance Area: During renewal inspection on 2/27/19, Child # 4's agreement did not identify a person to whom the child could be released to.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: During renewal inspection on 2/27/19, while reviewing children's files, Child # 1's emergency contact did not include birth date of child

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: During renewal inspection on 2/27/19, while reviewing children's files,Cert Rep observed the following - Child # 1's emergency contact did not have health insurance and policy number information, physician's name, address and phone number listed on emergency contact -Child # 2's emergency contact did not have health insurance and policy number information/ physicians name, address and telephone number listed on the emergency contact -Child # 3's emergency contact did not have health insurance and policy number information/ physician's number listed on the emergency contact - Child # 4, 5, 6 and # 7 emergency contacts did not include health insurance coverage information

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.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: During renewal inspection on 2/27/19, Child # 4's emergency contact did not have parental consent of emergency care

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: During renewal inspection on 2/27/19, while reviewing children's files, Child # 1's emergency contact had a release person listed but did not have release person's address listed

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: During renewal inspection on 2/27/19 while reviewing children's files, - Child # 2's emergency contact and agreement was last signed 6/4/18. - Child # 6,7, and # 8's emergency contact was not updated within a 6 month period or as soon as there was a change

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: During renewal inspection on 2/27/19 while reviewing children's files, Child # 2 whose enrollment date 6/4/18 did not have a health assessment in file

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 2/27/19 while reviewing children's files, Child # 3 had a health assessment done on 10/18/18 but did not have a child health report in file

Correction Required: A health report shall include a review of the child's health history.A child's record must contain initial and subsequent health reports.

Noncompliance Area: During renewal inspection on 2/27/19, while reviewing staff files, Staff # 1 's last health assessment was dated 6/21/16

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 on file at the facility.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: During renewal inspection on 2/27/19, a child's bottle on the table was not labelled

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

Noncompliance Area: During renewal inspection on 2/27/19, Child # 4's emergency contact information did not contain parent consent for obtaining emergency medical care ans the administration of minor first aid procedures by staff

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During renewal inspection on 2/27/19, while reviewing staff files, Staff # 1 did not have 6 clock hours of child care training in file

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: During renewal inspection on 2/27/19 while reviewing staff and household members files, Cert Rep observed the following - Staff # 1 had a state police clearance that was a receipt dated 1/10/17 -Staff # 2 had a state police clearance that was a receipt dated 1/10/17 -Household member # 3 had a state police clearance dated 1/10/17 - Household member# 4 did not have a FBI/ State police clearance/ and child abuse in file - Household member #5 state police clearance dated 5/28/13

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. 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. Facility Person #--- may not work in a child care position at the facility.

Noncompliance Area: During renewal inspection on 2/27/19, medications, hand sanitizer and wound care spray were not locked in areas accessible to the children

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: During the renewal inspection on 2/27/19, Cert Rep and Cert Supervisor observed the following -The window sill of the big window behind the treadmill and the floor boards in the main child care space were dusty and dirty. -The ceiling lamp in the main child care space was very dirty -Brown stains were present on the wall near the cubbies -The round alphabet rug under the small table in the front of the facility was heavily soiled

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

Noncompliance Area: Staff person #1 acknowledged that a five month old enrolled child had been sleeping on a mat on the floor. A mat is not age appropriate rest equipment for an infant.

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: Two cats were present in the facility during the inspection. the operator was not able to produce a veterinarian's certificate verifying rabies immunization for either cat.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: Agreements in child records #1, and 2 were not signed by either the parent, and or operator.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: Agreements in child records #1, 3, 4, and 5 did not specify a fee amount.

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

Noncompliance Area: Agreements in child records #1, 2, 3, and 5 did not specify the date on which fees must be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Agreements in child records #1, and 3 did not include the services being provided at the program.

Correction Required: An agreement shall specify the services to be provided to the family and the child..

Noncompliance Area: Agreements in child records #1, 2, and 3 did not include the child's arrival, and or departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: Agreements did not identify persons to whom the child could be released in child records #1, 2, 4, and 5

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: Agreements did not include admissions dates in child records #1, and 2

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: Agreements did not specify extra services in child records #1, 2, and 3.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: Emergency contact forms did not include the name, address, and or telephone numbers of the child's physician or source of medical care. in child records #1, and 2.

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: Emergency contact information did not include written permission for emergency medical care in child records #1, and 2.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care.

Noncompliance Area: Emergency contact information did not include information on health insurance coverage in child records #1, 2, 4, and 5.

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: Emergency contact information in child record number 1 did not include the name, address , and telephone number of individuals designated by the parent to whom the child can 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: A written plan identifying the means of transporting a child for emergency care to include staffing provisions was not displayed in a conspicuous location in the facility.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: Emergency contact information did not include 6 month updates in child records #1, 2, 3, 4, and 5.

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 information

Noncompliance Area: No health assessments were present in the files for child #1, and 2. Both children have been enrolled for more than 60 days.

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: There was no health assessment on file for staff person #2.

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 on file at the facility.

Noncompliance Area: Because there is no health assessment on file for staff person #2 there is no proof that staff person number two is free of tuberculosis.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Noncompliance Area: The program transports children. The record for child #1 did not include written permission to transport.

Correction Required: The operator shall obtain written consent from the parent for transportation by the facility staff.

Noncompliance Area: Child #6 was present during the inspection. Operator did not have a file for child #6.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: Agreements and emergency contact information were not updated as required by regulation in child records #1, 2, 3, 4, and 5.

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: Child records #1, and 2 did not contain written permission for emergency medical care. This permission is needed prior to admissions to the program.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: Records for child #1, and 2 did not include written permission for minor first aid. This permission is need prior to admission in the program.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Record for child #1 did not include permission for transportation and to go on walking excursions. The program transports and goes on walking excursions.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: A copy of the facility's current certificate of registration as well as a copy of regulations chapter 3290 were not observed posted in a conspicuous location in the program

Correction Required: The facility's current certificate of registration 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: A review of the facility's emergency plan reveals that it did not include provisions for sheltering in place at the location.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises..

Noncompliance Area: A review of the facility's emergency plan revealed that it did not include provisions for evacuating children from the facility and sheltering in a location away from the facility

Correction Required: The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3290.94 (f) and (g) (relating to fire drills).

Noncompliance Area: A review of the facility's emergency plan revealed that it did not include a method of notifying parents that an emergency had commenced.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

Noncompliance Area: A review of the facility's emergency plan revealed that it did not include a means of notifying parents that the emergency had ended.

Correction Required: The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

Noncompliance Area: There was no proof that staff person #2 had been trained in the facility's emergency plan.

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.

Noncompliance Area: Records for staff persons #1, and 2 did not contain proof of six hours annual child care training, or 12 hours biennial child care training.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: There was no proof of current first aid training in the files of staff persons #1 and 2. Staff person #1's first aid training expired on 3/27/18, and staff person #2's file did not contain proof of first aid training. This is a 24 hour facility and staff person #2 may be on duty when staff person #1 is not available.

Correction Required: One or more persons competent in first-aid techniques shall be at the facility when day care children are in care.

Noncompliance Area: Medications were observed on a small table next to the black leather chair in the living area. These items have the potential to be toxic to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: The facility's first aid kit did not contain tweezers, scissors, or soap.

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: Building surfaces throughout the facility, were cluttered and in multiple areas they were not clean. The floor at the entryway was not clean. The living room area was cluttered with clothing on the floor and the covers on both sofas were not clean. The floors in the kitchen and first floor bathroom area were not clean, and the bathroom had a strong smell of urine.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, and furniture shall be shall be kept clean, in good repair and free from visible hazard, and clutter. Conditions at the facility must not crate a treat to the health and safety of children receiving care..

Noncompliance Area: There was no proof that fire drills are being conducted 4 times per year. A review of the facility's fire drill log shows that the last fire drill was conducted in July 2017.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.

Noncompliance Area: UPON REVIEW ON 9/28/2017, THE REFRIGERATOR DID NOT HAVE A THERMOMETER.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45 F or below. An operating thermometer shall be placed in the refrigerator.

Noncompliance Area: UPON REVIEW ON 9/28/2017, SCHEDULE OF ACTIVITIES WAS NOT AVAILABLE OR POSTED IN CONSPICUOUS LOCATION.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Noncompliance Area: UPON REVIEW ON 9/28/2017, FILE FOR CHILD 1 DID NOT CONTAIN A COPY OF THE AGREEMENT.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: UPON REVIEW ON 9/28/2017, FILES FOR CHILDREN 6,7,8,9 DID NOT INCLUDE DATE OF ADMISSION.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: UPON REVIEW ON 9/28/2017, THE FILE FOR CHILD 1 DID NOT CONTAIN AN EMERGENCY CONTACT FORM.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: UPON REVIEW ON 9/28/2017, POSTINGS OF REGULATIONS, REGIONAL OFFICE PHONE NUMBERS, AND EMERGENCY PLAN WERE NOT IN A CONSPICUOUS LOCATION.

Correction Required: The facility's current certificate of registration 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 locationThe operator shall post the emergency plan in the facility at a conspicuous location.

Noncompliance Area: UPON REVIEW ON 9/28/2017, STAFF DID NOT HAVE DOCUMENTATION OF EDUCATION.

Correction Required: The operator shall have a high school diploma or a general educational development certificate and submit proof to the appropriate regional office of the Department at the time of registration renewal.

Noncompliance Area: UPON REVIEW ON 9/28/2017, NOT ALL HOU8SEHOLD MEMBERS HAD CPSL CLEARANCES. HHM 2 HAD ONLY DOCUMENTATION OF THE CHILD ABUSE CLEARANCE. HHM 1,3,4 DID NOT HAVE DOCUMENTATION OF ANY CLEARANCES.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). SAFETY PLAN: The operator is required to submit to the Children and Youth Agency a plan of supervision or alternate arrangement as required by the Child Protective Services Law. LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility. 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.

Noncompliance Area: UPON REVIEW ON 9/28/2017, REPAIRS AND PAINTING OF THE FIRST ROOM WALLS, DOOR FRAME AND DOOR WERE NEEDED. WOODWORK IN THE FIRST ROOM AND KITCHEN NEEDS TO BE RE-FINISHED. THE STAIR RAILING NEEDED TO BE PAINTED. THE KITCHEN DOOR NEEDED TO BE RE-FINISHED. BASEMENT DOOR NEEDS TO BE REPLACED.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: During a renewal inspection, Child #1-3 did not have proof that their emergency contact form and their agreement form has been updated within the last 6 months (child #1 updated 3/27/16, child #2 updated 3/27/16, child #3 updated 2/16/16).

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: During a renewal inspection on 1/10/2017, Household member #1 did not have proof of their FBI Clearance in their file.

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