Nieta Hatten Family Child Care Home

Noncompliance Area: THE FILE STAFF PERSON #1, HIRED 7/2/2008, DID NOT CONTAIN A COPY OF THE CURRENT MANDATED REPORTER TRAINING OR NSOR CLEARANCE AS REQUIRED UNDER THE CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: .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: AT THE TIME OF INSPECTION THE LEGAL ENTITY DID NOT HAVE A CURRENT COPY OF THE INSURANCE POLICY ON FILE AT THE FACILITY.

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: AT THE TIME OF INSPECTION STAFF PERSONS #1 AND 2 DID NOT HAVE AT LEAST TWO LETTERS OF 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: AT THE TIME OF INSPECTION STAFF PERSON #2 DID NOT HAVE VERIFICATION OF 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: AT THE TIME OF INSPECTION CERTIFICATION REPRESENTATIVE OBSERVED A CHILD SLEEPING IN REST EQUIPMENT THAT WAS NOT AGE-APPROPRIATE OR LABELED FOR THE USE OF SPECIFIC CHILD.

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: AT THE TIME OF INSPECTION CHILD #1 DID NOT HAVE A 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: AT THE TIME OF INSPECTION PERSON #1, WAS OBSERVED IN THE MORNING WORKING ALONE WITH CHILDREN AND DID NOT HAVE COMPLETED CHILD ABUSE CRIMINAL HISTORY OR FBI HISTORY INFORMATION REQUIRED UNDER THE CPSL.

Correction Required: LACKING REQUIRED HIRING DOCUMENTS: Facility Person # -- may not work in a child care position at the facility.

Noncompliance Area: At the time of the inspection, there was nothing specifying the persons designated by a parent to whom the child may be released on the agreement of child #2, 3 and 4.

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 the inspection, there was no phone number of the child's physician or source of medical care on the emergency contact form for child #1 and 5.

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: At the time of the inspection, there was no verification of the home and/or work address and phone number on file for child #2 and 3.

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

Noncompliance Area: At the time of the inspection, there was no address and phone number of the individual designated by the parent to whom the child may be released on the emergency contact form for child #1, 2, 4 and 5.

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: At the time of the inspection, there was no written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: At the time of the inspection, there was no updated health report on file for child #1 (DOB 12-1-5). The last report was dated 6-12-17. There should have been another report at child's 2 year birthday on or around 12-1-17. There was no updated health report on file for child #3 (DOB 9-10-16). The last report on file was dated 3-13-17. There should have been another report on child's 1 year birthday on or around 9-10-17 and another report on 3-13-18 at child's 18 month visit.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: At the time of the inspection, there was health report on file for staff #2 was dated 9-22-15 and expired on 9-22-17. Also, there was no date of Tuberculosis screening administered or date read on the report.

Correction Required: 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 shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department.

Noncompliance Area: At the time of the inspection, the last update to the emergency plan was dated 8-2016. There should have been another update in 2017.

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.

Noncompliance Area: At the time of the inspection, there was no verification of biennial minimum of 12 clock hours of child care training for staff #1 and 2.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: At the time of the inspection, there was no valid first aid/CPR verification on file for staff #2, who is a designated staff person in the absence of staff #1. The verification on file expired 12-4-17.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: At the time of the inspection, staff #2 did not have valid clearances or requests for new clearances on file. The Child Abuse clearance on file expired 3-18-18 and the FBI clearance on file expired 3-1-18.

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

Noncompliance Area: At the time of the inspection, there was chipped paint to the right of the door by the shelf holding the television.

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

Noncompliance Area: At the time of the inspection, there were two training chairs with urine still in them.

Correction Required: A training chair is not a flushing toilet. A training chair shall be emptied and sanitized after each use. An acceptable sanitizing solution is 1/4 cup of bleach combined with 1 gallon of water. A sanitizing solution shall be treated as a toxic.

Noncompliance Area: AT the time of the inspection, there was no verification of a fire drill being conducted.

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

Noncompliance Area: At the time of the inspection, there was chipped paint under the front right window and on the left wall that contained the letters of the alphabet.

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

Noncompliance Area: At the time of the inspection, there was no agreement on file for child #1.

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

Noncompliance Area: At the time of the inspection, there was no date of admission for child #2-4.

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

Noncompliance Area: At the time of the inspection, there was no name of the child`s physician or source of medical care on the emergency contact form for child #2.

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: At the time of the inspection, there was no work address of the enrolling parent on the emergency contact form for child #1.

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

Noncompliance Area: At the time of the inspection, there was no health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits on the emergency contact form for child #2 and 4.

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 the inspection, there was no address and telephone number of the individual designated by the parent to whom the child may be released on the emergency contact form for child# 1 and 2.

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: At the time of the inspection, there was no updated health report for child #3 (dob 1/1/16).

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler

Noncompliance Area: At the time of the inspection, there was no signed parental consent for emergency medical care or no signed parental consent for administration of minor first-aid procedures by facility staff for child #1-4.

Correction Required: A child`s record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.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: At the time of the inspection, there was no verification of training in the emergency plan for staff #2.

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: At the time of the inspection, there was no verification of child care training hours for staff #2.

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: At the time of the inspection, there was a black shelf that had a television on top of it that was a tipping hazard.

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: At the time of the inspection, there was no verification of fire evacuation drills being conducted.

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