Nicoles Nurturing Child Care

Noncompliance Area: Observed four blue rest mats which had 2-3 inch tears on each of them.

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 most current rabies immunization record on file for Cass, the cat, expired on 7/6/2020.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Noncompliance Area: There was more than 6 months in between the previous and most current child service report on file for child #4 and was due in the file prior to regulatory suspension date of 3/6/2020. Child service report was completed 4/14/2019 and then on 6/29/2020.

Correction Required: An agreement shall specify 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 at 3290.124(e).

Noncompliance Area: There was more than 12 months in between the previous and the most current and updated health assessment on file for child #3, who is of preschool age and was due in the file prior to regulatory suspension date of 3/6/2020.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: The most current and updated health assessment on file for child #2 lacks a statement that the child is able to participate in child care and appears to be free from 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: In the downstairs play room and by the play tire, observed a hanging cord in reach of the children. This poses a strangulation hazard to the children in care.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: There was more than six months between reviews of the emergency contact information and fee agreement on file for children #1, 3, and 4. Child #1 and #4's emergency contact information and fee agreement were reviewed on 4/16/2019 and then on 6/8/2020. Child #3's emergency contact information was reviewed on 4/18/2019 and then on 6/10/2020 and fee agreement was reviewed on 4/6/2019 and then on 6/10/2020.

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 most current mandated reporter training on file for staff #1 was not completed within the previous 60 months. Most current mandated reporter training is dated 6/12/2015.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include records of training required by the Department.

Noncompliance Area: Observed two toy bins, one green and one purple, in the outside play area. There were multiple cracks on the toy bins causing a 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 facility's refrigerator lacked an operating thermometer.

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: There was more than 12 months in between the current and updated health assessment and the previous health assessment on file for child #2, who is of preschool age.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.A child's record must contain initial and subsequent health reports.

Noncompliance Area: The current immunization record on file for children #1, #2, and #3 lack verification of a flu vaccine within the past 12 months.

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: A copy of the current applicable regulations under which the facility is certified was not posted.

Correction Required: The facility's current certificate of registration 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: In the back yard where the children were playing, observed peeling paint on the bottom right side of the deck.

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

Noncompliance Area: In the bottom floor play area, observed that the door to the laundry room was unlocked. On the other side of the door and accessible to the children in care, observed Lysol Spray, Pledge Cleaner, Detergent Pods, and Windex which were all labeled as Keep out of Reach of Children.

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: In the outdoor play space, observed a Life Time Ace-Flyer Teeter Totter which is mounted over grass and not over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Products Safety Commission as manufacturer's instructions dictate.

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 was more than six months in between the previous child service report and the most current child service report on file for children #1, #2, #3, #4, and #5. All child service reports on file are now current.

Correction Required: An agreement shall specify 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 at 3290.124(e).The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information

Noncompliance Area: The emergency contact information on file for child #3 lacked the address and telephone number of all individuals designated by the parent to whom the child may 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: The current and updated health assessment on file for child #2 lacked the 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 diapering area's hands-free can was not plastic lined.

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: There was more than six months in between the most recent two month reviews of the emergency contact information and financial agreements on file for children #1, #2, #3, #4, and #5. All reviews are now current.

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: Based on a conversation with the operator and the review of the facility files, the original accident report is given to the parent and one copy is added to the child's file. There is not a facility accident file.

Correction Required: A child's record must contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Noncompliance Area: In the downstairs play space, a bin containing toy musical instruments was observed with a crack exposing pinch and crush points.

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 fee agreement on file for child #1 lacked the amount of fee to be charged per day or week and the date on which the fee is to be paid. The fee agreement on file for children #2 and #4 lacked the date on which the fee 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 fee agreement on file for children #2 and #3 lacked the persons designated by a parent 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: The current updated health assessments on file for children #1 and #5 lack a statement that the child is able to participate in child care and appears to be free from contagioius 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: In main child care space on the first floor, a large television was observed at child level and not secured to the TV stand therefore posing a threat to the health and safety of the children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Noncompliance Area: In the first floor bathroom, an accessible unlocked vanity drawer was observed containing household hygiene materials which state to keep out of reach of children.

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: In the back yard outdoor play space and next to the fence which has a blue square and green circle attached to it, a hole in the ground was observed that was approximately nine inches deep and twelve inches wide creating a hazard to the children in care.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility`s outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Noncompliance Area: Based on a conversation with the operator, fire evacuation drills have not been conducted four times a year.

Correction Required: Fire evacuation drills shall be conducted at least four times a year.