Wendy Manzueta

Noncompliance Area: Staff 1 and household member 2 did not have the required NSOR clearance on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person # 1 may not work in a child care position at the facility until the NSOR clearance is obtained. 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 may not work in a child care position at the facility.

Noncompliance Area: The emergency plan was currently up to date. However, the previous emergency plan was dated 3/2/2018 and the current one was dated 3/15/2019. As a result, there was more then 1 year between updates.

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: During the renewal inspection on 9/14/2018, certification representative observed staff 1 leaving the child care area on multiple occasions in order to go in to the kitchen for various reasons, such as preparing an infant bottle. During each incident she would leave the child care space for approximately 2-3 minutes, leaving the children unsupervised. From the kitchen, certification representative observed that provider would not be able to see the children or appropriately assess their well being. On 9/28/2018, certification representative observed during a verification visit that the provider continued to go back and forth between the child care area and the kitchen which resulted in her not appropriately supervising the children. On 10/24/2018, certification representative went out to the facility to verify corrections, but no one was home.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).Children must be supervised at all times. .

Noncompliance Area: Child 1 had an outdated emergency contact form which was last dated 9/17/2017. Child 2 had an outdated emergency contact form and fee agreement last dated 11/20/2017. Child 3 did not have an emergency contact form or fee agreement on file. During a verification visit on 9/28/2018,, it was observed that none of these items were corrected. On 10/24/2018, certification representative went out to the facility to verify corrections, but no one was home.

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: Child 4, who is an infant, last had an updated physical from 11/20/2017 on file. During a verification visit on 9/28/2018, it was observed that child 4 continued to not have an updated physical. On 10/24/2018, certification representative went out to the facility to verify corrections, but no one was home.

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: During the renewal inspection on 9/14/2018, certification representative observed staff 1 leaving the child care area on multiple occasions in order to go in to the kitchen for various reasons, such as preparing an infant bottle. During each incident she would leave the child care space for approximately 2-3 minutes, leaving the children unsupervised. From the kitchen, certification representative observed that provider would not be able to see the children or appropriately assess their well being.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: Child 1 had an outdated emergency contact form which was last dated 9/17/2017. Child 2 had an outdated emergency contact form and fee agreement last dated 11/20/2017. Child 3 did not have an emergency contact form or fee agreement on file.

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: Child 4, who is an infant, last had an updated physical from 11/20/2017 on file.

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: During the annual inspection on 9/14/2018, there was an unlabeled infant bottle that was in use in the child care area.

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

Noncompliance Area: Cleaning materials, such as Clorox wipes, were found to be accessible to children under the changing table which was unlocked.

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: CHILDREN 2 - DOE- 8/31/16, 3 - DOE - 10/5/15 AND 5 - DOE - 1/8/16 DO NOT HAVE UPDATED CHILD SERVICE REPORTS ON FILE. CHILD SERVICE REPORTS ON FILE FOR ALL 3 CHILDREN ARE DATED 3/31/17

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: CHILD 6 DOES NOT HAVE THE NAMES OF RELEASE PERSONS LISTED ON THE FEE AGREEMENT.

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

Noncompliance Area: CHILD 6 DOES NOT HAVE AN UPDATED FEE AGREEMENT AND EMERGENCY CONTACT FORM ON FILE. LAST UPDATE FOR BOTH CHILD 4'S FEE AGREEMENT AND EMERGENCY CONTACT FORM IS DATED 3/3/17. CHILDREN 4, 6 AND 7 DID NOT RECEIVE UPDATES FOR FEE AGREEMENTS AND EMERGENCY CONTACT FORMS WITHIN 6 MONTHS OF THE LAST UPDATE. CHILD 4 HAS AN EMERGNECY CONTACT FORM AND FEE AGREEMENT ON FILE WTIH UPDATES OF 1/4/17 AND 8/14/17. CHILD 6 HAS AN EMERGENCY CONTACT FORM AND A FEE AGREEMENT ON FILE WITH UPDATES OF 12/2/16 AND 3/3/17. CHLD 7 HAS AN EMERGENCY CONTACT FORM AND A FEE AGREEMENT ON FILE WITH UPDATES OF 12/2/16 AND 7/13/17.

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: CHILD 1 DOES NOT HAVE A HEALTH REPORT ON FILE THAT INCLUDES A STATEMENT THAT THE CHILD IS ABLE TO PARTICIPATE IN CHILD CARE AND APPEARS TO BE FREE FROM CONTAGIOUS OR COMMUNICABLE DISEASE. CHILDREN 2 AND 5 DOE NOT HAVE UPDATED HEAKTH REPORTS ON FILE. CHILD 2 HAS A HEALTH REPORT ON FILE DATED 8/15/16 AND CHILD 5 HAS A HEALTH REPORT ON FILE DATED 1/22/16.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.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: INSPECTOR OBSERVED PROVIDER CHANGE DIAPERS OF THE CHILDREN AND DID NOT WASH HER HANDS NOR THE CHILDREN'S HANDS AFTER DIAPERING.

Correction Required: A staff person shall ensure that a child`s hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: INSPECTOR OBSERVED PROVIDER WAS CARING FOR CHILDREN ON THE 1ST FLOOR FOR ENTIRE RENEWAL INSPECTION WHICH WAS APPROXIMATELY 3 1/2 HOURS. PROVIDER HAS A CERTIFICATE OF OCCUPANCY FOR BASEMENT ONLY.

Correction Required: A certificate of registration will not be granted by the Department until the legal entity provides a certificate of occupancy as proof of compliance with the applicable requirements in 34 Pa. Code 403.23 (relating to child day care facilities).

Noncompliance Area: INSPECTOR OBSERVED A BABY BOTTLE THAT IS NOT LABELED WITH CHILD'S NAME.

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

Noncompliance Area: WHEN INSPECTOR ARRIVED, INSPECTOR OBSERVED FACILITY PERSON 1 USING NAIL POLISH REMOVER AND PAINTING HER NAILS AT THE KITCHEN TABLE WITH 2 CHILDREN SITTING IN HIGHCHAIRS. THE SMELL OF THE TOXICS BEING USED IS VERY STONG.

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

Noncompliance Area: FACILITY PERSONS 1 AND 2 WERE LEFT ALONE WITH CHILDREN AND DO NOT HAVE A STATE POLICE CLEARANCE, CHILD ABUSE CLEARANCE AND FBI CLEARANCE ON FILE.

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. The legal entity must arrange for all facility staff to receive three hours of PQAS approved training regarding the CPSL. It does not matter if the PQAS approved training is through the regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: INSPECTOR OBSERVED PROVIDER COOKING HOTDOGS ON THE STOVE. PROVIDER DID NOT HAVE THE GATE CLOSED AND THE STOVE DOES NOT HAVE A STOVE GUARD. THE STOVE IS ACCESSIBLE TO CHILDREN.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: Household member 1 does not have a state police clearance, child abuse clearance and fbi clearance on file and resides in the house for more than 30 days.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person`s or household member'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: Child 5 does not have a specific amount of the fee to be charged per day or per week listed on fee agreement.

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

Noncompliance Area: Child 5 does not have a specific date on which the fee is to be paid listed on the fee agreement.

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

Noncompliance Area: Children #1, 2, 6, 8 and 9 do not have child service reports on file and have been enrolled for more than 6 months.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: Child 8 does not have a departure time listed on the fee agreement.

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

Noncompliance Area: Child #5 does not have release persons listed on the fee agreement. Child #9 does not have the address of the release persons listed on the emergency contact form.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released. 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: Child 2 does not have the address and telephone number of the child`s physician listed on the emergency contact form.

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: Children #2, 7 and 8 do not have signed parental consent for emergency medical care for the child on file.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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: Child #2 DOE - 7/1/16 - does not have a health assessment on 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.

Noncompliance Area: Staff #2's health assessment is not signed by a physician, physician's assistant or CRNP

Correction Required: A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature shall include the individual's professional title.

Noncompliance Area: Staff #2 does not have a date listed on health assessment for tb screening on file.

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.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: Child #8 does not have a 6 month updated fee agreement on file.

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: Children #2, 7 and 8 do not have signed parental consent for administration of minor first-aid procedures listed on the emergency contact form.

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: None of the children's files contain a copy of the initial agreement and subsequent written agreements on file.

Correction Required: A child`s record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: Provider does not have Chapter 3290 regulations posted in a conspicuous location used by parents in the family home.

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: Staff #1 and #2 do not have first-aid training on file.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: Staff #1 does not have any child care trainings on file.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training. A facility person`s record shall include records of training required by the Department.

Noncompliance Area: Inspector observed hand sanitizer labeled "keep out of reach of children" inside the sink and assessable 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: Provider did not have proof that fire drills were conducted 4 times a year the previous year.

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