Once Upon A Time - Shavertown PA Child Care Center

Noncompliance Area: A renewal inspection occurred at the facility on 7/15/20 and a review of staff files was conducted. The CPSL was revised September 2019 to include the need for the NSOR clearance. Any staff that was hired prior to 9/30/19 had until 7/1/2020 to receive the NSOR clearance. Staff # 1, # 2, # 3, # 4, and # 5 all had hire dates prior to 9/30/19 and at the time of the inspection, these staff did not have an NSOR clearance in their file. Staff # 2 was working with children at the time of this inspection without having completed the NSOR application. Staff # 4 was hired as a provisional hire on 9/3/19. Staff file # 4 did not contain a disclosure statement, did not apply for the state police clearance until 10/24/19, child abuse clearance until 9/4/19, and did not receive an FBI clearance until 2/7/20. Staff # 4 was not hired correctly as a provisional hire.

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 # 1, # 2, # 3, # 4, and # 5 may not work in a child care position at the facility.

Noncompliance Area: A renewal inspection occurred at the facility on 7/15/20 and a physical site review was conducted. The multi-purpose room contains a small sink area with cabinets. In these cabinets, cleaning materials were found. These cabinets were not locked or a gate was not located in the door way that restricted the children from entering this small sink area that contained the cleaning materials in the cabinets.

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: On the date of this renewal inspection, a review of children's files was conducted. Child file # 2 had a child service report in the file dated for 10/12/17 and 2/6/19. Child file # 3 had a child service report in the file dated for 10/17/17 and 1/24/19. Child file # 5 had a child service report in the file dated for 3/20/18 and 2/6/19. These child service reports were not updated every 6 month period.

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: On the date of this renewal inspection, a review of staff files was conducted. Staff file # 3 was missing a current health assessment. The last health assessment in this staff's file was dated for 3/23/17. Staff # 3 was working was a group of children at the time of this 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.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.

Noncompliance Area: On the date of this renewal inspection, a review of staff files was conducted. Staff file # 1 had a date of hire for December 2018. This file did not contain an official state police clearance or an official child abuse clearance. File # 1 was also missing a signed disclosure statement. Staff # 1 was working alone with a group of preschool children and the file only contained a volunteer state police clearance dated for 9/18/18 and a volunteer child abuse clearance dated for 9/25/18. Staff file # 2 had a date of hire of 4/16/19. This file did not contain the Department of Human Service FBI clearance or a signed disclosure statement. The file only contained a Department of Education FBI clearance dated for 9/17/18. Staff # 2 was working with children at the time of this inspection.

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 # 1 and # 2 may not work in a child care position at the facility.

Noncompliance Area: On the date of this renewal inspection, a physical site review was conducted. In the preschool room, a metal piece used to hold the ceiling tile had come lose and this metal piece was hanging from the ceiling. In the outdoor play area, the plastic protective coating on some of the fencing screws had worn off. These screws were on the inside of the children's 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: On the date of this inspection, a review of the facility's daily activities was conducted. During this time Staff # 1 was viewed working with Child # 1 in the 3-year old section. Child # 1 would often act out or attempt to walk away from the group. Staff # 1 would then grab Child # 1 by the arm and would pull the child back to the group on at least 2 occasions. Child # 1 was also viewed on at least 3 occasions being held on Staff # 1's lap and child was visibly trying to get out of the arm grip of the staff person.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must arrange for all staff to participate in an in-person PQAS approved training on the topics of appropriate discipline and redirection of children and ways of working with children with special needs. The training shall be a minimum of 2-hours. The legal entity will submit training content to the Northeast Daycare Regional Office for approval before scheduling the training for staff. The legal entity will submit completion of the training to the Northeast Daycare Regional Office and keep a copy in the staff files.

Noncompliance Area: On the date of this inspection, a review of the facility's diaper changing procedure was conducted. At this time, Staff # 3 was viewed changing diapers but did not wash the children's hands or the staff hands after every diaper change.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 2 contained a health assessment dated 9/21/15. Staff file # 2 is missing an updated 24 month health assessment.

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.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. The fencing in the outdoor play area contained bolts that were exposed on the inside play area that was accessible to the children.

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: CHILD # 1 DID NOT HAVE A HEALTH ASSESSMENT ON FILE UNTIL 2/6/17 WHICH IS OVER 60 DAYS FROM DATE OF CHILD'S ENROLLMENT ON 10/24/16.

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: THERE IS EXPIRED KETCHUP AND MILK IN THE REFRIGERATOR. THERE IS NO MENU CREATED OR POSTED FOR THE PARENTS.

Correction Required: Food stored, prepared or served shall be clean, wholesome, free from spoilage, free from adulteration and safe for human consumption. An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

Noncompliance Area: FACILITIES REGULATIONS WERE NOT POSTED FOR PARENTS TO ACCESS AND CERTIFICATE WAS EXPIRED.

Correction Required: The facility's current certificate of compliance 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: THE KITCHEN INDUCTION BURNER IS ACCESSIBLE TO THE CHILDREN AND IS A SOURCE OF HEAT THAT EXCEEDS 110 DEGREES.

Correction Required: Hot water pipes and other sources of heat exceeding 110 F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

Noncompliance Area: BOTH BATHROOMS IN THE FACILITY HAVE NO HANDWASHING SIGNS POSTED. WASHCLOTHS USED TO DRY THE CHILDREN'S HANDS ARE NOT LABELED FOR EACH CHILD AT FACILITY.

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. Cloth towels and washcloths shall be labeled with the child`s name, used by only the named child and laundered weekly. The director shall arrange a laundry schedule with the parent.