Pat Mcfaddin Day Care Center - Charleroi PA Child Care Center

Noncompliance Area: The outdoor play little tykes boat had two long cracks along the top of the boat posing pinch points to the children in care.

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: The facility had Mylicon, Albuterol and ointment for use with child in care that were past their expiration date as indicated on the medications.

Correction Required: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

Noncompliance Area: The back infant room lacked a hands free diapering can for use at the diaper changing table. The toddler room contained an inoperable hands free diaper changing can by the diaper changing table.

Correction Required: 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: Staff file #2, DOH 10/25/00, contained valid health assessments dated 2/16/17 and 3/5/19 which exceeded the 24 months for valid health assessments. Staff file #3, DOH 8/31/16, contained valid health assessments dated 8/27/18 and 8/28/20 which exceeded the 24 months for valid health assessments.

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.

Noncompliance Area: On the date of inspection, it was observed that there was a fire detection system that was not operable because the alarm did not sound when activated for the system that was hard wired to electricity. The facility did have operable battery operated smoke detectors. This condition at the facility poses a threat to the health or safety of children.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Demonstration of Compliance with 34 Pa. Code 403.23 is required. The agent of the Department will file a complaint with the appropriate municipal office to request an additional fire safety inspection by the appropriate agency to verify compliance with 34 Pa. Code 403.23 and per Chapter 20.35(c). the provider will contact the local building code official to determine what system is needed for the building and demonstrate an operable fire detection system to an agent of the department.

Noncompliance Area: All staff files contained NSOR verifications dated on 8/1/2020 or later which was after the required date of 7/1/2020 per CPSL. Staff file #4, DOH 6/15/20, was incorrect provisional hire, staff file contained a request for NSOR dated 8/1/20 and a valid NSOR verification dated 8/27/20, which was requested after hire. The facility did not have approved DHS Provisional Hire Waiver to hire staff provisionally.

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: The first aid kit located in the back infant room was accessible to the children in care.

Correction Required: A first-aid kit must be inaccessible to children.

Noncompliance Area: Outside in the play area, it was observed that the wooden picnic table was splintering. The disney princess scooter had a crack on the basket attached to the front and little tikes boat had a crack on the bottom, causing a pinch point.

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: In the infant room, the stair mats were torn on numerous corners, causing the foam to be exposed. The children could then pull it apart causing a chocking hazard.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Noncompliance Area: In the back room, it was observed that a high chair did not have a T-strap safety strap.

Correction Required: High chairs shall have a wide base and a T-shaped safety strap.

Noncompliance Area: Upon entering the facility is was observed that four children were sleeping with toys and other children beside each other, lacking the 2 feet of space on three sides

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: Upon entry into the facility it was observed that an infant was sleeping in a swing, which is not recommended by the American Academy of pediatrics.

Correction Required: Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: The agreement for child for child #2 lacked an arrival and departure times.

Correction Required: An agreement shall specify the child's arrival and departure times.

Noncompliance Area: The files for child #1, #4, and #5 contained an original agreement.

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

Noncompliance Area: The file for child #3 and #5 lacked an immunization record in accordance with the ACIP.

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.