Monica Davis Hutcheson

Noncompliance Area: Upon inspection of the refrigerator used to store foods for children in care, it was found to be reading 54 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: Upon inspection of the facilities documents on file, it was found that a health and safety protocol document had not been created and made available in the facility.

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

Noncompliance Area: Upon inspection of the outdoor play space identified by the operator, it was found that the area had an unprotected swimming pool, trampoline and exposed rusty nails and loose boards on the play set.

Correction Required: If unsafe areas or conditions are in or near an outdoor play space, fencing or natural barriers are required to restrict children from those unsafe areas or conditions.

Noncompliance Area: Upon inspection of the physical premises of the facility, three outlets were found to be missing protective receptacle covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Noncompliance Area: Upon inspection of the handwashing sink in the upstairs bathroom used by the children in care, the temperature of the hot water read 140 degrees.

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: Upon inspection of the site, it was found that the provider had not posted a written plan of daily activities and routines.

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.

Noncompliance Area: Upon inspection of the files for Child #1, #2 and #3, it was found that the address and phone contact for the release person was not included.

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: Upon inspection of the transportation vehicle used by the provider, it was found that updated emergency contact information was not accompanying Child #1, #2 and #3.

Correction Required: When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.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: Upon inspection of the files for Child #1, #2 and #3, it was found that the information had not been updated/reviewed within the past 12 months.

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: Upon inspection of provider's employee file, it was found that the medical documentation did not include evidence of a tuberculosis screening for Staff person #1.

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: Upon inspection of the vehicle used to transport the children in care, it was found that the required first aid kit was not present.

Correction Required: A first-aid kit, including the contents as specified in 3290.73 (relating to first-aid kit) shall be in the vehicle when children are being transported.

Noncompliance Area: On 10/9/2019, it was observed that there was not a working smoke detector in the basement because the alarm was not present at all. This condition at the facility poses a threat to the health or safety of children.

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

Noncompliance Area: Upon inspection of the records for Child #1, #2 and #3, it was found that their date of admission was not present on the documentation.

Correction Required: A child's record must contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: Upon inspection of the posted certificate of compliance on site, it was found to have been outdated by 2 years.

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: Upon inspection of required documents, it was found that that there was no documentation of an updated emergency plan being sent to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: Upon inspection of staff #1 file, it was found that there was no documented training hours within the past 12 months.

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

Noncompliance Area: Upon inspection of the on-site first aid kit, it was found that soap was missing from the contents.

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: Upon inspection, it was found that a fire evacuation plan was not developed and posted within the facility.

Correction Required: Fire evacuation plans shall be developed and posted.

Noncompliance Area: Observed a trampoline located in the back yard outdoor play space to be in disrepair.

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: Observed a container of medications and vitamins to be accessible in the main child care area.

Correction Required: 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: Children's files were reviewed children #1, #2, and #3 did not have updated emergency contact or financial forms 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: Provider did not have a first aid kit in the facility.

Correction Required: A first-aid kit shall be in the facility.

Noncompliance Area: Observed a gas can to be on the ground in the front yard next to the entrance gate to the facility.

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: Child #1 does not have documentation of a current child service report on file.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form (child service report) 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: The emergency contact forms and agreements for children #1,2,3 have not been updated within the last six months.

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: Operator does not have current first aid training that was conducted by a live trainer.

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: A broken board was observed on the outdoor fencing that borders the play area.

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: Operator does not have a written daily schedule, nor is it posted for parents.

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: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency has not been developed.

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: Children #1-3 have immunization records on file but do not have current health reports.

Correction Required: A child`s record must contain initial and subsequent health reports.

Noncompliance Area: The operator does not have a copy of the Current Chapter 3290 regulations available at the facility.

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: The operator did not provide the parent of each enrolled child a letter explaining the emergency procedures

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Noncompliance Area: The operator did notl send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: Operator did not have documentation of any child care training in the past two years.

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

Noncompliance Area: Operator did not have documentation that she completed mandated reporter training as required under the CPSL.

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

Noncompliance Area: There was no thermometer in the refrigerator.

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: Operator does not have a written daily schedule, nor is it posted for parents.

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: Children #1-3 did not have documentation of a current child service report on file.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form (child service report) 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: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed conspicuously in the child care space and does not accompany a staff person who leaves on an excursion with children.

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: Operator does not have a current health assessment on file.

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: Children #1-3 have immunization records on file but do not have current health reports.

Correction Required: A child`s record must contain initial and subsequent health reports.

Noncompliance Area: The operator does not have a copy of the current Chapter 3290 regulations available at the facility.

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: The operator did not provide the parent of each enrolled child a letter explaining the emergency procedures.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Noncompliance Area: The operator did not send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the county emergency management agency.

Noncompliance Area: Operator did not have documentation of any child care training in the past two years.

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

Noncompliance Area: Operator did not have documentation that she completed mandated reporter training as required under the CPSL.

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

Noncompliance Area: Toxic cleaning materials were observed to be accessible to chidlren under the bathroom sink. MOVED DURING INSPECTION.

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 telephone number of the nearest hospital, police department, fire department, ambulance and poison control center was not posted by each telephone in the facility.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Noncompliance Area: The first aid kit did not contain gloves, scissors, tweezers or soap. CORRECTED DURING INSPECTION.

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.