Over The Rainbow Family Daycare

Noncompliance Area: Observed refrigerator uncleaned with potentially hazardous foods left open. Refrigerator also had no 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: Observed provider walking out of child care space leaving children to answer door, to get lunch ready, and to accompany other children in bathroom .

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. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Noncompliance Area: Observed all student files with no CSR.

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: Observed Child #1,2,4,5 with no release person listed on agreement form.

Correction Required: An agreement shall specify the persons designated by a parent to whom the child may be released.

Noncompliance Area: Observed Child #2 file with no date of admission.

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

Noncompliance Area: Observed child #3 file with no emergency contact person listed.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: Observed Child #3 file without enrolling's parents home address.

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

Noncompliance Area: Observed child #2 with no health insurance or policy number listed.

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. 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: Obsereved Child #2 and #5 without release person name, address or phone number listed on Emergency contact form.

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: Observed all children files without updated emergency contact forms.

Correction Required: 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: Observed child #1,3,4 without updated 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.

Noncompliance Area: Observed provider diaper a child without sanitizing changing station after.

Correction Required: Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

Noncompliance Area: Observed Staff #1 file with no updated health assessment within 24 months.

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.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: Observed Provider serve lunch with no grain.

Correction Required: A lunch or dinner prepared at the facility for children of toddler age or older shall include at least one grain.

Noncompliance Area: Observed Child #1 and #3 bottles without labels.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.

Noncompliance Area: Observed Child #2 with no written consent for emergency medical care or minor first aid procedures signed by parent.

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: Observed Child #2 file with no written consent for walking excursions signed by parent.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: Observed Staff #1 file with no FBI clearance.

Correction Required: 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: Observed fire drill log with only two fire drills in the pass year.

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

Noncompliance Area: Observed the refrigerator did not include 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: Observed child #4's file did not include a financial agreement.

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

Noncompliance Area: Child #2's fee agreement did not specify the date on which the fee is to be paid.

Correction Required: An agreement shall specify the date on which the fee is to be paid.

Noncompliance Area: Child #1, #2 and #3's agreement did not specify 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: Child #1 and #2's agreement did not specify the date of the child's admission.

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

Noncompliance Area: Child #1,#2 and #3's agreement did not specify the services which are to be considered as extra.

Correction Required: An agreement shall specify the services which are to be considered as extra.

Noncompliance Area: Observed child #4's file did not include emergency contact information.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: Child #3's emergency contact information did not include the work address of the enrolling parent.

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

Noncompliance Area: Child #3's emergency contact information did not include the telephone number of the individual 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: Child #1's health report was not signed by a physician, physician's assistant or a CRNP.

Correction Required: A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

Noncompliance Area: Observed child's hands not being washed after diapering.

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

Noncompliance Area: Child #3's emergency contact information was not reviewed in a 6-month period.

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: Child #2's record did not contain current health report.

Correction Required: A child's record must contain initial and subsequent health reports.

Noncompliance Area: Child #3's record did not contain signed parental consent for swimming and wading.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Noncompliance Area: Staff person #1'f file did not include a copy of the disclosure statement corrected on 4/13/2018. Staff person #1's file did not include the criminal history record and child abuse registry clearance information.

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.

Noncompliance Area: Observed first-aid kit did not include soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: Child #2 did not have rest equipment , the child was observed sleeping in an apparatus (bouncy seat) during the inspection on 6/12/17.

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: The file records for child #1 and 2 did not include a financial agreement form. The file records for child #3 and 4 did not include completed financial agreement forms.

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

Noncompliance Area: The file records for child # 2,3 and 4 did not include completed the emergency contact forms

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Noncompliance Area: The file records for child #1,2,3,and 4 did not include a 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.

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 file records for child #1,2,3,and 4 did not include current subsequent health reports.

Correction Required: A child`s record must contain initial and subsequent health reports.

Noncompliance Area: The file record for staff person #1 did not include a current health assessment confirming suitability of the staff person and confirming freedom from communicable tuberculosis.

Correction Required: 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: The facility did not review the emergency plan annually .

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. 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: The file record for individual #5 (household member) did not include current CPSL clearances. The file included a criminal history record dated 2/29/12 and a child abuse clearance dated 3/09/12.

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.

Noncompliance Area: During the inspection on 6/12/17 the first aid was missing soap and the transportation first aid kit was missing tweezers.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.One first-aid kit per child care group must accompany children and facility persons on excursions from the facility. Each first aid kit taken on an excursion must contain a bottle of water in addition to the items specified at 3290.73(c).

Noncompliance Area: The provider did not conduct at least four fire drills in the last year.

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