New Horizons School

Noncompliance Area: The agreement forms for Children #1, #3 and #5 lacked the admission date for the child.

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

Noncompliance Area: The emergency contact form for Child #1 lacked the physician's address and 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 emergency contact form for child #1 lacked the addresses for one of the release persons listed.

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 health assessment on file for Child #1 lacked information related to the child's health history and an assessment of acute and chronic health problems or special needs.

Correction Required: A health report shall include a review of the child's health history.A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

Noncompliance Area: The health report on file for Child #1 lacked a statement that the child is 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 #2 lacked documentation that the child had received their 12 month MMR and Varicella vaccinations. The file for Child #4 lacked documentation that they had received their annual Flu vaccination. Written exemptions were not on file for the missing vaccinations.

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.

Noncompliance Area: The initial health assessments on file for Staff #1 and Staff #2 were completed after they started in a child care taking position.

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.

Noncompliance Area: The file for Staff Person's #3 and #4 lacked the NSOR clearance as required by the CPSL. The file for Staff Person #4 lacked verification that they had requested their FBI clearance prior to starting in a child care taking position and an acceptable FBI clearance was not dated until 7 months after they started. The file for Staff Person #3 also lacked verification that they had completed their mandated reporter training within 90 days of hire.

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

Noncompliance Area: One electrical outlet was observed to be missing a protective outlet in the Learning Center classroom.

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

Noncompliance Area: In the Learning Room one cracked bin was observed causing a potential pinch point.

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 file for Child #1, a school age child, lacked a current medical examination in accordance with the requirements for examinations for school attendance.

Correction Required: The initial health report for a school-age child must be dated in accordance with the requirements for medical examinations for school attendance in 28 Pa. Code 23.2 (relating to medical examinations).

Noncompliance Area: The health assessment on file for Child #2 lacked verification that the child had received an annual flu vaccination and an exemption was not on file.

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.

Noncompliance Area: One expired Aquaphor ointment was observed in the Room #2 up, the Infant Classroom.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The file for Staff Person #1 lacked a State Police that had been completed for Employment Purposes. The State Police Clearance was for Volunteer Purposes. The file for Staff Person #2 lacked a Child Abuse Clearance that had been completed for Employment Purposes. The Child Abuse Clearance was completed for Volunteer Purposes.

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

Noncompliance Area: The first aid kit in Room #4 downstairs was missing gauze.

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.

Noncompliance Area: In the Overflow/Toddler Classroom one Sterlite drawer was observed to be cracked causing a pinch point. In the downstairs Twos Classroom one cracked bin with a cracked lid was observed.

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 for Child #2 lacked release person information. The emergency contact form for Child #3 lacked the address for two of the release persons listed.

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: In the Overflow/Toddler Classroom one expired All Day Allergy medication was observed.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The updates to the emergency contact form and the financial agreement for Child #1 exceeded 6 months betwen review and update.

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: A hand washing sign was missing from the changing table in the Overflow/Toddler Classroom.

Correction Required: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

Noncompliance Area: The facility exceeded 60 days between fire drills on two occasions in the last year.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: The tuberculosis screening on file for Staff Person #1 lacked the a name on the tuberculosis screening to verify that it was theirs. The tuberculosis screening on file for Staff Person #2 lacked a date of tuberculosis screening to verify that it had been completed within 12 months prior to starting in a child care taking position.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

Noncompliance Area: The file for Staff Person #1 lacked verification of education and experience and the file for Staff Person #2 lacked verification of education.

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 file for Staff Person's #1 and #2 lacked two written, nonfamily 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 file for Staff Person #2 lacked verification that they had received emergency plan training at the time of initial hire.

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.

Noncompliance Area: The file for child #3 contains child service reports which were completed in an interval which exceeds 6 months.

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).

Noncompliance Area: The emergency contact information on file for child #1 lacks the complete work address of the enrolling parent.

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

Noncompliance Area: The emergency contact information on file for child #1 lacks the complete address of the parent-designated release person.

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 staff person #3 contains health assessments which were completed in an interval which exceeds 24 months.

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.

Noncompliance Area: The emergency contact information for on file for child #1, child #2 and child #3 was updated in an interval which exceeds 6 months.

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 child #2 contains emergency contact information which lacks signed parental consent for emergency medical care and administration of minor first-aid procedures by facility staff

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: The was no documented review of the emergency plan in the previous 12 months.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

Noncompliance Area: The file for staff person #1 and staff person #2 lack verification of 6 hours of child care training in the previously completed service year.

Correction Required: A staff person shall obtain an annual minimum of 6 clock hours of child care training.

Noncompliance Area: The file for staff person #1 lacks a written evaluation in the previous 12 months.

Correction Required: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Noncompliance Area: Observed a loose hanging cable wire on the side of the facility in the outside play space. Observing a missing fence picket in the side yard outside play space.

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: Observed peeling paint on the window well in the outside play space and in the stairwell area.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: Fire drills were held in an interval which exceeded 60 days on two separate occasions.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: The file for staff person #3 contains a health assessment which lacks a physician`s or CRNP`s assessment of the person`s suitability to provide child care.

Correction Required: An adult health assessment must include the physician`s or CRNP`s assessment of the person`s suitability to provide child care.

Noncompliance Area: The file for staff person #1 lacks one written, non-family 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 #1, who began in a child care taking position on 10/24/16, lacks a current disclosure statement. The file for staff person #2, who began in a child care taking position on 03/29/17, lacks a current disclosure statement. The file for staff person #3 lacks verification of current mandated reporter training.

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.

Noncompliance Area: Staff person #1, who is performing the duties of an AGS, lacks verification of two years of child care experience on file to qualify for the position of AGS.

Correction Required: An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person`s record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: At approximately 11:00 am, staff person #1 was observed to be out of ratio in the young toddler room of the facility. Staff person #1 was supervising a group of eight older and younger toddlers.

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).

Noncompliance Area: Observed accessible wasp and hornet spray, spectrocide, and Liquid Plumber under the sink in the unlocked kitchen in the basement. Observed accessible hand santizier and spectricide on shelving in the school-age room.

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 chipping paint along the wall beside the reading center in the preschool-4 classroom.

Correction Required: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Noncompliance Area: The exit doors from the downstairs classrooms were blocked from the outside by a small boulder placed against them, obstructing the doors and preventing them from opening.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.