Neomias Nurturing Hands Childcare

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file for staff person #1 who was hired as an assistant group supervisor on (See LIS Code Sheet) lacked a valid child abuse clearance. The child abuse clearance was requested for volunteer purposes instead of being requested for employment purposes.

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 #1 may not work in a child care position at the facility.

Noncompliance Area: The blue table on the 1st floor had a tear in the top. There was a child chair that was broken in the kitchen.

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: Foam letters with bite marks were observed in the toddler room.

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 pack-n play's in the infant room and the mats in the closet in the toddler room were not labeled for individual use.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

Noncompliance Area: The file for Child #1 contained an agreement form that was lacking the parent's signature.

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

Noncompliance Area: The file for Child #1 contained an agreement form that was lacking the release people of the child.

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

Noncompliance Area: The files for Child #2 and #3 contained emergency contact forms that were lacking the name, address and 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 files for Child #1, 2, 3, 4, and 5 all contain emergency contact forms that were lacking the parent's work address. The files for Child #2, 3, 4, 5 all contain emergency contact forms that were lacking the parent's work 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, 2, 3 and 5 all contain emergency contact forms that are lacking parental signature for consent 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 #2, 3, 4, and 5 all contained emergency contact forms that were lacking health insurance name and 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 #3, 4, and 5 all contain emergency contact forms that are lacking the release people addresses. The file for Child #3 contained an emergency contact form that was lacking the phone number of the release people.

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 upstairs rooms were lacking posted emergency transportation plans.

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: The file for Child #1, who was enrolled 11/15/19, was lacking 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.

Noncompliance Area: Children's Mucinex and Children's Benadryl in the kitchen was lacking the name of the child on it. There were 3 tubes of diaper cream that were lacking the name of the child to whom they belong.

Correction Required: The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

Noncompliance Area: There were three tubes of diaper cream that were under the changing table in the baby room that were accessible to children.

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: The file for Staff #2 was lacking an initial health assessment. The file for Staff #3 and #4 were lacking initial health assessments and TB tests.

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 files for Child #1, 2, 3, and 5 all contain emergency contact forms that are lacking parental signature for consent of minor first aid administration 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 #2, 3 and 5 were lacking signed permission for transportation and walking excursions.

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

Noncompliance Area: The file for Staff #2, 3 and 4 were all lacking proof of education and child care experience prior to their start date working in the facility.

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

Noncompliance Area: The files for Staff #1, 2, 3 and 4 were all lacking 2 non family references.

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 files for Staff #2, 3 and 4 were all lacking initial emergency plan training.

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: The file for Staff #2 contained a disclosure statement that was not dated and State Police and Child Abuse clearances that are volunteer. The file for Staff #3 was lacking a signed disclosure statement, no FBI clearance, and no documentation of applying for the NSOR prior to start date. The file for Staff #4 contained a disclosure that was not dated, lacked all clearances and/or proof of applying for clearances prior to start date. All three must be removed until all clearances come in.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2, 3, 4 -- may not work in a child care position 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. Facility Person #2, 3, and 4--- may not work in a child care position at the facility.

Noncompliance Area: On one occasion Staff #2 brought one child upstairs to change diapers while leaving the other staff downstairs with 1 infant, 3 toddlers, and 2 preschool age children.

Correction Required: When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements at 3280.52(b).

Noncompliance Area: There was a plug cover missing in the middle room on the first floor, in the upstairs restroom, and one behind the pack-n-play in the baby room.

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

Noncompliance Area: The hot water in the upstairs restroom was measured at 141.8 degrees.

Correction Required: Hot water temperature, in areas accessible to children, may not exceed 110 F.

Noncompliance Area: The high chairs in the facility were lacking T-shaped safety straps.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: The provider did not current liability insurance at the time of the initial inspection.

Correction Required: The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

Noncompliance Area: The group regulations were not posted in a conspicuous location used by parents.

Correction Required: The facility's current certificate of compliance 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: At the time of initial inspection there was no designated gross motor space.

Correction Required: A facility shall provide outdoor or indoor play space to be used for large muscle activity which includes running, jumping, climbing and riding.

Noncompliance Area: The first aid kit was lacking tape.

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.