Mt Ararat Community Activity Center - Pittsburgh PA Child Care Center

Noncompliance Area: Observed by certification representative MM on 8/19/2020 - The top door of a play refrigerator was loose from the hinges in Room 324.

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 by certification representative MM on 8/19/2020 - Room 224 contained 2 buckets of Play-Doh which were on a shelf accessible to children. Room 322 had empty plastic trash bags in an unlocked desk drawer and the STEM room had empty plastic bags on the windowsill. Observed by certification representative KM on 8/19/2020 - Room 323 contained empty plastic sandwich bags on the desk and empty trash bags in an unlocked desk drawer. Room 320 contained empty trash bags in an unlocked desk drawer. Room 307 contained empty trash bags underneath the sink with no lock.

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: Observed by certification representative MM on 8/19/2020 - Room 322 contained a shelf approximately 6 feet high with 6 shelves which was not anchored to the wall.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Noncompliance Area: Observed by certification representative KM on 8/19/202 - The thermometer in the refrigerator in Room 225 read 60 degrees, 15 degrees over the 45 degree requirement.

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: Observed by certification representative MM on 8/19/2020 - Room 224 did not have a written plan of daily activities posed in the group space.

Correction Required: The written plan of daily activities shall be posted in the group space.

Noncompliance Area: Observed by certification representative KM on 8/19/2020 - The financial agreement of child #1 did not contain the amount the fee to be charge per day or week. A financial agreement was not completed for child #6.

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

Noncompliance Area: Observed by certification representative KM on 8/19/2020 - The original financial agreements were on file for child #1, 2, 3, 4 and 5.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Noncompliance Area: Observed by certification representative KM on 8/19/2020 - The emergency contact of child #6 did not contain the telephone number of the child's physician.

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: Observed by certification representative KM on 8/19/2020 - The emergency contact information of child #4 did not contain the health insurance coverage and policy number under a family policy or Medical Assistance benefits.

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: Observed by certification representative MM on 8/19/2020 - A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in Room 322. Observed by certification representative on 8/19/2020 - A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not posted in Rooms 308 and 109.

Correction Required: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

Noncompliance Area: Observed by certification representative KM on 8/19/2020 - The file of child #6, with a start date of 1/6/2020 does not contain documentation of 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 shall contain initial and subsequent health reports.

Noncompliance Area: Observed by certification representative KM on 8/19/2020 - The initial health assessment for child #3, a young toddler, was dated 8/5/2019 with an updated health report on 6/16/2020, exceeding the requirement of an updated health report at least 6 months.

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: Observed by certification representative KM on 8/19/2020 - The health assessments of child #2 and 3 contained a review of each child's immunized status which was not in accordance of the recommendations of the ACIP.

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

Noncompliance Area: Observed by certification representative KM on 8/19/2020 - Documentation of administered immunizations in accordance with the recommendations of the ACIP was not at the facility for child #6, a preschool aged child with a start date of 1/6/2020.

Correction Required: The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

Noncompliance Area: Observed by certification representative MM on 8/19/2020 -Room 324 contained prescription medication Diazepam which expired in 5/2020 and did not have written parental consent for administration. Room 224 contained an Epi-Pen which expired 7/2020 and Diazepam both which did not have written parental consent for administration.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. A parent shall provide written consent for administration of medication or a special diet.