Oconnors Family Daycare Iv

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file for Staff #1 contained an NSOR that was obtained after the staff started working at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: Staff #1 took six children into the nap room, 3 preschool aged children, 2 older toddler aged children and 1 younger toddler aged child making the ratio 1:5.

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).

Regulation: 3270.66(b)

Description: Original container

Noncompliance Area: In the kitchen on top of the refrigerator there were two spray bottles that were not labeled with the contents of the bottles.

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 stored away from food, food preparation areas and child care spaces.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: The last documented fire drill was 10.9.24 which was more than 60 days ago.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The last documented testing of the fire detection system was on 10.9.24 which is more than 30 days ago. One of the smoke detectors was beeping because of what seemed like a low battery.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.124(b)(2)

Description: Physician name, address, phone

Noncompliance Area: The file for Child #2 was lacking the address and phone number of the child's physician or source of medical care.

Correction Required: Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: The file for Child #1 who is a preschool aged child who has been enrolled for more than 60 days was lacking 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.

Regulation: 3270.131(e)(1)

Description: Exemption documentation from parent/guardian

Noncompliance Area: The file for Child #3 contains an immunization record that is lacking 1-2 doses of the rotavirus immmunization.

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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file for Staff #1 and #2 both contain two fire safety trainings that are more than 12 months apart.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 11:52 am during lunchtime, Staff #2 and #3 both walked into the kitchen leaving Staff #4, who is a 16 year old volunteer and Staff #5 in the big room with 18 children ranging in age from infant to school age.

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).

Regulation: 3270.123(b)

Description: Parent receives original

Noncompliance Area: The files of child #2, #3 and #5 contained original financial agreements.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3270.131(b)(1)

Description: Infant: updated health report every 6 months

Noncompliance Area: The file of child #3, identified as a young toddler (see coded LIS sheet), contained a health assessment dated 12/27/2022 but did not contain an updated health assessment within 6 months from the prior. The file of child #4 (see coded LIS sheet), contained health assessments dated 3/1/2022 and an updated health assessment dated 5/4/2023, exceeding 6 months between assessments.

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.

Regulation: 3270.131(b)(2)

Description: Toddler/preschool: updated health report every 12 months

Noncompliance Area: The health assessments of child #1, identified as a preschool age child, were dated more than 12 months apart (dated 1/25/2022 and 5/16/2023). The health assessments of child #2, identified as a preschool age child, were also dated more than 12 months apart (4/7/2021 and 5/4/2023). The file of child #5 contained a health assessment dated 7/27/2021 but did not contain documentation of an updated or current health assessment.

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.

Regulation: 3270.131(d)(5)/3270.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: The file of child #2 contained an immunization record which did not contain documentation of an influenza vaccination in 2022 but did contain one in 2023. The immunization record of child #3 did not contain the recommended doses of the DTaP vaccination as recommended by the ACIP for the child's age or an acceptable exemption. The file of child #5 did not contain documentation of a current influenza vaccination or acceptable exemption.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: The files of facility persons #1, #5 and #8, all who completed the health and safety pre-service training modules prior to 10/4/2022, completed the required "Pennsylvania Health and Safety Update 2022" after 12/30/2022. The file of facility person #4 and 7, who completed the health and safety topics prior to 10/4/2022, did not contain documentation of the "Pennsylvania Health and Safety Update 2022."

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.181(c)

Description: Emergency info/agreement updated 6 mos

Noncompliance Area: The file of child #3 contained an emergency contact form dated 12/18/2022 and a financial agreement dated 12/22/2022 but did not contain documentation of being updated within at least 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.

Regulation: 3270.31(e)(4)(ii)

Description: Fire safety - 1 yr.

Noncompliance Area: The file of facility person #5 contained documentation of fire safety training dated 3/15/2022 and does not contain documentation of current fire safety training.

Correction Required: Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The documentation of completion of the health and safety topics listed in subsections (f)1-9 was dated more than 90 days from their start date at the facility for #2 (7/6/2023) and #6 (6/29/2023) (see coded LIS sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.31(f)(10)

Description: Health and Safety Training - Pediatric First Aid and CPR

Noncompliance Area: The file of facility person #2 and 4 contained documentation of pediatric first aid and pediatric CPR dated 6/29/2023 which was more than 90 days from their start date (see coded LIS sheet).

Correction Required: Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Regulation: 3270.32(a)

Description: Comply with CPSL

Noncompliance Area: The file of facility person #3, employed for more than 45 days (see coded LIS sheet) contained volunteer child abuse and PA state police clearances and the file of facility person #6, employed for more than 45 days (see coded LIS sheet) did not contain a completed FBI clearance.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #3 and #6 may not work at the facility.

Regulation: 3270.52

Description: Mixed Age Level

Noncompliance Area: At approximately 10:30-11:00am, 6 children were present in the back classroom. Facility person #6 identified all 6 children in their supervisory group and stated the youngest child was one year of age and the oldest was 5 years which exceeds the 1:5 staff to child ratio for mixed age levels. In the front classroom, 6 children were present. Facility person #5 identified one child stating they were 7 years old. Facility person #1 identified 5 children from 10 months to 3 years of age which exceeded the 1:4 staff to child ratio for mixed age levels.

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).

Regulation: 3270.111(b)

Description: Posted in group space

Noncompliance Area: A written plan of daily activities was not posted in the back classroom.

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

Regulation: 3270.131(d)(5)

Description: Immunization record

Noncompliance Area: The immunization record of child #1 did not contain a current influenza vaccination and child #2 was missing documentation of 2 DTAP, 1 pneumococcal, 1 polio, 1 current influenza, 1 MMR, 1 varicella, 1 hep A or documentation of an acceptable exemption for both child #1 and 2.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: The file of facility person #4 contained the 2 most current health assessments exceeding 24 months (dated 6/29/2019 and 11/29/2021). The file of facility person #5 contained an initial health assessment dated 1/11/2022, which was after their start date with children (see coded LIS sheet).

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. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.151(c)(2)

Description: Mantoux TB

Noncompliance Area: Documentation of initial tuberculosis screening of facility person #5 was dated 1/11/2022, which was after their start date with children (see coded LIS sheet).

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.

Regulation: 3270.151(c)(3)

Description: Exam communicable disease

Noncompliance Area: The health assessment of facility person #4 did not include an examination for communicable diseased and the results of that examination.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: The file of facility person #2, identified as an assistant group supervisor, did not contain documentation of education to qualify them for the position.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: The file of facility person #1 did not contain documentation of initial emergency plan training within 90 days of their start date (see coded LIS sheet) and facility person #4 and 7 did not contain documentation of current emergency plan training within the last year.

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.

Regulation: 3270.31(e)/3270.192(2)(iii)

Description: Age and Training/Exp, educ., training at facility

Noncompliance Area: The file of facility person #4 and 6 did not contain documentation of 12 annual training hours between 12/19/2020 and 12/19/2021. Based on a conversation with staff and previous file review, the files of facility person #8 and 9 did not contain documentation of 12 annual training hours between 12/19/2020 and 12/19/2021.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): approved pediatric first aid and pediatric CPR by a PQAS instructor and the required health and safety topics

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #7 will have until 8/31/2022 to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an (AGS) who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: The file of facility person #5 contained documentation of the professional development topics listed in subsections (f) 1-9 dated 2/27/2022 and facility person #8 had documentation dated 7/23/2022, which was more than 90 days from their start date (see coded LIS sheet).

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: The file of facility person #1 contained a disclosure statement from 11/2015 and did not contain a witness signature or date, facility person #3 did not contain a completed disclosure statement and facility person #5 contained a signed disclosure statement from 11/2015, an NSOR verification certificate which was dated 3/2/2022, more than 45 days from their start date (see coded LIS sheet) and an incomplete FBI clearance.

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

Regulation: 3270.34(a)(6)

Description: Staff evaluations

Noncompliance Area: The facility did not have documentation of a written evaluation by the director at least annually for facility person #4, 6 and 7.

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

Regulation: 3270.66(a)

Description: Locked or inaccessible

Noncompliance Area: Purell cleaning wipes, labeled keep out of the reach of children, were on a table in the front room by the kitchen, accessible to the children.

Correction Required: Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: Documentation of testing the fire detection system exceeded 30 days from 12/12/2021 and 1/15/2022.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: The files for staff persons #1 and #2 had health assessments that were falsified and were therefore not valid. The office manager from the medical office on the health assessments confirmed that the health assessments were not completed by them as they were presented at the inspection.

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.