Easter Group Daycare - Erie PA Group Child Care Home

Noncompliance Area: On an easel in the play space, in an area accessible to children in care, two approximately 3"x7" plastic trays were observed to have cracks with sharp, jagged edges that could cause laceration and/or puncture injuries. An approximately 30" high wooden shelf in an area accessible to children in care in the front child care space was observed to have a protruding screw that could cause laceration and/or puncture injuries.

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: In the first room on the right, an approximately 8" in diameter vinyl ball was observed to have torn, which exposed the nylon filling making it accessible to children in care who are still placing objects in their mouths.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: The file for Child #2 contained documentation of immunizations; however, the third dose of Dtap and the third dose of Rota were not listed as completed in accordance with ACIP recommendations.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The files for Staff #2 and #3 contained health assessments that were completed more than 24 months ago. The file for Staff #2 did not contain a health assessment.

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 for Staff #1 did not contain a signed disclosure statement.

Correction Required: 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: In the second bathroom on the left side of the main hallway, a window blind cord was observed to be accessible to children in care and, as the cord was looped, presented a risk of strangulation.

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

Noncompliance Area: The file for Staff #2, whose first date in a child care position was 02/04/2019, did not contain documentation of the completion of emergency plan training within seven days of said date.

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: Peeling paint was observed on the trim of the window in an area accessible to children in care in the large child care space.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The file for Child #1 contained an Emergency Contact form that did not include the name of the child's health insurance provider.

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: The file for Child #1 contained an Emergency Contact form that included persons to whom the child can be released, as well as said persons' telephone number. The form, however, did not include the address to those listed as persons 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: The file for Child #1, who has been enrolled in care for more than 60 days, did not contains a health assessment or immunization record.

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 health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Noncompliance Area: The file for Staff #1, who has been employed in a child care position for more than 90 days, did not contain documentation of the completion of Mandated Reporter training.

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

Noncompliance Area: In the front child care space, a coaxial cable was observed extending from the back of the wall-mounted television to an outlet near the base of the wall. Cords were observed hanging down from a window blind in the first room on the right. The cable and cords were both securely connected on both ends which created the potential for the cables/cords to be looped, which would pose a risk of strangulation.

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

Noncompliance Area: On half-doors leading from the front entry foyer to the front child care space and from the hallway to the play space, both areas accessible to children in care, protruding screws were observed on door hinges. Said screws could cause laceration and/or puncture wounds. In the hallway restroom used by children in care, protruding, rusted bolts were observed on either side of the base of the toilet, which could cause a puncture and/or laceration injury.

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

Noncompliance Area: In the child care space nearest to the entrance to the facility, a desktop globe was observed atop a storage unit in a location that would be accessible to young toddlers and older. Said globe was observed to be deteriorating. The paper/cardboard outer layer was fraying causing small pieces to be falling away.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.