Past Your Bedtime Child Care Ctr Ii

Noncompliance Area: During a renewal inspection conducted on 9/4/2020, 2 staff file were reviewed. Staff member # 1 and 2 files did not contain verification of child care experience and training prior to service at the facility.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Noncompliance Area: During a renewal inspection conducted on 9/4/2020, 2 staff files were reviewed. Staff member # 2 file did not contain verification of annual 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.

Noncompliance Area: During a renewal inspection conducted on 9/4/2020, 2 staff files were reviewed. Staff member # 2 file did not contain an disclosure statement. Facility Person #2 may not work in a child care position at the facility.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 2 may not work in a child care position at the facility. 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 # 2 may not work in a child care position at the facility.

Noncompliance Area: In room #3 during the inspection on 10/15/19, there were broken toys on the shelves that could pose a hazard to the children.

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: Styrofoam was observed in the classroom during lunch at the time of inspection on 10/15/19 .

Correction Required: Styrofoam bowls, cups and plates may not be used.

Noncompliance Area: There was no written proof of a recent physical in the file for facility child #1 during the inspection on 10/15/19.

Correction Required: The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility.A child's record shall contain initial and subsequent health reports.

Noncompliance Area: At the time of inspection on 10/15/19, the file for facility child #2 did not have written proof of a recent physical.

Correction Required: The initial health report for an older toddler or preschool child shall be dated no more than 1 year prior to the first day of attendance at the facility.

Noncompliance Area: At the time of inspection on 10/15/19, an inhaler was observed in a child's cubby within the reach of the facility children. There was also an epi-pen observed on a shelf in the office. Neither item was stored in a locked space as required by the DHS regulations.

Correction Required: Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

Noncompliance Area: There was no written proof of a recent physical in the file for staff #1-hire date 9/3/19 or #3-facility owner, at the time of inspection on 10/15/19.

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: The emergency contact information in the files for facility children #1-#3 did not have signed permission for minor first-aid or emergency medical care at the time of inspection on 10/15/19.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: There were no written references in the files for staff #1-hire date-9/3/19, or staff #2-hire date 9/9/19.

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: During the inspection on 10/15/19, there was no written proof of emergency plan training in the file staff staff #1 or 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 and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Noncompliance Area: The file for staff #4 -facility director did not have written proof of required annual six-hours training at the time of inspection on 10/15/19.

Correction Required: A staff person shall obtain an annual minimum of 6 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.

Noncompliance Area: At the time of inspection, the file for staff #1 provisional-hire; date 9/3/19 who was one of two staffers-staff #2 (both provisional hires) working unsupervised by an AGS or higher at the onset of the inspection on the morning of 10/15/19. There was no signed disclosure statement or proof of a state police request clearance in the file for staff #2.

Correction Required: An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.A facility person's record shall include a copy of requests for the FBI, 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 or #2 may not work in an unsupervised child care position at the facility.

Noncompliance Area: In room #3 during the inspection on 10/15/19, there was an adequate about of equipment and supplies, toys in the classroom.

Correction Required: Measurement and use of inodoor child care spacePlay equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use.

Noncompliance Area: At the time of inspection, there was a gap in the floor at the entrance from the main classroom near the kitchen that could pose a tripping hazard 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: During the inspection on 10/15/19, there was no trash can in/near the diapering area. Staff had to walk to the restroom to put the diaper in a trash can.

Correction Required: A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle. 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: Fee amount for Child # 1, #4 and #5 was not listed on the Emergency Contact Form at the time of the renewal inspection.

Correction Required: An agreement shall specify the amount of the fee to be charged per day or per week.

Noncompliance Area: Review of files reveal that Child #1, #3, #4 and #4 did not have a current Child Service Report at the time of the renewal inspection.

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: Child #1 and #3 were missing their physician's name, address and or phone number from their Emergency Contact Form at the time of the renewal inspection.

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: Child #1 thru #4 did not have their parent's work address and or work number listed on their Emergency Contact Form at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Child # 3 did not have their health insurance name or policy number on their Emergency Contact Form at the time of the renewal inspection.

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: Release person's address was not present on the Emergency Contact Form for Child #5 at the time of the renewal inspection.

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 safe routes letter was not present at the time of the renewal inspection at the time of the renewal inspection.

Correction Required: Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Noncompliance Area: Child #1, 4 and 5 did not have an updated emergency form and or an updated financial agreement at the time of the renewal inspection.

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: Review of files reveal that Child # 1 ,and # 2 did not have a current health exam on file at the facility at the time of the renewal inspection.

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

Noncompliance Area: Review of files reveal that Child 2,3 and 5 did not have a parental signature and consent for their emergency medical care and the minor first aid at the time of renewal inspection.

Correction Required: A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: During the renewal inspection, it was observed that the most recent Certificate of Compliance was not present and posted at the time of the renewal inspection. SE Region's OCDEL contact number was not available for the families at the time of the renewal inspection.

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 Emergency Plan was not updated at the time of the renewal inspection.

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 and kept on file at the facility.

Noncompliance Area: The last fire drill took place on 7/23/18 per the fire drill log at the time of the renewal inspection.

Correction Required: A fire drill shall be held at least every 60 days. Facility persons and children in attendance shall participate in the fire drill. Facility persons and children shall exit the building, weather permitting.

Noncompliance Area: Upon entry for unannounced inspection, there was an observation of a soiled rug and the tiled flooring in the childcare room at entry of facility was stained.

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: The labels had worn off at the time of the unannounced monitoring inspection on a few cots and play pens in the infant /young toddler mix room. In addition, there was one cot that was ripped during the monitoring inspection that a child was resting on for naptime.

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: There were multiple children that did not have at least 2 feet of space as required on three sides while in use in the infant and preschool room during the renewal inspection that occured on 12/12/16. Upon the follow-up site review on 1/24/17 the Preschool children still did not have at least 2 feet of space as required on three sides while in use.

Correction Required: At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

Noncompliance Area: During renewal inspection on 12/12/16 it was revealed that release person's name was missing on Agreement Contact Form for Child #5. Date of child's admission was missing from Agreement Form for Child #3. As of 2/22/17 Provider submitted corections that did not include Child #5 Agreement Form.

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

Noncompliance Area: Health Insurance policy number is missing from Child #1 Emergency Contact Form during Renewal Inspection that occured on 12/12/16 and as of 2/22/17 the Emergency Contact Form for Child #1 had not yet been submitted.

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: Review of files reveal that Child #1, #2 and #5 were missing their release person's address on the Emergency Contact Form at the time of the renewal inspection that occured on 12/12/16. Corrections that were submitted by Provider did not include Child #1 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: There was no parental consent for minor first aid or Emergency Treatment for Child #5 at the renewal inspection

Correction Required: A child`s record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.A child`s record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: Staff # 2 and #3 did not have a Physical on file with TB testing as required during the Renewal Inspection. Provider submitted Fraudulent Health Assessments to OCDEL via email on 2/22/17 for Staff # 1; Staff #2 ; Staff #3 and Staff #5 which was confirmed by the healthcare provider.

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: Staff #3 only had one reference letter and Staff #5 did not have any reference letters at the time of the Renewal Inspection on 12/12/16. Upon review of submitted corrections, it was determined that Staff # 5 reference letters had still not been submitted to OCDEL for verification.

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: OCDEL Cert Rep went back to facility on 4/3/17 for a site check and there were multiple older toddlers; multiple preschoolers and 1 young school age that made up a total group of 14 children and there were only 2 staff present in the front room as you come into facility. There was an additional young toddler that slept in a pack -n- play in the infant room that was initially not in the site of the staff. Prior to OCDEL Cert Rep leaving, the staff re-positioned the sleeping young toddler and placed the pack-n-play between both room in order to have the child in their eye range.

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). IF USING TIERED LIS: The required staff:child ratios must be maintained at all times.The legal entity must submit documentation in a format approved by DHS proving that the facility is maintaining the required staff:child ratios at all times. The legal entity will confirm continuing compliance by sending copies of the documentation to the -------- Region Office on a weekly basis for a period of three months after DHS approves the documentation format. 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. TIERED LIS: Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.