Mt Pleasant U P Church Child Day Care - Aliquippa PA Child Care Center

Noncompliance Area: Observed splintering wood and a hole in the rock climber in the outdoor play space.

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: The Emergency Contact Form in the file for Child #2 did not include the physician's telephone number.

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: The most recent updated health reports in the file for Child #2, a Young Toddler, exceeded 6 months between reports. The most recent health report in the file for Child #2 is current.

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. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The files for Child #3, #4 and #5, did not include documentation of a flu shot administered within the past 12 months. Child #3: December, 2018. Child #4: None. Child #5: October, 2018.

Correction Required: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. A child's record shall contain initial and subsequent health reports.

Noncompliance Area: The most recent health assessments in the files for Staff Person #1 and #2 exceeded 24 months between assessments. The most recent assessments in the files for both staff persons are current.

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. 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: The first parental updates to the emergency contact form and fee agreement in the file for Child #1 were more than 6 months after the child's enrollment date: 2/18/19. Update: 9/25/19. The most recent parental updates to the emergency contact form and fee agreement in the file for Child #4 exceeded 6 months between updates: 9/17/18 - 8/9/19. The most recent parental updates for both children are current.

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: The file for Facility Person #5 did not include two written letters of reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: The file for Staff Person #5 does not include current documentation of training 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 and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: Documentation of Mandated Reporter Training in the file for Staff Person #4 was dated more than 90 days after the Staff Person's first day working in child care. Start Date: 6/11/18. Mandated Reporter Training: 12/27/18. This training is now current.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The NSOR Application in the file for Staff Person #3 was dated 12/18/19. This was two days after Staff Person #3's first day in child care: 12/16/19. The file for Staff Facility Person #5, a volunteer, did not include a disclosure statement. The Volunteer State Police Clearance and Child Abuse Clearance in the file for Facility Person #5 have not been updated in the past 60 months. State Police: 8/2/02. Child Abuse: 2/13/04.

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. Facility Person #3 and #5 may not work in a child care position at the facility.

Noncompliance Area: Observed air freshener sprays, which were accessible to children, in an unlocked cabinet in the hallway restroom. Observed a can of paint, which was accessible to children, in the foyer area, which leads to the outdoor play space.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Noncompliance Area: Observed four nails protruding from the wall-mounted door stops in the foyer area.

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: The glass doors in the foyer area, which exit to the outdoor play space, lacked visual strips or other visual identification.

Correction Required: A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.

Noncompliance Area: On January 29, 2019 at 12:45 PM, Child #1 was observed sleeping in a propped position in a Rock-n-Play. Staff Person #2 informed the certification representative that the child had been sleeping in this position for approximately one hour.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The file for Child #3, who has been enrolled for more than six months (6/6/18) did not include a Child Service Report.

Correction Required: 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 in 3270.124(f) (relating to emergency contact information).