Neomia Mathis Nurturing Hands Child Care

Noncompliance Area: The file for Child #3 contained a fee agreement that was lacking the amount of their fee and the date it is to be paid.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week. An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: The file for Child #1 and #2 contained an agreement form that was lacking the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.A child's record must contain the dates of application, admission and withdrawal of the child.

Noncompliance Area: The file for Child #1 contained an emergency contact forms that was lacking the child's birthdate.

Correction Required: Emergency contact information must include the name and birth date of the child.

Noncompliance Area: The file for Child #1 contained an emergency contact form that was lacking the phone 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: The file for Child #4 contained an emergency contact sheet that was lacking the address of the people to whom the child my 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: During the inspection pony beads were observed to be accessible to young children still putting items 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 #1 contained a fee agreement that was lacking the child's arrival and departure times.

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

Noncompliance Area: The files for Child #1, 2, and 5 all contain fee agreements that were lacking the child's release people on them.

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

Noncompliance Area: The file for Child #1, 4 and 5 all contain fee agreements that are lacking the child's date of admission.

Correction Required: An agreement shall specify the date of the child's admission.

Noncompliance Area: The file for Child # 3 was lacking signed parental permission for emergency medical care.

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: The files for Child # 1 and 5 contained Health Assessments that were lacking copies of their immunizations.

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

Noncompliance Area: The changing area was lacking a plastic-lined, hands-free covered can.

Correction Required: If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

Noncompliance Area: The files for Child #1 and 2, both infants were lacking a written feeding plan signed by the parent.

Correction Required: A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

Noncompliance Area: The file for Child #3 contained an emergency contact form that was lacking signed parental consent for administration of minor first-aid procedures by facility staff.

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: The FCCH was lacking a posted written plan of daily activities.

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: The file for Child #1 and 2 were both lacking an Agreement that was signed by the operator and parent.

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: The files for Child #1 and 2 contained an Emergency Contact forms that were lacking the phone numbers of their physicians.

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 file for Child #1 and 2 contained Emergency Contact forms that were lacking the parents work address and phone number.

Correction Required: Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

Noncompliance Area: The files for Child #1 and 2 contained Emergency Contact forms that were lacking the children's medical insurance policy number.

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 files for Child #1 and 2 contained Emergency Contact forms that were lacking the addresses and phone numbers of the persons to whom the children can be released to.

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 and 2 contain Health Assessments that are lacking a statement that the children are able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: 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: The file for Child #1 and 2 contained Emergency Contacts that were lacking signed parental permission for the administration of minor first aid procedures by facility staff.

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: The file for Child #1 and 2 contained Emergency Contact forms that were lacking signed parental permission for transportation and the children get transported to school each morning.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: The facility was lacking an emergency plan that provided shelter of children at the facility and at locations away from the facility as well as the evacuation routes.

Correction Required: The facility shall have an emergency plan that provides for shelter of children during an emergency including shelter in place at the facility and shelter at locations away from the facility premises..The facility shall have an emergency plan that provides for evacuation of children from the facility building and evacuation of children to a location away from the facility premises. The evacuation routes and evacuation plans to exit the building may be the same as those required by 3290.94 (f) and (g) (relating to fire drills).

Noncompliance Area: The cupboards in the bathroom that contained toxics and medications were lacking child locks.

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 knobs on the stove that are accessible to children were lacking protective guards to keep children from turing them on and having exposure to the heat of the stove.

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: The windows in the playroom and the bathroom on the second floor were not limited to opening 6 or fewer inches.

Correction Required: Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Noncompliance Area: The facilities first aid kit was lacking scissors and soap.

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.