Stepping Stones Learning Center - Whitehall PA Child Care Center

Noncompliance Area: Staff person #3 started at the facility on 10/8/19 & did not have an initial health assessment until 10/10/19. Staff person #5 started at the facility on 5/1/19 and did not have her TB screening results read until 5/2/19.

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: Staff person #1 started at the facility on 11/11/19 & did not apply for the NSOR clearance until 11/21/19. Staff person #2 started at the facility on 10/18/19 & did not apply for the NSOR clearance until 11/21/19. Staff person #3 started at the facility on 10/8/19 & did not apply for the NSOR clearance until 11/21/19.Staff person #4 started at the facility with a volunteer clearance on 10/21/18 & did obtain an employee state police clearance until 12/3/19. There is no proof that staff person # 4 applied for a state police clearance prior to working at the facility. Staff did not apply for the NSOR clearance until 11/21/19. Staff person #5 started at the facility on 5/1/19 with a volunteer state police clearance on 5/1/19. Staff #5 does not have a state police clearance.

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

Noncompliance Area: There is a radio cord that is hanging down from a shelf & accessible to the children in the toddler 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: There is peeling paint on the outside of both doors leading to the outdoor play space.

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

Noncompliance Area: Staff person #1 started at the facility on 8/27/18 and did not obtain a health assessment, including a TB screening, until 10/16/18. Staff person #3 started at the facility on 8/27/18 and did not obtain a health assessment, including a TB screening, until 10/25/18. Staff person #4 started at the facility on 8/1/18 and did not obtain a health assessment, including a TB screening, until 10/30/18. Staff person #3 started at the facility on 8/27/18 and did not obtain a health assessment, including a TB screening, until 10/25/18.

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.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 emergency contact and fee agreement forms have been updated since 1/15/18 for Child #1. The emergency contact and fee agreement forms were completed on 7/14/17 for Child #2 and were not updated until 8/24/18. The emergency contact and fee agreement forms were completed on 6/26/17 for Child #3 and were not updated until 9/10/18. The emergency contact and fee agreement forms were completed on 9/10/17 for Child #4 and were not updated until 9/10/18 The emergency contact and fee agreement forms were completed on 6/27/17 for Child #5 and were not updated until 9/9/18.

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: Staff person #2 & staff person #5 do not have any 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: Staff person #1 started at the facility on 8/27/18. Her state police clearance is dated 10/1/18 and her FBI clearance is dated 10/23/18. There is no proof that she applied for her criminal clearance or that she was fingerprinted for her FBI clearance prior to starting at the facility. Staff person #2 started at the facility started at the facility on 11/19/18. Her FBI clearance is dated 12/4/18 and there is no proof that she was fingerprinted before starting at the facility. Staff person #3 started at the facility on 8/1/18. Her child abuse clearance is dated 8/16/18. Her state police clearance is dated 8/5/18 and her FBI clearance is dated 9/27/18. There is no proof that Staff person #3 applied for her child abuse or state police clearance; there is also no proof that she was fingerprinted for her FBI clearance prior to starting at the facility. Staff person #4 started at the facility on 10/4/18 and does not have an FBI clearance. There is no verification that she was fingerprinted before starting at the center. Staff person #5 started at the facility on 5/23/18. Her child abuse clearance is dated 11/7/18, her state police clearance is dated 11/1/18 and she does not have an FBI clearance. There is no proof that Staff person #5 applied for her child abuse or criminal clearance prior to starting at the facility. There is also no verification that she was fingerprinted for her FBI clearance before starting at the center.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #5 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 #5 may not work in a child care position at the facility.

Noncompliance Area: There is no education verification for Staff person #5

Correction Required: An aide shall have a high school diploma or a general educational development certificate.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: THE COUCH IN THE SCHOOL AGE ROOM IS TORN, RESULTING IN EXPOSED FOAM.

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: THERE IS NO WRITTEN OR POSTED PLAN OF DAILY ACTIVITIES & ROUTINES IN THE INFANT ROOM, TODDLER ROOM OR SCHOOL AGE ROOM.

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. The written plan of daily activities shall be posted in the group space.

Noncompliance Area: PRESCHOOL CHILDREN IN THE MIDDLE ROOM WERE OBSERVED TO WALK TO THE BATHROOM, WHICH IS AROUND THE CORNER & OUT OF SIGHT OF ANY STAFF, WITHOUT ANY SUPERVISION.. IN ORDER TO GET TO THE BATHROOM, THE CHILDREN WALKED PAST THE OPEN KITCHEN DOOR WITH WATER BOILING ON THE STOVE. CERT REP OBSERVED FOUR CHILDREN DO THIS DURING THE RENEWAL INSPECTION. AT ONE POINT, THERE WERE TWO CHILDREN IN THE BATHROOM TOGETHER 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 approved training regarding supervision of children. It does not matter if the PQAS approved training is through the regional Key. The legal entity must receive DHS approval of the training content prior to scheduling the training. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Noncompliance Area: THERE IS NO INSURANCE POLICY NUMBER LISTED FOR CHILD #1.

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: STAFF #1 STARTED AT THE FACILITY ON 3/6/17 & DID NOT OBTAIN AN INITIAL HEATH ASSESSMENT OR TB SCREENING UNTIL 12/18/17. STAFF #3 STARTED AT THE FACILITY ON 1/9/17 & DID NOT OBTAIN AN INITIAL HEALTH ASSESSMENT OR A TB SCREENING UNTIL 2/10/17.

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.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: CHILD #2, CHILD #3, CHILD #4, & CHILD #5 DID NOT HAVE THEIR EMERGENCY CONTACT & FEE AGREEMENT FORMS UPDATED EVERY 6 MONTHS. THE EMERGENCY CONTACT & FEE AGREEMENT FORMS WERE COMPLETED 5/31/16 & NOT UPDATED UNTIL 6/27/17 FOR CHILD #2. THE EMERGENCY CONTACT & FEE AGREEMENT FORMS WERE COMPLETED 12/13/16 & NOT UPDATED UNTIL 11/14/17 FOR CHILD #3.THE EMERGENCY CONTACT & FEE AGREEMENT FORMS WERE COMPLETED 10/25/16 & NOT UPDATED UNTIL 9/5/17 FOR CHILD #4. THE EMERGENCY CONTACT & FEE AGREEMENT FORMS WERE COMPLETED 12/12/16 & NOT UPDATED UNTIL 11/11/17 FOR CHILD #5.

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.