New Horizon Learning Center - Morrisville PA Child Care Center

Noncompliance Area: On the date of the inspection the staff person in the facility did not provide this writer immediate access to the staff and children's files when requested.

Correction Required: A staff person shall provide to agents of the Department immediate access to the facility, the children and the files and records

Noncompliance Area: on the date of the inspection the facility did open with only one staff person in the building and 5 children in care.

Correction Required: At least two facility persons shall be present in the facility when two or more children are in care. At a minimum, one of the facility persons shall be a staff person.

Noncompliance Area: On 4/9/19 staff member #1 was providing care for a group of children that did include child #1. Staff person #1 did respond to the hitting, pushing and scratching behaviors of child #1 with a physical restraint. In their own words on a written statement at the time of the incident staff person #1 did write; " I had to take him to the ground 'control' and pin him with my knee"

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children, specifically non violent crisis intervention . The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: At the time of the inspection In the large muscle play space in the back yard of the facility staff person #3 was caring for a group of 13 children and was positioned in a such a way that at the times when a child in her group required more acute attention and redirection the other children in that group were out of the line of sight of staff person #3. This occurred multiple times during the inspection. Staff person #2 was caring for a group of 4 infants in the infant room at the time of the inspection; staff person #2 was observed across the hallway from the infant room and when certification representative did enter the room the four infants were unsupervised.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Noncompliance Area: At the time of the inspection the 2 year old room was staffed by staff person #1 a single staff person and there were 7 children in care including one 2 year old child. In the large muscle play space back yard of the facility a staff person #3 was responsible for a mixed age group of 13 children including several 3 year old's and younger school aged 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 in 3270.51 (relating to similar age level). The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the Southeast Region Office on a weekly basis for a period of three months after DHS approves the documentation format.

Noncompliance Area: The facility outdoor play area that had embedded equipment did not have the required ground surfacing. The mulch in most areas was less than 1/2 inch under the equipment.

Correction Required: Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

Noncompliance Area: There were two toilets in the girls bathroom that were not working properly.

Correction Required: Toilet areas and fixtures shall be cleaned daily and be in good repair.

Noncompliance Area: In the preschool classroom, a television was incorrectly mounted to a rolling cart presenting a fall hazard.

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

Noncompliance Area: During naptime in the preschool classroom, a child was resting on a cot that had only one side with two feet of space.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: The refrigerators in the kitchen, infant, and young toddler rooms did not have thermometers.

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: The Agreement for Child #4 did not include the persons to whom the child may be released.

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

Noncompliance Area: At the time of inspection, the Agreement did not include the "date of admission" for Child #3 and Child #5.

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

Noncompliance Area: At the time of inspection, Child #5 did not have their physician's phone number listed in the contact information.

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 health insurance policy number was not indicated on the emergency contact information form for Child #5.

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: At the time of inspection, Emergency Plans of Transportation were not posted in each child care space.

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.